tag:blogger.com,1999:blog-84309914632574973572024-03-13T22:04:08.614-07:00SanPig MidwifeAnonymoushttp://www.blogger.com/profile/09877824835430540158noreply@blogger.comBlogger25125tag:blogger.com,1999:blog-8430991463257497357.post-76931442607135071712013-07-08T06:34:00.000-07:002013-07-08T06:35:22.799-07:00LEOPOLD <div align="center" class="MsoNormal" style="background: white; line-height: 24.1pt; margin-bottom: .0001pt; margin-bottom: 0cm; mso-outline-level: 2; text-align: center;">
<b><span style="color: red; font-family: "Berlin Sans FB Demi","sans-serif"; font-size: 24.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">PEMERIKSAAN LEOPOLD</span></b></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg3F_lmd2dm9ATRCXMWovMptK7FgTtjZgM1FFBYRnB28AJEKA34g_5r0qpAqLoU-AZ7upU8gv6l0IabWMmL8qH9bkOG2UxxPmXa1RxhvzFMrj6IpIsS4bFFNnx3byA0Q2OdbH-DEGr-IQAo/s1600/pemeriksaan-leopold.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg3F_lmd2dm9ATRCXMWovMptK7FgTtjZgM1FFBYRnB28AJEKA34g_5r0qpAqLoU-AZ7upU8gv6l0IabWMmL8qH9bkOG2UxxPmXa1RxhvzFMrj6IpIsS4bFFNnx3byA0Q2OdbH-DEGr-IQAo/s1600/pemeriksaan-leopold.jpg" height="320" width="223" /></a></div>
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<b><span style="font-family: Raavi, sans-serif; font-size: 12pt;">Salah satu pemeriksaan yang dilakukan saat Ante Natal
Care adalah pemeriksaan Leopold. Pemeriksaan ini terdiri dari 4
tindakan yang masing-masing dilakukan untuk mengetahui presentasi bayi dalam
rahim. Berikut dijelaskan gerakan-gerakan yang dilakukan saat pemeriksaan
Leopold :</span></b><b><span style="color: #222222; font-family: "Raavi","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></b></div>
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<!--[if !supportLists]--><b><span style="font-family: Raavi, sans-serif; font-size: 12pt;">1.<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: Raavi, sans-serif; font-size: 12pt;">Leopold I</span></b><b><span style="font-family: Raavi, sans-serif; font-size: 12pt;"><br />
Mengetahui letak presentasi kepala dan bokong.<br />
- menghadap ke kepala pasien gunakan ujung jari kedua tangan untuk mempalpasi
fundus uteri.<br />
- apabila kepala janin teraba di bagian fundus, yang akan teraba adalah keras,
bulat dan mudah digerakkan dan “ballotable”.<br />
- apabila bokong janin teraba di bagian fundus, yang akan terasa adalah lembut,
tidak beraturan, tidak rata, melingkar dan sulit digerakkan.</span></b><b><span style="color: #222222; font-family: "Raavi","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></b></div>
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<!--[if !supportLists]--><b><span style="font-family: Raavi, sans-serif; font-size: 12pt;">2.<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: Raavi, sans-serif; font-size: 12pt;">Leopold II</span></b><b><span style="font-family: Raavi, sans-serif; font-size: 12pt;"><br />
Maneuver ini untuk mengidentifikasi hubungan bagian tubuh janin ke depan,
belakang atau sisi pelvis ibu.<br />
- menghadap ke kepala pasien, letakkan kedua tangan pada kedua sisi abdomen,
pertahankan uterus dengan tangan yang satu dan palpasi sisi lain untuk
menentukan lokasi punggung janin.<br />
- bagian punggung akan teraba jelas, rata, cembung, kaku/tidak dapat
digerakkan. bagian-bagian kecil (tangan dan kaki) akan teraba kecil, bentuk /
posisi tidak jelas dan menonjol, dan mungkin bisa bergerak pasif atau aktif.</span></b><b><span style="color: #222222; font-family: "Raavi","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></b><br />
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<a name='more'></a><b><span style="font-family: Raavi, sans-serif; font-size: 12pt;"><br /></span></b></div>
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<!--[if !supportLists]--><b><span style="font-family: Raavi, sans-serif; font-size: 12pt;">3.<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: Raavi, sans-serif; font-size: 12pt;">Leopold III</span></b><b><span style="font-family: Raavi, sans-serif; font-size: 12pt;"><br />
Maneuver ini mengidentifikasikan bagian janin yang paling dekat dengan serviks.
Bagian janin inilah yang pertama kali kontak dengan jari pada saat pemriksaan
vagina, umumnya adalah kepala atau bokong. Langkah pemeriksaan :<br />
- letakkan tiga ujung jari kedua tangan pada kedua sisi abdomen pasien tepat
diantara simphisis dan minta pasien untuk menarik nafas dan menghembuskannya.
Pada saat pasien menghembuskan nafas, tekan jari tangan ke bawah secara
perlahan dan dalam di sekitar bagian presentasi.</span></b><b><span style="color: #222222; font-family: "Raavi","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></b></div>
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<!--[if !supportLists]--><b><span style="font-family: Raavi, sans-serif; font-size: 12pt;">4.<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: Raavi, sans-serif; font-size: 12pt;">Leopold IV</span></b><b><span style="font-family: Raavi, sans-serif; font-size: 12pt;"><br />
Maneuver ini mengidentifikasi bagian terbesar dari ujung kepala janin yang
dipalpasi di bagian sisi pelvis. Apabila posisi kepala fleksi ujung kepala
adalah bagian depan kepala. Apabila posisi kepala ekstensi, ujung kepala adalah
bagian oksiput. Langkah Pemriksaan :<br />
- menghadap ke longlegs pasien. Secara perlahan gerakkan jari tangan ke sisi
bawah abdomen ke arah pelvis hingga ujung jari salah satu tangan menyentuh tulang
terakhir. Inilah ujung kepala. Jika bagian ujung terletak di bagian yang
berlawanan dengan punggung, ini adalah pundak bayi dan kepala pada posisi
fleksi. Jika kepala pada posisi ekstensi, ujung kepala akan terletak pada
bagian yang sama dengan punggung dan bagian oksiput menjadi ujung kepala.<o:p></o:p></span></b></div>
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<b><span style="font-family: "Raavi","sans-serif"; font-size: 12.0pt; line-height: 115%;">Referensi</span></b><b><span style="font-family: "Raavi","sans-serif"; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></b></div>
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<b><span style="font-family: "Raavi","sans-serif"; font-size: 12.0pt; line-height: 115%;">Rachmawati,
I.N., Budiati, T., & Rahmawati, C.(2008). <i>Panduan Praktikum
Prosedur Pemeriksaan Fisik Antenatal. </i>Depok.<o:p></o:p></span></b></div>
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Anonymoushttp://www.blogger.com/profile/09877824835430540158noreply@blogger.com0tag:blogger.com,1999:blog-8430991463257497357.post-40120966260939170842013-07-08T06:19:00.000-07:002013-07-08T06:22:53.624-07:00BESARNYA UTERUS DAN TINGGI FUNDUS<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhCJ3LfUDqjkiVMwrdL54ujq6PXF994oQLfvj2wNUkwYsT-EphVNlswtbnNnVqsIKn9HE7ct6aPlfKg_GEFopqgWWU7iT8-PUzr62okvhcL1xpWWl2pDNN3DELwQHuJAJ5T4HZMwgRhDnJS/s1600/images+(5).jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhCJ3LfUDqjkiVMwrdL54ujq6PXF994oQLfvj2wNUkwYsT-EphVNlswtbnNnVqsIKn9HE7ct6aPlfKg_GEFopqgWWU7iT8-PUzr62okvhcL1xpWWl2pDNN3DELwQHuJAJ5T4HZMwgRhDnJS/s1600/images+(5).jpg" /></a></div>
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<span style="color: #0070c0; font-family: Algerian; font-size: 18.0pt; line-height: 115%; mso-bidi-font-family: Arial; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><br /></span></div>
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<span style="color: #0070c0; font-family: Algerian; font-size: 18.0pt; line-height: 115%; mso-bidi-font-family: Arial; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">HUBUNGAN ANTARA BESARNYA UTERUS DAN
TINGGI FUNDUS UTERI TERHADAP USIA KEHAMILAN<o:p></o:p></span></div>
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<td style="border: solid windowtext 1.0pt; height: 28.05pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.3pt;" width="172"><div align="center" class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span style="font-family: "Agency FB","sans-serif"; font-size: 14.0pt; line-height: 115%; mso-bidi-font-family: Arial; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">USIA
KEHAMILAN</span></b><b><span style="font-family: "Agency FB","sans-serif"; font-size: 14.0pt; line-height: 115%; mso-bidi-font-family: Arial; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></b></div>
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<b><span style="color: #c00000; font-family: "Agency FB","sans-serif"; font-size: 14.0pt; line-height: 115%; mso-bidi-font-family: Arial; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">BESARNYA UTERUS</span></b><b><span style="color: #c00000; font-family: "Agency FB","sans-serif"; font-size: 14.0pt; line-height: 115%; mso-bidi-font-family: Arial; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></b></div>
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<td style="border-left: none; border: solid windowtext 1.0pt; height: 28.05pt; mso-border-left-alt: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 175.0pt;" width="233"><div align="center" class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span style="color: #00b050; font-family: "Agency FB","sans-serif"; font-size: 14.0pt; line-height: 115%; mso-bidi-font-family: Arial; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">TINGGI FUNDUS UTERI</span></b><b><span style="color: #00b050; font-family: "Agency FB","sans-serif"; font-size: 14.0pt; line-height: 115%; mso-bidi-font-family: Arial; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></b></div>
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<b><span style="font-family: "Agency FB","sans-serif"; font-size: 14.0pt; line-height: 115%; mso-bidi-font-family: Arial; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Akhir
Bulan 1<o:p></o:p></span></b></div>
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Bulan 2<o:p></o:p></span></b></div>
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Bulan 3<o:p></o:p></span></b></div>
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Bulan 4<o:p></o:p></span></b></div>
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<b><span style="font-family: "Agency FB","sans-serif"; font-size: 14.0pt; line-height: 115%; mso-bidi-font-family: Arial; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Akhir
Bulan 5<o:p></o:p></span></b></div>
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<b><span style="font-family: "Agency FB","sans-serif"; font-size: 14.0pt; line-height: 115%; mso-bidi-font-family: Arial; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Akhir
Bulan 6<o:p></o:p></span></b></div>
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<b><span style="font-family: "Agency FB","sans-serif"; font-size: 14.0pt; line-height: 115%; mso-bidi-font-family: Arial; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Akhir
Bulan 7<o:p></o:p></span></b></div>
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<b><span style="font-family: "Agency FB","sans-serif"; font-size: 14.0pt; line-height: 115%; mso-bidi-font-family: Arial; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Akhir
Bulan 8<o:p></o:p></span></b></div>
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<b><span style="font-family: "Agency FB","sans-serif"; font-size: 14.0pt; line-height: 115%; mso-bidi-font-family: Arial; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Akhir
Bulan 9<o:p></o:p></span></b></div>
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<b><span style="font-family: "Agency FB","sans-serif"; font-size: 14.0pt; line-height: 115%; mso-bidi-font-family: Arial; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Akhir
Bulan 10<o:p></o:p></span></b></div>
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<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 292.15pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 163.1pt;" valign="top" width="217"><div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<b><span style="color: #c00000; font-family: "Agency FB","sans-serif"; font-size: 14.0pt; line-height: 115%; mso-bidi-font-family: Arial; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Lebih besar dari biasanya<o:p></o:p></span></b></div>
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<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<b><span style="color: #c00000; font-family: "Agency FB","sans-serif"; font-size: 14.0pt; line-height: 115%; mso-bidi-font-family: Arial; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sebesar telur bebek<o:p></o:p></span></b></div>
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<b><span style="color: #c00000; font-family: "Agency FB","sans-serif"; font-size: 14.0pt; line-height: 115%; mso-bidi-font-family: Arial; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sebesar telur anggsa<o:p></o:p></span></b></div>
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<b><span style="color: #c00000; font-family: "Agency FB","sans-serif"; font-size: 14.0pt; line-height: 115%; mso-bidi-font-family: Arial; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sebesar kepala bayi<o:p></o:p></span></b></div>
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<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<b><span style="color: #c00000; font-family: "Agency FB","sans-serif"; font-size: 14.0pt; line-height: 115%; mso-bidi-font-family: Arial; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sebesar kepala dewasa<o:p></o:p></span></b></div>
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<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<b><span style="color: #c00000; font-family: "Agency FB","sans-serif"; font-size: 14.0pt; line-height: 115%; mso-bidi-font-family: Arial; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sebesar kepala dewasa / ><o:p></o:p></span></b></div>
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<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<b><span style="color: #c00000; font-family: "Agency FB","sans-serif"; font-size: 14.0pt; line-height: 115%; mso-bidi-font-family: Arial; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sebesar kepala dewasa / ><o:p></o:p></span></b></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<b><span style="color: #c00000; font-family: "Agency FB","sans-serif"; font-size: 14.0pt; line-height: 115%; mso-bidi-font-family: Arial; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sebesar kepala dewasa / ><o:p></o:p></span></b></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<b><span style="color: #c00000; font-family: "Agency FB","sans-serif"; font-size: 14.0pt; line-height: 115%; mso-bidi-font-family: Arial; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sebesar kepala dewasa / ><o:p></o:p></span></b></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<b><span style="color: #c00000; font-family: "Agency FB","sans-serif"; font-size: 14.0pt; line-height: 115%; mso-bidi-font-family: Arial; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sebesar kepala dewasa / ><o:p></o:p></span></b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 292.15pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 175.0pt;" valign="top" width="233"><div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<b><span style="color: #00b050; font-family: "Agency FB","sans-serif"; font-size: 14.0pt; line-height: 115%; mso-bidi-font-family: Arial; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Belum teraba<o:p></o:p></span></b></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<b><span style="color: #00b050; font-family: "Agency FB","sans-serif"; font-size: 14.0pt; line-height: 115%; mso-bidi-font-family: Arial; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dibelakang simphisis<o:p></o:p></span></b></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<b><span style="color: #00b050; font-family: "Agency FB","sans-serif"; font-size: 14.0pt; line-height: 115%; mso-bidi-font-family: Arial; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1- 2 jari diatas simphisis<o:p></o:p></span></b></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<b><span style="color: #00b050; font-family: "Agency FB","sans-serif"; font-size: 14.0pt; line-height: 115%; mso-bidi-font-family: Arial; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pertengahan simp- pusat<o:p></o:p></span></b></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<b><span style="color: #00b050; font-family: "Agency FB","sans-serif"; font-size: 14.0pt; line-height: 115%; mso-bidi-font-family: Arial; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2- 3 jari dibawah pusat<o:p></o:p></span></b></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<b><span style="color: #00b050; font-family: "Agency FB","sans-serif"; font-size: 14.0pt; line-height: 115%; mso-bidi-font-family: Arial; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Setinggi pusat<o:p></o:p></span></b></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<b><span style="color: #00b050; font-family: "Agency FB","sans-serif"; font-size: 14.0pt; line-height: 115%; mso-bidi-font-family: Arial; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2-3 jari di atas pusat<o:p></o:p></span></b></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<b><span style="color: #00b050; font-family: "Agency FB","sans-serif"; font-size: 14.0pt; line-height: 115%; mso-bidi-font-family: Arial; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pertengahan pusat Px<o:p></o:p></span></b></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<b><span style="color: #00b050; font-family: "Agency FB","sans-serif"; font-size: 14.0pt; line-height: 115%; mso-bidi-font-family: Arial; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3 jari dibawah Px / Setinggi Px<o:p></o:p></span></b></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<b><span style="color: #00b050; font-family: "Agency FB","sans-serif"; font-size: 14.0pt; line-height: 115%; mso-bidi-font-family: Arial; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sama dengan 8 bulan tetapi lebih lebar..<o:p></o:p></span></b></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="background: #FCFCFC; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="background: #FCFCFC; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<b><span style="font-family: "Agency FB","sans-serif"; font-size: 14.0pt; line-height: 150%; mso-bidi-font-family: Arial; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">TUA KEHAMILAN
TERHADAP TINGGI FUNDUS UTERI MENURUT<i>SPIEGELBERG</i><o:p></o:p></span></b></div>
<div class="MsoNormal" style="background: #FCFCFC; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<b><span style="font-family: "Agency FB","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Arial; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> 22 – 28 Minggu
= 24 – 25 cm di atas simphisis<o:p></o:p></span></b></div>
<div class="MsoNormal" style="background: #FCFCFC; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<b><span style="font-family: "Agency FB","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Arial; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">28
Mgg
= 26,5 cm di atas simphisis<o:p></o:p></span></b></div>
<div class="MsoNormal" style="background: #FCFCFC; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<b><span style="font-family: "Agency FB","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Arial; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">30
Mgg
= 29,5 - 30 cm di atas simphisis<o:p></o:p></span></b></div>
<div class="MsoNormal" style="background: #FCFCFC; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<b><span style="font-family: "Agency FB","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Arial; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">32 Mgg
= 29,5 - 30 cm di atas simphisis<o:p></o:p></span></b></div>
<div class="MsoNormal" style="background: #FCFCFC; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<b><span style="font-family: "Agency FB","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Arial; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">34
Mgg
= 31 cm di atas simphisis<o:p></o:p></span></b></div>
<div class="MsoNormal" style="background: #FCFCFC; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<b><span style="font-family: "Agency FB","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Arial; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">36 Mgg
= 32 cm di atas simphisis<o:p></o:p></span></b></div>
<div class="MsoNormal" style="background: #FCFCFC; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<b><span style="font-family: "Agency FB","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Arial; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">38
Mgg
= 33 cm di atas simphisis</span></b></div>
<div class="MsoNormal" style="background: #FCFCFC; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<b><span style="font-family: "Agency FB","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Arial; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">40
Mgg
= 37,7 cm di atas simphisis<o:p></o:p></span></b></div>
Anonymoushttp://www.blogger.com/profile/09877824835430540158noreply@blogger.com2tag:blogger.com,1999:blog-8430991463257497357.post-61282981696652347642013-05-17T08:36:00.001-07:002013-05-17T08:36:50.182-07:00ATRESIA ESOPHAGUS<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhTSoOvE6sAn9BALIZZO4zeaBsrdL46VjcHt_PXqrK0Rist5vysy_ju5-ElQxyvyYKhWmz5ifYUpQoTDhs2NprGnvqNoqrkm-PuWA8i5m4Qdd0daVY-Vv-hnv_dAVwYTxWBqRzYNsNquajU/s1600/images+(22).jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhTSoOvE6sAn9BALIZZO4zeaBsrdL46VjcHt_PXqrK0Rist5vysy_ju5-ElQxyvyYKhWmz5ifYUpQoTDhs2NprGnvqNoqrkm-PuWA8i5m4Qdd0daVY-Vv-hnv_dAVwYTxWBqRzYNsNquajU/s1600/images+(22).jpg" /></a></div>
<h1 align="center" style="line-height: 150%; text-align: center;">
<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc352323950"></a><a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc352314873"></a><a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc351961554"><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">KATA PENGANTAR</span></a></h1>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Puji syukur kepada Tuhan Yang Maha Esa yang
telah memberikan karunia-Nya sehingga kami dapat menyelesaikan makalah ini
dengan baik. Makalah ini membahas tentang “ATRESIA ESOPHAGUS”.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Penulis mengucapkan terima kasih kepada dosen
pengampu mata kuliah Askeb Neonatus, Bayi dan Balita yang telah membimbing kami
dalam penyusunan makalah ini. Kami menyadari bahwa makalah ini masih belum
sempurna, oleh karena itu kami mengharapkan kritik dan saran dari semua pihak
demi perbaikan pembuatan makalah selanjutnya. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Semoga makalah ini dapat memberikan wawasan
yang lebih luas kepada pembaca. Akhir kata, kami mengucapkan terima kasih
kepada semua pihak yang telah berperan serta dalam penyusunan makalah ini.
Semoga Tuhan Yang Maha Esa senantiasa memberikan kelancaran dan kemudahan bagi
kita semua. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;"> </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Yogyakarta, Maret 2013</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><br /></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Penulis</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br />
<a name='more'></a><br /></div>
<w:sdt docparttype="Table of Contents" docpartunique="t" id="951440726" sdtdocpart="t">
</w:sdt>
<br />
<h1 align="center" style="line-height: 150%; text-align: center;">
<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc352323952"><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BAB I</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></h1>
<h1 align="center" style="line-height: 150%; text-align: center;">
<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc352323953"><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PENDAHULUAN</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></h1>
<h2 style="line-height: 150%; margin-left: 18.0pt; mso-list: l4 level1 lfo11; text-indent: -18.0pt;">
<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc352323954"><!--[if !supportLists]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">1.1<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;">Latar Belakang</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;"> <o:p></o:p></span></h2>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Atresia esofagus termasuk kelompok kelainan
kongenital terdiri dari gangguan kontinuitas esophagus dengan atau tanpa
hubungan persisten dengan trakea. Pada penyakit ini, terdapat suatu keadaan
dimana bagian proksimal dan distal esophagus tidak berhubungan. Pada bagian
esophagus mengalami dilatasi yang kemudian berakhir kantung dengan dinding
maskuler yang mengalami hipertofi yang khas yang memanjang sampai pada tingkat
vertebra torakal sagmen 2-4. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Bagian distal esophagus merupakan bagian yang
mengalami atresia dengan diameter yang kecil dan dinding maskuler dan tipis.
Bagian ini meluas sampai bagian atas diagfragma 1,2,3,4,5,6 sekitar 50 % bayi
dengan atresia esophagus juga mengalami beberapa anomali terkait. Malformasi,
kardiofaskuler, malformasi rangka termaksud hemivertebra dan perkembanga
abnormal radius serta malformasi ginjal dan urogenital sering terjadi, semua
kelainan ini disebut sindrom vecterl. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<br /></div>
<h2 style="line-height: 150%; margin-left: 18.0pt; mso-list: l4 level1 lfo11; text-indent: -18.0pt;">
<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc352323955"><!--[if !supportLists]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">2.1<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;">Rumusan Masalah</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;"> <o:p></o:p></span></h2>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; mso-list: l1 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Apa
yang definisi dari atresia esophagus?<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l1 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Apa
saja tipe-tipe atresia esophagus?<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l1 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Bagaimana
manisfestasi klinis atresia esophagus?<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l1 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Bagaimana
evaluasi diagnostic?<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l1 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5)<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%;">Apa
saja komplikasi pasca operasi?<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l1 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6)<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%;">Apa
saja diagnosis?<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l1 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">7)<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%;">Apa
saja penatalaksanaan?<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<h2 style="line-height: 150%; margin-left: 18.0pt; mso-list: l4 level1 lfo11; text-indent: -18.0pt;">
<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc352323956"><!--[if !supportLists]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">3.1<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;">Tujuan</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;"> <o:p></o:p></span></h2>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; mso-list: l0 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Bagi
penulis<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dapat
menambah wawasan ilmu pengetahuan dalam upaya meningkatkan mutu pelayanan
kesehatan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2) Bagi pembaca<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sebagai
bahan bacaan dan menambah pengetahuan tentang pelayanan kesehatan yang bermutu
dan sesuai dengan standard.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<h1 align="center" style="line-height: 150%; text-align: center;">
<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc352323957"><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BAB II</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></h1>
<h1 align="center" style="line-height: 150%; text-align: center;">
<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc352323958"><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">ISI</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></h1>
<h2 style="line-height: 150%; margin-left: 18.0pt; mso-list: l2 level2 lfo12; text-indent: -18.0pt;">
<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc352323959"><!--[if !supportLists]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">2.1<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;">DEFINISI</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;"><o:p></o:p></span></h2>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; text-align: justify; text-indent: 14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Atresia
berarti buntu, atresia esofagus adalah suatu keadaan tidak adanya lubang atau
muara (buntu), pada esofagus (+). Pada sebagian besar kasus atresia esofagus
ujung esofagus buntu, sedangkan pada ¼ -1/3 kasus lainnya esophagus bagian
bawah berhubungan dengan trakea setinggi karina (disebut sebagai atresia esophagus
dengan fistula).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; text-align: justify; text-indent: 10.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kelainan
lumen esophagus ini biasanya disertai dengan fistula trakeoesofagus. Atresia
esofagaus sering disertai kelainan bawaan lain, seperti kelainan jantung,
kelainan gastroin testinal (atresia duodeni atresiasani), kelainan tulang (hemivertebrata).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; text-align: justify; text-indent: 10.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Fistula
trakeo esophagus adalah hubungan abnormal antara trakeo dan esofagus . Dua
kondisi ini biasanya terjadi bersamaan, dan mungkin disertai oleh anomaly lain
seperti penyakit jantung congenital. Untuk alas an yang tidak diketahui esophagus dan trakea gagal untuk
berdeferensiasi dengan tepat selama gestasi pada minggu keempat dan kelima.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<h2 style="line-height: 150%; margin-left: 18.0pt; mso-list: l2 level2 lfo12; text-indent: -18.0pt;">
<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc352323960"><!--[if !supportLists]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">2.2<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;">TIPE ATRESIA
ESOFAGUS</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;"><o:p></o:p></span></h2>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; mso-list: l8 level1 lfo3; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%; mso-fareast-font-family: Calibri;">Tipe A<br />
(5% sampai 8%) kantong buntu disetiap ujung asofagus, terpisah jauh dan
tanpa hubungan ke trakea.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l8 level1 lfo3; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%; mso-fareast-font-family: Calibri;">Tipe B<br />
Kantong buntu disetiap ujung esophagus dengan fistula dari trakea ke segmen
esophagus bagian atas (jarang).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l8 level1 lfo3; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%; mso-fareast-font-family: Calibri;">Tipe C<br />
(80% sampai 95%) segmen esophagus proksimal berakhir pada kantong buntu, dan
segmen distal dihbungkan ke trakea atau bronkus primer dan fistula pendek pada
atau dekat bifurkasi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l8 level1 lfo3; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%; mso-fareast-font-family: Calibri;">TIPE D
(jarang)<br />
Kedua segmen esophagus atas dan bawah dihubungkan ke trakea<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l8 level1 lfo3; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5)<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%; mso-fareast-font-family: Calibri;">TIPE E
(jarang disbanding A atau C)<br />
Sebaliknya trakea dan esophagus nomal dihubungkan dengan fistula umum.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%;">
<br /></div>
<h2 style="line-height: 150%; margin-left: 18.0pt; mso-list: l2 level2 lfo12; text-indent: -18.0pt;">
<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc352323961"><!--[if !supportLists]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">2.3<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;">TANDA DAN GEJALA</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;"> <o:p></o:p></span></h2>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span 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;">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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Biasanya
disertai hidramnion (60%) dan hal ini pula yang menyebabkan kenaikan frekuensi
bayi lahir prematur, sebaiknya dari anamnesis didapatkan keterangan bahwa
kehamilan ibu diertai hidramnion hendaknya dilakukan kateterisasi esofagus.
Bila kateter terhenti pada jarak ≤ 10 cm, maka di duga atresia esofagus.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span 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;">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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bila pada
bbl Timbul sesak yang disertai dengan air liur yang meleleh keluar, di curigai
terdapat atresia esofagus.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span 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;">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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Segera
setelah di beri minum, bayi akan berbangkis, batuk dan sianosis karena aspirasi
cairan kedalam jalan nafas.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span 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;">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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pada fistula
trakeosofagus, cairan lambung juga dapat masuk kedalam paru, oleh karena itu
bayi sering sianosis.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<h2 style="line-height: 150%; margin-left: 18.0pt; mso-list: l2 level2 lfo12; text-indent: -18.0pt;">
<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc352323962"><!--[if !supportLists]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.4<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;">ETIOLOGI</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></h2>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 21.3pt;">
<span 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;">Atresia esophagus disebabkan oleh:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span 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;">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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tumor
esophagus.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span 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;">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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kehamilan
dengan hidramnion<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span 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;">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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bayi lahir
prematur,<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span 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;"> Tapi tidak semua bayi yang lahir premature
mengalami penyakit ini. Dan ada alasan yang tidak diketahui mengapa esefagus
dan trakea gagal untuk berdiferensiasi dengan tepat selama gestasi pada minggu
ke empat dan ke lima.<o:p></o:p></span></div>
<h2 style="line-height: 150%; margin-left: 18.0pt; mso-list: l2 level2 lfo12; text-indent: -18.0pt;">
<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc352323963"><!--[if !supportLists]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.5<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;">MANIFESTASI</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> KLINIK</span><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></h2>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 14.7pt;">
<span 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;">Gambaran Atresia Di Tandai Dengan gangguan Proses Menelan waktu lahir dan
terjadi gangguan pernapasan bila terjadi gangguan pernapasan bila bahan makanan
teraspiasi kesana. Perlu penanggulangan bedah. Dan liur selalu meleleh dari
mulut bayi dan berbui. Pada fistula trakea esophagus , cairan lambung juga
dapat masuk kedalam paru. Oleh karena itu bayi sering sianosis. Pemberian minum
dapat menyebabkan batuk atau seperti tercekik dan bayi sianosis.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -21.3pt;">
<span 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;"> Kelainan bawaan ini
biasanya terdapat pada bayi yang lahir dengan kehamilan hidramnion dan biasanya
bayi dalam keadaan kurang bulan. Pada bayi kurang bulan ini, pemberian minum
sering menyebabkan bayi tersebut menjadi biru dan apnea tampa batuk –batuk.
Jika terdapat fistula trekoesofagus perut bayi tampak membuncit karena terisi
udara. Bila dimasukkan kateter melalui mulut sepanjang 7.5 – 10 cm dari bibir,
kateter akan terbentur pada ujung esophagus yang buntu: dan jika kateter
didorong terus akan melingkar – lingkar di dalam esophagus yang buntu tersebut.
Diagnosis pasti dapat ditegakkan dengan memasukkan pipa radio-opak atau larutan
kontras liopodol ke dalam esophagus dan dibuat foto toraks biasa.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -21.3pt;">
<br /></div>
<h2 style="line-height: 150%; margin-left: 18.0pt; mso-list: l2 level2 lfo12; text-indent: -18.0pt;">
<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc352323964"><!--[if !supportLists]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.6<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;">EVALUASI</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> DIAGNOSTIK</span><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></h2>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span 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;">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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ketidak mampuan untuk melewati kekakuan, radiopage
ukuran 8 sampai 10 kateter French kedalam lambung melalui hidung atau mulut<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span 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;">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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sinar x palatum datar abdomen dan dada dapat menunjukkan adanya gas dalam lambung dan ujung kateter dalam
kantung buntu.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span 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;">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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemindaian ultra suara dapat menunjukkan TEF in utero
pada beberapa bayi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span 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;">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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">EKG dan ekokardiogrm dapat dilakukan karena korelasi
tiggi pada anomaly jantung.<o:p></o:p></span></div>
<h2 style="line-height: 150%; margin-left: 18.0pt; mso-list: l2 level2 lfo12; text-indent: -18.0pt;">
<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc352323965"><!--[if !supportLists]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.7<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;">KOMPLIKASI</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> PASCA</span><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;"> </span><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">OPERASI</span><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></h2>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span 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 bisa timbul setelah operasi perbaikan pada atresia esofagus dan fistula
atresia esophagus adalah sebagai berikut :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span 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;">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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dismotilitas
esophagus. Dismotilitas terjadi karena kelemahan otot dingin esophagus.
Berbagai tingkat dismotilitas bisa terjadi setelah operasi ini. Komplikasi ini
terlihat saat bayi sudah mulai makan dan minum.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span 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;">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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gastroesofagus
refluk. Kira-kira 50 % bayi yang menjalani operasi ini kana mengalami
gastroesofagus refluk pada saat kanak-kanak atau dewasa, dimana asam lambung
naik atau refluk ke esophagus. Kondisi ini dapat diperbaiki dengan obat
(medical) atau pembedahan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span 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;">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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Trakeo
esogfagus fistula berulang. Pembedahan ulang adalah terapi untuk keadaan
seperti ini.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span 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;">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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Disfagia
atau kesulitan menelan. Disfagia adalah tertahannya makanan pada tempat
esophagus yang diperbaiki. Keadaan ini dapat diatasi dengan menelan air untuk
tertelannya makanan dan mencegah terjadinya ulkus.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span 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;">5.<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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kesulitan
bernafas dan tersedak. Komplikasi ini berhubungan dengan proses menelan
makanan, tertaannya makanan dan saspirasi makanan ke dalam trakea.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span 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;">6.<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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Batuk
kronis. Batuk merupakan gejala yang umum setelah operasi perbaikan atresia
esophagus, hal ini disebabkan kelemahan dari trakea.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span 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;">7.<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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Meningkatnya
infeksi saluran pernafasan. Pencegahan keadaan ini adalah dengan mencegah
kontakk dengan orang yang menderita flu, dan meningkatkan daya tahan tubuh
dengan mengkonsumsi vitamin dan suplemen.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<h2 style="line-height: 150%; margin-left: 18.0pt; mso-list: l2 level2 lfo12; text-indent: -18.0pt;">
<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc352323966"><!--[if !supportLists]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.8<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;">DIAGNOSIS</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></h2>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span 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;">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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Biasanya
disertai denga hydra amnion (60 %) dan hal ini pula yang menyebabkan kenaikan
frekuensi bayi ang lahir premature. Sebaliknya bila dari ananese ditetapkan
keterangan bahwa kehamilan ibu disertai hidraamnion, hendakla dilakukan
kateterisasiesofagus dengan kateter pada jarak kurang dari 10 cm , maka harus
didiga adanya atresia esophagus.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span 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;">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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bila pada
bayi baru lahir timbul sesak napas yang disertai air liur meleleh keluar, harus
dicurigai adanya atresia esfagus.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span 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;">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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Segera
setlah diberi minum, bay akan berbangkis, batuk dan sianosis karena aspiasi
cairan kedam jalan nafas.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span 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;">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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dianosis
pasti dapat dibuat denga foto toraks yang akan menunjukkan gambaran kateter
terhenti pada tempat atresia. Pemberian
kontras kedalam esophagus dapat
memberikan gambaran yang lebih pasti, tapi cara ini tidak dianjurkan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span 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;">5.<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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Perlu
dibedakan pada pemeriksaan fisis apakah lambung terisi udara atau kosong untuk
menunjang atau menyingkirkan terdapatnya fistula trakeoesofagus. Hal ini dapat terlihat pada foto abdomen.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<h2 style="line-height: 150%; margin-left: 18.0pt; mso-list: l2 level2 lfo12; text-indent: -18.0pt;">
<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc352323967"><!--[if !supportLists]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.9<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;">PENATALAKSANAAN</span></a><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></h2>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span 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;">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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Medik<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span 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;">Pengobatan
dilakukan dengan operasi<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span 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;">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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kebidanan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 13.65pt;">
<span 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;">Sebelum dilakukan operasi, bayi diletakkan setengah duduk untuk mencegah
terjadinya regurgitasi cairan lambung kedalam paru. Cairan lambung harus sering
diisap untuk mencegah aspirasi. Untuk mencegah terjadinya hipotermia, bayi
hendakna dirawat dalam inkobator agar mendapatkan lingkungan yang cukup hangat.
Posisinya sering di ubah-ubah, pengisapan lender harus sering di lakukan bayi
hendaknya dirangsang untuk menangi agar paru berkembang.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span 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;">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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tindakan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span 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;">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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pada anak segera dipasan kateter ke dalam esofagus dan
bila mungkin dilakukan pengisapan terus menerus.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span 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;">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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Posisi anak tidur tergantung pada ada tidaknya
fistula, karena aspirasi cairan lambung lebih berbahaya dari saliva. Anak
dengan fistula trakeoesofaus ditidurkan setengah duduk anak tanpa fistula
diletakkan dengan kepala lebih rendah (posisi trendeleburg)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span 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;">c.<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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Anak dipersiapkan untuk operasi segera. Apakah dapat
dilakukan penutupan fistula dengan segera atau hanya dilakukan gastrotomi
tergantung dari jenis kelainan dan keadaan umum anak pada saat itu.<o:p></o:p></span></div>
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<br /></div>
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<h1 align="center" style="line-height: 150%; text-align: center;">
<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc352323968"><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">BAB III</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></h1>
<h1 align="center" style="line-height: 150%; text-align: center;">
<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc352323969"><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">PENUTUP</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></h1>
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<h2 style="line-height: 150%; margin-left: 21.3pt; mso-list: l9 level2 lfo8; text-indent: -21.3pt;">
<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc352323970"><!--[if !supportLists]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3.1<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">KESIMPULAN</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></h2>
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<span 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;">Atresia
esofagus merupakan suatu kelainan kongenital dengan variasi
fistulatrakeoesofageal maupun kelainan kongenital lainnya. Atresia esofagus yang dapat dicurigai sejak kehamilan,
dan di diagnosa segera setelah bayi baru lahir. Bahaya utama pada atresia
esofagus adalah resiko aspirasi, sehingga perlu dilakukan suction berulang.
Penatalaksanaanya pada atresia esofagus adalah pembedahan, tetapi tetap dapat
meninggalkan komplikasi lebih lanjut yang berhubungan dengan gangguan motilitas
esofagus.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<br /></div>
<h2 style="line-height: 150%; margin-left: 21.3pt; mso-list: l9 level2 lfo8; text-indent: -21.3pt;">
<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc352323971"><!--[if !supportLists]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3.2<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">SARAN</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> <o:p></o:p></span></h2>
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<span 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;">Diharapkan mahasiswa dapat memahami mengenai atresia esophagus bagian-bagiannya
serta dapat mengaplikasikan asuhan yang diberikan. Dalam penulisan makalah ini
masih banyak terdapat kekurangan oleh
karena itu Kami mohon saran yang membangun. Semoga makalah ini dapat bermanfaat
bagi penulis khususnya dan pembaca pada umumnya.<o:p></o:p></span></div>
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<h1 align="center" style="line-height: 150%; text-align: center;">
<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc352323972"><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">DAFTAR PUSTAKA</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></h1>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 53.3pt; text-indent: -17.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Ngastiyah. Perawatan anak sakit. Buku
kedokteran. EGC,1997. Jakarta<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 53.3pt; text-indent: -17.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Sylvia A price, Lorraine m Wilson.
Patofisiologi. Buku kedokteran, EGC,
1997, Jakarta<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 53.3pt; text-indent: -17.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Ronna L Wong. Keperawatan pediatric.Buku
kedokteran, EGC.2003.Jakarta.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 53.3pt; text-indent: -17.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Robbins dan kumar.Patologi .Fakultas
kedoteran. Universitas Aerlangga,
Edisi 4 ,EGC, 1995, Jakarta<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 53.3pt; text-indent: -17.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Ilmu kesehatan anak. Fakultas Kedokteran.
EGC.1995. Jakata<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -21.3pt;">
<span 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;">Shienfield N. Esophageal atresia. [online]. [cited on 21 Agustus 2008].
Available from:URL:</span><a href="http://www.pedsurg.ucsf.edu/index.html"><span 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;">http://www.pedsurg.ucsf.edu/index.html</span></a><span 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;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -21.3pt;">
<span 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;">Blog HKS. Atresia esofagus. [online]. [cited on 11 Desember 2008].
Available from:URL:</span><a href="http://www.ksuheimi.blogspot.com/2008/07/ateresia-esofagus/html"><span 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;">http://www.ksuheimi.blogspot.com/2008/07/ateresia-esofagus/html</span></a><span 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;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -21.3pt;">
<span 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;">Rasad S. Radiologi diagnostik. 2nd Ed. Jakarta : Balai Penerbit FKUI.2006.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -21.3pt;">
<span 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;">Kronemer KA, Warwick AS. Esophageal atresia/tracheosophageal fistula.</span><a href="url:http://www.emedicine/medscape/com/article/414368/imaging"><span 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;">URL:http://www.emedicine/medscape/com/article/414368/imaging</span></a><span 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;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -21.3pt;">
<span 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;">Kronemer KA, Warwick AS. Esophageal atresia/tracheosophageal fistula.</span><a href="url:http://www.emedicine/medscape/com/article/414368/multimedia"><span 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;">URL:http://www.emedicine/medscape/com/article/414368/multimedia</span></a><span 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;"> <o:p></o:p></span></div>
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<span 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;">Blair G. Esophageal Atresia With Or Without Trakheoesophageal Fistula.</span><a href="http://www.emedicine.com/" target="_blank"><span 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;">http://www.emedicine.com</span></a><span 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;">[diakses 15
Februari 2008]2.<o:p></o:p></span></div>
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Anonymoushttp://www.blogger.com/profile/09877824835430540158noreply@blogger.com0tag:blogger.com,1999:blog-8430991463257497357.post-25340402005037009032013-05-17T08:30:00.001-07:002013-05-17T08:30:56.562-07:00ANENCEPALUS<br />
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">BAB
I <o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">PENDAHULUAN
<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">1.1<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: 115%;">Latar
Belakang <o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Tiap tahunnya 4.130
bayi di Amerika lahir dengan cacat tabung saraf dan hampir 1.200-nya meninggal.
Setelah fortifikasi, terjadi penurunan tiap tahunnya, menjadi 3.000 bayi,
dengan 840 kematian. Demikian hasil penelitian dari Pusat Pencegahan dan
Pengawasan Penyakit Amerika (CDC). Kasus spina bifida sendiri turun menjadi 31
persen, dan anensefalus turun menjadi 16 persen.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Anensefalus ialah otak
yang tidak berkembang sempurna disebabkan karena kegagalan dari tabung saraf
untuk menutup pada bagian ujung atasnya yang dapat mengakibatkan keguguran,
janin mati dalam kandungan atau bayi yang mati setelah dilahirkan.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Untuk pencegahannya
diberikan asam folat 400 mikrogram sehari pada wanita usia subur atau
selambat-lambatnya pada wanita yang sedang hamil pada awal trimester pertama (3
bulan pertama) dimana merupakan saat-saat terpenting pembentukan tabung saraf.
Pemberian dapat berupa suplemen atau asam folat yang dapat ditemukan dalam
makanan dan minuman seperti susu, sereal dan lain-lain.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Penurunan kasus ini
akan lebih besar lagi bila lebih banyak wanita usia subur yang mengkonsumsi
asam folat sedini mungkin sebelum pembuahan terjadi. Karena pembentukan tabung
saraf dimulai pada awal trimester pertama maka banyak di antara ibu-ibu yang
tidak menyadari bila mereka telah hamil dan harus segera mendapat asupan asam
folat. Saat ini di Amerika baru sekitar 30 – 35 persen wanita usia subur subur
yang mengkonsumsi asam folat.<o:p></o:p></span></div>
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<a name='more'></a><br /></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">BAB
II<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">TINJAUAN
TEORI<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">2.1 PENGERTIAN ANENCEPALUS<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Anencepalus adalah suatu keadaan dimana sebagian besar
tulang tengkorak dan otak tidak terbentuk. Anensefalus merupakan suatu kelainan
tabung saraf (suatu kelainan yang terjadi pada awal perkembangan janin yang
menyebabkan kerusakan pada jaringan pembentuk otak dan korda spinalis).
Anencepalus terjadi karena kegagalan menutupnya tempurung tengkorak.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">2.2 ETIOLOGI<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Kebanyakan
bayi yang lahir dengan kelainan bawaan memiliki orang tua yang jelas-jelas
tidak memiliki gangguan kesehatan maupun factor resiko. Sebanyak 60% kasus
kelainan bawaan penyebabnya tidak diketahui, sisanya disebabkan oleh factor
lingkungan atau genetic atau kombinasi dari keduanya. Kelainan struktur atau
kelainan metabolisme terjadi akibat: hilangnya bagian tubuh tertentu, kelainan
pembentukan bagian tubuh tertentu, serta kelainan bawaan pada kimia tubuh.
Kelainan metabolisme biasanya berupa hilangnya enzim atau tidak sempurnanya
pembentukan enzim. Penyebab lain dari kelainan bawaan adalah pemakaian alcohol
oleh ibu hamil. Pemakaian alcohol oleh ibu hamil bisa menyebabkan sindroma
alcohol pada janin dan obat-obat tertentu yang diminum oleh ibu hamil juga bisa
menyebabkan kelainan bawaan. Penyakit Rh, terjadi jika ibu dan bayi memiliki
factor Rh yang berbeda juga dapat meningkatkan kejadian kelainan bawaan pada
bayi baru lahir. Beberapa factor yang dapat menyebabkan meningkatnya resiko
kelainan bawaan:<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">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: 115%;">Faktor
teratogenik<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Teratogen adalah setiap factor atau
bahan yang bisa menyebabkan atau meningkatkan resiko suatu kelainan bawaan. Radiasi,
obat tertentu dan racun merupakan teratogen. Infeksi pada ibu hamil juga bisa
merupakan teratogen. Beberapa infeksi selama kehamilan yang dapat menyebabkan
sejumlah kelainan bawaan sindroma rubella congenital, infeksi toksoplasmosis
pada ibu hamil, infeksi virus herpes genitalis pada ibu hamil, serta sindroma
varicella congenital<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">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: 115%;">Faktor
gizi<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Salah satu zat yang penting untuk
pertumbuhan janin adalah asam folat. Kekurangan asam folat bisa meningkatkan
resiko terjadinya spina bifida atau kelainan tabung saraf lainnya. Karena spina
bifida bisa terjadi sebelum wanita menyadari bahwa dia hamil, maka setiap
wanita subur sebaiknya mengkonsumsi asam folat minimal sebanyak 400
mikrogram/hari.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">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: 115%;">Faktor
fisik pada rahim<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Di dalam rahim, bayi terendam oleh cairan
ketuban yang juga merupakan pelindung terhadap cedera. Jumlah cairan ketuban
yang abnormal, yang bisa menyebabkan atau menunjukkan kelainan bawaan. Cairan
ketuban yang terlalu sedikit bisa memperngaruhi pertumbuhan paru-paru dan
anggota gerak tubuh atau bisa menunjukkan adanya kelainan ginjal yang
memperlambat proses pembentukan air kemih. Penimbunan cairan ketuban terjadi
jika janin mengalami gangguan menelan, yang bisa disebabkan oleh kelainan otak
yang berat misalnya anensefalus atau atresia esophagus.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">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: 115%;">Faktor
genetic dan kromosom<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Beberapa kelainan bawaan merupakan
penyakit keturunan yang diwariskan melalui gen yang abnormal dari salah satu
atau kedua orang tua. Gen adalah pembawa sifat individu yang terdapat di dalam
kromosom setiap sel di dalam tubuh manusia. Jika satu gen hilang atau cacat,
bisa terjadi kelainan bawaan. Kelainan pada jumlah ataupun susunan kromosom
juga bisa menyebabkan kelainan bawaan. Suatu kesalahan yang terjadi selama
pembentukan sel telur atau sperma bisa menyebabkan bayi terlahir dengan
kromosom yang terlalu banyak atau sedikit, atau bayi terlahir dengan kromosom
yang telah mengalami kerusakan. Semakin
tua seorang wanita ketika hamil terutama diatas 35 tahun maka semakin besar
kemungkinan terjadinya kelainan kromosom pada janin yang dikandungnya. Kelainan
bawaan yang lainnya disebabkan oleh mutasi genetic (perubahan pada gen yang
bersifat spontan dan tidak dapat dijelaskan).<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">2.3 FAKTOR RESIKO<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">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: 115%;">Faktor
ibu usia resti<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">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: 115%;">Riwayat
anencephalus pada kehamilan sebelumnya<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">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: 115%;">Hamil
dengan kadar asam folat rendah<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">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: 115%;">Fenilketonuria
pada ibu yang tidak terkontrol<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">5)<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: 115%;">Kekurangan
gizi (malnutrisi)<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">6)<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: 115%;">Mengonsumsi
alkohol selama masa kehamilan.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">2.4 GEJALA <o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">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: 115%;">Pada
ibu<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Polihidramnion
(cairan ketuban di dalam rahim terlalu banyak)<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">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: 115%;">Pada
bayi<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Tidak
memiliki tulang tengkorak<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Tidak
memiliki otak (hemisfer serebri dan serebelum)<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Kelainan
pada gambaran wajah Kelainan jantung<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">2.5 PEMERIKSAAN <o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">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: 115%;">Kadar
asam lemak dalam serum ibu hamil<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">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: 115%;">Amniosentesis
(untuk mengetahui adanya peningkatan kadar alfa-fetoprotein<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">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: 115%;">Kadar
alfa-fetoprotein meningkat (menunjukkan adanya kelainan tabung saraf)<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">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: 115%;">Kadar
estriol pada air kemih ibu<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">5)<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: 115%;">USG.<o:p></o:p></span></div>
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<br /></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">2.6 DIAGNOSA<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">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: 115%;">Palpasi
<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Pada palpasi tidak dapat ditentukan
dimana letaknya kepala, kedua ujung badan lunak, tekanan pada tengkorak waktu
toucher menyebabkan gerakan yang tak beraturan dan bunyi jantung menjadi
lambat.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 54.0pt; mso-add-space: auto; mso-list: l4 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">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: 115%;">Diagnosis
antenatal<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Diagnosa antenatal umumnya bila ibu
hamil dengan faktor resiko kelainan kongenital.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 54.0pt; mso-add-space: auto; mso-list: l4 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">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: 115%;">Diagnosa
postnatal<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Diagnosis
postnatal bila kelainan kongenital sudah positif ditemukan.<o:p></o:p></span></div>
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<br /></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">2.7 PENCEGAHAN <o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">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: 115%;">Wanita
yang mempunyai keluarga dengan riwayat kelainan cacat<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">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: 115%;">Usahakan
untuk tidak hamil jika usia ibu sudah mencapai 40 tahun.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">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: 115%;">Lakukan
pemeriksaan kehamilan atau antenatal care yang rutin dan usahakan untuk
melakukan USG minimal tiap trimester.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 54.0pt; mso-add-space: auto; mso-list: l2 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">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: 115%;">Jalani
pola hidup sehat. Hentikan kebiasaan merokok dan hindari asap rokok, alkohol
dan narkoba karena dapat menghambat pertumbuhan janin serta memperbesar peluang
terjadinya kelainan kongenital dan keguguran.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 54.0pt; mso-add-space: auto; mso-list: l2 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">5)<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: 115%;">Penuhi
kebutuhan akan asam folat.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 54.0pt; mso-add-space: auto; mso-list: l2 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">6)<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: 115%;">Hindari
asupan vitamin A berdosis tinggi. Vitamin A termasuk jenis vitamin yang tak
larut dalam air tapi larut dalam lemak. Jadi, bila kelebihan akan tertimbun
dalam tubuh. Dampaknya antara lain janin mengalami urogenital abnomali
(terdapat gangguan sistem kencing dalam kelamin), mikrosefali (ukuran kepala
kecil), terdapat gangguan kelenjar adrenal.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 54.0pt; mso-add-space: auto; mso-list: l2 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">7)<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: 115%;">Jangan
minum sembarang obat baik yang belum ataupun sudah diketahui memberi efek buruk
terhadap janin.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 54.0pt; mso-add-space: auto; mso-list: l2 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">8)<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: 115%;">Pilih
makanan dan masakan yang sehat. Salah satunya hindari daging yang dimasak
setengah matang (steak atau sate). Dikhawatirkan daging itu masih membawa kuman
penyakit yang membahayakan janin dan ibunya.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="margin-left: 54.0pt; mso-add-space: auto; mso-list: l2 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">9)<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: 115%;">Kalau
ada infeksi obatilah segera : terutama infeksi TORCH (TOksoplasma, Rubela,
Citomegalo, dan Herpes). Paling baik lakukan tes TORCH pada saat kehamilan
masih direncanakan bukan setelah terjadinya pembuahan. Jika ibu diketahui
sedang terinfeksi pengobatan bisa langsung dilakukan.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">2.8 PENGARUH
ANENCEPHALUS PADA PERSALINAN<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">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: 115%;">Sering menimbulkan kehamilan serotinus<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">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: 115%;">Biasanya disertai hidramnion.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">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: 115%;">Anak sering lahir dengan letak muka.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">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: 115%;">Badan anak kadang-kadang besar dan
menimbulkan kesukaran waktu baru lahir.<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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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">BAB
III<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">PENUTUP<o:p></o:p></span></div>
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<br /></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">3.1 KESIMPULAN <o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Anencepalus merupakan cacat bawaan yang merupakan sebab
penting dari kelahiran mati. Kelainan cacat bawaan dipengaruhi oleh umur,
paritas, bangsa ibu, dan juga oleh jenis kelamin janin. Pencegahan dini sangat
diperlukan untuk menghindari terjadinya kematian bayi akibat Anencephalus
seperti pemeriksaan antenatal yang rutin dan teratur, pemberian dan pemakaian
konsumsi vitamin dan suplemen selama hamil, factor nutrisi dengan gizi
seimbang, serta gaya hidup dan lingkungan sekitar tempat tinggal ibu sangat
mempengaruhi janin menderita Anencephalus.<o:p></o:p></span></div>
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<br /></div>
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<br /></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">DAFTAR
PUSTAKA<o:p></o:p></span></div>
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<br /></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Anonim.
1984. <i>Obstetri Patologi</i>. Bandung : Elstar Offset<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Sastrawinata,Sulaiman.
2003. <i>Ilmu Kesehatan Reproduksi : Obstetri Patologi, E/2</i>. Jakarta :
EGC<o:p></o:p></span></div>
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<a href="http://www.mail-archive.com/rantaunet@googlegroups.com/msg05825.html"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">http://www.mail-archive.com/rantaunet@googlegroups.com/msg05825.html</span></a><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
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<a href="http://medicastore.com/penyakit/914/Kelainan_Otak_Bawaan.html"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">http://medicastore.com/penyakit/914/Kelainan_Otak_Bawaan.html</span></a><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
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<a href="http://wanita-sehat.blogspot.com/2008/02/asam-folat-penting-untuk-wanita-usia.html"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">http://wanita-sehat.blogspot.com/2008/02/asam-folat-penting-untuk-wanita-usia.html</span></a><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
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<br /></div>
Anonymoushttp://www.blogger.com/profile/09877824835430540158noreply@blogger.com0tag:blogger.com,1999:blog-8430991463257497357.post-80140766936622859742013-05-17T08:22:00.001-07:002013-05-17T08:22:59.634-07:00INISIASI MENYUSU DINI<br />
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<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">INISIASI
MENYUSU DINI (IMD) MENYUKSESKAN <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;">PEMBERIAN
ASI EKSKLUSIF <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;">Tujuan
Instruksional Umum<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Memahami pentingnya
pemberian ASI eksklusif pada bayi serta tindakan yang diperlukan dalam proses
pemberian ASI sehingga dapat terwujud program ibu menyusui dini.<o:p></o:p></span></div>
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<br /></div>
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<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Tujuan
Instruksional Khusus<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Mendefinisikan
pengertian Inisiasi menyusu dini (IMD) dan ASI eksklusif.<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: 12.0pt; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Menjelaskan
tahapan prilaku sebelum bayi berhasil menyusu.<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: 12.0pt; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Menjelaskan
manfaat ASI eksklusif.<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: 12.0pt; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Menjelaskan
zat kekebalan pada ASI.<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: 12.0pt; mso-fareast-font-family: "Times New Roman";">5.<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Menjelaskan
komposisi ASI.<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: 12.0pt; mso-fareast-font-family: "Times New Roman";">6.<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Menjelaskan
cara memperbanyak memproduksi ASI.<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: 12.0pt; mso-fareast-font-family: "Times New Roman";">7.<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Menjelaskan
cara menyusui yang benar dan cara pengamatan teknik menyusui yang benar.<o:p></o:p></span></div>
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<br /></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Inisiasi menyusu
dini (IMD) adalah permulaan bayi menyusu pada ibu secara dini. Dengan IMD maka
ASI selama 6 bulan pertama (ASI eksklusif) akan berhasil sukses. ASI eksklusif (menurut
WHO) adalah bayi yang hanya menyusu ASI saja tanpa tambahan cairan atau makanan
apapun, selama 6 bulan. Asi dapat diberikan sampai bayi berusia 2 tahun.
Pemberian ASI eksklusif selama 6 bulan dianjurkan oleh pedoman internasional
yang didasarkan pada bukti ilmiah tentang manfaat ASI baik bagi bayi, ibu,
keluarga, maupun negara. Menurut penelitian yang dilakukan di Dhaka pada 1.667
bayi selama 12 bulan mengatakan bahwa ASI eksklusif dapat menurunkan resiko
kematian akibat infeksi saluran napas akut dan diare. WHO dan UNICEF
merekomendasikan kepada para ibu, bila memungkinkan ASI eksklusif diberikan
sampai 6 bulan dengan menerapkan hal-hal sebagai berikut. <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: 12.0pt; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Inisiasi menyusu dini selama 1 jam
setelah kelahiran bayi.<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: 12.0pt; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">ASI eksklusif diberikan pada bayi hanya
ASI saja tanpa makanan tambahan atau minuman.<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: 12.0pt; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">ASI
diberikan secara on-demand atau sesuai kebutuhan bayi, setiap hari dan malam.<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: 12.0pt; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">ASI diberikan tidak menggunakan botol,
cangkir, maupun dot.<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;">Perilaku
menakjubkan antara bayi dan ibunya dalam jam-jam pertama setelah bayi
dilahirkan.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN;"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Ternyata ibu dan bayi sudah dapat
berinteraksi dalam menit-menit pertama, apabila kontak kulit antara ibu dan
bayi dilakukan. Bayi menunjukkan <o:p></o:p></span></div>
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style='position:absolute;left:0;text-align:left;margin-left:178.1pt;
margin-top:83.55pt;width:20.8pt;height:19.5pt;z-index:251658240;visibility:visible;
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</v:shape><![endif]--><!--[if !vml]--><span style="height: 26px; left: 0px; margin-left: 237px; margin-top: 111px; mso-ignore: vglayout; position: absolute; width: 28px; z-index: 251658240;"><img height="26" src="file:///C:/Users/OLDSCH~1/AppData/Local/Temp/msohtmlclip1/01/clip_image002.png" v:shapes="Picture_x0020_1" width="28" /></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">kemampuan yang menakjubkan dengan
merangkak ke arah payudara ibu dan akan menyusu sendiri bila sudah siap untuk
menyusu. Ketakutan bayi akan kedinginan tidak dapat dijadikan alasan, karena
ternyata kulit ibu yang sedang melahirkan memiliki kemampuan untuk saling menyesuaikan
dengan suhu yang dibutuhkan bayi. <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;">Kontak kulit ibu
dan bayi segera setelah lahir penting bagi kehidupan bayi selanjutnya karena
ibu dan bayi akan merasa lebih tenang, ikatan kasih sayang antara ibu dan bayi
terjalin lebih dini dan akan menjadi lebih erat di kemudian hari. Perasaan
tenang, bahagia, merasa dibutuhkan oleh bayinya akan memicu pengeluaran hormon
oksitosin ibu yang berfungsi merangsang pengeluaran ASI dari payudara. Bagi
bayi kontak kulit ini akan membuat sistem pernapasan dan aliran darah akan
menjadi stabil, bayi jarang menangis sehingga mengurangi pemakaian energi.
Hormon oksitosin juga terpicu dengan gerakan hentakan kepala bayi ke dada ibu,
sentuhan tangan bayi di puting dan payudara ibu, dan juga jilatan serta hisapan
bayi pada payudara ibu Pada saat merangkak mencari payudara ibu, bayi akan menjilat-jilat
kulit ibu. Aktivitas tersebut memungkinkan bayi menelan bakteri ‘baik’ dari
kulit ibu yang akan berkembang biak membentuk koloni di kulit dan usus bayi dan
menyaingi bakteri ‘jahat’ dari lingkungannya. <o:p></o:p></span></div>
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<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Lima Tahapan Perilaku Sebelum Bayi
Berhasil Menyusu<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Bayi baru lahir yang mendapat kontak
kulit ke kulit segera setelah lahir, akan melalui lima tahapan perilaku sebelum
ia berhasil menyusu.<o:p></o:p></span></div>
<ol start="1" style="margin-top: 0cm;" type="1">
<li class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Bayi akan
diam dalam keadaan siaga. Sesekali matanya membuka lebar dan melihat ke
ibunya. Masa ini merupakan penyesuaian peralihan dari keadaan dalam
kandungan ke luar kandungan dan merupakan dasar pertumbuhan rasa aman bayi
terhadap lingkungannya. Hal ini juga akan meningkatkan rasa percaya diri
ibu akan kemampuannya menyusui dan mendidik anaknya. Demikian pula halnya
dengan ayah, dengan melihat bayi dan istrinya dalam suasana menyenangkan ini,
akan tertanam rasa percaya diri ayah untuk ikut membantu keberhasilan ibu
menyusui dan mendidik anaknya.<o:p></o:p></span></li>
<li class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Bayi akan
menggerakkan mulutnya seperti mau minum, mencium, kadang mengeluarkan
suara, dan menjilat tangannya. Bayi akan mencium dan merasakan cairan
ketuban yang ada di tangannya. Bau ini sama dengan bau cairan yang
dikeluarkan payudara ibu dan bau serta rasa ini yang akan membimbing bayi
untuk menemukan payudara dan puting susu ibu. Itulah sebabnya tidak
dianjurkan mengeringkan ke-2 tangan bayi pada saat bayi baru lahir.<o:p></o:p></span></li>
<li class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Saat bayi
siap dan menyadari adanya makanan di sekitarnya, bayi mulai mengeluarkan
liur.<o:p></o:p></span></li>
<li class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Areola
payudara akan menjadi sasarannya dengan kaki bergerak menekan perut ibu.
Bayi akan menjilat kulit ibu, menghentakkan kepala ke dada ibu, menoleh ke
kanan dan kiri, serta menyentuh dan meremas daerah puting susu dan
sekitarnya dengan tangannya.<o:p></o:p></span></li>
<li class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Akhirnya
bayi menemukan, menjilat, mengulum puting, membuka mulut lebar-lebar, dan
melekat dengan baik serta mulai menyusu</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN;">.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;"><o:p></o:p></span></li>
</ol>
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<br /></div>
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<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Manfaat
ASI Eksklusif<o:p></o:p></span></b></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify; text-indent: 18pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Manfaat inisiasi
menyusu dini pada ibu meningkatkan produksi ASI sehingga dapat mempermudah
menjalankan ASI eksklusif. Kegiatan menyusui dapat mengurangi resiko terkena
kanker payudara, kanker ovarium, dan osteoporosis. </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN;"><o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN;">Manfaat ASI bagi bayi (ASI sebagai nutrisi, ASI sebagai
daya tahan tubuh, ASI meningkatkan jalinan kasih sayang antara bayi dengan
ibunya, penghematan biaya obat-obatan, tenaga, sarana kesehatan, dan
menciptakan generasi penerus bangsa yang berkualitas). </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;"><o:p></o:p></span></div>
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<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Zat
Kekebalan Pada ASI</span></b><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN;"><o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpFirst" style="margin-bottom: 0.0001pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN;">Faktor Bifidus : Mendukung proses perkembangan bakteri
yang “menguntungkan” dalam usus bayi, untuk mencegah pertumbuhan bakteri yang
merugikan.<b><o:p></o:p></b></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: 0.0001pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN;">Laktoferin : Mengikat zat besi dalam ASI sehingga zat
besi tidak digunakan oleh bakteri patogen untuk pertumbuhannya. <b><o:p></o:p></b></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: 0.0001pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN;">Anti alergi.<b><o:p></o:p></b></span></div>
<div class="MsoListParagraphCxSpLast" style="margin-bottom: 0.0001pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN;">Mengandung zat anti virus polio.<b><o:p></o:p></b></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN;">Membantu pertumbuhan selaput usus bayi sebagai perisai untuk menghindari
zat-zat yang merugikan masuk kedalam
peredaran darah bayi.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;"><o:p></o:p></span></div>
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<br /></div>
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<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Komposisi
</span></b><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN;">ASI<o:p></o:p></span></b></div>
<div class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 18pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN;">Colostruman <o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN;">Merupakan cairan yang pertama kali keluar kental berwana kekuning-kuningan
dibandingkan dengan susu matur.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 36pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN;">Disekresikan pada hari ke1 sampai hari ke3 bila dipanaskan akan menggumpal.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 36pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">3)<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN;">Merupakan pencahar yang ideal membersihkan mekonium dari usus bayi baru
lahir.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 36pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">4)<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN;">Lebih banyak mengandung karbohidrat, protein, mineral, antibodi, memberikan
perlindungan bagi bayi yang baru lahir sampai umur 6 bulan dibandingkan dengan
ASI matur.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 18pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN;">Air susu masa peralihan atau transisi<o:p></o:p></span></div>
<div class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 36pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN;">Merupakan ASI peralihan ari colostrom menjadi ASI matur.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN;">Disekresikan pada hari ke 4 sampai hari ke 10.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 36pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">3)<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN;">Kadar protein makin rendah sedangkan kadar karbohidrat dan lemak semakin
meninggi dan volumenya juga semakin meningkat.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 18pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN;">Air susu matur<o:p></o:p></span></div>
<div class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 36pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN;">Merupakan ASI yang desekresikan pada hari ke 10 dan seterusnya,
komposisinya relative konstan.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 36pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN;">Merupakan cairan yang berwarna putih kekuningan yang diakibatkan warna
Ca-casein, riboflavin, dan karoten yang terdapat di dalammnya.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 36pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">3)<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN;">Jika dipanaskan ASI tidak akan menggumpal.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 36pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN;">Terdapat antimicrobial faktor, antara lain : antybody (kekebalan terhadap
infeksi), protein, hormon-hormon, dll.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;"><o:p></o:p></span></div>
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<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN;">Cara Memperbanyak Memproduksi ASI<o:p></o:p></span></b></div>
<ol start="1" style="margin-top: 0cm;" type="1">
<li class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN;">Bayi menyusu setiap 2 jam selama 10 sampai 15 menit setiap payudara.<o:p></o:p></span></li>
<li class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN;">Membangunkan bayi buka baju, bedong yang membuat rasa gerah pada bayi,
duduklah selama menyusui bayi.<o:p></o:p></span></li>
<li class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN;">Memastikan bayi menyusu dengan posisi yang baik (menempel pada ibunya)
dan menelan dengan secara aktif.<o:p></o:p></span></li>
<li class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN;">Menyusui bayi ditempat yang tenang nyaman dan minumlah setiap kali
menyusui.<o:p></o:p></span></li>
<li class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN;">Tidur bersebelahan atau dekat dengan bayi, dan ibu meningkatkan
istirahat atau minum</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN;"><o:p></o:p></span></li>
</ol>
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<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Cara Menyusui
yang Benar <o:p></o:p></span></b></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify; text-indent: 18pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Pengertian
teknik menyusui yang benar adalah cara memberikan ASI kepada bayi dengan
perlekatan dan posisi bayi dengan benar.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Beberapa langkah-langkah menyusui yang
benarsebagai berikut. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="margin-bottom: 0.0001pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Cuci tangan yang bersih dengan sabun,
perah sedikit ASI dan oleskan di sekitar puting, duduk dan berbaring dengan
santai.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: 0.0001pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Ibu harus mencari posisi nyaman,
biasanya duduk tegak di tempat tidur/kursi. </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: 0.0001pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Lengan ibu menopang kepala, leher, dan
seluruh badan bayi ( kepala dan tubuh berada dalam garis lurus), muka bayi menghadap
ke payudara ibu, hidung bayi di depan puting susu ibu. Posisi bayi harus
sedemikian rupa sehingga perut bayi menghadap perut ibu. Bayi seharusnya
berbaring miring dengan seluruh tubuhnya menghadap ibu. Kepalanya harus sejajar
dengan tubuhnya, tidak melengkung ke belakang/menyamping, telinga, bahu, dan
panggul bayi berada dalam satu garis lurus.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: 0.0001pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Ibu mendekatkan bayi ke tubuhnya ( muka
bayi ke payudara ibu) dan mengamati bayi yang siap menyusu: membuka mulut,
bergerak mencari, dan menoleh. Bayi harus berada dekat dengan payudara ibu. Ibu
tidak harus mencondongkan badan dan bayi tidak merenggangkan lehernya untuk
mencapai puting susu ibu.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: 0.0001pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">5.<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Ibu menyentuhkan puting susunya ke bibir
bayi, menunggu sehingga mulut bayi terbuka lebar kemudian mengarahkan mulut
bayi keputing susu ibu sehingga bibir bayi dapat menangkap puting susu
tersebut. Ibu memegang payudara dengan satu tangan dengan cara meletakkan empat
jari di bawah payudara dengan satu tangan dengan cara meletakkan empat jari di
bawah payudara dan ibu jari di atas payudara. Ibu jari dan telunjuk harus
membentuk huruf C. Semua jari ibu tidak boleh terlalu dekat dengan areola.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: 0.0001pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">6.<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Pastikan bahwa sebagian besar areola
masuk ke dalam mulut bayi. Dagu rapat ke dada ibu dan hidungnya menyentuh
bagian atas payudara. Bibir bawah bayi melengkung keluar.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: 0.0001pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">7.<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Bayi diletakkan menghadap ke ibu dengan
posisi sanggah seluruh tubuh bayi, jangan hanya leher dan bahunya saja, kepala
dan tubuh bayi harus lurus, hadapkan bayi ke dada ibu sehingga hidung bayi
berhadapan dengan puting susu, dekatkan badan bayi ke badan ibu, menyentuh
bibir bayi ke puting susunya dan menunggu sampai mulut bayi terbuka lebar. </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: 0.0001pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">8.<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Jika bayi sudah selesai menyusui, ibu
mengeluarkan puting dari mulut bayi dengan cara memasukkan jari kelingking ibu
diantara mulut dan payudara. </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="margin-bottom: 0.0001pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">9.<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Menyendawakan bayi dengan menyandarkan
bayi di pundak atau menelungkupkan, bayi melintang kemudian menepuk-nepuk
punggung bayi.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Cara
Pengamatan Teknik Menyusui yang Benar<o:p></o:p></span></b></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify; text-indent: 18pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Menyusui dengan
cara teknik yang tidak benar dapat mengakibatkan puting susu menjadi lecet dan
ASI tidak keluar secara optimal sehingga mempengaruhi produksi ASI selanjutnya
atau bayi enggan menyusui.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Apabila bayi telah menyusu dengan benar,
maka akan memperlihatkan tanda-tanda sebagai berikut.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="margin-bottom: 0.0001pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Bayi tampak tenang. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: 0.0001pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Badan bayi menempel pada perut ibu.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: 0.0001pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Mulut bayi terbuka lebar.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: 0.0001pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Dagu bayi menempel pada payudara ibu.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: 0.0001pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">5.<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Sebagian Areola masuk ke dalam mulut
bayi, areola bawah yang lebih banyak masuk. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: 0.0001pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">6.<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Hidung bayi mendekati dan kadang-kadang
menyentuh payudara ibu. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: 0.0001pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">7.<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Mulut bayi mencakup sebanyak mungkin
areola ( tidak hanya puting saja), lingkar areola atas lebih banyak terlihat
dari pada areola bawah.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: 0.0001pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">8.<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Lidah bayi menopang puting dan areola
bagian bawah.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: 0.0001pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">9.<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Bibir bawah bayi melengkung keluar.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: 0.0001pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">10.<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Bayi dapat menghsap kuat dengan irama perlahan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: 0.0001pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">11.<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Puting susu tidak terasa nyeri .<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: 0.0001pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">12.<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Telinga dan lengan bayi terletak pada
satu garis lurus.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: 0.0001pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">13.<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Kepala bayi agak menenggadah.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: 0.0001pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">14.<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Bayi menghisap kuat dan dalam secara
berlahan dan kadang di sertai dengan berhenti sesaat.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="margin-bottom: 0.0001pt; text-align: justify;">
<br /></div>
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<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Pemberian
ASI Bagi Ibu yang Bekerja Di Luar Rumah<o:p></o:p></span></b></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify; text-indent: 18pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Memberikan ASI
kepada bayi kita merupakan sesuatu “kewajiban”. ASI memang sangat penting untuk
bayi kita, mengingat ASI kaya akan zat-zat giziseimbang, lengkap dan juga
mengandung zat untuk kekebalan dan imunitas tubuh bayi. Untuk itu, jika kita
ingin mempunyai anak yang sehat, cerdas, kuat, dan lincah, maka memberikan ASI
merupakan kewajiban bagi kita para ibu, tapi tentunya para bapak juga harus
perhatian dan memberikan dukungan.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify; text-indent: 18pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Akan tetapi,
kadang karena berbagai hal, si ibu tidak bis amemberikan ASI langsung kepada si
bayi, mungkin karena bekerja. Banyak sekali para ibu yang lantas memberikan
susu formula kepada anaknya, dengan alasan kepraktisan. Padahal dengan ASI,
anak sehat ibu pun bisa hemat. Bagi ibu yang bekerja, menyusui tidak perlu
dihentikan. Ibu bekerja harus tetap memberikan ASI nya dan jika memungkinkan
bayi dapat dibawa ke tempat kerja. Apabila tidak memungkikan ASI dapat diperah
kemudian disimpan.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify; text-indent: 18pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;"><br /></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify; text-indent: 18pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;"><br /></span></div>
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<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN;">DAFTAR PUSTAKA</span></b><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;"><o:p></o:p></span></b></div>
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<br /></div>
<div class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 22.5pt; text-align: justify; text-indent: -22.5pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Dewi
Lia N.V dan Sunarsih. 2012. <i>Asuhan
Kebidanan Pada Ibu Nifas</i>. Jakarta: Salemba Medika.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 22.5pt; text-align: justify; text-indent: -22.5pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Roesli,
Utami. 2008. <i>Inisiasi Menyusu Dini Plus
ASI Eksklusif</i>. Jakarta: Pustaka Bunda.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN; mso-bidi-font-style: italic; mso-fareast-font-family: "Times New Roman";">Prawirohardjo, Sarwono.2010. <i>Ilmu Kebidanan</i>. Jakarta : P.T. Bina
Pustaka<o:p></o:p></span></div>
<div class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 22.5pt; text-align: justify; text-indent: -22.5pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN; mso-bidi-font-style: italic; mso-fareast-font-family: "Times New Roman";"> Sarwono Prawirohardjo.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-style: italic; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 22.5pt; text-align: justify; text-indent: -22.5pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Maharyanti.
2010. Persepsi Keluarga Tentang Pemberian ASI. <i>Jurnal Saintika Medika</i>, Vol 6, No 12 (2010) <o:p></o:p></span></div>
<div class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 22.5pt; text-align: justify; text-indent: -22.5pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;"> </span><span lang="EN-US"><a href="http://ejournal.umm.ac.id/index.php/sainmed/article/view/1007"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">http://ejournal.umm.ac.id/index.php/sainmed/article/view/1007</span></a></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;"> <o:p></o:p></span></div>
<div class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 22.5pt; text-align: justify; text-indent: -22.5pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Rosita,
Syarifah. 2008. ASI untuk Kecerdasan Bayi. Ayyana, Yogyakarta.<o:p></o:p></span></div>
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<br /></div>
Anonymoushttp://www.blogger.com/profile/09877824835430540158noreply@blogger.com0tag:blogger.com,1999:blog-8430991463257497357.post-20517532135969236712013-05-17T08:18:00.001-07:002013-05-17T08:18:34.476-07:00ETIKA PROMOSI KESEHATAN <br />
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhgsglzTqQXkPwIMYV15lra-e00cIylfSxuSxLk5yowTNnwnge2m_yRk0UlyF0Te4_LMvZZU4gsU-M2O4ke5XAQSuh_1ge8RXVx_ZfWD0fABzbCngAchUgEXIVX9HKhKvK2ndQHmjKZw7Mv/s1600/download+(8).jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhgsglzTqQXkPwIMYV15lra-e00cIylfSxuSxLk5yowTNnwnge2m_yRk0UlyF0Te4_LMvZZU4gsU-M2O4ke5XAQSuh_1ge8RXVx_ZfWD0fABzbCngAchUgEXIVX9HKhKvK2ndQHmjKZw7Mv/s1600/download+(8).jpg" /></a></div>
<h1 align="center" style="line-height: 150%; margin-bottom: 12.0pt; text-align: center;">
<a href="" name="_Toc343686792"><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">KATA
PENGANTAR</span></a><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></h1>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Puji syukur kepada Tuhan Yang Maha Esa yang telah
memberikan karunia-Nya sehingga kami dapat menyelesaikan makalah ini dengan
baik. Makalah ini membahas tentang “ETIKA PROMOSI KESEHATAN”</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penulis mengucapkan terima kasih kepada dosen
pengampu mata kuliah Promosi kesehatan yang telah membimbing kami dalam
penyusunan makalah ini. Kami menyadari bahwa makalah ini masih belum sempurna,
oleh karena itu kami mengharapkan kritik dan saran dari semua pihak demi
perbaikan pembuatan makalah selanjutnya. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Semoga makalah ini dapat memberikan wawasan yang
lebih luas kepada pembaca. Akhir kata, kami mengucapkan terima kasih kepada
semua pihak yang telah berperan serta dalam penyusunan makalah ini. Semoga Tuhan
Yang Maha Esa senantiasa memberikan kelancaran dan kemudahan bagi kita semua. <o:p></o:p></span></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" 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: 12pt; line-height: 150%;">Yogyakarta, Desember 2012</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><br /></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Penulis</span></div>
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<br /></div>
<a name='more'></a><br />
<h1 align="center" style="line-height: 150%; text-align: center;">
<a href="" name="_Toc343686794"><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BAB </span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">I<o:p></o:p></span></h1>
<h1 align="center" style="line-height: 200%; margin-bottom: 12.0pt; text-align: center;">
<a href="" name="_Toc343686795"><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">PENDAHULUAN</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;"><o:p></o:p></span></h1>
<h2 style="line-height: 150%; margin-bottom: 12.0pt; margin-left: 36.0pt; margin-right: 0cm; margin-top: 10.0pt; mso-list: l7 level1 lfo8; text-indent: -18.0pt;">
<a href="" name="_Toc343686796"><!--[if !supportLists]--><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">1.1<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;">Latar Belakang</span></a><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;"><o:p></o:p></span></h2>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pembangunan
kesehatan merupakan upaya untuk memenuhi salah satu hak dasar rakyat, dimana
tercantum dalam pasal 28 H ayat 1 UUD 1945 yaitu hak untuk memperoleh pelayanan
kesehatan. Keberhasilan pembangunan kesehatan sangat besar peranannya dalam
mewujudkan sumber daya manusia yang berkualitas dalam rangka mengimbangi makin
ketatnya persaingan bebas di era globalisasi. Keberhasilan pembangunan
kesehatan tersebut memerlukan pembangunan kesehatan yang lebih dinamis dan
produktif dengan melibatkan semua sektor terkait termasuk swasta dan
masyarakat.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dewasa ini promosi kesehatan (health
promotion) telah menjadi bidang yang semakin penting dari tahun ke tahun. Dalam
tiga dekade terakhir, telah terjadi perkembangan yang signifikan dalam hal
perhatian dunia mengenai masalah promosi kesehatan. Penyelenggaraan promosi kesehatan
dilakukan dengan mengombinasikan berbagai strategi yang tidak hanya melibatkan
sektor kesehatan belaka, melainkan lewat kerjasama dan koordinasi segenap unsur
dalam masyarakat. Hal ini didasari pemikiran bahwa promosi kesehatan adalah
suatu filosofi umum yang menitik beratkan pada gagasan bahwa kesehatan yang
baik merupakan usaha individu sekaligus kolektif (Taylor, 2003). <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bagi individu, promosi kesehatan terkait
dengan pengembangan program kebiasaan kesehatan yang baik sejak muda hingga
dewasa dan lanjut usia (Taylor, 2003). Secara kolektif, berbagai sektor, unsur,
dan profesi dalam masyarakat seperti praktisi medis, psikolog, media massa, </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">dll.</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%; mso-ansi-language: IN;"><o:p></o:p></span></div>
<h2 style="line-height: 150%; margin-bottom: 12.0pt; margin-left: 36.0pt; margin-right: 0cm; margin-top: 10.0pt; mso-list: l7 level1 lfo8; text-indent: -18.0pt;">
<a href="" name="_Toc343686797"><!--[if !supportLists]--><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">1.2<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;">Tujuan</span></a><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;"><o:p></o:p></span></h2>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Bagi penulis<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Dapat menambah
wawasan ilmu pengetahuan dalam upaya meningkatkan mutu pelayanan kesehatan.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Bagi pembaca<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Sebagai bahan bacaan dan menambah pengetahuan
tentang pelayanan kesehatan yang bermutu dan sesuai dengan standard.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<h2 style="line-height: 150%; margin-bottom: 12.0pt; margin-left: 36.0pt; margin-right: 0cm; margin-top: 10.0pt; mso-list: l4 level2 lfo9; text-indent: -18.0pt;">
<a href="" name="_Toc343686798"><!--[if !supportLists]--><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">1.3<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;">Manfaat</span></a><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;"><o:p></o:p></span></h2>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l8 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk
menambah pengetahuan praktik promosi kesehatan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l8 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk
membantu mahasiswa dalam memahami pertimbangan-pertimbangan etis.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l8 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk
menambah wawasan mengenai etika promosi kesehatan. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l8 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk
menambah wawasan mengenai lingkup promosi kesehatan dalam praktik kebidanan. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; text-align: justify;">
<br /></div>
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<h1 align="center" style="line-height: 150%; text-align: center;">
<a href="" name="_Toc343686799"><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BAB II</span></a><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></h1>
<h1 align="center" style="line-height: 150%; text-align: center;">
<a href="" name="_Toc343686800"><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">ISI</span></a><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></h1>
<h2 style="line-height: 150%; margin-bottom: 12.0pt; margin-left: 36.0pt; margin-right: 0cm; margin-top: 10.0pt; mso-list: l11 level1 lfo10; text-indent: -18.0pt;">
<a href="" name="_Toc343686801"><!--[if !supportLists]--><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">2.1<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;">Etika Promosi Kesehatan</span></a><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;"> <o:p></o:p></span></h2>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pembangunan kesehatan merupakan bagian
integral dari pembangunan nasional. Dalam konstitusi Organisasi Kesehatan Dunia
tahun 1948 disepakati antara lain bahwa diperolehnya derajat kesehatan yang
setinggi-tingginya adalah hak yang fundamental bagi setiap orang tanpa
membedakan ras, agama, politik yang dianut dan tingkat sosial ekonominya.
Program pembangunan kesehatan yang dilaksanakan telah berhasil meningkatkan
derajat kesehatan masyarakat secara cukup bermakna, walaupun masih dijumpai
berbagai masalah dan hambatan yang akan mempengaruhi pelaksanaan pembangunan
kesehatan. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Oleh karena itu diperlukan adanya
reformasi di bidang kesehatan untuk mengatasi ketimpangan hasil pembangunan
kesehatan antar daerah dan antar golongan, derajat kesehatan yang masih tertinggal
dibandingkan dengan negara-negara tetangga dan kurangnya kemandirian dalam
pembangunan kesehatan. Reformasi di bidang kesehatan perlu dilakukan mengingat
lima fenomena yang berpengaruh terhadap pembangunan kesehatan. Pertama,
perubahan pada dinamika kependudukan. Kedua, Temuan-temuan ilmu dan teknologi
kedokteran. Ketiga, Tantangan global sebagai akibat dari kebijakan perdagangan
bebas, revolusi informasi, telekomunikasi dan transportasi. Keempat, Perubahan
lingkungan. Kelima, Demokratisasi.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perubahan pemahaman konsep akan sehat
dan sakit serta semakin maju IPTEK denganinformasi tentang determinan penyebab
penyakit telah menggugurkan paradigma pembangunan kesehatan yang lama yang
mengutamakan pelayanan kesehatan yang bersifat kuratif dan rehabilitatif.
Paradigma pembangunan kesehatan yang baru yaitu Paradigma Sehat merupakan upaya
untuk lebih meningkatkan kesehatan masyarakat yang bersifat proaktif. Paradigma
sehat sebagai model pembangunan kesehatan yang dalam jangka panjang diharapkan
mampu mendorong masyarakat untuk mandiri dalam menjaga kesehatan melalui
kesadaran yang lebih tinggi pada pentingnya pelayanan kesehatan yang bersifat
promotif danpreventif. </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dalam Indonesia Sehat 2010,
lingkungan yang diharapkan adalah yang kondusif bagi terwujudnya keadaan sehat
yaitu lingkungan yang bebas dari polusi, tersedianya air bersih, sanitasi
lingkungan yang memadai, pemukiman yang sehat, perencanaan kawasan yang
berwawasan kesehatan serta terwujudnya kehidupan masyarakat yang saling tolong
menolong. Perilaku masyarakat Indonesia Sehat 2010 yang diharapkan adalah yang
bersifat proaktif untuk memelihara dan meningkatkan kesehatan, mencegah risiko
terjadinya penyakit, melindungi diri dari ancaman penyakit serta berpartisipasi
aktif dalam gerakan kesehatan masyarakat.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l3 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">A.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penetapan
Sasaran <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l1 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sasaran
primer <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Masyarakat
pada umumnya menjadi sasaran langsung segala upaya pendidikan atau promosi
kesehatan. Sesuai dengan permasalahan kesehatan, maka sasaran ini dapat
dikelompokkan menjadi kepala keluarga untuk masalah kesehatan umum, ibu hamil
dan menyusui untuk masalah KIA (kesehatan ibu dan anak), anak sekolah untuk
kesehatan remaja, dan sebagainya. Upaya promosi yang dilakukan terhadap sasaran
primer ini sejalan dengan strategi pemberdayaan masyarakat (empow-erment).</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"><o:p></o:p></span></div>
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<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l1 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sasaran
sekunder <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Para
tokoh masyarakat, tokoh agama, tokoh adat, dan sebagainya. Disebut sasaran
sekunder karena dengan memberikan pendidikan kesehatan pada kelompok ini
diharapkan untuk selanjutnya kelompok ini akan memberikan pendidikan kesehatan
pada masyarakat disekitarnya. Disamping itu dengan perilaku sehat para tokoh
masyaraka tsebagai hasil pendidikan kesehatan yang diterima, maka para tokoh
masyarakat ini akan memberikan contoh atau acuan perilaku sehat bagi masyarakat
sekitarnya. Upaya promosi kesehatan yang ditujukan kepada sasaran sekunder ini
adalah sejalan dengan strategi dukungan sosial (social support).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l1 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sasaran
tersier <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Para
pembuat keputusan atau penentuan kebijakan baik ditingkat pusat, maupun
daerahadalah sasaran tersier pendidikan kesehatan dengan kebijakan-kebijakan
atau keputusanyang dikeluarkan oleh kelompok ini akan mempunyai dampak terhadap
perilaku para tokoh masyarakat (sasaran sekunder), dan juga kepada masyarakat
umum (sasaranprimer). Upaya promosi kesehatan yang ditujukan kepada sasaran
tersier ini sejalandengan strategi advokasi.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"><o:p></o:p></span></div>
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<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">B.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pada tahun 2002, American Public
Health Association secara resmi mengadopsi dua belas prinsip praktek kode etik
untuk umum. Dua belas prinsip yang diuraikan:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo13; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kesehatan masyarakat terutama harus membahas
penyebab dasar penyakit dan persyaratan untuk kesehatan, yang bertujuan untuk
mencegah hasil kesehatan yang merugikan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo13; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kesehatan masyarakat harus mencapai
kesehatan masyarakat dengan cara yang menghormati hak-hak individu dalam
masyarakat.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo13; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kebijakan kesehatan masyarakat,
program, dan prioritas harus dikembangkan dan dievaluasi melalui proses yang
menjamin kesempatan untuk masukan dari anggota masyarakat.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo13; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kesehatan masyarakat harus
mengadvokasi dan bekerja untuk pemberdayaan dari pemuda anggota masyarakat,
yang bertujuan untuk memastikan bahwa sumber daya dasar dan kondisi diperlukan
untuk kesehatan dapat diakses oleh semua.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo13; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kesehatan masyarakat harus mencari
informasi yang dibutuhkan untuk melaksanakan kebijakan yang efektif dan program
yang melindungi dan mempromosikan kesehatan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo13; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Institusi kesehatan umum harus
menyediakan masyarakat dengan informasi yang mereka miliki yang diperlukan
untuk keputusan tentang kebijakan atau program-program dan harus mendapatkan
persetujuan masyarakat untuk pelaksanaannya.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo13; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">7.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Lembaga kesehatan publik harus
bertindak secara tepat waktu pada informasi yang mereka miliki dalam sumber
daya dan mandat yang diberikan kepada mereka oleh masyarakat.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo13; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">8.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Program kesehatan umum dan kebijakan
harus menggabungkan berbagai pendekatan yang mengantisipasi dan menghormati
nilai-nilai yang beragam, keyakinan, dan budaya dalam masyarakat.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo13; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">9.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Program kesehatan umum dan kebijakan
harus dilaksanakan dengan cara yang paling meningkatkan lingkungan fisik dan
sosial.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo13; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">10.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Lembaga kesehatan publik harus
melindungi kerahasiaan informasi yang dapat membawa kerugian bagi individu atau
komunitas jika dibuat publik. Pengecualian harus dibenarkan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo13; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">11.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Atas dasar kemungkinan tinggi
membahayakan signifikan terhadap individu atau orang lain.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo13; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">12.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Lembaga kesehatan publik harus memastikan
kompetensi profesional karyawan mereka. Institusi kesehatan umum dan karyawan
mereka harus terlibat dalam kolaborasi dan afiliasi dengan cara yang membangun
kepercayaan publik dan efektivitas lembaga. <o:p></o:p></span></div>
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<br /></div>
<h2 style="line-height: 150%; margin-bottom: 12.0pt; margin-left: 36.0pt; margin-right: 0cm; margin-top: 10.0pt; mso-list: l11 level1 lfo10; text-indent: -18.0pt;">
<a href="" name="_Toc343686802"><!--[if !supportLists]--><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">2.2<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;">Praktik Promosi Kesehatan</span></a><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;"> <o:p></o:p></span></h2>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Upaya promosi kesehatan merupakan
tanggung jawab kita bersama, bahkan bukan sektor kesehatan semata, melainkan
juga lintas sektor, masyarakat dan dunia usaha. Promosi kesehatan perlu
didukung oleh semua pihak yang berkepentingan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">.<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: 150%;">Rancangan program promosi kesehatan oleh
bidan adalah memfokuskan bagaimana program kemitraan pelayanan persalinan
terpadu dapat membantu peningkatan upaya keselamatan ibu dengan menjalin
kemitraan dengan lintas sektoral yang terkait. Kemitraan mengandung arti saling
bertukar pengetahuan, sumberdaya dan komitmen untuk mencapai tujuan bersama.
Untuk itu diperlukan sikap saling menghargai dan keterbukaan tentang semua hal
kemitraan dengan wanita. Pendekatan partisipasif ini melibatkan kaum ibu mampu
mengenali dan menentukan prioritas masalah kesehatan ibu, menyusun rencana
pemecahan masalah bersama pemerintah setempat dan melaksanakannya. Beberapa
kegiatannya adalah pelatihan dukun bayi, pendidikan dan pelatihan kaum wanita
dan pria tentang persalinan yang aman dirumah serta tentang keluarga berencana,
mengembangkan persiapan rujukan ke rumah sakit dan mengembangkan materi
informasi tentang kesehatan reproduksi.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kemitraan dengan masyarakat dan dukun
bayi. Pelatihan petugas dalamn upaya keselamatan ibu tidaklah lengkap tanpa
penyuluhan dan motivasi terhadap keluarga, masyarakat dan dukun bayi.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kemitraan dengan bidan. Perlu dilakukan
dengan asosiasi kebidanan (IBI) dalam mendukung pelayanan kesehatan reproduksi.
Melalui asosiasi ini diharapkan para bidan mengikuti program pelatihan
kesehatan reproduksi yang mencakup penanganan kegawatan obstetri, pencegahan
infeksi dan keluarga berencana. Perhatian utama organisasi ini adalah
memaksimalkan kebijakan dan dukungan teknis yang lestari dalam menjaga kualitas
pelayanan kesehatan ibu<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Implikasi
program keselamatan ibu mencakup hal berikut:<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: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menjamin
kehadiran tenaga kesehatan pada setiap persalinan<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: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Memperluas
akses terhadap pelayanan kebidanan ditingkat masyarakat<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Meningkatkan
akses terhadap pelayanan obstetri esensial, termasuk pelayanan gawat darurat<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menyediakan
pelayanan terpadu kesehatan reproduksi termasuk keluarga berencana dan
pelayanan pasca aborsi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menjamin kesinambungan pelayanan yang
berhubungan dengan sarana rujukan dan didukung oleh bahan habis pakai, alat,
obat dan transportasi yang memadai</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 18.0pt;">
<br /></div>
<h2 style="line-height: 150%; margin-left: 36.0pt; mso-list: l11 level1 lfo10; text-indent: -18.0pt;">
<a href="" name="_Toc343686803"><!--[if !supportLists]--><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">2.3<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;">Pertimbangan-pertimbangan
Etis</span></a><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;"><o:p></o:p></span></h2>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pertimbangan-pertimbangan etis yang
perlu kita lakukan dan pikirkan yakni :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l5 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Promotor
kesehatan tidak akan secara sengaja menunda pelayanan atau informasi, dilihat
dari status pengetahuan sekarang yang dapat memberikan manfaat kepada klien,
mereka berusaha mengikuti perkembangan promosi kesehatan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l5 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Promotor
kesehatan akan menghargai kerahasiaan informasi yang dapat mereka akses kecuali
atas permintaan hokum dan demi kepentingan klien<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: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Promotor
kesehatan harus tidak melakukan kegiatan promosi kesehatan yang tidak kompoten
bisa kerjakan.<o:p></o:p></span></div>
<h2 style="line-height: 150%;">
<span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-weight: bold;"> 2.4 Pendekatan Promosi Kesehatan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-weight: bold;"><o:p></o:p></span></h2>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l12 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pendekatan
Medik <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: 150%;">Tujuan
dari pendekatan ini adalah kebebasan dari penyakit dan kecacatan
yangdidefinisikan secara medic, seperti penyakit infeksi, kanker, dan penyakit
jantung.Pendekatan ini melibatkan kedokteran untuk mencegah atau meringankan
kesakitan,mungkin dengan metode persuasive maupun paternalistic. Sebagai
contoh, memberitahuorang tua agar membawa anak mereka untuk imunisasi, wanita
untuk memanfaatkanklinik keluarga berencana dan pria umur pertengahan untuk
dilakukan screening takanandarah. Pendekatan ini memberikan arti penting dari
tindakan pencegahan medic dantanggung jawab profesi kedokteran untuk membuat
kepastian bahwa pasien patuh padaprosedur yang dianjurkan.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l12 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pendekatan
Perubahan Perilaku<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tujuan
dari pendekatan ini adalah mengubah sikap dan perilaku individu masyarakat,</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">sehingga mereka
mengambil gaya hidup “ sehat “. Contohnya antara lain mengajarkanorang
bagaimana menghentikan merokok, pendidikan tentang minum alcohol “wajar
“,mendorong orang untuk melakukan latihan olahraga, memelihara gigi, makan
makananyang baik dan seterusnya. Orang-orang yang menerapkan pendekatan ini
akan merasa</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">yakin
bahwa gaya hidup “sehat “merupakan hal paling baik bagi kliennya dan
akanmelihatnya sebagai tanggung jawab mereka untuk mendorong sebanyak mungkin
oranguntuk mengadopsi gaya hidup sehat yang menguntungkan.<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: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pendekatan
Edukasional<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: 150%;">Tujuan
dari pendekatan ini adalah memberikan informasi dan memastikan pengetahuandan
pemahaman tentang perihal kesehatan dan membuat keputusan yang ditetapkan
atasdasar informasi yang ada. Informasi tentang kesehatan disajikan dan orang
dibantu untuk menggali nilai dan sikap, dan membuat keputusan mereka sendiri.
Bantuan dalammelaksanakan keputusan-keputusan itu dan mengadopsi praktek
kesehatan baru dapatpula ditawarkan, program pendidikan kesehatan sekolah,
misalnya menekankanmembantu murid mempelajari ketrampilan hidup sehat, tidak
hanya memperolehpengetahuannya. orang-orang yang mendukung pendekatan ini akan
memberi arti tinggibagi proses pendidikan, akan menghargai hal individu untuk
memilih perilaku merekasendiri, dan akan melihatnya sebagai tanggung jawab
mereka mengangkat bersamapersoalan-persoalan kesehatan yang mereka anggap menjadi
hal yang paling baik bagiklien mereka.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"><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: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pendekatan
Berpusat Pada Klien<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: 150%;">Tujuan
dari pendekatan ini adalah bekerja dengan klien agar dapat membantu
merekamengidentifikasi apa yang ingin mereka ketahui dan lakukan, dan membuat
keputusandan pilihan mereka sendiri sesuai dengan kepentingan dan nilai mereka.
Peran promotorkesehatan adalah bertindak sebagai fasilitator, membantu orang
mengidentifikasikepedulian-kepedulian mereka dan memperoleh pengetahuan serta
ketrampilan yangmereka butuhkan agar memungkinkan terjadi perubahan.
Pemberdayaan diri sendiri kliendilihat sebagai central dari tujuan ini. Klien
dihargai sama yang mempunyaipengetahuan, ketrampilan dan kemampuan
berkontribusi dan siapa yang mempunyai hak absolute untuk mengontrol tujuan
kesehatan mereka sendiri. </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"><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: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pendekatan
Perubahan Sosial<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: 150%;">Tujuan
dari pendekatan ini adalah melakukan perubahan-perubahan pada lingkunganfisik,
social dan ekonomi, supaya dapat membuatnya lebih mendukung untuk keadaanyang
sehat. Contohnya adalah mengubah masyarakat, bukan pada pengubahan
perilakuindividu-individunya. Orang-orang yang menerapkan pendekatan ini
memberikan nilaipenting bagi hak demokrasi mereka mengubah masyarakat,
mempunyai komitmen padapenempatan kesehatan dalam agenda politik di berbagai
tingkat dan pada pentingnyapembentukan lingkungan yang sehat daripada
pembentukan kehidupan individu-individuorang yang tinggal di tempat itu<o:p></o:p></span></div>
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<a href="" name="_Toc343686805"><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">BAB III</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"><o:p></o:p></span></h3>
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<a href="" name="_Toc343686806"><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">PENUTUP</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"><o:p></o:p></span></h3>
<h2 style="line-height: 150%; margin-left: 36.0pt; mso-list: l2 level1 lfo11; text-indent: -18.0pt;">
<a href="" name="_Toc343686807"><!--[if !supportLists]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">3.1<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-weight: bold;">Kesimpulan</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-weight: bold;"><o:p></o:p></span></h2>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Upaya promosi kesehatan
merupakan tanggung jawab bersama. Olehkarena itu, promosi kesehatan perlu
didukung oleh semua pihak yang berkepentingan. Rancangan program promosi
kesehatan yang dilaksanakan oleh bidan melalui program kemitraan pelayanan
persalinan terpadu. Program ini diharapkan dapat membantu peningkatan upaya
keselamatan ibu engan menjalin kemitraan lintas sektoral yang terkait. Bentuk
kemitraan terdiri atas kemitraan dengan masyarakat, dukun bayi, organisasi IBI,
dan dengan penentu kebijakan ( pemerintah atau tokoh masyarakat) dalam
mendukung pelayanan kesehatan reproduksi. Kemitraan mengandung arti saling
bertukar pengetahuan, sumber daya, dan komitmen untuk mencapai tujuan bersama.
Beberapa kegiatannya meliputi pelatihan dukun bayi, pendidikan/pelatihan kaum
wanita dan pria tentang persalina dirumah, keluarga berencana, mengembangkan
persiapan rujukan kerumah sakit, serta mengembangkan materi informasi tentang
kesehatan reproduksi.<o:p></o:p></span></div>
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<a href="" name="_Toc343686808"><!--[if !supportLists]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">3.2<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-weight: bold;">Saran</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-weight: bold;"><o:p></o:p></span></h2>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Diharapkan mahasiswa dapat memahami tentang Praktik promosi
kesehatan dan pertimbangan-pertimbangan etis. Dalam penulisan makalah ini masih
banyak terdapat kekurangan oleh karena
itu Kami mohon saran yang membangun. Semoga makalah ini dapat bermanfaat bagi
kita semua.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">.<o:p></o:p></span></div>
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<a href="" name="_Toc343686809"><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">DAFTAR PUSTAKA</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"><o:p></o:p></span></h1>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Novita Yesidkk, 2011, Promosi Kesehatan Dalam Pelayanan Kebidanan, Jakarta, Salemba Medika.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">WHO.1992 Pendidikan Kesehatan, <i>Pedoman Pelayanan Kesehatan Dasar</i>, Bandung; Penerbit ITB dan Penerbit Udayana.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Mubarak, Wahid Iqbal. 2011. <i>Promosi Kesehatan Untuk Kebidanan</i>. Jakarta: Salemba Meika<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: 150%; mso-fareast-font-family: "Times New Roman";">Notoatmodjo,
Soekidjo. 2010. <i>Promosi Kesehatan Teori dan Aplikasinya</i>. Jakarta :
Rineka Cipta<o:p></o:p></span></div>
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<span lang="EN-US"><a href="http://enyretnaambarwati.blogspot.com/search/label/Promosi%20Kesehatan"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">http://enyretnaambarwati.blogspot.com/search/label/Promosi%20Kesehatan</span></a></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"> Di kutip 17
Desember 2012 pukul 20.00 WIB<o:p></o:p></span></div>
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Anonymoushttp://www.blogger.com/profile/09877824835430540158noreply@blogger.com0tag:blogger.com,1999:blog-8430991463257497357.post-56875749437360192372013-05-17T08:12:00.001-07:002013-05-17T08:14:15.329-07:00BIDAN SEBAGAI ADVOKATOR & EDUKATOR<br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEghGJRkYxxT36rr7MYe7IlJYbPlW8gIwx9MmGz0LJazgbpRGv7cw8RZw_XIAJJqoBjntQ-Y-uskQFmRkEPtA-S8MfFQ-0OssAZOmP6zauO45ksWbdreTAwGHkW3dMbFvs8l4j4EXgQB9yp1/s1600/images+(19).jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEghGJRkYxxT36rr7MYe7IlJYbPlW8gIwx9MmGz0LJazgbpRGv7cw8RZw_XIAJJqoBjntQ-Y-uskQFmRkEPtA-S8MfFQ-0OssAZOmP6zauO45ksWbdreTAwGHkW3dMbFvs8l4j4EXgQB9yp1/s1600/images+(19).jpg" /></a></div>
<h1 align="center" style="line-height: 150%; margin-bottom: 12.0pt; text-align: center;">
<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc340779131"><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">KATA PENGANTAR</span></a><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></h1>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Puji
syukur kepada Tuhan Yang Maha Esa yang telah memberikan karunia-Nya sehingga
kami dapat menyelesaikan makalah ini dengan baik. Makalah ini membahas tentang “PERAN BIDAN SEBAGAI
ADVOKATOR DAN EDUKATOR” agar mahasiswa dapat memahaminya.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penulis
mengucapkan terima kasih kepada dosen pengampu mata kuliah Promosi Kesehatan
yang telah membimbing kami dalam penyusunan makalah ini. Kami menyadari bahwa
makalah ini masih belum sempurna, oleh karena itu kami mengharapkan kritik dan
saran dari semua pihak demi perbaikan pembuatan makalah selanjutnya. <o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Semoga
makalah ini dapat memberikan wawasan yang lebih luas kepada pembaca. Akhir
kata, kami mengucapkan terima kasih kepada semua pihak yang telah berperan
serta dalam penyusunan makalah ini. Semoga Tuhan Yang Maha Esa senantiasa
memberikan kelancaran dan kemudahan bagi kita semua. <o:p></o:p></span></div>
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<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: 12pt; line-height: 150%; text-align: left;">Yogyakarta,
November 2012</span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%; text-align: left;"> </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%; text-align: left;">Penulis</span></div>
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<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc340779133"><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">BAB I</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></h1>
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<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc340779134"><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">PENDAHULUAN</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></h1>
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<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc340779135"><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1.1 Latar Belakang</span></a><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></h2>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Peranan bidan yang tampak
nyata adalah sebagai role model masyarakat, sebagai anggota
masyarakat, advocatoar dan educator, tentunya kompetensi seperti ini yang akan
dikembangkan lebih lanjut melalui pendidikan dan pelatihan bagi para bidan.
Peranan yang harus di lihat sebagai “main idea” untuk membentuk sebuah
peradaban dan tatanan sebuah pelayanan kesehatan. </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Bidan dalam memberikan pelayanan kepada
masyarakat, khususnya ibu hamil, melahirkan dan senantiasa berupaya
mempersiapkan ibu hamil sejak kontak pertama saat pemeriksaan kehamilan
memberikan penyuluhan tentang manfaat pemberian ASI secara berkesinambungan
sehingga ibu hamil memahami dan siap menyusui anaknya.</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Upaya pembangunan keluarga sejahtera dan pemberdayaan
bidan tidak bisa dipisahkan. Bidan adalah ujung tombak pembangunan keluarga
sejahtera dari sudut kesehatan dan pemberdayaan lainnya. Bidan menempati posisi
yang strategis karena biasanya di tingkat desa merupakan kelompok profesional
yang jarang ada tandingannya. </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
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<br /></div>
<h2 style="line-height: 150%; margin-bottom: 12.0pt;">
<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc340779136"><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1.2 Tujuan</span></a><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></h2>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Tujuan dari makalah ini adalah sebagai berikut :</span><span style="font-family: 'Times New Roman', serif; font-size: 15pt; line-height: 150%;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; 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: 12pt; line-height: 150%;">Untuk mengetahui
pengertian bidan sebagai advokator dan edukator. </span><span style="font-family: 'Times New Roman', serif; font-size: 15pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; 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: 7pt; line-height: 150%;"> </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Untuk mengetahui peran
bidan sebagai advokator dan edukator.</span><span style="font-family: 'Times New Roman', serif; font-size: 15pt; line-height: 150%;"><o:p></o:p></span></div>
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<br /></div>
<h1 align="center" style="line-height: 150%; text-align: center;">
<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc340779137"><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">BAB II</span></a><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></h1>
<h1 align="center" style="line-height: 150%; text-align: center;">
<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc340779138"><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">ISI</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></h1>
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<br /></div>
<h2 style="line-height: 150%; margin-bottom: 12.0pt;">
<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc340779139"><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.1 Definisi Peran Bidan Sebagai Advokator</span></a><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></h2>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-outline-level: 3; text-align: justify; text-indent: 14.7pt;">
<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc340779140"></a><a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc340778129"></a><a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc340674865"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Peran bidan sebagai advokator adalah melakukan advokasi terhadap
pengambil keputusan dari kategori program ataupun sektor yang terkait dengan
kesehatan maternal dan neonatal. Melakukan advokasi berarti melakukan
upaya-upaya agar pembuat keputusan atau penentu kebijakan tersebut mencapai
kebijakan tersebut mempercayai dan meyakini bahwa program yang ditawarkan perlu
mendapat </span></a><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">d</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">ukungan melalui
kebijakan-kebijakan atau keputusan-keputusan politik.</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
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<br /></div>
<h2 style="line-height: 150%; margin-bottom: 12.0pt;">
<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc340779141"><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.2 Tujuan Advoka</span></a><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">tor</span><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></h2>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; text-align: justify; text-indent: 14.7pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Tujuan advo</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-language: IN;">k</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">ator adalah diperolehnya komitmen dan dukungan dalam
upaya kesehatan, baik berupa kebijakan, tenaga, sarana, kemudahan,
keikutsertaan dalam kegiatan, maupun bentuk lainnya sesuia dengan keadaan dan
suasana. </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; text-align: justify;">
<br /></div>
<h2 style="line-height: 150%; margin-bottom: 12.0pt;">
<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc340779142"><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.3 Target Advoka</span></a><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">tor</span><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></h2>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l2 level1 lfo3; text-indent: -18.0pt;">
<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc340522920"><!--[if !supportLists]--><span 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;">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%; mso-fareast-language: IN;">Pembuat keputusan, pembuat kebijakan</span></a><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l2 level1 lfo3; text-indent: -18.0pt;">
<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc340522921"><!--[if !supportLists]--><span 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;">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%; mso-fareast-language: IN;">Pemuka pendapat, pimpinan agama</span></a><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l2 level1 lfo3; text-indent: -18.0pt;">
<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc340522922"><!--[if !supportLists]--><span 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;">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%; mso-fareast-language: IN;">LSM , Media dan lain – lain</span></a><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto;">
<br /></div>
<h2 style="line-height: 150%; margin-bottom: 12.0pt;">
<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc340779143"><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.4</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Persyaratan Advokasi</span><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></h2>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; mso-list: l8 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc340522924"><!--[if !supportLists]--><span 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;">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%; mso-fareast-language: IN;">Credible,
artinya program yang ditawarkan harus dapat meyakinkan para penentu kebijakan</span></a><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-language: IN;">.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l8 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc340522925"><!--[if !supportLists]--><span 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;">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%; mso-fareast-language: IN;">Feasible,
artinya program tersebut harus baik secara teknis, politik, maupun ekonomi</span></a><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-language: IN;">.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l8 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc340522926"><!--[if !supportLists]--><span 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;">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%; mso-fareast-language: IN;">Relevant,
artinya program tersebut harus sesuai dengan kebutuhan masyarakat</span></a><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-language: IN;">.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l8 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc340522927"><!--[if !supportLists]--><span 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;">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%; mso-fareast-language: IN;">Urgent, artinya
program tersebut memiliki tingkat urgensi yang tinggi</span></a><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-language: IN;">.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l8 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc340522928"><!--[if !supportLists]--><span 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;">5.<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%; mso-fareast-language: IN;">High priority,
artinya program tersebut memiliki prioritas yang tinggi</span></a><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-language: IN;">.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; text-align: justify;">
<br /></div>
<h2 style="line-height: 150%; margin-bottom: 12.0pt;">
<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc340779144"><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-language: IN;">2.5 Peran</span></a><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"> </span><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-language: IN;">Bidan</span><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"> </span><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-language: IN;">Sebagai</span><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"> </span><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-language: IN;">Advokator</span><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-language: IN;"><o:p></o:p></span></h2>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-language: IN;">Di
bawah ini ada beberapa peran bidan sebagai Advokator :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; mso-list: l3 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-language: IN;">Advokasi dan strategi pemberdayaan wanita dalam mempromosikan
hak-haknya yang diperlukan untuk mencapai kesehatan yang optimal (kesetaraan dalam
memperoleh pelayanan kebidanan)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l3 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-language: IN;">Advokasi bagi wanita agar bersalin dengan aman.
Contoh: Jika ada ibu bersalin yang lahir di dukun dan menggunakan peralatan
yang tidak steril, maka bidan melakukan advokasi kepada pemerintah setempat
agar pertolongan persalinan yang dilakukan oleh dukun menggunakan peralatan
yang steril salah satu caranya adalah melakukan pembinaan terhadap dukun bayi dan
pemerintah memberikan sangsi jika ditemukan dukun bayi di lapangan menggunakan alat-alat
yang tidak steril.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-language: IN;">Advokasi terhadap pilihan ibu dalam tatanan pelayanan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<h2 style="line-height: 150%; margin-bottom: 12.0pt;">
<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc340779145"></a><a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc340522942"><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.</span></a><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">6 </span><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Definisi Peran Bidan Sebagai Edukator</span><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></h2>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; text-align: justify; text-indent: 14.7pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Definisi bidan menurut International
Confederation Of Midwives (ICM) yang dianut dan diadopsi oleh seluruh
organisasi bidan di seluruh dunia, dan diakui oleh </span><a href="http://id.wikipedia.org/wiki/WHO"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">WHO</span></a><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> dan Federation of International Gynecologist Obstetrition (FIGO).
Definisi tersebut secara berkala di review dalam pertemuan Internasional /
Kongres ICM. </span><span lang="EN-US" 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-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 14.7pt;">
<b><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Ikatan Bidan Indonesia : Bidan</span></b><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> diakui sebagai tenaga professional yang bertanggung-jawab dan akuntabel,
yang bekerja sebagai mitra perempuan untuk memberikan dukungan. Asuhan ini
mencakup upaya pencegahan, promosi persalinan normal, deteksi komplikasi pada
ibu dan anak, dan akses bantuan medis atau bantuan lain yang sesuai, serta
melaksanakan tindakan kegawat-daruratan.</span><span lang="EN-US" 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-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 14.7pt;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Bidan sebagai seorang pendidik informasi yang diberikan mudah dipahami,
memberikan waktu untuk bertanya, dan peka terhadap tanda-tanda nonverbal dari pasien
(contoh: raut wajah yang menggambarkan bahwa klien masih kurang paham dengan penjelasan
yang diberikan oleh bidan atau gerakan-gerakan [ bahasa tubuh] klien yang
menyatakan agar bidan tidak terburu-buru dalam memberikan penjelasan dan bahasa
tubuh yang lainnya yang di uangkapkan oleh klien).<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
<h2 style="line-height: 150%; margin-bottom: 12.0pt;">
<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc340779146"><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.7 Peran Bidan Sebagai Edukator</span></a><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></h2>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-language: IN;">Di bawah ini ada beberapa peran bidan sebagai Edukator
:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo6; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-language: IN;">Masa Remaja<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-language: IN;">Masa remaja adalah suatu fase perkembangan
yang dinamis dalam kehidupan seseorang individu. Tidakan yang dapat dilakukan oleh
bidan dengan perannya sebagai educator adalah sebagai berikut:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo7; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-language: IN;">Memberikan penjelasan tentang kesehatan reproduksi wanita.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo7; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-language: IN;">Memberikan KIE tentangbahayasekbebas.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo7; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-language: IN;">Memberikan KIE tentangbahayanarkoba.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo6; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-language: IN;">Masa Hamil<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-language: IN;">Kehamilan adalah masa dimana terdapat
janin didalam rahim seorang wanita tindakan yang dapat dilakukan oleh bidan adalah
sebagai berikut:<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-language: IN;">Mengajarkan pada ibu tentang perubahan tubuh selama
proses kehamilan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-language: IN;">Mengajarkan pada ibu mengenai keluhan yang umumnya terjadi
saat hamil dan cara mengatasinya.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-language: IN;">Mengajarkan pada ibu tentang pentingnya menjaga
personal higene.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-language: IN;">Membina dukun bayi dan kader posyandu.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-language: IN;">Mengajarkan pada ibu senam hamil.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">f.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-language: IN;">Mengajarkan pada ibu tentang bahaya tanda-tanda kehamilan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">g.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-language: IN;">Memberikan konseling gizi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo6; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-language: IN;">Masa Bersalin<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-language: IN;">Persalinan adalah saat yang
paling ditunggu namun juga mendebarkan bagi ibu dan keluarga. Peran bidan sebagai
Edukator dalam menghadapi masa bersalin antara lain sebagai berikut:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo9; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-language: IN;">Mengajarkan pada ibu dan keluarga tanda-tanda persalinan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo9; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-language: IN;">Mengajarkan pada ibu cara meneran yang benar.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-language: IN;">Mengajarkan keluarga masase uterus sehingga mampu untuk
mengetahui jika uterus tidak berkontraksi baik dan untuk mencegah terjadinya perdarahan
postpartum.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-language: IN;">Memberitahu ibu tentang tanda bahaya pada persalinan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo6; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-language: IN;">Masa Nifas<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo10; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-language: IN;">Mengajarkan kepada ibu tentang cara mobilisasi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo10; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-language: IN;">Mengajarkan kepada ibu perawatan bayi baru lahir.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo10; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-language: IN;">Mengajarkan kepada ibu cara menyendawakan bayi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo10; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-language: IN;">Mengajarkan kepada ibu dan keluarga cara perawatan tali
pusat.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo10; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-language: IN;">Mengajarkan kepada ibu dan keluarga cara memandikan bayi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo10; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">f.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-language: IN;">Mengajarkan kepada ibu tentang personal higene.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo10; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">g.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-language: IN;">Mengajarkan kepada ibu dan keluarga tentang tanda-tanda
bahaya dan penyakit pada masa nifas.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo10; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">h.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-language: IN;">Mengajarkan kepada ibu tentang KB pascasalin.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<h2 style="line-height: 150%; margin-bottom: 12.0pt;">
<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc340779147"><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.</span></a><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">8</span><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tugas pokok bidan sebagai </span><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Edukator</span><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></h2>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Sebagai </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Edukator</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> bidan memiliki 2 tugas yaitu sebagai pendidik dan penyuluh kesehatan bagi
klien serta pelatih dan pembimbing kader.</span><span style="font-family: 'Times New Roman', serif; font-size: 15pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">1.<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: 12pt; line-height: 150%;">Memberi pendidikan dan penyuluhan
kesehatan pada klien.</span></b><b><span style="font-family: 'Times New Roman', serif; font-size: 15pt; line-height: 150%;"><o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Bidan memberi pendidikan dan penyuluhan
kesehatan kepada klien (individu, keluarga, kelompok, serta maryarakat) tentang
penanggulangan masalah kesehatan, khususnya yang berhubungarn dengan kesehatan
ibu, anak, dan keluarga berencana, mencakup</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">:</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 15pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.7pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">a) Mengkaji kebutuhan pendidikan dan penyuluhan
kesehatan, khususnya dalam bidang kesehatan ibu, anak, dan keluarga berencana
bersama klien.</span><span style="font-family: 'Times New Roman', serif; font-size: 15pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.7pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">b) Menyusun rencana penyuluhan kesehatan sesuai
dengan kebutuhan yang telah dikaji, baik untuk jangka pendek maupun jangka
panjang bersama klien.</span><span style="font-family: 'Times New Roman', serif; font-size: 15pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 64.4pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">c) Menyiapkan alat serta materi pendidikan dan
penyuluhan sesuai dengan rencana yang telah disusun.</span><span style="font-family: 'Times New Roman', serif; font-size: 15pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 64.4pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">d) Melaksanakan program/rencana pendidikan dan
penyuluhan kesehatan sesuai dengan rencana jangka pendek serta jangka panjang
dengan melibatkan unsur-unsur terkait, termasuk klien.</span><span style="font-family: 'Times New Roman', serif; font-size: 15pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 64.4pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">e) Mengevaluasi hasil pendidikan/penyuluhan
kesehatan bersama klien dan menggunakannya untuk memperbaiki serta mening</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">k</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">atkan progra</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">m </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">yang akan datang.</span><span style="font-family: 'Times New Roman', serif; font-size: 15pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 64.4pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">f) Mendokumentasikan semua kegiatan dan hasil
pendidikan/ penyuluhan kesehatan secara lengkap serta sistematis.</span><span lang="EN-US" 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-bottom: .0001pt; margin-bottom: 0cm; margin-left: 64.4pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -14.2pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 64.4pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -14.2pt;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l5 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">2.<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: 12pt; line-height: 150%;">Melatih dan membimbing kader</span></b><span style="font-family: 'Times New Roman', serif; font-size: 15pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Bidan melatih dan membimbing kader, peserta didik kebidanan dan
keperawatan, serta membina dukun dl wilayah atau tempat kerjanya, mencakup:</span><span style="font-family: 'Times New Roman', serif; font-size: 15pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.95pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">a) Mengkaji kebutuhan pelatihan dan bimbingan
bagi kader, dukun bayi, serta peserta didik</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">.</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 15pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.95pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">b) Menyusun rencana pelatihan dan bimbingan
sesuai dengan hasil pengkajian.</span><span style="font-family: 'Times New Roman', serif; font-size: 15pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.95pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">c) Menyiapkan alat bantu mengajar (audio visual
aids, AVA) dan bahan untuk keperluan pelatihan dan bimbingan sesuai dengan
rencana yang telah disusun.</span><span style="font-family: 'Times New Roman', serif; font-size: 15pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.95pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">d) Melaksanakan pelatihan untuk dukun bayi dan
kader sesuai dengan rencana yang telah disusun dengan melibatkan unsur-unsur
terkait.</span><span style="font-family: 'Times New Roman', serif; font-size: 15pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.95pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">e) Membimbing peserta didik kebidanan dan
keperawatan dalam lingkup kerjanya.</span><span style="font-family: 'Times New Roman', serif; font-size: 15pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.95pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">f) Menilai hasil pelatihan dan bimbingan yang
telah diberikan.</span><span style="font-family: 'Times New Roman', serif; font-size: 15pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.95pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">g) Menggunakan hasil evaluasi untuk meningkatkan
program bimbingan.</span><span style="font-family: 'Times New Roman', serif; font-size: 15pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.95pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">h) Mendokumentasikan semua kegiatan termasuk
hasil evaluasi pelatihan serta bimbingan secara sistematis dan lengkap.</span><span style="font-family: 'Times New Roman', serif; font-size: 15pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<br />
<div style="text-align: center;">
<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc340779148"><span style="color: windowtext; font-family: "Times New Roman","serif";">BAB III</span></a></div>
<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc340779149"></a><br />
<div style="text-align: center;">
<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc340779149"></a><a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc340779149"><span style="color: windowtext; font-family: "Times New Roman","serif";">PENUTUP</span></a></div>
<br />
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
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<h2 style="line-height: 150%; margin: 10pt 0cm 12pt 21.3pt; text-align: justify; text-indent: -28.4pt;">
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</span></span><!--[endif]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kesimpulan</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><o:p></o:p></span></h2>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold;">Peran bidan
sebagai advokator adalah melakukan advokasi terhadap pengambil keputusan dari
kategori program ataupun sektor yang terkait dengan kesehatan maternal dan
neonatal.Tujuan advo</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold;">k</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold;">ator adalah diperolehnya komitmen dan dukungan dalam
upaya kesehatan, baik berupa kebijakan, tenaga, sarana, kemudahan,
keikutsertaan dalam kegiatan, maupun bentuk lainnya sesuia dengan keadaan dan
suasana. </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold;"><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: 150%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold;">Bidan mempunyai tugas penting dalam konseling dan pendidikan kesehatan,
tidak hanya kepada perempuan, tetapi juga kepada keluarga dan masyarakat. Kegiatan
ini harus mencakup pendidikan antenatal dan persiapan menjadi orang tua serta dapat
meluas pada kesehatan perempuan, kesehatan seksual atau kesehatan reproduksi dan
asuhan anak.<o:p></o:p></span></div>
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<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc340779151"><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 14.0pt;">DAFTAR
PUSTAKA</span></a><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-size: 14.0pt;"><o:p></o:p></span></h1>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">NovitaYesidkk, 2011, <i><u>PromosiKesehatanDalamPelayananKebidanan,
</u></i>Jakarta,SalembaMedika.<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: 150%; mso-ansi-language: EN-US;">WHO.1992 <i><u>PendidikanKesehatan, PedomanPelayananKesehatanDasar,</u></i>
Bandung; Penerbit ITB danPenerbitUdayana.<o:p></o:p></span></div>
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<a href="http://midwifesnote.blogspot.com/2012/02/peran-dan-etika-bidan-sebagai-advokator.html"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">http://midwifesnote.blogspot.com/2012/02/peran-dan-etika-bidan-sebagai-advokator.html</span></a><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
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Anonymoushttp://www.blogger.com/profile/09877824835430540158noreply@blogger.com0tag:blogger.com,1999:blog-8430991463257497357.post-11121314265221899122013-05-17T08:04:00.001-07:002013-05-17T08:04:10.809-07:00KASUS: ASKEB IBU NIFAS<br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjumkqEJZMPEZ_glIKiD7EY0n5R-xjR91REHMxf4wJiY_VOITXHz8EKibb8FdRs1LfycV_oGnQ_l8P3WuIulseXFO9xg2yzDF1f2Ifg4XXQtM2W2RINg_XiIeR5ujvg2czUS5iaqENGY0gS/s1600/images+%252818%2529.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjumkqEJZMPEZ_glIKiD7EY0n5R-xjR91REHMxf4wJiY_VOITXHz8EKibb8FdRs1LfycV_oGnQ_l8P3WuIulseXFO9xg2yzDF1f2Ifg4XXQtM2W2RINg_XiIeR5ujvg2czUS5iaqENGY0gS/s1600/images+%252818%2529.jpg" /></a></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Kasus:<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Seorang ibu , umur 30 tahun, P3A0AH3, anak pertama lahir Januari 2003, anak kedua lahir </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">O</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">ktober 2005, partus spontan 40 hari yang lalu,</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;"> </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">bayi perempuan berat badan lahir 3100 gram, Panjang badan 49 cm, APGAR SCORE 1 menit 8, 5 menit 9, 10 menit 9. Perineum utuh,</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;"> </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">mengatakan sudah tidak ingin tambah anak lagi. Lain–lain dalam kondisi normal.<o:p></o:p></span></div>
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<b><span lang="ES" style="font-family: 'Times New Roman', serif; font-size: 12pt;">ASUHAN KEBIDANAN PADA<span style="color: #f9f9f9; letter-spacing: -1pt;"> </span></span></b><b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">IBU NIFAS</span></b><b><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"> P3A0AH3<o:p></o:p></span></b></div>
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<b><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">NY. S UMUR 30 TAHUN DENGAN POSTPARTUM NORMAL<o:p></o:p></span></b></div>
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<b><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">DI BPM SLEMAN YOGYAKARTA<o:p></o:p></span></b></div>
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<span lang="ES" style="font-family: 'Times New Roman', serif; font-size: 12pt;">NO. Regester </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"> </span><span lang="ES" style="font-family: 'Times New Roman', serif; font-size: 12pt;">: </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">1102</span><span lang="ES" style="font-family: 'Times New Roman', serif; font-size: 12pt;">2 </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;"><o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">M</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">asuk RS/RB/Puskesmas/BP</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">M</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;"> tanggal,</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"> Pukul </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;"> :</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"> BPM, 12 Juni 2007 / 09.00 WIB<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">D</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">irawat di ruang </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"> </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;"> </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"> </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">:</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"> </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"> </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Anggrek<o:p></o:p></span></div>
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<b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">I.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-weight: normal; line-height: normal;"> </span></span></b><b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">PENGKAJIAN DATA, TANGGAL/PUKUL : </span></b><b><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">09.00 WIB </span></b><b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">OLEH :</span></b><b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;"> </span></b><b><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Bidan Ari </span></b><b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;"><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: 12pt;">II.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-weight: normal; line-height: normal;"> </span></span></b><b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;"> </span></b></div>
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<li class="MsoNormalCxSpMiddle" style="line-height: 24px; margin-bottom: 0.0001pt;"><b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">BIODATA </span></b><b><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"> </span></b><b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">ISTRI </span></b><b><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"> </span></b><b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">SUAMI </span></b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;"><o:p></o:p></span></li>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Nama : </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Ny. “S” Tn. “B”<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Umur :</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;"> </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">30 Tahun 33 Tahun</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;"> <o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Agama :</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;"> </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Islam</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;"> </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"> </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;"> </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"> Islam </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;"> <o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Suku / bangsa :</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;"> </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Indonesia Indonesia</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;"> </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Pendidikan :</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;"> </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">SMA S1</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;"> <o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Pekerjaan </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">: Ibu Rumah Tangga PNS</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;"> <o:p></o:p></span></div>
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<span lang="FI" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Alamat :</span><span lang="FI" style="font-family: 'Times New Roman', serif; font-size: 12pt;"> </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Jl.Kroan No. 7 Sleman Yogyakarta. Jl. Kerodan No. 7 Sleman Yogyakarta</span><span lang="FI" style="font-family: 'Times New Roman', serif; font-size: 12pt;"> </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"><o:p></o:p></span></div>
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<span lang="FI" style="font-family: 'Times New Roman', serif; font-size: 12pt;"> </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;"><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Alasan </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">datang/dirawat :</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"> Untuk melakukan pemeriksaan atau kunjungan ulang.</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;"><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Keluhan utama </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">: Ibu mengatakan tidak ingin menambah anak lagi.</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;"><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Riwayat Menstruasi<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt;"> </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Menarche :</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"> 14 tahun</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;"> </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"> </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Siklus : </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">28 hari<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt;"> </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Lama : </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">3-6 hari</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;"> </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"> </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Teratur :</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"> Teratur<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt;"> </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Sifat darah : </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Encer </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;"> </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"> </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Keluhan : </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Tidak Ada<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt;"> </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Bau :</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"> Khas Darah ( Amis)<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Riwayat perkawin </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 24px; margin: 0cm 0cm 0.0001pt 2cm;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Status perkawinan </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"> </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">: </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Sah</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;"> </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"> <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 24px; margin: 0cm 0cm 0.0001pt 2cm;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Menikah ke </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"> : Pertama (1)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 24px; margin: 0cm 0cm 0.0001pt 2cm;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Lama menikah </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"> </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">: </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">7 tahun</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;"> </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"> <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 24px; margin-left: 2cm;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Usia menikah pertama kali </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"> </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">: </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">23 tahun<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 24px; margin-left: 54pt; text-indent: -18pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Riwayat Obstetrik : </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">P3</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">A0Ah</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">3<o:p></o:p></span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: -15.9pt; width: 680px;"><tbody>
<tr><td rowspan="2" style="border: 1pt solid black; padding: 0cm 5.4pt; width: 42.6pt;" valign="top" width="57"><div class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Hamil ke<o:p></o:p></span></div>
</td><td colspan="7" style="border-bottom-color: black; border-bottom-width: 1pt; border-right-color: black; border-right-width: 1pt; border-style: solid solid solid none; border-top-color: black; border-top-width: 1pt; padding: 0cm 5.4pt; width: 354.35pt;" valign="top" width="472"><div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Persalinan<o:p></o:p></span></div>
</td><td colspan="2" style="border-bottom-color: black; border-bottom-width: 1pt; border-right-color: black; border-right-width: 1pt; border-style: solid solid solid none; border-top-color: black; border-top-width: 1pt; padding: 0cm 5.4pt; width: 4cm;" valign="top" width="151"><div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Nifas<o:p></o:p></span></div>
</td></tr>
<tr><td style="border-bottom-color: black; border-bottom-width: 1pt; border-right-color: black; border-right-width: 1pt; border-style: none solid solid none; padding: 0cm 5.4pt; width: 2cm;" valign="top" width="76"><div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Tgl<o:p></o:p></span></div>
</td><td style="border-bottom-color: black; border-bottom-width: 1pt; border-right-color: black; border-right-width: 1pt; border-style: none solid solid none; padding: 0cm 5.4pt; width: 63.75pt;" valign="top" width="85"><div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif;">U</span><span style="font-family: 'Times New Roman', serif;">mur<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span style="font-family: 'Times New Roman', serif;">Kehamilan</span><span style="font-family: 'Times New Roman', serif; font-size: 10pt; line-height: 19px;"><o:p></o:p></span></div>
</td><td style="border-bottom-color: black; border-bottom-width: 1pt; border-right-color: black; border-right-width: 1pt; border-style: none solid solid none; padding: 0cm 5.4pt; width: 2cm;" valign="top" width="76"><div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif;">Jenis Persalinan<o:p></o:p></span></div>
</td><td style="border-bottom-color: black; border-bottom-width: 1pt; border-right-color: black; border-right-width: 1pt; border-style: none solid solid none; padding: 0cm 5.4pt; width: 2cm;" valign="top" width="76"><div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Penolong<o:p></o:p></span></div>
</td><td style="border-bottom-color: black; border-bottom-width: 1pt; border-right-color: black; border-right-width: 1pt; border-style: none solid solid none; padding: 0cm 5.4pt; width: 49.65pt;" valign="top" width="66"><div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Komp</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">-</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">likasi<o:p></o:p></span></div>
</td><td style="border-bottom-color: black; border-bottom-width: 1pt; border-right-color: black; border-right-width: 1pt; border-style: none solid solid none; padding: 0cm 5.4pt; width: 1cm;" valign="top" width="38"><div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">JK<o:p></o:p></span></div>
</td><td style="border-bottom-color: black; border-bottom-width: 1pt; border-right-color: black; border-right-width: 1pt; border-style: none solid solid none; padding: 0cm 5.4pt; width: 42.5pt;" valign="top" width="57"><div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">BB BBL<o:p></o:p></span></div>
</td><td style="border-bottom-color: black; border-bottom-width: 1pt; border-right-color: black; border-right-width: 1pt; border-style: none solid solid none; padding: 0cm 5.4pt; width: 2cm;" valign="top" width="76"><div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Laktasi<o:p></o:p></span></div>
</td><td style="border-bottom-color: black; border-bottom-width: 1pt; border-right-color: black; border-right-width: 1pt; border-style: none solid solid none; padding: 0cm 5.4pt; width: 2cm;" valign="top" width="76"><div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Kompli</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">-</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">kasi<o:p></o:p></span></div>
</td></tr>
<tr><td style="border-bottom-color: black; border-bottom-width: 1pt; border-left-color: black; border-left-width: 1pt; border-right-color: black; border-right-width: 1pt; border-style: none solid solid; padding: 0cm 5.4pt; width: 42.6pt;" valign="top" width="57"><div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">1<o:p></o:p></span></div>
</td><td style="border-bottom-color: black; border-bottom-width: 1pt; border-right-color: black; border-right-width: 1pt; border-style: none solid solid none; padding: 0cm 5.4pt; width: 2cm;" valign="top" width="76"><div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">10<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Januari<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">2003<o:p></o:p></span></div>
</td><td style="border-bottom-color: black; border-bottom-width: 1pt; border-right-color: black; border-right-width: 1pt; border-style: none solid solid none; padding: 0cm 5.4pt; width: 63.75pt;" valign="top" width="85"><div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">38 mgg<o:p></o:p></span></div>
</td><td style="border-bottom-color: black; border-bottom-width: 1pt; border-right-color: black; border-right-width: 1pt; border-style: none solid solid none; padding: 0cm 5.4pt; width: 2cm;" valign="top" width="76"><div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Spontan<o:p></o:p></span></div>
</td><td style="border-bottom-color: black; border-bottom-width: 1pt; border-right-color: black; border-right-width: 1pt; border-style: none solid solid none; padding: 0cm 5.4pt; width: 2cm;" valign="top" width="76"><div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Bidan<o:p></o:p></span></div>
</td><td style="border-bottom-color: black; border-bottom-width: 1pt; border-right-color: black; border-right-width: 1pt; border-style: none solid solid none; padding: 0cm 5.4pt; width: 49.65pt;" valign="top" width="66"><div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Tidak ada<o:p></o:p></span></div>
</td><td style="border-bottom-color: black; border-bottom-width: 1pt; border-right-color: black; border-right-width: 1pt; border-style: none solid solid none; padding: 0cm 5.4pt; width: 1cm;" valign="top" width="38"><div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">L<o:p></o:p></span></div>
</td><td style="border-bottom-color: black; border-bottom-width: 1pt; border-right-color: black; border-right-width: 1pt; border-style: none solid solid none; padding: 0cm 5.4pt; width: 42.5pt;" valign="top" width="57"><div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">2900 gram<o:p></o:p></span></div>
</td><td style="border-bottom-color: black; border-bottom-width: 1pt; border-right-color: black; border-right-width: 1pt; border-style: none solid solid none; padding: 0cm 5.4pt; width: 2cm;" valign="top" width="76"><div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Iya<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">2 Tahun<o:p></o:p></span></div>
</td><td style="border-bottom-color: black; border-bottom-width: 1pt; border-right-color: black; border-right-width: 1pt; border-style: none solid solid none; padding: 0cm 5.4pt; width: 2cm;" valign="top" width="76"><div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Tidak<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">ada<o:p></o:p></span></div>
</td></tr>
<tr><td style="border-bottom-color: black; border-bottom-width: 1pt; border-left-color: black; border-left-width: 1pt; border-right-color: black; border-right-width: 1pt; border-style: none solid solid; padding: 0cm 5.4pt; width: 42.6pt;" valign="top" width="57"><div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">2<o:p></o:p></span></div>
</td><td style="border-bottom-color: black; border-bottom-width: 1pt; border-right-color: black; border-right-width: 1pt; border-style: none solid solid none; padding: 0cm 5.4pt; width: 2cm;" valign="top" width="76"><div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">10<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Oktober<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">2005<o:p></o:p></span></div>
</td><td style="border-bottom-color: black; border-bottom-width: 1pt; border-right-color: black; border-right-width: 1pt; border-style: none solid solid none; padding: 0cm 5.4pt; width: 63.75pt;" valign="top" width="85"><div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">38 mgg<o:p></o:p></span></div>
</td><td style="border-bottom-color: black; border-bottom-width: 1pt; border-right-color: black; border-right-width: 1pt; border-style: none solid solid none; padding: 0cm 5.4pt; width: 2cm;" valign="top" width="76"><div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Spontan<o:p></o:p></span></div>
</td><td style="border-bottom-color: black; border-bottom-width: 1pt; border-right-color: black; border-right-width: 1pt; border-style: none solid solid none; padding: 0cm 5.4pt; width: 2cm;" valign="top" width="76"><div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Bidan<o:p></o:p></span></div>
</td><td style="border-bottom-color: black; border-bottom-width: 1pt; border-right-color: black; border-right-width: 1pt; border-style: none solid solid none; padding: 0cm 5.4pt; width: 49.65pt;" valign="top" width="66"><div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Tidak Ada<o:p></o:p></span></div>
</td><td style="border-bottom-color: black; border-bottom-width: 1pt; border-right-color: black; border-right-width: 1pt; border-style: none solid solid none; padding: 0cm 5.4pt; width: 1cm;" valign="top" width="38"><div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">L<o:p></o:p></span></div>
</td><td style="border-bottom-color: black; border-bottom-width: 1pt; border-right-color: black; border-right-width: 1pt; border-style: none solid solid none; padding: 0cm 5.4pt; width: 42.5pt;" valign="top" width="57"><div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">3000 gram<o:p></o:p></span></div>
</td><td style="border-bottom-color: black; border-bottom-width: 1pt; border-right-color: black; border-right-width: 1pt; border-style: none solid solid none; padding: 0cm 5.4pt; width: 2cm;" valign="top" width="76"><div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Iya<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">2 Tahun<o:p></o:p></span></div>
</td><td style="border-bottom-color: black; border-bottom-width: 1pt; border-right-color: black; border-right-width: 1pt; border-style: none solid solid none; padding: 0cm 5.4pt; width: 2cm;" valign="top" width="76"><div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Tidak<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Ada<o:p></o:p></span></div>
</td></tr>
<tr><td style="border-bottom-color: black; border-bottom-width: 1pt; border-left-color: black; border-left-width: 1pt; border-right-color: black; border-right-width: 1pt; border-style: none solid solid; padding: 0cm 5.4pt; width: 42.6pt;" valign="top" width="57"><div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">3<o:p></o:p></span></div>
</td><td style="border-bottom-color: black; border-bottom-width: 1pt; border-right-color: black; border-right-width: 1pt; border-style: none solid solid none; padding: 0cm 5.4pt; width: 2cm;" valign="top" width="76"><div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">02<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Mei<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">2007<o:p></o:p></span></div>
</td><td style="border-bottom-color: black; border-bottom-width: 1pt; border-right-color: black; border-right-width: 1pt; border-style: none solid solid none; padding: 0cm 5.4pt; width: 63.75pt;" valign="top" width="85"><div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">38 mgg<o:p></o:p></span></div>
</td><td style="border-bottom-color: black; border-bottom-width: 1pt; border-right-color: black; border-right-width: 1pt; border-style: none solid solid none; padding: 0cm 5.4pt; width: 2cm;" valign="top" width="76"><div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Spontan<o:p></o:p></span></div>
</td><td style="border-bottom-color: black; border-bottom-width: 1pt; border-right-color: black; border-right-width: 1pt; border-style: none solid solid none; padding: 0cm 5.4pt; width: 2cm;" valign="top" width="76"><div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Bidan<o:p></o:p></span></div>
</td><td style="border-bottom-color: black; border-bottom-width: 1pt; border-right-color: black; border-right-width: 1pt; border-style: none solid solid none; padding: 0cm 5.4pt; width: 49.65pt;" valign="top" width="66"><div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Tidak Ada<o:p></o:p></span></div>
</td><td style="border-bottom-color: black; border-bottom-width: 1pt; border-right-color: black; border-right-width: 1pt; border-style: none solid solid none; padding: 0cm 5.4pt; width: 1cm;" valign="top" width="38"><div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">P<o:p></o:p></span></div>
</td><td style="border-bottom-color: black; border-bottom-width: 1pt; border-right-color: black; border-right-width: 1pt; border-style: none solid solid none; padding: 0cm 5.4pt; width: 42.5pt;" valign="top" width="57"><div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">3100 gram<o:p></o:p></span></div>
</td><td style="border-bottom-color: black; border-bottom-width: 1pt; border-right-color: black; border-right-width: 1pt; border-style: none solid solid none; padding: 0cm 5.4pt; width: 2cm;" valign="top" width="76"><div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Iya<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">40 hari<o:p></o:p></span></div>
</td><td style="border-bottom-color: black; border-bottom-width: 1pt; border-right-color: black; border-right-width: 1pt; border-style: none solid solid none; padding: 0cm 5.4pt; width: 2cm;" valign="top" width="76"><div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Tidak<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Ada<o:p></o:p></span></div>
</td></tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-indent: 13.5pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 24px; margin: 0cm 0cm 0.0001pt 54pt; text-indent: -18pt;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Riwayat Kontrasepsi<o:p></o:p></span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: -15.9pt; width: 680px;"><tbody>
<tr><td rowspan="2" style="border: 1pt solid black; padding: 0cm 5.4pt; width: 28.4pt;" valign="top" width="38"><div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">NO<o:p></o:p></span></div>
</td><td rowspan="2" style="border-bottom-color: black; border-bottom-width: 1pt; border-right-color: black; border-right-width: 1pt; border-style: solid solid solid none; border-top-color: black; border-top-width: 1pt; padding: 0cm 5.4pt; width: 70.9pt;" valign="top" width="95"><div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Jenis Kontrasepsi<o:p></o:p></span></div>
</td><td colspan="6" style="border-bottom-color: black; border-bottom-width: 1pt; border-right-color: black; border-right-width: 1pt; border-style: solid solid solid none; border-top-color: black; border-top-width: 1pt; padding: 0cm 5.4pt; width: 303.75pt;" valign="top" width="405"><div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Pasang/Mulai<o:p></o:p></span></div>
</td><td colspan="2" style="border-bottom-color: black; border-bottom-width: 1pt; border-right-color: black; border-right-width: 1pt; border-style: solid solid solid none; border-top-color: black; border-top-width: 1pt; padding: 0cm 5.4pt; width: 107.3pt;" valign="top" width="143"><div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Lepas/Berhenti<o:p></o:p></span></div>
</td></tr>
<tr><td style="border-bottom-color: black; border-bottom-width: 1pt; border-right-color: black; border-right-width: 1pt; border-style: none solid solid none; padding: 0cm 5.4pt; width: 63.75pt;" valign="top" width="85"><div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Tanggal<o:p></o:p></span></div>
</td><td style="border-bottom-color: black; border-bottom-width: 1pt; border-right-color: black; border-right-width: 1pt; border-style: none solid solid none; padding: 0cm 5.4pt; width: 42.4pt;" valign="top" width="57"><div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Oleh<o:p></o:p></span></div>
</td><td style="border-bottom-color: black; border-bottom-width: 1pt; border-right-color: black; border-right-width: 1pt; border-style: none solid solid none; padding: 0cm 5.4pt; width: 47.5pt;" valign="top" width="63"><div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Tempat<o:p></o:p></span></div>
</td><td style="border-bottom-color: black; border-bottom-width: 1pt; border-right-color: black; border-right-width: 1pt; border-style: none solid solid none; padding: 0cm 5.4pt; width: 51.85pt;" valign="top" width="69"><div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Keluhan<o:p></o:p></span></div>
</td><td style="border-bottom-color: black; border-bottom-width: 1pt; border-right-color: black; border-right-width: 1pt; border-style: none solid solid none; padding: 0cm 5.4pt; width: 2cm;" valign="top" width="76"><div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Tangggal<o:p></o:p></span></div>
</td><td style="border-bottom-color: black; border-bottom-width: 1pt; border-right-color: black; border-right-width: 1pt; border-style: none solid solid none; padding: 0cm 5.4pt; width: 41.55pt;" valign="top" width="55"><div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Oleh<o:p></o:p></span></div>
</td><td style="border-bottom-color: black; border-bottom-width: 1pt; border-right-color: black; border-right-width: 1pt; border-style: none solid solid none; padding: 0cm 5.4pt; width: 50.6pt;" valign="top" width="67"><div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Tempat<o:p></o:p></span></div>
</td><td style="border-bottom-color: black; border-bottom-width: 1pt; border-right-color: black; border-right-width: 1pt; border-style: none solid solid none; padding: 0cm 5.4pt; width: 2cm;" valign="top" width="76"><div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Alasan<o:p></o:p></span></div>
</td></tr>
<tr><td style="border-bottom-color: black; border-bottom-width: 1pt; border-left-color: black; border-left-width: 1pt; border-right-color: black; border-right-width: 1pt; border-style: none solid solid; padding: 0cm 5.4pt; width: 28.4pt;" valign="top" width="38"><div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span style="font-family: 'Times New Roman', serif; font-size: 9pt; line-height: 18px;">1.<o:p></o:p></span></div>
</td><td style="border-bottom-color: black; border-bottom-width: 1pt; border-right-color: black; border-right-width: 1pt; border-style: none solid solid none; padding: 0cm 5.4pt; width: 70.9pt;" valign="top" width="95"><div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">IUD<o:p></o:p></span></div>
</td><td style="border-bottom-color: black; border-bottom-width: 1pt; border-right-color: black; border-right-width: 1pt; border-style: none solid solid none; padding: 0cm 5.4pt; width: 63.75pt;" valign="top" width="85"><div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">16<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Januari<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">2003<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<br /></div>
</td><td style="border-bottom-color: black; border-bottom-width: 1pt; border-right-color: black; border-right-width: 1pt; border-style: none solid solid none; padding: 0cm 5.4pt; width: 42.4pt;" valign="top" width="57"><div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Bidan<o:p></o:p></span></div>
</td><td style="border-bottom-color: black; border-bottom-width: 1pt; border-right-color: black; border-right-width: 1pt; border-style: none solid solid none; padding: 0cm 5.4pt; width: 47.5pt;" valign="top" width="63"><div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">BPM<o:p></o:p></span></div>
</td><td style="border-bottom-color: black; border-bottom-width: 1pt; border-right-color: black; border-right-width: 1pt; border-style: none solid solid none; padding: 0cm 5.4pt; width: 51.85pt;" valign="top" width="69"><div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Tidak Ada<o:p></o:p></span></div>
</td><td style="border-bottom-color: black; border-bottom-width: 1pt; border-right-color: black; border-right-width: 1pt; border-style: none solid solid none; padding: 0cm 5.4pt; width: 2cm;" valign="top" width="76"><div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">25<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span style="font-family: 'Times New Roman', serif;">Desember<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span style="font-family: 'Times New Roman', serif;">2004<o:p></o:p></span></div>
</td><td style="border-bottom-color: black; border-bottom-width: 1pt; border-right-color: black; border-right-width: 1pt; border-style: none solid solid none; padding: 0cm 5.4pt; width: 41.55pt;" valign="top" width="55"><div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Bidan<o:p></o:p></span></div>
</td><td style="border-bottom-color: black; border-bottom-width: 1pt; border-right-color: black; border-right-width: 1pt; border-style: none solid solid none; padding: 0cm 5.4pt; width: 50.6pt;" valign="top" width="67"><div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">BPM<o:p></o:p></span></div>
</td><td style="border-bottom-color: black; border-bottom-width: 1pt; border-right-color: black; border-right-width: 1pt; border-style: none solid solid none; padding: 0cm 5.4pt; width: 2cm;" valign="top" width="76"><div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Ingin memiliki anak lagi.<o:p></o:p></span></div>
</td></tr>
<tr style="height: 42.2pt;"><td style="border-bottom-color: black; border-bottom-width: 1pt; border-left-color: black; border-left-width: 1pt; border-right-color: black; border-right-width: 1pt; border-style: none solid solid; height: 42.2pt; padding: 0cm 5.4pt; width: 28.4pt;" valign="top" width="38"><div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span style="font-family: 'Times New Roman', serif; font-size: 9pt; line-height: 18px;">2.<o:p></o:p></span></div>
</td><td style="border-bottom-color: black; border-bottom-width: 1pt; border-right-color: black; border-right-width: 1pt; border-style: none solid solid none; height: 42.2pt; padding: 0cm 5.4pt; width: 70.9pt;" valign="top" width="95"><div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">IUD<o:p></o:p></span></div>
</td><td style="border-bottom-color: black; border-bottom-width: 1pt; border-right-color: black; border-right-width: 1pt; border-style: none solid solid none; height: 42.2pt; padding: 0cm 5.4pt; width: 63.75pt;" valign="top" width="85"><div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">16<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Oktober<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">2005<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<br /></div>
</td><td style="border-bottom-color: black; border-bottom-width: 1pt; border-right-color: black; border-right-width: 1pt; border-style: none solid solid none; height: 42.2pt; padding: 0cm 5.4pt; width: 42.4pt;" valign="top" width="57"><div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Bidan<o:p></o:p></span></div>
</td><td style="border-bottom-color: black; border-bottom-width: 1pt; border-right-color: black; border-right-width: 1pt; border-style: none solid solid none; height: 42.2pt; padding: 0cm 5.4pt; width: 47.5pt;" valign="top" width="63"><div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">BPM<o:p></o:p></span></div>
</td><td style="border-bottom-color: black; border-bottom-width: 1pt; border-right-color: black; border-right-width: 1pt; border-style: none solid solid none; height: 42.2pt; padding: 0cm 5.4pt; width: 51.85pt;" valign="top" width="69"><div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Tidak Ada<o:p></o:p></span></div>
</td><td style="border-bottom-color: black; border-bottom-width: 1pt; border-right-color: black; border-right-width: 1pt; border-style: none solid solid none; height: 42.2pt; padding: 0cm 5.4pt; width: 2cm;" valign="top" width="76"><div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">20<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Juli<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">2006<o:p></o:p></span></div>
</td><td style="border-bottom-color: black; border-bottom-width: 1pt; border-right-color: black; border-right-width: 1pt; border-style: none solid solid none; height: 42.2pt; padding: 0cm 5.4pt; width: 41.55pt;" valign="top" width="55"><div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Bidan<o:p></o:p></span></div>
</td><td style="border-bottom-color: black; border-bottom-width: 1pt; border-right-color: black; border-right-width: 1pt; border-style: none solid solid none; height: 42.2pt; padding: 0cm 5.4pt; width: 50.6pt;" valign="top" width="67"><div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">BPM<o:p></o:p></span></div>
</td><td style="border-bottom-color: black; border-bottom-width: 1pt; border-right-color: black; border-right-width: 1pt; border-style: none solid solid none; height: 42.2pt; padding: 0cm 5.4pt; width: 2cm;" valign="top" width="76"><div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Ingin memiliki anak lagi.<o:p></o:p></span></div>
</td></tr>
<tr style="height: 23.05pt;"><td style="border-bottom-color: black; border-bottom-width: 1pt; border-left-color: black; border-left-width: 1pt; border-right-color: black; border-right-width: 1pt; border-style: none solid solid; height: 23.05pt; padding: 0cm 5.4pt; width: 28.4pt;" valign="top" width="38"><div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span style="font-family: 'Times New Roman', serif; font-size: 9pt; line-height: 18px;">3.<o:p></o:p></span></div>
</td><td style="border-bottom-color: black; border-bottom-width: 1pt; border-right-color: black; border-right-width: 1pt; border-style: none solid solid none; height: 23.05pt; padding: 0cm 5.4pt; width: 70.9pt;" valign="top" width="95"><div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">IUD<o:p></o:p></span></div>
</td><td style="border-bottom-color: black; border-bottom-width: 1pt; border-right-color: black; border-right-width: 1pt; border-style: none solid solid none; height: 23.05pt; padding: 0cm 5.4pt; width: 63.75pt;" valign="top" width="85"><div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">12<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Juni<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">2007<o:p></o:p></span></div>
</td><td style="border-bottom-color: black; border-bottom-width: 1pt; border-right-color: black; border-right-width: 1pt; border-style: none solid solid none; height: 23.05pt; padding: 0cm 5.4pt; width: 42.4pt;" valign="top" width="57"><div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Bidan<o:p></o:p></span></div>
</td><td style="border-bottom-color: black; border-bottom-width: 1pt; border-right-color: black; border-right-width: 1pt; border-style: none solid solid none; height: 23.05pt; padding: 0cm 5.4pt; width: 47.5pt;" valign="top" width="63"><div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">BPM<o:p></o:p></span></div>
</td><td style="border-bottom-color: black; border-bottom-width: 1pt; border-right-color: black; border-right-width: 1pt; border-style: none solid solid none; height: 23.05pt; padding: 0cm 5.4pt; width: 51.85pt;" valign="top" width="69"><div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Tidak Ada<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">-<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">-<o:p></o:p></span></div>
</td><td style="border-bottom-color: black; border-bottom-width: 1pt; border-right-color: black; border-right-width: 1pt; border-style: none solid solid none; height: 23.05pt; padding: 0cm 5.4pt; width: 50.6pt;" valign="top" width="67"><div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">-<o:p></o:p></span></div>
</td><td style="border-bottom-color: black; border-bottom-width: 1pt; border-right-color: black; border-right-width: 1pt; border-style: none solid solid none; height: 23.05pt; padding: 0cm 5.4pt; width: 2cm;" valign="top" width="76"><div align="center" class="MsoNormal" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: center;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">-<o:p></o:p></span></div>
</td></tr>
</tbody></table>
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<br /></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">7.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Pola Pemenuhan Kebutuhan Sehari-hari<o:p></o:p></span></div>
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<b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-weight: normal; line-height: normal;"> </span></span></b><b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Nutrisi<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Makan Minum<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Frekuensi :</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"> 3 x sehari </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;"> Frekuensi :</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"> 8 gelas sehari<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Jenis </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"> </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">:</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"> Nasi, lauk, sayur, buah</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;"> Jenis </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"> </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">: </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Susu, air putih<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Porsi </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"> </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">: </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">1 piring </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;"> Porsi </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"> </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">: 1 gelas</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Pantangan</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;"> </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"> </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">: </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Tidak Ada </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;"> Pantangan</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"> : Tiak Ada<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Keluhan</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"> </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">: </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Tidak Ada</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;"> </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"> </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Keluhan</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"> </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">:</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"> Tiak Ada</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 24px; margin: 0cm 0cm 0.0001pt 72pt; text-indent: -18pt;">
<b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-weight: normal; line-height: normal;"> </span></span></b><b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Eliminasi<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">BAB BAK<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Frekuensi : </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">1x sehari </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;"> Frekuensi : </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">4-5 x sehari<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Warna </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"> </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">: </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Kuning </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;"> Warna : </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Jernih<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Konsistensi </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">: Padat </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;"> Konsistensi : </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Cair<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Keluhan : </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Tidak Ada </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;"> Keluhan : </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Tidak Ada<o:p></o:p></span></div>
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<br /></div>
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<b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-weight: normal; line-height: normal;"> </span></span></b><b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Istirahat<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Tidur siang Tidur Malam<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Lama </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"> </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">: </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">1-2 jam </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Lama : </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">7 jam<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Keluhan</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"> </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">: </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Tidak Ada</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;"> </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"> </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Keluhan :</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"> Tidak Ada<o:p></o:p></span></div>
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<b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-weight: normal; line-height: normal;"> </span></span></b><b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Personal Hygiene<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Mandi : 3 x/hari <o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Ganti pakaian : 3 x/hari <o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Gosok gigi : 3 x/hari <o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Keramas : </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">1</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;"> x/hari</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"><o:p></o:p></span></div>
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<b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-weight: normal; line-height: normal;"> </span></span></b><b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Pola seksualitas<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Frekuensi : </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">1 </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">x/minggu <o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Keluhan : Tidak ada<o:p></o:p></span></div>
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<b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">f.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-weight: normal; line-height: normal;"> </span></span></b><b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Aktifitas<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Sehari-</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">hari ibu merawat bayinya dibantu orang tua dan suaminya.<o:p></o:p></span></div>
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<b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">g.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-weight: normal; line-height: normal;"> </span></span></b><b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Mobilisasi<o:p></o:p></span></b></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Ibu sudah bisa berjalan, menyusui bayinya dan melakukan aktivitas seperti biasa.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">8.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Riwayat Kesehatan<o:p></o:p></span></div>
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<span lang="SV" style="font-family: 'Times New Roman', serif; font-size: 12pt;">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span lang="SV" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Penyakit yang pernah / sedang diderita (menular, menurun, menahun) :<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Ibu mengatakan tidak pernah dan tidak sedang menderita penyakit berat seperti hipertensi, DM, jantung, TBC.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 24px; margin: 0cm 0cm 0.0001pt 72pt; text-indent: -18pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span lang="SV" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Penyakit yang pernah / sedang diderita keluarga:</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 24px; margin: 0cm 0cm 0.0001pt 72pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Ibu mengatakan dari keluarga tidak ada yang pernah dan sedang menderita penyakit berat seperti hipertensi, DM, jantung, TBC.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 24px; margin: 0cm 0cm 0.0001pt 72pt; text-indent: -18pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span lang="SV" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Riwayat Operasi</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"><o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Ibu mengatakan tidak pernah mengalami dan mempunyai riwayat operasi.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 24px; margin: 0cm 0cm 0.0001pt 72pt; text-indent: -18pt;">
<span lang="SV" style="font-family: 'Times New Roman', serif; font-size: 12pt;">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span lang="SV" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Riwayat alergi Obat<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 24px; margin-left: 58.5pt; text-indent: 13.5pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Ibu mengatakan tidak mempunyai riwayat alergi obat.<o:p></o:p></span></div>
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<span lang="SV" style="font-family: 'Times New Roman', serif; font-size: 12pt;">9.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span lang="SV" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Kebiasaan yang menganggu kesehatan ( merokok, minum, minuman beralkohol)<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Ibu mengatakan tidak mempunyai kebiasaan yang mengganggu kesehatan seperti merokok, minum jamu, minum minuman beralkohol.<o:p></o:p></span></div>
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<span lang="SV" style="font-family: 'Times New Roman', serif; font-size: 12pt;">10.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span lang="SV" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Data psikososial, spiritual dan ekonomi (penerimaan ibu/suami/keluarga terhadap kelahiran, dukungan keluarga, hubungan dengan suami/keluarga/tetangga, perawatan bayi, kegiatan ibadah, kegiatan sosial, keadaan ekonomi keluarga</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">.</span><span lang="SV" style="font-family: 'Times New Roman', serif; font-size: 12pt;"><o:p></o:p></span></div>
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<span lang="SV" style="font-family: 'Times New Roman', serif; font-size: 12pt;">a. </span><span lang="SV" style="font-family: 'Times New Roman', serif; font-size: 12pt;"> </span><span lang="SV" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Ibu mengatakan sangat senang dengan ke</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">lahiran bayinya yang ke 3.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 24px; margin: 0cm 0cm 0.0001pt 70.9pt; text-align: justify; text-indent: -16.9pt;">
<span lang="SV" style="font-family: 'Times New Roman', serif; font-size: 12pt;">b. Ibu mengatakan suami dan keluarga sangat senang dengan k</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">elahiran bayi yang ke 3.<o:p></o:p></span></div>
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<span lang="SV" style="font-family: 'Times New Roman', serif; font-size: 12pt;">c. Ibu mengatakan hubungannya dengan suami dan keluarga baik.<o:p></o:p></span></div>
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<span lang="SV" style="font-family: 'Times New Roman', serif; font-size: 12pt;">d. Ibu mengatakan akan merawat bayinya sendiri</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"> dan memberikan ASI ekslusif pada bayinya.<o:p></o:p></span></div>
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<span lang="SV" style="font-family: 'Times New Roman', serif; font-size: 12pt;">e. Ibu mengatakan selalu mengikuti kegiatan pkk di desa tempat tinggalnya</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">.<o:p></o:p></span></div>
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<span lang="SV" style="font-family: 'Times New Roman', serif; font-size: 12pt;">f. Ibu mengatakan selalu menjalankan sholat 5 waktu.<o:p></o:p></span></div>
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<span lang="SV" style="font-family: 'Times New Roman', serif; font-size: 12pt;">g. Ibu mengatakan suaminya sudah mempersiapkan uang untuk </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">kelahiran dan biaya hidup istri dan anak-anaknya.<o:p></o:p></span></div>
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<span lang="SV" style="font-family: 'Times New Roman', serif; font-size: 12pt;"> </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"> <o:p></o:p></span></div>
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<li class="MsoNormalCxSpMiddle" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: justify;"><b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">DATA OBYEKTIF<o:p></o:p></span></b></li>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Pemeriksaan Umum<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Keadaan umum : </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Baik. </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;"> </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Kesadaran </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"> </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">: </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Composmentis.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Status emosional : </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Stabil dan tenang.<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt;"> </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Tanda vital </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"><o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt;"> </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Tekanan darah : </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">120/80 </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">mmHg Nadi : </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">84</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;"> x / menit</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"><o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt;"> </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Pernafasan : </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">24 </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">x / menit Suhu : </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">36,8 <sup>0</sup>C<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt;"> </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">BB : </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">59</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;"> Kg TB :</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"> 160 </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">cm<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt;"> LILA : 25 cm</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;"> </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Pemeriksaan Fisik :<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Kepala</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"> </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">:</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Mesochepal, ukuran sedang, tidak ada benjolan atau massa, tidak ada nyeri kepala, rambut lurus, warna rambut hitam, rambut bersih.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Wajah :Oval, tidak ada oedema, tidak ada cloasmagravidarum.</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Mata :Simetris, tidak a</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">d</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">a sekret, konjungtiva merah muda, sklera tidak</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;"> </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">ekterik</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Hidung :</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Tidak ada sekret, tidak ada polip, tidak ada pernafasan cuping hidung.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Mulut :</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Bibir lembab, tidak stomatitis, lidah bersih, gigi tidak bercaries, dan berlubang.</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Telinga :</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Simetris, tidak ada serumen, telinganya bersih.</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Leher :</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Tidak ada pembesaran kelenjar tiroid, parotis, limfe, dan vena jugularis.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Dada :</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Simetris, tidak ada suara wheezing, tidak ada suara ronchi, tidak ada retraksi dinding dada.</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Payudara :</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Simetris, aerola hyperpigmentasi, puting susu bersih dan menonjol, pada ASI tampak ada bendungan, tidak ada masa atau benjolan.</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Abdomen :</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Tidak ada bekas luka, tidak ada striae gravidarum, tidak ada benjolan dan masa.</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Ekstremitas<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Atas :</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Simetris, gerakan aktif, kuku tidak pucat, LILA 25 cm<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Bawah :</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Simetris, gerakan aktif, kuku tidak pucat, tidak ada oedema, tidak ada varices, refleks patela (+).<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Genetalia :</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Perinium utuh, tidak ada bekas luka, </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">tidak ada pembengkakan kelenjar bartholini dan skene.</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Jahitan dalam :</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Tidak ada jahitan dalam.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Jahitan luar :</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Tidak ada jahitan luar.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Lochea :</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Sudah tidak ada pengeluaran lochea.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Anus :</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Tidak ada hemoroid.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Pemeriksaan Penunjang Tgl : </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">12 Juni 2007 </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Pukul : </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">09.05</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;"> WIB<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Pemeriksaan Laboratorium</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;"><o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Darah<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">HB : 11 gr/%<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Golongan darah : AB<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Urine<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Protein : Negatif (-)<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Glukosa : Negatif (-)<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Data Penunjang</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"> </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;"><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Riwayat persalinan<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Tanggal : </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">02 Mei 2007 </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;"></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"> Pukul </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">:</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"> 02.00</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;"> WIB<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Masa gestasi : </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">38</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;"> minggu<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Komplikasi : </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Tidak Ada<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Plasenta : lengkap</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Lahir : spontan<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Berat : </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">500 </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">gram<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Tali pusat : panjang </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">45</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;"> cm <o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Insersio</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"> </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;"> :</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"> Lateral</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;"><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Kelainan : </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Tidak Ada</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;"><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Perineum<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Robekan di : </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Tidak Ada</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;"><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Jahitan dalam : </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Tidak Ada</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;"><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Jahitan luar : </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Tidak Ada</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;"><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Lama Persalinan Perdarahan<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Kala I : </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">6 </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">jam </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"> Blood slym<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Kala II : </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">10 </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">menit </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"> ± 10 </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">cc<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Kala III : </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">15 </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">menit </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"> </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">±</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"> 50 </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">cc<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Kala IV : </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">2 </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">jam</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;"> </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;"> </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"> ± 50</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;"> cc<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Total : </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">8 </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">jam </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"> 25 </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">menit </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"> ± 160 </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">cc</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Tindakan lain : </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Tidak Ada<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Nilai APGAR : 1’ : </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">8 </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;"> 5’ : </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">9 </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;"> 10’ : </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">9<o:p></o:p></span></div>
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<b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">III.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-weight: normal; line-height: normal;"> </span></span></b><b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">INTEPRETASI DATA<o:p></o:p></span></b></div>
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<li class="MsoNormalCxSpMiddle" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: justify;"><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Diagnose kebidanan<o:p></o:p></span></li>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Seorang ibu Ny. S umur 30 tahun G3A0AH3 postpartum hari ke 40 dalam keadaan normal.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Data Dasar :</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"><o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">DS : Ibu mengatakan sudah tiga kali menjalani proses persalinan.<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt;"> Ibu mengatakan bayinya dalam keadaan sehat dan normal.<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt;"> Ibu mengatakan memberikan ASI eksklusif kepada bayinya.<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt;"> <o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">DO :</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Tanda vital </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"><o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt;"> </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Tekanan darah : </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">120/80 </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">mmHg Nadi : </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">84</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;"> x / menit<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;"> </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Pernafasan : </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">24 </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">x / menit Suhu : </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">36,8 <sup>0</sup>C<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt;"> </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">BB : </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">59</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;"> Kg TB :</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"> 160 </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">cm<o:p></o:p></span></div>
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<br /></div>
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<li class="MsoNormalCxSpMiddle" style="line-height: 24px; margin-bottom: 0.0001pt; text-align: justify;"><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Masalah<o:p></o:p></span></li>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Ibu mengatakan tidak ingin menambah anak lagi.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Data Dasar :</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"><o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Ibu mengatakan usianya sudah 30 tahun, sudah sangat beresiko untuk hamil lagi.<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Ibu mengatakan sudah cukup mempunyai anak tiga.<o:p></o:p></span></div>
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<br /></div>
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<b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">IV.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-weight: normal; line-height: normal;"> </span></span></b><b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">IDENTIFIKASI DAN ANTISIPASI DIAGNOSA POTENSIAL<o:p></o:p></span></b></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Tidak Ada<o:p></o:p></span></div>
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<b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">V.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-weight: normal; line-height: normal;"> </span></span></b><b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">TINDAKAN SEGERA<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">A.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Mandiri<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Tidak Ada</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;"><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">B.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Kolaborasi<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Tidak Ada</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;"><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">C.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Merujuk<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Tidak Ada<o:p></o:p></span></div>
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<b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">VI.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-weight: normal; line-height: normal;"> </span></span></b><b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">PERENCANAAN</span></b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;"> <b>Tanggal : </b></span><b><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">12 Juni 2007 </span></b><b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;"> Pukul : </span></b><b><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">09.05</span></b><b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;"> WIB</span></b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;"><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Beritahu ibu hasil pemeriksaan.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Jelaskan pada ibu </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">mengenai KB ( Keluarga Berencana).</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;"><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Jelaskan kepada ibu mengenai efek samping dari KB.</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;"><o:p></o:p></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 24px; margin: 0cm 0cm 0.0001pt 40.5pt; text-align: justify; text-indent: -18pt;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Jelaskan kepada ibu mengenai keunggulan dan kerugian yang ada pada beberapa jenis KB.</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;"><o:p></o:p></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 24px; margin: 0cm 0cm 0.0001pt 40.5pt; text-align: justify; text-indent: -18pt;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Jelaskan kep</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">ada ibu dan bantu ibu cara menangani dan memecahkan masalah yang</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;"><o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">dialaminya.</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;"><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Beritahu ibu agar selalu mengkonsumsi gizi seimbang</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"> agar selama proses menyusui ASI yang dikeluarkan lancar.</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;"><o:p></o:p></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 24px; margin: 0cm 0cm 0.0001pt 40.5pt; text-align: justify; text-indent: -18pt;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">7.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Anjurkan ibu untuk melakukan kunjungan ulang.<o:p></o:p></span></div>
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<b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">VII.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-weight: normal; line-height: normal;"> </span></span></b><b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">PELAKSANAAN</span></b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;"> <b>Tanggal :</b></span><b><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"> 12 Juni 2007 </span></b><b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;"> Pukul :</span></b><b><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"> 09.10 </span></b><b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">WIB</span></b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;"><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">M</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">e</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">mbe</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">ritahu ibu hasil pemeriksaan.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">M</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">e</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">nje</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">laskan </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">ke</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">pada ibu mengenai KB ( Keluarga Berencana)</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"> kepada ibu dan suami.</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;"><o:p></o:p></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 24px; margin: 0cm 0cm 0.0001pt 40.5pt; text-align: justify; text-indent: -18pt;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Menjelaskan kepada ibu mengenai efek samping dari KB.</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;"><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 18px;">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 18px;">Menjelaskan kepada ibu mengenai keunggulan dan kerugian yang ada pada beberapa jenis KB.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 18px;">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 18px;">Menjelaskan kepada ibu dan bantu ibu cara menangani dan memecahkan masalah yang dialaminya.<o:p></o:p></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 24px; margin: 0cm 0cm 0.0001pt 40.5pt; text-align: justify; text-indent: -18pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">M</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">e</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">mbe</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">ritahu ibu agar selalu mengkonsumsi gizi seimbang</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"> seperti (nasi ,lauk, sayur, buah dan susu atau air putih yang banyak)</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;"> agar selama proses menyusui ASI yang dikeluarkan lancar.</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"><o:p></o:p></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 24px; margin: 0cm 0cm 0.0001pt 40.5pt; text-align: justify; text-indent: -18pt;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">7.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Me</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">n</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">gan</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">jurkan ibu untuk melakukan kunjungan ulang.<o:p></o:p></span></div>
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<br /></div>
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<b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">VIII.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-weight: normal; line-height: normal;"> </span></span></b><b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">EVALUASI Tanggal </span></b><b><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">: 12 Juni 2007</span></b><b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;"> Pukul :</span></b><b><span style="font-family: 'Times New Roman', serif; font-size: 12pt;"> 09.10 </span></b><b><span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">WIB<o:p></o:p></span></b></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Ibu merasa lega setelah mengetahui hasil pemeriksaannya.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 24px; margin: 0cm 0cm 0.0001pt 54pt; text-indent: -18pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Ibu mengerti dan mampu memutuskan menggunakan KB dengan dukungan dari suaminya, agar ibu terhindar dari kehamilan.<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Ibu mengerti mengenai efek samping dari KB yang digunakan.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 24px; margin: 0cm 0cm 0.0001pt 54pt; text-indent: -18pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Ibu mengerti mengenai keuntungan maupun kerugian yang ditimbulkan oleh penggunaan KB.<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Ibu mengerti dan mampu menjelaskan kembali mengenai gizi seimbang yang harus dikonsumsi oleh ibu seperti (nasi ,lauk, sayur, buah-buahan dan susu atau air putih yang banyak) agar selama proses menyusui ASI yang dikeluarkan lancar.<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Ibu berjanji akan akan tetap mengkonsumsi gizi seimbang seperti makanan yang mengandung karbohidrat, lemak, protein, vitamin dam mineral.<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt;">7.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt;">Ibu bersedia melakukan kunjungan ulang atau bila ada keluhan.</span></div>
Anonymoushttp://www.blogger.com/profile/09877824835430540158noreply@blogger.com0tag:blogger.com,1999:blog-8430991463257497357.post-38622349783485085992013-05-17T07:48:00.001-07:002013-05-17T07:51:30.376-07:00CAPUT SUCCEDANEUM<br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEieKCF8iPTYQ_TPfItwUdeTS5iUqdH23zpaq9u7PaE9TzkJOfM6o7fUoxHu70eIRkGiN8JPYae7bztpwxHk1Y-Hxl9nzzSATEpk-30DKsKz8BBpkbve2bzD56eU61y4_fK_uN7s2UIrBkPF/s1600/images+(17).jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEieKCF8iPTYQ_TPfItwUdeTS5iUqdH23zpaq9u7PaE9TzkJOfM6o7fUoxHu70eIRkGiN8JPYae7bztpwxHk1Y-Hxl9nzzSATEpk-30DKsKz8BBpkbve2bzD56eU61y4_fK_uN7s2UIrBkPF/s1600/images+(17).jpg" /></a></div>
<h1 align="center" style="line-height: 200%; text-align: center;">
<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc343637607"></a><a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc343582030"><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">KATA PENGANTAR</span></a><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"><o:p></o:p></span></h1>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Puji syukur kepada Tuhan Yang Maha Esa yang telah
memberikan karunia-Nya sehingga penulis dapat menyelesaikan makalah ini dengan
judul “Asuhan Neonatus dengan jejas Persalinan Caput Succedaneum” <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: 150%;">Penulis mengucapkan terima kasih kepada dosen
pengampu mata kuliah Asuhan Kebidanan Neonatus yang telah membimbing kami dalam
penyusunan makalah ini. Kami menyadari bahwa makalah ini masih belum sempurna,
oleh karena itu kami mengharapkan kritik dan saran dari semua pihak demi
perbaikan pembuatan makalah selanjutnya. <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: 150%;">Semoga makalah ini dapat memberikan wawasan yang
lebih luas kepada pembaca. Akhir kata, kami mengucapkan terima kasih kepada
semua pihak yang telah berperan serta dalam penyusunan makalah ini. Semoga
Tuhan Yang Maha Esa senantiasa memberikan kelancaran dan kemudahan bagi kita
semua.</span><br />
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%; text-align: left;">Yogyakarta, Desember 2012</span><br />
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%; text-align: left;"><br /></span>
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%; text-align: left;"> Penulis</span></div>
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<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc343582032"></a><a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc343637609"><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">BAB I</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;"><o:p></o:p></span></h1>
<h1 align="center" style="text-align: center;">
<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc343637610"><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">PENDAHULUAN</span></a><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></h1>
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<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc343637611"></a><a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc343582033"><!--[if !supportLists]--><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">1.1<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 115%; mso-bidi-font-weight: bold;">Latar Belakang</span></a><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 115%; mso-bidi-font-weight: bold;"><o:p></o:p></span></h1>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kelahiran
seorang bayi merupakan saat yang membahagiakan orang tua, terutama bayi yang
lahir sehat. Bayi yang nantinya tumbuh menjadi anak dewasa melalui proses yang
panjang, dengan tidak mengesampingkan faktor lingkungan keluarga. Tetapi tidak
semua bayi lahir dalam keadaan sehat. Beberapa bayi lahir dengan gangguan pada
masa prenatal, natal dan pascanatal. Keadaan ini akan memberikan pengaruh bagi
tumbuh kembang anak selanjutnya. <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: 150%;">Proses kelahiran sangat dipengaruhi oleh
kehamilan. Dalam kehamilan yang tidak ada gangguan, diharapkan kelahiran bayi
yang normal melalui proses persalinan yang normal, dimana bayi dilahirkan cukup
bulan, pengeluaran dengan tenaga mengejan ibu dan kontraksi kandung rahim tanpa
mengalami trauma lahir. <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: 150%;">Kejadian
caput succedaneum pada bayi sendiri adalah benjolan pada kepala bayi akibat
tekanan uterus atau dinding vagina dan juga pada persalinan dengan tindakan
vakum ekstraksi. <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: 150%;">Sebagian besar cedera lahir terjadi
selama persalinan lama dan berlarut-larut atau kesulitan lahir. Cedera lahir
dapat terjadi apabila janin besar atau presentasi atau posisi janin abnormal.
Akan tetapi, terdapat kasus terjadinya cedera in utero. <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: 150%;">Caput
Succedaneum adalah benjolan yang membulat disebabkan kepala tertekan leher
rahim yang saat itu belum membuka penuh yang akan menghilang dalam waktu satu
dua hari. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Caput succedaneum ini ditemukan biasanya
pada presentasi kepala, sesuai dengan posisi bagian yang bersangkutan. Pada
bagian tersebut terjadi oedema sebagai akibat pengeluaran serum dari pembuluh
darah. Caput suksedaneum tidak memerlukan pengobatan khusus dan biasanya
menghilang setelah 2-5 hari. </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<a name='more'></a><br />
<br />
<h2 style="line-height: 200%; margin-left: 36.0pt; mso-list: l14 level1 lfo24; text-indent: -18.0pt;">
<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc343637612"></a><a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc343582034"><!--[if !supportLists]--><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 200%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">1.2<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 200%; mso-bidi-font-weight: bold;">Tujuan Penulisan</span></a><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 200%; mso-bidi-font-weight: bold;"><o:p></o:p></span></h2>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l29 level1 lfo25; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tujuan
Umum<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 54.0pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Untuk mengetahui
penyebab jalan lahir yang terdiri dari caput succedaneum.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l29 level1 lfo25; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tujuan
Khusus<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l16 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mengetahui
teori tentang pengertian.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l16 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mengetahui
penyebab, faktor predisposisi, gejala, patofisiologi, komplikasi dan
penatalaksanaan caput succedaneum.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l16 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Mengetahui
proses manajemen Tujuh Langkah Varney.<o:p></o:p></span></div>
<h2 style="line-height: 200%; margin-left: 36.0pt; mso-list: l14 level1 lfo24; text-indent: -18.0pt;">
<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc343637613"></a><a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc343582035"><!--[if !supportLists]--><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 200%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">1.3<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 200%; mso-bidi-font-weight: bold;">Manfaat
Penulisan</span></a><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 200%; mso-bidi-font-weight: bold;"><o:p></o:p></span></h2>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Diharapkan dengan adanya Asuhan Neonatus
dengan Jejas Persalinan caput succedaneum.Mahasiswa lebih dapat menerapkan ilmu
pengetahuan yang telah diberikan saat melakukan pendidikan selama dalam
perkuliahan. Serta dapat melakukan keterampilan dasar praktik dilapangan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<br /></div>
<h1 align="center" style="line-height: 150%; text-align: center;">
<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc343637614"></a><a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc343582036"><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BAB II</span></a><a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc343582037"></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"><o:p></o:p></span></h1>
<h1 align="center" style="line-height: 150%; text-align: center;">
<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc343637615"><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">TINJAUAN TEORI</span></a><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></h1>
<h2 style="line-height: 150%; margin-left: 36.0pt; mso-list: l30 level1 lfo26; text-indent: -18.0pt;">
<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc343637616"></a><a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc343582038"><!--[if !supportLists]--><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">2.1<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;">Pengertian
Cedera Lahir</span></a><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;"><o:p></o:p></span></h2>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Cedera lahir adalah kelainan bayi baru
lahir yang terjadi karena trauma lahir akibat tindakan, cara persalinan atau
gangguan persalinan yang diakibatkan kelainan fisiologis persalinan. Sebagian
besar cedera lahir terjadi selama persalinan lama dan berlarut-larut atau
kesulitan lahir. Cedera lahir dapat terjadi apabila janin besar atau presentasi
atau posisi janin abnormal. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Trauma lahir adalah trauma pada bayi
yang diterima dalam atau karena proses kelahiran. Istilah trauma lahir
digunakan untuk menunjukkan trauma mekanik dan anoksik, baik yang dapat
dihindarkan maupun yang tidak dapat dihindarkan, yang didapat bayi pada masa
persalinan dan kelahiran. Trauma dapat terjadi sebagai akibat ketrampilan atau
perhatian medik yang tidak pantas atau yang tidak memadai sama sekali, atau
dapat terjadi meskipun telah mendapat perawatan kebidanan yang terampil dan kompeten
dan sama sekali tidak ada kaitannya dengan tindakan atau sikap orang tua yang
acuh tak acuh. Pembatasan trauma lahir tidak meliputi trauma akibat
amniosentesis, tranfusi intrauteri, pengambilan contoh darah vena kulit kepala
atau resusitasi. </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<br /></div>
<h2 style="margin-left: 36.0pt; mso-list: l30 level1 lfo26; text-indent: -18.0pt;">
<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc343637617"></a><a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc343582039"><!--[if !supportLists]--><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">2.2<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 115%; mso-bidi-font-weight: bold;">Ruang Lingkup Caput Succedaneum</span></a><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 115%; mso-bidi-font-weight: bold;"><o:p></o:p></span></h2>
<h3 style="margin-left: 72.0pt; mso-list: l29 level3 lfo25; text-indent: -36.0pt;">
<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc343637618"></a><a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc343582040"><!--[if !supportLists]--><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">2.2.1<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 115%; mso-bidi-font-weight: bold;">Pengertian Caput Succedaneum</span></a><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 115%; mso-bidi-font-weight: bold;"><o:p></o:p></span></h3>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; text-align: justify; text-indent: 13.5pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Caput
succedaneum ini ditemukan biasanya pada presentasi kepala, sesuai dengan posisi
bagian yang bersangkutan. Pada bagian tersebut terjadi oedema sebagai akibat
pengeluaran serum dari pembuluh darah. Caput suksedaneum tidak memerlukan
pengobatan khusus dan biasanya menghilang setelah 2-5 hari. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; text-align: justify; text-indent: 13.5pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kejadian
caput succedaneum pada bayi sendiri adalah benjolan pada kepala bayi akibat
tekanan uterus atau dinding vagina dan juga pada persalinan dengan tindakan
vakum ekstraksi. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Caput
suksedaneum adalah Kelainan ini akibat sekunder dari tekanan uterus atau
dinding vagina pada kepala bayi sebatas caput. Keadaan ini dapat pula terjadi
pada kelahiran spontan dan biasanya menghilang dalam 2-4 hari setelah lahir. Tidak
diperlukan tindakan dan tidak ada gejala sisa yang dilaporkan. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Caput
Succedaneum adalah benjolan yang membulat disebabkan kepala tertekan leher
rahim yang saat itu belum membuka penuh yang akan menghilang dalam waktu satu
dua hari.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; text-indent: 36.0pt;">
<i><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Perbedaan caput succedaneum dan
cephalhematoma<o:p></o:p></span></i></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
<table border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="background: #66BB33; border-collapse: collapse; margin-left: 55.95pt; mso-padding-alt: 0cm 0cm 0cm 0cm; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="height: 17.5pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="background: transparent; border-right: none; border: solid windowtext 1.0pt; height: 17.5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 190.25pt;" valign="top" width="254"><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Caput succedaneum<o:p></o:p></span></div>
</td>
<td style="background: transparent; border: solid black 1.0pt; height: 17.5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 195.7pt;" valign="top" width="261"><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Cephalhematoma<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 36.55pt; mso-yfti-irow: 1;">
<td style="background: transparent; border-bottom: solid windowtext 1.0pt; border-left: solid windowtext 1.0pt; border-right: none; border-top: none; height: 36.55pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 190.25pt;" valign="top" width="254"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Muncul waktu lahir, mengecil setelah lahir.<o:p></o:p></span></div>
</td>
<td style="background: transparent; border-top: none; border: solid windowtext 1.0pt; height: 36.55pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 195.7pt;" valign="top" width="261"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Muncul waktu lahir atau setelah lahir, dapat membesar
sesudah lahir.<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 18.3pt; mso-yfti-irow: 2;">
<td style="background: transparent; border-bottom: solid windowtext 1.0pt; border-left: solid windowtext 1.0pt; border-right: none; border-top: none; height: 18.3pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 190.25pt;" valign="top" width="254"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Lunak, tidak berfluktuasi.<o:p></o:p></span></div>
</td>
<td style="background: transparent; border-top: none; border: solid windowtext 1.0pt; height: 18.3pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 195.7pt;" valign="top" width="261"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Teraba fluktuasi.<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 35.75pt; mso-yfti-irow: 3;">
<td style="background: transparent; border-bottom: solid windowtext 1.0pt; border-left: solid windowtext 1.0pt; border-right: none; border-top: none; height: 35.75pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 190.25pt;" valign="top" width="254"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Melewati batas sutura, teraba moulase.<o:p></o:p></span></div>
</td>
<td style="background: transparent; border-top: none; border: solid windowtext 1.0pt; height: 35.75pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 195.7pt;" valign="top" width="261"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Batas tidak melampaui sutura.<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 36.55pt; mso-yfti-irow: 4;">
<td style="background: transparent; border-bottom: solid windowtext 1.0pt; border-left: solid windowtext 1.0pt; border-right: none; border-top: none; height: 36.55pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 190.25pt;" valign="top" width="254"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Bisa hilang dalam beberapa jam atau 2-4 hari<o:p></o:p></span></div>
</td>
<td style="background: transparent; border-top: none; border: solid windowtext 1.0pt; height: 36.55pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 195.7pt;" valign="top" width="261"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Hilang lama (beberapa minggu atau bulan).<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 18.3pt; mso-yfti-irow: 5; mso-yfti-lastrow: yes;">
<td style="background: transparent; border-bottom: solid windowtext 1.0pt; border-left: solid windowtext 1.0pt; border-right: none; border-top: none; height: 18.3pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 190.25pt;" valign="top" width="254"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Berisi cairan getah bening<o:p></o:p></span></div>
</td>
<td style="background: transparent; border-top: none; border: solid windowtext 1.0pt; height: 18.3pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 195.7pt;" valign="top" width="261"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Berisi darah<o:p></o:p></span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> Sumber
: Kosim, 2003<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 94.5pt; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 94.5pt; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<i style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> </i></div>
<h3 style="line-height: 200%; margin-left: 72.0pt; mso-list: l29 level3 lfo25; text-indent: -36.0pt;">
<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc343637619"></a><a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc343582041"><!--[if !supportLists]--><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 200%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">2.2.2<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 200%; mso-bidi-font-weight: bold;">Penyebab</span></a><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 200%; mso-bidi-font-weight: bold;"><o:p></o:p></span></h3>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Caput succedaneum terjadi karena adanya
tekanan yang kuat pada kepala pada saat memasuki jalan lahir sehingga terjadi
bendungan sirkulasi perifer dan limfe yang disertai dengan pengeluaran cairan
tubuh ke jaringan ekstravaskuler. Keadaan ini bisa terjadi pada partus lama
atau persalinan dengan Vacum ektrasi. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Benjolan caput ini berisi cairan
serum dan sering bercampur dengan sedikit darah. Benjolan dapat terjadi sebagai
akibat bertumpang tindihnya tulang kepala di daerah sutura pada suatu proses
kelahiran sebagai salah satu upaya bayi untuk mengecilkan lingkaran kepalanya
agar dapat melalui jalan lahir. Umumnya moulage ini ditemukan pada sutura
sagitalis dan terlihat segera setelah bayi lahir. Moulage ini umumnya jelas
terlihat pada bayi premature dan akan hilang sendiri dalam satu sampai dua
hari. </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify; text-indent: 36.0pt;">
<br /></div>
<h3 style="line-height: 200%; margin-left: 72.0pt; mso-list: l29 level3 lfo25; text-indent: -36.0pt;">
<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc343637620"></a><a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc343582042"><!--[if !supportLists]--><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 200%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">2.2.3<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 200%; mso-bidi-font-weight: bold;">Faktor Predisposisi</span></a><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 200%; mso-bidi-font-weight: bold;"><o:p></o:p></span></h3>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Faktor predisposisi terjadinya
trauma lahir antara lain :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l19 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Makrosomia<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l19 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Prematuritas<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l19 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">disproporsi
sefalopelvik<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l19 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">distosia<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l19 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">persalinan
lama<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l19 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">persalinan
yang diakhiri dengan alat (ekstraksi vakum dan forceps)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l19 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">7)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">persalinan
dengan sectio caesaria<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l19 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">8)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">kelahiran
sungsang<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l19 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">9)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">presentasi
bokong<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l19 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">10)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">presentasi
muka<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l19 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">11)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">kelainan
bayi letak
lintang <o:p></o:p></span></div>
<h3 style="line-height: 200%; margin-left: 72.0pt; mso-list: l29 level3 lfo25; text-indent: -36.0pt;">
<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc343637621"></a><a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc343582043"><!--[if !supportLists]--><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 200%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">2.2.4<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 200%; mso-bidi-font-weight: bold;">Gejala</span></a><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 200%; mso-bidi-font-weight: bold;"><o:p></o:p></span></h3>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l3 level1 lfo3; tab-stops: 31.5pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Udema di kepala<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l3 level1 lfo3; tab-stops: 31.5pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Terasa lembut dan lunak
pada perabaan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l3 level1 lfo3; tab-stops: 31.5pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Benjolan berisi serum
dan kadang bercampur dengan darah<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l3 level1 lfo3; tab-stops: 31.5pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Udema melampaui tulang
tengkorak<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l3 level1 lfo3; tab-stops: 31.5pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Batas yang tidak jelas<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l3 level1 lfo3; tab-stops: 31.5pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Permukaan kulit pada
benjolan berwarna ungu atau kemerahan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l3 level1 lfo3; tab-stops: 31.5pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">7)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Benjolan akan
menghilang sekitar 2-3 minggu tanpa pengobatan<o:p></o:p></span></div>
<h3 style="margin-bottom: 12.0pt; margin-left: 72.0pt; margin-right: 0cm; margin-top: 10.0pt; mso-list: l29 level3 lfo25; text-indent: -36.0pt;">
<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc343637622"></a><a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc343582045"><!--[if !supportLists]--><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">2.2.5<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 115%; mso-bidi-font-weight: bold;">Komplikasi</span></a><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 115%; mso-bidi-font-weight: bold;"><o:p></o:p></span></h3>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level1 lfo4; tab-stops: 27.0pt 31.5pt 40.5pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Infeksi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 27.0pt 31.5pt 40.5pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Infeksi pada caput succedaneum
bisa terjadi karena kulit kepala terluka. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 27.0pt 31.5pt 40.5pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 27.0pt 31.5pt 40.5pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 27.0pt 31.5pt 40.5pt; text-align: justify;">
<br /></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ikterus<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 90.0pt; tab-stops: 27.0pt 31.5pt 40.5pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pada bayi yang terkena
caput succedanieum dapat menyebabkan ikterus karena inkompatibilitas faktor Rh
atau golongan darah A, B, O antara ibu dan bayi. <o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level1 lfo4; tab-stops: 27.0pt 31.5pt 40.5pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Anemia<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: 150%;">Anemia bisa terjadi
pada bayi yang terkena caput succedanieum karena pada benjolan terjadi
perdarahan yang hebat atau perdarahan yang banyak.<o:p></o:p></span></div>
<h3 style="line-height: 200%; margin-left: 72.0pt; mso-list: l29 level3 lfo25; text-indent: -36.0pt;">
<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc343637623"></a><a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc343582046"><!--[if !supportLists]--><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 200%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">2.2.6<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 200%; mso-bidi-font-weight: bold;">Penatalaksanaan</span></a><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 200%; mso-bidi-font-weight: bold;"><o:p></o:p></span></h3>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l9 level1 lfo5; tab-stops: 27.0pt 31.5pt 40.5pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perawatan
bayi sama dengan perawatan bayi normal.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l9 level1 lfo5; tab-stops: 27.0pt 31.5pt 40.5pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pengawasan
keadaan umum bayi.<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: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Berikan
lingkungan yang baik, adanya ventilasi dan sinar matahari yang cukup.<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: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pemberian
ASI yang adekuat, bidan harus mengajarkan pada ibu teknik menyusui dengan
benar.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l9 level1 lfo5; tab-stops: 27.0pt 31.5pt 40.5pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pencegahan
infeksi harus dilakukan untuk menghindari adanya infeksi pada benjolan.<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: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Berikan
konseling pada orang tua, tentang:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 108.0pt; mso-add-space: auto; mso-list: l11 level1 lfo6; tab-stops: 27.0pt 31.5pt 40.5pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Keadaan
trauma yang dialami oleh bayi;<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 108.0pt; mso-add-space: auto; mso-list: l11 level1 lfo6; tab-stops: 27.0pt 31.5pt 40.5pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jelaskan
bahwa benjolan akan menghilang dengan sendirinya setelah sampai 3 minggu tanpa
pengobatan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 108.0pt; mso-add-space: auto; mso-list: l11 level1 lfo6; tab-stops: 27.0pt 31.5pt 40.5pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perawatan
bayi sehari-hari.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 108.0pt; mso-add-space: auto; mso-list: l11 level1 lfo6; tab-stops: 27.0pt 31.5pt 40.5pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Manfaat
dan teknik pemberian ASI.<o:p></o:p></span></div>
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<h1 align="center" style="text-align: center;">
<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc343637624"></a><a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc343582047"><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">BAB III</span></a><a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc343582048"></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;"><o:p></o:p></span></h1>
<h1 align="center" style="line-height: 150%; text-align: center;">
<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc343637625"><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">TINJAUAN KASUS</span></a><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></h1>
<h2 style="line-height: 200%; margin-bottom: 12.0pt; margin-left: 18.0pt; margin-right: 0cm; margin-top: 10.0pt; mso-list: l13 level1 lfo27; text-indent: -18.0pt;">
<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc343637626"></a><a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc343582049"><!--[if !supportLists]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 200%; mso-ansi-language: IN; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">3.1<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 200%; mso-ansi-language: IN; mso-bidi-font-weight: bold;">Kasus </span></a><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 200%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">caput succedaneum</span><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 200%; mso-ansi-language: IN; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></h2>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; tab-stops: 0cm; text-align: center;">
<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic; mso-fareast-font-family: "Times New Roman";">ASUHAN KEBIDANAN BAYI BARU LAHIR</span></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; tab-stops: 0cm; text-align: center;">
<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic; mso-fareast-font-family: "Times New Roman";">PADA BAYI NY. </span></b><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-style: italic; mso-fareast-font-family: "Times New Roman";">“</span></b><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic; mso-fareast-font-family: "Times New Roman";">A</span></b><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-style: italic; mso-fareast-font-family: "Times New Roman";">” UMUR 1 JAM<o:p></o:p></span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; tab-stops: 0cm; text-align: center;">
<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic; mso-fareast-font-family: "Times New Roman";">DI BP</span></b><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-style: italic; mso-fareast-font-family: "Times New Roman";">M SLEMAN YOGYAKARTA</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-style: italic; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: Calibri;">NO. REGISTRASI : 00345<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: Calibri;">TEMPAT PENGKAJIAN : DI BPM <o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: Calibri;">TANGGAL PENGKAJIAN/ PUKUL: </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Senin, </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: Calibri;">12 Desember 2012 / 18.00 WIB<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: Calibri;">OLEH/ PENGKAJI : Bidan Sinta<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; mso-list: l17 level1 lfo28; text-indent: -36.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">I.<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%; mso-ansi-language: IN; mso-fareast-font-family: Calibri;">PENGKAJIAN<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l1 level1 lfo7; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">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%; mso-ansi-language: IN; mso-fareast-font-family: Calibri;">DATA SUBYEKTIF<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: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Identitas anak<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: 150%;">Nama : </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">By Ny. “A”<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-indent: 27.8pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"> Tanggal Lahir : 12 Desember 2012/Pukul : 17.00 WIB<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: 150%;">Umur :</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"> 1 Jam<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 72.0pt; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Jeniskelamin : </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Laki-laki</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l7 level1 lfo8; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Identitas
orang tua </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">I</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">bu </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"> S</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">uami<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Nama : </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"> Ny. “</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">A</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">” </span><span lang="EN-US" 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%; mso-ansi-language: IN;"> Tn. “T”<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Umur : </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"> 24 Tahun 27
Tahun<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Agama : </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"> Islam Islam<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; text-indent: 8.2pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Suku/Bangsa : </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"> Jawa/Indonesia Jawa/Indonesia<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> Pendidikan : </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"> SMA S1<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> Pekerjaan : </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"> Ibu Rumah Tangga PNS<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 108.0pt; mso-add-space: auto; text-indent: -44.2pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> Alamat : </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"> Jl. Melati No. 5 Sleman Jl. Melati No. </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">5<o:p></o:p></span></div>
<table border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; margin-left: 182.6pt; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="height: 27.65pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0; mso-yfti-lastrow: yes;">
<td style="height: 27.65pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 134.65pt;" valign="top" width="180"><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Yogyakarta<o:p></o:p></span></div>
</td>
<td style="height: 27.65pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 112.05pt;" valign="top" width="149"><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Sleman Yogyakarta<o:p></o:p></span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l7 level1 lfo8; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">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%; mso-ansi-language: IN; mso-fareast-font-family: Calibri;">Alasan Datang<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">I</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: Calibri;">bu </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">mengatakan ingin mengetahui keadaan anaknya.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l7 level1 lfo8; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">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%; mso-ansi-language: IN; mso-fareast-font-family: Calibri;">Keluhan Utama<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 72.0pt; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-fareast-font-family: Calibri;">Ibu mengatakan kepala bayinya </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Calibri;">terdapat benjolan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l7 level1 lfo8; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">5.<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%; mso-ansi-language: IN; mso-fareast-font-family: Calibri;">Riwayat Kesehatan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l10 level1 lfo9; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Penyakit yang pernah / sedang diderita (menular,
menurun, menahun) :<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 90.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Ibu tidak
pernah dan tidak sedang menderita penyakit berat seperti hipertensi, DM,
jantung, TBC.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l10 level1 lfo9; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Penyakit yang
pernah / sedang diderita keluarga:</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">K</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">eluarga tidak ada yang pernah dan
sedang menderita penyakit berat seperti hipertensi, DM, jantung, TBC.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l10 level1 lfo9; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Riwayat Operasi</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 90.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Ibutidak
pernah mengalami dan mempunyai riwayat operasi.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l10 level1 lfo9; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Riwayat alergi
Obat<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-indent: 13.5pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Ibu tidak
mempunyai riwayat alergi obat.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l10 level1 lfo9; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">e.<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%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Riwayat Keturunan Kembar<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Ibu tidak mempunyai riwayat keturunan kembar<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 108.0pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 108.0pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 108.0pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 108.0pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 108.0pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l7 level1 lfo8; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">6.<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%; mso-ansi-language: IN; mso-fareast-font-family: Calibri;">Riwayat Kelahiran<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l12 level1 lfo10; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">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%; mso-ansi-language: IN; mso-fareast-font-family: Calibri;">Tanggal Lahir :
12 Desember 2012</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">/</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: Calibri;"> Pukul : 17.00 WIB<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: Calibri;">b. Jenis Kelamin :
Laki-laki
<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: Calibri;">c. BB Lahir :
3300 gram <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: Calibri;">d. PB Lahir :
45 cm
<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 137.95pt; mso-add-space: auto; tab-stops: 0cm; text-align: justify; text-indent: -65.95pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: Calibri;">e. LK Lahir
: </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 245.95pt; mso-add-space: auto; tab-stops: 0cm; text-align: justify; text-indent: -52.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">CFO</span><span lang="EN-US" 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%; mso-ansi-language: IN;">:
35 cm<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 193.5pt; mso-add-space: auto; tab-stops: 0cm; text-align: justify; text-indent: -85.5pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"> CMO : 36 cm<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 193.5pt; mso-add-space: auto; tab-stops: 0cm; text-align: justify; text-indent: -103.5pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"> CSOB : 33 cm<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 193.5pt; mso-add-space: auto; tab-stops: 0cm; text-align: justify; text-indent: -65.95pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"> CSMB : 33 cm<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: Calibri;">f. LD
Lahir </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: Calibri;">: 33 cm <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: Calibri;">g. LILA
Lahir : 12 cm<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: Calibri;">h. APGAR SKOR</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: Calibri;">: 1”10 5”10
10”10<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: Calibri;">i. Reflek <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 180.0pt; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: Calibri;">1) Moro
</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: Calibri;">: Baik<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: Calibri;">2) Menggenggam : Baik<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: Calibri;">3) Menghisap : Baik<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: Calibri;">4) Rooting Reflek : Baik<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: Calibri;">5) Melangkah </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;"> : Belum<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">7.<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%; mso-ansi-language: IN; mso-fareast-font-family: Calibri;">Riwayat Persalinan<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">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%; mso-ansi-language: IN; mso-fareast-font-family: Calibri;">Tempat bersalin :
BPM Santi<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">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%; mso-ansi-language: IN; mso-fareast-font-family: Calibri;">Jenis persalinan :
lahir spontan<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">c.<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%; mso-ansi-language: IN; mso-fareast-font-family: Calibri;">Penolong : Bidan<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">d.<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%; mso-ansi-language: IN; mso-fareast-font-family: Calibri;">keluhan <o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: Calibri;">Ibu merasakan dorongan ingin BAB.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: Calibri;">Ibu merasakan ada cairan keluar dari kemaluannya</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: Calibri;"><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%; mso-fareast-font-family: Calibri;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-fareast-font-family: Calibri;">Persalinan lama</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Calibri;">.<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"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">8.<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%; mso-ansi-language: IN; mso-fareast-font-family: Calibri;">Riwayat Imunisasi<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">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%; mso-ansi-language: IN; mso-fareast-font-family: Calibri;">BCG usia </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: Calibri;">: Belum<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">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%; mso-ansi-language: IN; mso-fareast-font-family: Calibri;">Hepatitis B usia </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: Calibri;">: 0 hari<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">c.<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%; mso-ansi-language: IN; mso-fareast-font-family: Calibri;">Campak usia </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: Calibri;"> : Belum<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">d.<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%; mso-ansi-language: IN; mso-fareast-font-family: Calibri;">Polio usia </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: Calibri;"> : 0 hari<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">e.<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%; mso-ansi-language: IN; mso-fareast-font-family: Calibri;">DPT usia </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: Calibri;"> : Belum<o:p></o:p></span></div>
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<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l7 level1 lfo8; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">9.<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%; mso-ansi-language: IN; mso-fareast-font-family: Calibri;">Riwayat Perkembangan<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">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%; mso-ansi-language: IN; mso-fareast-font-family: Calibri;">Tengkurap usia : Belum <o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">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%; mso-ansi-language: IN; mso-fareast-font-family: Calibri;">Merangkak usia
: Belum<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">c.<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: 200%; mso-ansi-language: IN; mso-fareast-font-family: Calibri;">Berjalan usia
: Belum<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">10.<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%; mso-ansi-language: IN; mso-fareast-font-family: Calibri;">Pola Pemenuhan Kebutuhan<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">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%; mso-ansi-language: IN; mso-fareast-font-family: Calibri;">Nutrisi : ASI <o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">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%; mso-ansi-language: IN; mso-fareast-font-family: Calibri;">Eliminasi : BAB 3x/hari, BAK 6x/hari<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">c.<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%; mso-ansi-language: IN; mso-fareast-font-family: Calibri;">Aktifitas : Gerak aktif<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">d.<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%; mso-ansi-language: IN; mso-fareast-font-family: Calibri;">Istirahat : Sebagian waktunya di gunakan untuk tidur<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">e.<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%; mso-ansi-language: IN; mso-fareast-font-family: Calibri;">Personal Hygiene
: Belum dimandikan<o:p></o:p></span></div>
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<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l1 level1 lfo7; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">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%; mso-ansi-language: IN; mso-fareast-font-family: Calibri;">DATA OBYEKTIF<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l24 level1 lfo15; tab-stops: 0cm; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">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%; mso-ansi-language: IN;">Pemeriksaan Umum<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 108.0pt; mso-add-space: auto; mso-list: l25 level1 lfo16; tab-stops: 0cm; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">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%; mso-ansi-language: IN;">Keadaan Umum : Baik<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 108.0pt; mso-add-space: auto; mso-list: l25 level1 lfo16; tab-stops: 0cm; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">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%; mso-ansi-language: IN;">Kesadaran : Composmentis <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo16; tab-stops: 0cm; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">c.<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%; mso-ansi-language: IN;">Antopometri : <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 216.0pt; tab-stops: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">BB : 3300 gram</span><span lang="EN-US" 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: 216.0pt; tab-stops: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">LD : 33 cm</span><span lang="EN-US" 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: 216.0pt; tab-stops: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">PB </span><span lang="EN-US" 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%; mso-ansi-language: IN;">:
45 cm</span><span lang="EN-US" 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: 216.0pt; tab-stops: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">LILA : 12 cm</span><span lang="EN-US" 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: 216.0pt; tab-stops: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 216.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">LK : CFO</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">: 35 cm</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 256.5pt; tab-stops: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">CMO</span><span lang="EN-US" 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%; mso-ansi-language: IN;">:
36 cm<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 216.0pt; tab-stops: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"> CSOB </span><span lang="EN-US" 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%; mso-ansi-language: IN;">:
33 cm<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 216.0pt; tab-stops: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"> CSMB</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> <span lang="EN-US"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">: 33 cm<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 108.0pt; mso-add-space: auto; mso-list: l25 level1 lfo16; tab-stops: 0cm; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">d.<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%; mso-ansi-language: IN;">TTV <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 108.0pt; tab-stops: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Frekuensi Jantung : 140 x/menit<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 108.0pt; tab-stops: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Respirasi : 40 x/menit<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 108.0pt; tab-stops: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Suhu </span><span lang="EN-US" 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%; mso-ansi-language: IN;">: 37 <sup>o</sup>C<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 108.0pt; tab-stops: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Nadi </span><span lang="EN-US" 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%; mso-ansi-language: IN;">: 100 x/menit<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l24 level1 lfo15; tab-stops: 0cm; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">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%; mso-ansi-language: IN;">Kemampuan Motorik
Halus<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; tab-stops: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Tidak Ada<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l24 level1 lfo15; tab-stops: 0cm; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">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%; mso-ansi-language: IN;">Kemampuan Motorik
Kasar<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; tab-stops: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Tidak Ada<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l24 level1 lfo15; tab-stops: 0cm; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">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%; mso-ansi-language: IN;">Kemampuan Bahasa<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; tab-stops: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Bayi menangis.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l24 level1 lfo15; tab-stops: 0cm; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">5.<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%; mso-ansi-language: IN;">Pemeriksaan Fisik <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 216.0pt; mso-add-space: auto; tab-stops: 0cm; text-align: justify; text-indent: -126.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Kepala</span><span lang="EN-US" 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%; mso-ansi-language: IN;">:bentuk
tid</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">a</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">k simetris,
teraba ada benjolan </span><span lang="EN-US" 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: 225.0pt; mso-add-space: auto; tab-stops: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">lunak pada kepala bayi (caput succedaneum), tidak ada cephalhematoma.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 220.5pt; mso-add-space: auto; tab-stops: 0cm; text-align: justify; text-indent: -130.5pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Ubun-ubun</span><span lang="EN-US" 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%; mso-ansi-language: IN;">:
lunak, sutura terpisah<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 155.95pt; mso-add-space: auto; tab-stops: 0cm; text-align: justify; text-indent: -65.95pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Lingkar Kepala <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 155.95pt; mso-add-space: auto; tab-stops: 0cm; text-align: justify; text-indent: -65.95pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"> CFO : 35 cm<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 155.95pt; mso-add-space: auto; tab-stops: 0cm; text-align: justify; text-indent: -65.95pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"> CMO : 36 cm<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 155.95pt; mso-add-space: auto; tab-stops: 0cm; text-align: justify; text-indent: -65.95pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"> CSOB : 33 cm<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 155.95pt; mso-add-space: auto; tab-stops: 0cm; text-align: justify; text-indent: -65.95pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"> CSMB : 33 cm<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 220.5pt; mso-add-space: auto; tab-stops: 0cm 211.5pt; text-align: justify; text-indent: -130.5pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Mata </span><span lang="EN-US" 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%; mso-ansi-language: IN;">: simetris, sklera tidak ikterik, konjungtiva merah muda,
uji penglihatan dengan cahaya mata aktif.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 220.5pt; mso-add-space: auto; tab-stops: 0cm 211.5pt; text-align: justify; text-indent: -130.5pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Telinga </span><span lang="EN-US" 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%; mso-ansi-language: IN;">: simetris, tidak ada cairan yang keluar, tidak ada
serumen<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 220.5pt; mso-add-space: auto; tab-stops: 0cm 211.5pt; text-align: justify; text-indent: -130.5pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Hidung </span><span lang="EN-US" 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%; mso-ansi-language: IN;">: bersih, tidak ada cairan yang keluar,tidak </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">ada
pernafasan </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">cuping hidung</span><span lang="EN-US" 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: 220.5pt; mso-add-space: auto; tab-stops: 0cm 211.5pt; text-align: justify; text-indent: -130.5pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Mulut </span><span lang="EN-US" 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%; mso-ansi-language: IN;">:
tidak ada labioscisis, palatoscisis, dan ti</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">d</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">ak ada labiopalatoscisis, tidak ada kelainan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 220.5pt; mso-add-space: auto; tab-stops: 0cm 211.5pt; text-align: justify; text-indent: -130.5pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Leher </span><span lang="EN-US" 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%; mso-ansi-language: IN;">: tidak ada pembesaran kelenjar tiroid, parotis, kelenjar
getah bening, dan vena jugularis</span><span lang="EN-US" 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: 220.5pt; tab-stops: 0cm 211.5pt; text-align: justify; text-indent: -130.5pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Dada </span><span lang="EN-US" 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%; mso-ansi-language: IN;">: simetris, tidak ada bunyi ronchii, maupun wheezing, dan
tidak ada retraksi dinding dada, lingkar dada : 33 cm<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 225.0pt; tab-stops: 0cm 211.5pt; text-align: justify; text-indent: -132.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Ektremitas
Atas </span><span lang="EN-US" 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%; mso-ansi-language: IN;">: tangannya simetris, gerakannya aktif jari-jarinya
lengkap, kuku tidah pucat ( merah muda), LILA : 12 cm<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 7.0cm; tab-stops: 0cm; text-align: justify; text-indent: -108.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Pemeriksaan</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%; mso-ansi-language: IN;">si</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">s</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">tem Syaraf: Adanya
refleks moro<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 220.5pt; tab-stops: 0cm 211.5pt; text-align: justify; text-indent: -130.5pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Perut
</span><span lang="EN-US" 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%; mso-ansi-language: IN;">:tidak ada perdarahan tali pusat, tidak ada benjolan atau
masa, tidak ada penonjolan tali pusat, perut bayi lembek pada saat bayi diam.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 220.5pt; tab-stops: 0cm 211.5pt; text-align: justify; text-indent: -130.5pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Genetalia </span><span lang="EN-US" 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%; mso-ansi-language: IN;">:terdapat 2 testis pada scrotum, penis berlubang pada
ujungnya, testisnya sudah turun pada scrotum.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 177.2pt; tab-stops: 0cm 211.5pt; text-align: justify; text-indent: -87.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Pinggul </span><span lang="EN-US" 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%; mso-ansi-language: IN;">: terdapat sambungan pada panggul.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 220.5pt; tab-stops: 0cm 211.5pt; text-align: justify; text-indent: -130.5pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Ektremitas
Bawah </span><span lang="EN-US" 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%; mso-ansi-language: IN;">: kaki simetris, gerakannya aktif, jumlah jari-jari lengkap</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">,
kuku tidak pucat.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 220.5pt; tab-stops: 0cm 211.5pt; text-align: justify; text-indent: -130.5pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Punggung</span><span lang="EN-US" 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%; mso-ansi-language: IN;">: tidak terdapat spina bipida, tulang belakang tidak
lordosis, kifosis, dan skoliosis.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 205.55pt; tab-stops: 0cm 211.5pt; text-align: justify; text-indent: -115.55pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Anus </span><span lang="EN-US" 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%; mso-ansi-language: IN;">:
anus berlubang, bersih tidak ada feses.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 225.0pt; tab-stops: 0cm 211.5pt 220.5pt; text-align: justify; text-indent: -135.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Kulit
</span><span lang="EN-US" 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%; mso-ansi-language: IN;">: Kulit tidak pucat, tidak terdapat tanda lahir, tidak
ada bercak hitam, ada vernik kaseosa</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l24 level1 lfo15; tab-stops: 0cm; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">6.<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%; mso-ansi-language: IN;">Pemeriksaan
Penunjang <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; tab-stops: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Tidak
Ada<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; mso-list: l23 level1 lfo31; tab-stops: 0cm; text-align: justify; text-indent: -36.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">II.<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%; mso-ansi-language: IN;">INTERPRETASI DATA<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l20 level1 lfo17; tab-stops: 0cm; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">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%; mso-ansi-language: IN;">Diagnosa :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; tab-stops: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Bayi Ny. “ A”umur 1</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%; mso-ansi-language: IN;">jam
</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">laki-laki</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">
lahir spontan dengan Caput succedaneum</span><span lang="EN-US" 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: 54.0pt; mso-add-space: auto; tab-stops: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"> Data Dasar :</span><span lang="EN-US" 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: 54.0pt; mso-add-space: auto; tab-stops: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; tab-stops: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">DS :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 108.0pt; mso-add-space: auto; mso-list: l0 level1 lfo18; tab-stops: 0cm; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">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%; mso-ansi-language: IN;">Ibu mengatakan
bahwa bayi lahir tanggal 12 Desember 2012 Pukul : 17.00 WIB<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 108.0pt; mso-add-space: auto; mso-list: l0 level1 lfo18; tab-stops: 0cm; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ibu mengatakan jenis
kelamin anaknya laki-laki.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 108.0pt; mso-add-space: auto; mso-list: l0 level1 lfo18; tab-stops: 0cm; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">c.<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%; mso-ansi-language: IN;">Ibu mengatakan bayi
lahir spontan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 108.0pt; mso-add-space: auto; mso-list: l0 level1 lfo18; tab-stops: 0cm; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">d.<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%; mso-ansi-language: IN;">Ibu mengatakan umur
bayi 1 jam<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 108.0pt; mso-add-space: auto; mso-list: l0 level1 lfo18; tab-stops: 0cm; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">e.<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%; mso-ansi-language: IN;">Ibu menyatakan
bahwa di bagian kepala bayinya terdapat benjolan lunak.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; tab-stops: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">DO :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 108.0pt; mso-add-space: auto; mso-list: l26 level1 lfo19; tab-stops: 0cm; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">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%; mso-ansi-language: IN;">Keadaan umum :
Aktif<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 108.0pt; mso-add-space: auto; mso-list: l26 level1 lfo19; tab-stops: 0cm; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">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%; mso-ansi-language: IN;">Antopometri :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 180.0pt; mso-add-space: auto; tab-stops: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">BB : 3300 gram<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 180.0pt; mso-add-space: auto; tab-stops: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">PB : 45 cm<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 180.0pt; mso-add-space: auto; tab-stops: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">LD </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%; mso-ansi-language: IN;"> : 33 cm<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 180.0pt; mso-add-space: auto; tab-stops: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">LILA : 12 cm</span><span lang="EN-US" 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: 180.0pt; mso-add-space: auto; tab-stops: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">LK : <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 180.0pt; mso-add-space: auto; tab-stops: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> CFO : 35 cm<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 180.0pt; mso-add-space: auto; tab-stops: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> CMO :
36 cm<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 180.0pt; mso-add-space: auto; tab-stops: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> CSOB :
33 cm<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 180.0pt; mso-add-space: auto; tab-stops: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> CSMB :
33 cm<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 108.0pt; mso-add-space: auto; mso-list: l26 level1 lfo19; tab-stops: 0cm; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">c.<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%; mso-ansi-language: IN;">TTV
:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 180.0pt; mso-add-space: auto; tab-stops: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Suhu </span><span lang="EN-US" 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%; mso-ansi-language: IN;">:
37<sup>o</sup>C<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 180.0pt; mso-add-space: auto; tab-stops: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Nadi</span><span lang="EN-US" 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%; mso-ansi-language: IN;"> : 100x/ menit<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 180.0pt; mso-add-space: auto; tab-stops: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">R</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">espirasi</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"> : 40x/ menit</span><span lang="EN-US" 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: 180.0pt; mso-add-space: auto; tab-stops: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 108.0pt; mso-add-space: auto; mso-list: l26 level1 lfo19; tab-stops: 0cm; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">d.<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%; mso-ansi-language: IN;">Pemeriksaan fisik
menunjukan bahwa pada kepala bayi teraba ada benjolan lunak (caput
succedaneum).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 108.0pt; mso-add-space: auto; tab-stops: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l23 level1 lfo31; text-indent: -36.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">III.<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%; mso-ansi-language: IN;">DIAGNOSA POTENSIAL<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Tidak Ada<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l23 level1 lfo31; text-indent: -36.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">IV.<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%; mso-ansi-language: IN;">ANTISIPASI TINDAKAN
SEGERA<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Mandiri : Tidak Ada<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Kalaborasi : Tidak Ada<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Rujukan : Tidak Ada</span><span lang="EN-US" 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: 54.0pt; mso-add-space: auto;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; mso-list: l23 level1 lfo31; text-indent: -36.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">V.<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%; mso-ansi-language: IN;">PERENCANAAN Tanggal: 12 Desember 2012 Pukul: 18.10 WIB<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l28 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">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%; mso-ansi-language: IN;">Jelaskan kondisi
bayi pada ibu<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l28 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">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%; mso-ansi-language: IN;">Lakukan pemantauan
KU, TTV, kondisi bayi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l28 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">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%; mso-ansi-language: IN;">Lakukan perawatan
BBL<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l28 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jelaskan cara menj</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">aga Kehangatan Bayi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l28 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">5.<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%; mso-ansi-language: IN;">Lakukan Rawat
Gabung<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; mso-list: l23 level1 lfo31; text-indent: -36.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">VI.<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: 200%; mso-ansi-language: IN;">PELAKSANAAN Tanggal:
12 Desember 2012 Pukul: 18.15 WIB<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l15 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">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%; mso-ansi-language: IN;">Memberitahukan
kepada ibu bahwa di kepala bayinya terdapat benjolan lunak (caput succedaneum)
yang dapat hilang</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> dalam waktu 2-5 hari</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"> dengan sendirinya dan tidak perlu dilakukan pijatan di
kepala bayi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l15 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">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%; mso-ansi-language: IN;">Memberi tahu hasil
pemantauan kepada ibu bahwa keadaan umum bayi baik, TTV yang meliputi : suhu 37
<sup>0</sup>C, nadi 100x/menit, Respirasi 40 x/menit <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l15 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">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%; mso-ansi-language: IN;">Melakukan perawatan
BBL dengan:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l8 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">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%; mso-ansi-language: IN;">menganjurkan ibu
menyusui bayinya setiap 2-3 jam sekali atau sesering mungkin.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l8 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">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%; mso-ansi-language: IN;">menganjurkan ibu memandikan
bayinya setiap </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">1x sehari.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l8 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">c.<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%; mso-ansi-language: IN;">menganjurkan ibu
menggantikan popok bayi yang basah dengan segera.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l8 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">d.<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%; mso-ansi-language: IN;">menganjurkan ibu
melakukan perawatan tali pusat dengan benar (tali pusat di biarkan saja dan
dalam keadaan bersih).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l8 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">e.<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%; mso-ansi-language: IN;">Menjaga kehangatan </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">b</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">ayi dengan cara membedong bayi, menyelimuti, membungkus
tangan dan kaki dengan sarung tangan dan sarung kaki, serta menyiapkan tempat
kering dan hangat </span><span lang="EN-US" 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%; mso-ansi-language: IN;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l8 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">f.<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%; mso-ansi-language: IN;">Melakukan rawat
gabung yaitu ibu dan bayi dalam 1 ruang.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; mso-list: l23 level1 lfo31; text-indent: -36.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">VII.<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: 200%; mso-ansi-language: IN;">EVALUASI Tanggal: 12 Desember 2012
Pukul: 18.20 WIB<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l6 level1 lfo29; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">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%; mso-ansi-language: IN;">Ibu sudah
mengetahui bahwa di kepala bayinya terdapat benjolan lunak (caput succedaneum),
tidak boleh dipijat, dan dapat hilang sendiri</span><span lang="EN-US" 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%; mso-ansi-language: IN;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l6 level1 lfo29; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">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%; mso-ansi-language: IN;">Ibu mengetahui</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%; mso-ansi-language: IN;">keadaan umum bayi baik, meskipun a</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">d</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">a benjolan di kepalanya</span><span lang="EN-US" 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%; mso-ansi-language: IN;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l6 level1 lfo29; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">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%; mso-ansi-language: IN;">Bayi sudah
dilakukan perawatan BBL dengan baik dan benar.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l6 level1 lfo29; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">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%; mso-ansi-language: IN;">Bayi sudah terjaga
kehangatannya.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l6 level1 lfo29; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">5.<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%; mso-ansi-language: IN;">Bayi dan ibu sudah
dalam 1 ruang.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<h1 align="center" style="text-align: center;">
<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc343637627"></a><a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc343582050"><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">BAB IV</span></a><a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc343582051"></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;"><o:p></o:p></span></h1>
<h1 align="center" style="text-align: center;">
<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc343637628"><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">PEMBAHASAN</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;"><o:p></o:p></span></h1>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 14.7pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: Calibri;">Setelah melakukan asuhan kebidanan pada By. An “</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">A</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: Calibri;">” usia</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;"> 1 jam bayi </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: Calibri;">dengan </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">keluhan caput succedanium. </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: Calibri;">Dari data pengkajian
didapatkan bahwa </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">By.
An “A”<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: Calibri;">Yaitu dapat berkembang
dan sehat karena faktor lingkungan,keluarga,makanan,dan faktor pemenuhan gizi,serta
</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">ASI </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: Calibri;"> yang telah di berikan sejak lahir. Setelah
dilakukan asuhan analisa data pada An”</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">A</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: Calibri;">” dengan caput succedaneum</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">,</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: Calibri;"> didapatkan tidak adanya kesenjangan antara teori dan praktek. Pada teori
dilakukan asuhan kebidanan pada balita </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">yang mengalami jejas persalinan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: Calibri;"> yaitu pemenuhan
kebutuhan anak sesuai dengan umurnya.Pada balita fisiologis tidak
terlalumembutuhkan perawatan yang terlalu serius,hanya saja orang tua dapat mengawasi
pola makan,gizi,lingkungan,serta kesehatan anak.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt;">
<br /></div>
<h1 align="center" style="text-align: center;">
<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc343637629"></a><a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc343582052"><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">BAB </span></a><a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc343582053"></a><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">VI</span><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;"><o:p></o:p></span></h1>
<h1 align="center" style="text-align: center;">
<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc343637630"><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">PENUTUP</span></a><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></h1>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: center;">
<br /></div>
<h2 style="margin-left: 39.15pt; mso-list: l2 level1 lfo30; text-indent: -18.0pt;">
<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc343637631"></a><a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc343582054"><!--[if !supportLists]--><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">5.1<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 115%; mso-bidi-font-weight: bold;">Kesimpulan</span></a><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 115%; mso-bidi-font-weight: bold;"><o:p></o:p></span></h2>
<div class="MsoNormal" style="line-height: 150%; margin-left: 39.15pt; text-align: justify; text-indent: 15.3pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Caput succedaneum adalah
pembengkakan yang edematosa atau kadang-kadang ekimotik dan difus dari jaringan
lunak kulit kepala yang mengenai bagian yang telah dilahirkan selama persalinan
verteks. Edema pada caput suksadenum dapat hilang pada hari pertama, sehingga
tidak diperlukan terapi. Tetapi jika terjadi ekimosis yang luas, dapat
diberikan indikasi fototerapi untuk kecenderungan hiperbilirubin. Kadang-kadang
caput suksadenum disertai dengan molding atau penumpangan tulang parietalis,
tetapi tanda tersebut dapat hilang setelah satu minggu.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"><o:p></o:p></span></div>
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<br /></div>
<h2 style="margin-left: 39.15pt; mso-list: l2 level1 lfo30; text-indent: -18.0pt;">
<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc343637632"></a><a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc343582055"><!--[if !supportLists]--><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">5.2<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 115%; mso-bidi-font-weight: bold;">Saran</span></a><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 115%; mso-bidi-font-weight: bold;"><o:p></o:p></span></h2>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 57.15pt; mso-add-space: auto; mso-list: l27 level1 lfo23; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Diharapkan
kepada tenaga kesehatan khususnya bidan agar selalu memantau keadaan pada bayi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 57.15pt; mso-add-space: auto; mso-list: l27 level1 lfo23; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Diharapkan
kepada bidan untuk benar-benar mengerti tentang penatalaksanaan pada setiap
kelainan kepala yang mungkin terjadi pada neonatus.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 57.15pt; mso-add-space: auto; mso-list: l27 level1 lfo23; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Diharapkan
kepada setiap orang tua untuk melakukan perawatan bayinya secara rutin dirumah
guna mencegah kemungkinan terjadinya infeksi dan iritasi.<o:p></o:p></span></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt;">
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<h1 align="center" style="line-height: 200%; text-align: center;">
<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc343637633"></a><a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc343582056"><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">DAFTAR PUSTAKA</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;"><o:p></o:p></span></h1>
<div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt; text-indent: -34.9pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dewi, Vivian Nanny Lia. 2010. <i>Asuhan Neonatus Bayi dan Anak Balita</i>. Jakarta: Salemba Medika<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hassan,
Rusepno. 1985. <i>Ilmu Kesehatan Anak</i>. Jakarta: </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">FK
UI<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Markum,
A. H. 1991. <i>Ilmu Kesehatan Anak</i>.
Jakarta: FK UI<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt; text-indent: -34.9pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Muslihatun, Wafi Nur. 2010. <i>Asuhan Neonatus Bayi dan Balita</i>. Yogyakarta: Fitramaya<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt; text-indent: -34.9pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Oxorn H. 1990. <i>Ilmu
Kebidanan : Patologi & Fisiologi Persalinan</i>. Jakarta: Yayasan Esentia
Medica<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Prawirohardjo,
Sarwono. 2002. <i>Ilmu Kebidanan.</i> Jakarta:
Yayasan Bina Pustaka</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">.<o:p></o:p></span></div>
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<br /></div>
Anonymoushttp://www.blogger.com/profile/09877824835430540158noreply@blogger.com2tag:blogger.com,1999:blog-8430991463257497357.post-7126831524681829382013-05-17T01:44:00.001-07:002013-05-17T01:44:21.001-07:00PERSALINAN PADA IBU HAMIL<br />
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiphkyiTMpN7EUK_o2mmliZeOfXGIqoDCZZYbsbG7RVI0nfUXS7fmnCDD9sbIn9uqIYx_uo5oKpsvFPdJ2Sw1pbmKJlcJU6bKU7gdMFnNMe3DAL85wZ6tacLJIjd9h0XzxwgJYnILfPHptX/s1600/images+(14).jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiphkyiTMpN7EUK_o2mmliZeOfXGIqoDCZZYbsbG7RVI0nfUXS7fmnCDD9sbIn9uqIYx_uo5oKpsvFPdJ2Sw1pbmKJlcJU6bKU7gdMFnNMe3DAL85wZ6tacLJIjd9h0XzxwgJYnILfPHptX/s1600/images+(14).jpg" /></a></div>
<h2 style="font-family: 'Times New Roman'; line-height: normal; text-align: center; text-indent: 0px;">
<br /></h2>
<br />
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">I. </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PENGERTIAN PERSALINAN</span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Persalinan
merupakan proses pergerakan keluarnya janin, plasenta dan membran dari dalam
rahim melalui jalan lahir. Proses ini berawal dari pembukaan dan dilatasi
serviks sebagai akibat kontraksi uterus dengan frekuensi, durasi, dan kekuatan
yang teratur. Mula-mula kekuatan yang muncul kecil, kemudian terus meningkat
sampai pada puncaknya pembukaan serviks lengkap sehingga siap untuk pengeluaran
janin dari rahim ibu.<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: 150%;">Bentuk
persalinan berdasarkan definisi :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l17 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Persalinan
spontan : bila seluruh persalinan berlangsung dengan kekuatan ibu sendiri<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l17 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Persalinan
buatan : bila persalinan berlangsung dengan bantuan tenaga dari luar<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l17 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Persalinan
anjuran : bila kekuatan yang diperlukan untuk persalinan ditimbulkan dari luar
dengan jalan pemberian rangsang<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; mso-list: l8 level1 lfo1; mso-text-indent-alt: -18.0pt; text-indent: -1.0cm;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span>II.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">SEBAB-SEBAB MULAINYA
PERSALINAN<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: 150%;">Hal yang menjadi penyebab mulainya
persalinan belum diketahui benar, yang ada hanyalah merupakan teori-teori yang
kompleks. Teori penyebab persalinan adalah sebagai berikut :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l14 level1 lfo3; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Teori
Keregangan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 70.9pt; mso-add-space: auto; mso-list: l6 level1 lfo4; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Otot rahim mempunyai
kemampuan meregang dalam batas tertentu<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 70.9pt; mso-add-space: auto; mso-list: l6 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Setelah melewati batas
tertentu, maka akan terjadi kontraksi sehingga persalinan dapat dimulai.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l14 level1 lfo3; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Teori
Penurunan Progesteron<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Proses penuaan plasenta
terjadi mulai umur kehamilan 28 minggu dimana terjadi penimbunan jaringan ikat
sehingga pembuluh darah mengalami penyempitan dan buntu<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Produksi progesteron
mengalami penurunan sehingga otot rahim lebih sensitif terhadap oksigen.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Akibatnya, otot rahim
mulai berkontraksi setelah tercapai tingkat penurunan progesteron tertentu.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l14 level1 lfo3; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Teori
Oksitosin Internal<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Oksitosin dikeluarkan
oleh kelenjar hipofisis pars posterior<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perubahan keseimbangan
estrogen dan progesteron dapat mengubah sensitivitas otot rahim sehingga sering
terjadi kontraksi Braxton Hicks<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menurunnya konsentrasi
progesteron akibat tuanya usia kehamilan menyebabkan oksitosin meningkatkan
aktivitas sehingga persalinan dimulai<o:p></o:p></span></div>
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<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l14 level1 lfo3; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Teori
Prostaglandin<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Konsentrasi
prostaglandin meningkat sejak umur kehamilan 15 minggu, yang dikeluarkan oleh
desidua<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pemberian prostaglandin
saat hamil dapat menimbulkan kontraksi otot rahim sehingga hasil konsepsi dapat
dikeluarkan<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Prostaglandin dianggap
sebagai pemicu terjadinya persalinan<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: 150%;"></span></div>
<a name='more'></a><br /><br />
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span>III.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">TAHAPAN PERSALINAN<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: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kala
I (Kala Pembukaan)<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: 150%;">Kala I
persalinan dimulai sejak terjadinya kontraksi uterus dan pembukaan serviks,
hingga mencapai pembukaan lengkap (10 cm).<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: 150%;">Persalinan Kala
I dibagi menjadi 2 fase, yaitu fase laten dan fase aktif.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Fase laten, di mana
pembukaan serviks berlangsung lambat dimulai sejak awal kontraksi yang
menyebabkan penipisan dan pembukaan secara bertahap sampai 3 cm, berlangsung
dalam 7-8 jam.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Fase aktif (pembukaan
serviks 4 cm-10 cm), berlangsung selama 6 jam dan dibagi dalam 3 subfase<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 92.15pt; mso-add-space: auto; mso-list: l20 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Fase
akselerasi, berlangsung selama 2 jam, pembukaan 3 cm menjadi 4 cm<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Fase
dilatasi maksimal, berlangsung selama 2 jam, pembukaan berlangsung cepat dari 4
cm menjadi 9 cm<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 92.15pt; mso-add-space: auto; mso-list: l20 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Fase
deselerasi, berlangsung lambat, dalam 2 jam pembukaan 9 cm menjadi 10 cm<o:p></o:p></span></div>
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<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perubahan
Fisiologis pada Kala I<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tekanan Darah<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: 150%;">Tekanan darah
meningkat selama terjadinya kontraksi (sistole rata-rata naik) 10-20 mmHg,
diastole naik 5-10 mmHg. Antara kontraksi, tekanan darah kembali seperti saat
sebelum persalinan. Rasa sakit, takut dan cemas juga akan meningkatkan tekanan
darah.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Metabolisme<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: 150%;">Metabolisme
karbohidrat aerob dan anaerob akan meningkat secara berangsur-angsur disebabkan
karena kecemasan dan aktivitas otot skeletal, peningkatan ini ditandai dengan
adanya peningkatan suhu tubuh, denyut nadi, curah jantung (<i>cardiac output</i>), pernafasan dan kehilangan cairan.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Suhu Tubuh<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: 150%;">Oleh karena
adanya peningkataan metabolisme, maka suhu tubuh sedikit meningkat selama
persalinan. Selama dan setelah persalinan akan terjadi peningkatan, jaga agar
peningkatan suhu tidak lebih dari 1<sup>0</sup>C.<o:p></o:p></span></div>
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<br /></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Detak Jantung<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 70.9pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Oleh karena
adanya peningkatan metabolisme, detak jantung akan meningkat secara dramatis
selama kontraksi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 70.9pt; mso-add-space: auto; mso-list: l15 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pernafasan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 70.9pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Oleh karena
terjadinya peningkatan metabolisme, maka terjadi sedikit peningkatan laju
pernafasan yang dianggap normal, hiperventilasi yang lama dianggap tidak normal
dan bisa menyebabkan alkalosis.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ginjal<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 70.9pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Poliuri sering
terjadi selama proses persalinan, mungkin dikarenakan adanya peningkatan
cardiac output, peningkatan filtrasi glomerulus, dan peningkatan aliran plasma
ginjal. Proteinuria yang sedikit dianggap normal dalam persalinan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 70.9pt; mso-add-space: auto; mso-list: l15 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gastrointestinal<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 70.9pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Motilitas
lambung dan absorpsi makanan padat secara substansi berkurang sangat banyak
selama persalinan. Selain itu, berkurangnya pengeluaran getah lambung
menyebabkan aktivitas pencegahan hampir berhenti dan pengosongan lambung
menjadi sangat lambat, cairan tidak terpengaruh dan meninggalkan perut dalam
waktu biasa. <o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hematologi<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: 150%;">Hemoglobin
meningkat sampai 1,2 gr/100 ml selama persalinan dan akan kembali sebelum
persalinan sehari pascapersalinan, kecuali terdapat perdarahan postpartum.
Waktu koagulasi darah akan berkurang dan terjadi peningkatan plasma. Gula darah
akan berkurang, kemungkinan besar disebabkan karena peningkatan kontraksi
uterus dan otot-otot tubuh.<o:p></o:p></span></div>
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<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perubahan
Psikologis Kala I<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Asuhan yang
bersifat mendukung selama persalinan merupakan suatu standar pelayanan
kebidanan. Ibu yang bersalin biasanya mengalami perubahan emosional yang tidak
stabil.<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: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kala
II (Kala Pengeluaran Janin)<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: 150%;">Kala II
persalinan dimulai ketika pembukaan serviks sudah lengkap (10 cm) dan berakhir
dengan lahirnya bayi. Kala II pada primipara berlangsung selama 2 jam dan pada
multipara 1 jam.<o:p></o:p></span></div>
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<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tanda
dan gejala kala II :<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">His semakin kuat,
dengan interval 2 sampai 3 menit<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ibu merasa ingin
meneran bersamaan dengan terjadinya kontraksi<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ibu merasakan makin
meningkatnya tekanan pada rektum dan atau vagina<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perineum terlihat
menonjol<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Vulva-vagina dan
sfingter ani terlihat membuka<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Peningkatan pengeluaran
lendir darah<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: 150%;">Diagnosis kala
II ditegakkan atas dasar pemeriksaan dalam yang menunjukkan :<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pembukaan serviks telah
lengkap<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Terlihat bagian kepala
bayi pada introitus vagina<o:p></o:p></span></div>
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<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perubahan
Psikologis Pada Kala II<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pada kala II,
his terkoordinasi kuat, cepat dan lebih lama, kira-kira 2-3 menit sekali.
Kepala janin telah turun dan masuk ruang panggul, sehingga terjadilah tekanan
pada otot-otot dasar panggul yang secara reflektoris menimbulkan rasa ingin
meneran. Karena tekanan rektum, ibu merasa seperti mau buang air besar, dengan
tanda anus terbuka. Pada waktu terjadinya his, kepala janin mulai kelihatan,
vulva membuka, dan perineum meregang. Dengan his meneran yang terpimpin, maka
akan lahir kepala diikuti oleh seluruh badan janin.<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: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kala
III (Kala Pengeluaran Plasenta)<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: 150%;">Kala III
Persalinan dimulai setelah lahirnya bayi dan berakhir dengan lahirnya plasenta dan
selaput ketuban. Seluruh proses biasanya berlangsung 5-30 menit setelah bayi
lahir.<o:p></o:p></span></div>
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<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perubahan
Fisiologis Kala III :<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pada Kala III
Persalinan, otot uterus menyebabkan berkurangnya ukuran rongga uterus secara
tiba-tiba setelah lahirnya bayi. Penyusutan ukuran rongga uterus ini
menyebabkan implantasi plasenta karena tempat implantasi menjadi semakin kecil,
sedangkan ukuran plasenta tidak berubah. Oleh karena itu plasenta akan menekuk,
menebal, kemudian terlepas dari dinding uterus. Setelah lepas, plasenta akan
turun ke bagian bawah uterus atau bagian atas vagina.<o:p></o:p></span></div>
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<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perubahan
Psikologis Kala III :<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ibu ingin melihat,
menyentuh dan memeluk bayinya<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Merasa gembira, lega
dan bangga akan dirinya, juga merasa sangat lelah<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Memusatkan diri dan
kerap bertanya apakah vaginanya perlu dijahit<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menaruh perhatian
terhadap plasenta<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: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kala
IV (Kala Pengawasan)<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: 150%;">Kala IV dimulai
setelah lahirnya plasenta dan berakhir 2 jam setelah proses tersebut. Observasi
yang harus dilakukan pada kala IV:<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tingkat Kesadaran<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pemeriksaan Tanda-tanda
vital : tekanan darah, nadi, dan pernafasan<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kontraksi uterus<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Terjadinya perdarahan.
Perdarahan dianggap masih normal jika jumlahnya tidak melebihi 400-500 cc<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: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span>IV.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">FAKTOR-FAKTOR YANG
MEMPENGARUHI PERSALINAN<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: 150%;">Persalinan dapat
berjalan normal apabila ketiga faktor fisik 3 P yaitu <i>power,</i> <i>passage, passanger</i>
dapat bekerjasama dengan baik. Selain itu terdapat 2 P yang merupakan faktor
lain yang secara tidak langsung dapat mempengaruhi jalannya persalinan terdiri
atas psikologi dan penolong.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; tab-stops: 1.0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> <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: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Power (Tenaga/Kekuatan)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; tab-stops: 1.0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kekuatan
yang mendorong janin dalam persalinan adalah his, kontraksi otot-otot perut,
kontraksi diafragma, dan aksi dari ligamen. Kekuatan primer yang diperlukan
dalam persalinan adalah his, sedangkan sebagai kekuatan sekundernya adalah
tenaga meneran ibu.<o:p></o:p></span></div>
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<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">His (Kontraksi Uterus)<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; tab-stops: 1.0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">His
adalah kontraksi otot-otot rahim pada persalinan. Pada bulan terakhir dari
kehamilan dan sebelum persalinan dimulai, sudah ada kontraksi rahim yang
disebut his. His dibedakan sebagai berikut :<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">His Pendahuluan<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: 150%;">His
pendahuluan atau his palsu, yang sebetulnya hanya peningkatan dari kontraksi
Braxton Hicks. His pendahuluan bersifat tidak teratur dan menyebabkan nyeri di
perut bagian bawah dan lipat paha, tidak menyebabkan nyeri yang memancar dari
pinggang ke perut bagian bawah seperti his persalinan.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">His Persalinan<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: 150%;">Perasaan
nyeri tergantung juga pada ambang nyeri dari penderita, yang ditentukan oleh
kondisi jiwanya. kontraksi rahim bersifat otonom, artinya tidak dipengaruhi
oleh kemauan, namun dapat dipengaruhi dari luar, misalnya rangsangan oleh
jari-jari tangan.<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: 150%;">Sifat
his yang normal adalah sebagai berikut :<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kontraksi
otot rahim dimulai dari cornu<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Fundal
dominan, yaitu kekuatan paling tinggi di fundus uteri<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kekuatannya
seperti gerakan memeras isi rahim<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Otot
rahim yang tidak berkontraksi tidak kembali ke panjang semula, sehingga terjadi retraksi dan
pembentukan segmen bawah rahim<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pada
setiap his terjadi perubahan pada serviks yaitu menipis dan membuka<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: 150%;">Hal-hal
yang harus diobservasi pada his persalinan adalah sebagai berikut : frekuensi,
amplitude/intensitas, aktivitas his, durasi his, datangnya his terjadi sering,
teratur/tidak, dan masa relaksasi.<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: 150%;">His
atau kekuatan primer berasal dari titik pemicu tertentu, terdapat pada
penebalan lapisan otot di segmen uterus bagian atas. Berawal dari titik pemicu,
kontraksi dihantarkan ke uterus bagian bawah dalam bentuk gelombang, dan
diselingi periode istirahat singkat. Hal ini digunakan untuk menggambarkan
kontraksi involunter, frekuensi, durasi dan intensitas. Kekuatan primer membuat
serviks menipis (<i>effacement</i>) dan
berdilatasi, sehingga janin turun. Penipisan serviks adalah pemendekan dan
penipisan serviks selama tahap pertama persalinan pada kehamilan aterm pertama,<i> effacement</i> biasanya terjadi lebih dulu
dari pada dilatasi, pada kehamilan berikutnya <i>effacement </i>dan dilatasi cenderung terjadi bersamaan. Dilatasi
serviks adalah pembesaran muara dan saluran serviks, yang terjadi pada awal
persalinan. Diameter meningkat dari 1cm sampai dilatasi lengkap (10 cm).<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: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Passage (Jalan Lahir)<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: 150%;">Jalan
lahir terdiri atas panggul ibu, yakni bagian tulang yang padat, dasar panggul,
vagina dan introitus. Janin harus berhasil menyesuaikan dirinya terhadap jalan
lahir yang relatif kaku, oleh karena itu ukuran dan bentuk panggul harus
ditentukan sebelum persalinan dimulai. Jalan lahir dibagi atas :<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bagian keras : tulang-tulang
panggul<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bagian lunak : uterus,
otot dasar panggul, dan perineum<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: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Passanger (Janin dan
Plasenta)<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: 150%;">Janin
bergerak di sepanjang jalan lahir merupakan akibat interaksi beberapa faktor,
yaitu ukuran kepala janin, presentasi, letak, sikap, dan posisi janin. Janin
dapat mempengaruhi jalannya kelahiran karena ukuran dan presentasinya. Kepala
banyak mengalami cedera pada persalinan sehingga dapat membahayakan hidup dan
kehidupan janin. Pada persalinan, oleh karena tulang-tulang masih dibatasi
fontanel dan sutura yang belum keras, maka pinggir tulang dapat menyisip antara
tulang yang satu dengan yang lainnya (disebut <i>moulage/molase</i>) sehingga kepala bayi bertambah kecil. <o:p></o:p></span></div>
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<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Postur Janin dalam rahim<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Istilah-istilah
yang dipakai untuk kedudukan janin dalam rahim adalah sebagai berikut :<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sikap (<i>Attitude = habitus</i>)<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: 150%;">Sikap
adalah hubungan bagian tubuh janin yang satu dengan bagian yang lain. Janin
mempunyai sikap yang khas saat berada dalam rahim. Pada kondisi normal,
punggung janin sangat fleksi ke arah dada, dan paha fleksi ke arah sendi lutut.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Letak (<i>lie = situs</i>)<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: 150%;">Letak
janin adalah bagaimana sumbu janin berada pada sumbu ibu. Letak adalah hubungan
antara sumbu panjang (punggung) janin terhadap sumbu panjang ibu (punggung ibu).
Macam letak adalah letak membujur (longitudinal), letak lintang (<i>transverse lie</i>), dan letak miring (<i>oblique lie</i>).<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Presentasi (<i>Presentation</i>)<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: 150%;">Presentasi
digunakan untuk menentukan bagian janin yang ada dibagian bawah rahim yang
dijumpai pada palpasi atau pada pemeriksaan dalam. Misalnya presentasi kepala,
bokong, bahu dan lain-lain.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bagian terbawah (<i>Presenting Part</i>)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 70.9pt; mso-add-space: auto; tab-stops: 1.0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sama
dengan presentasi, hanya diperjelas istilahnya. Presentasi adalah bagian janin
yang pertama kali memasuki pintu atas panggul dan terus melalui jalan lahir
saat persalinan mencapai aterm. Bagian presentasi ialah bagian tubuh janin yang
pertama kali teraba oleh jari pemeriksa saat pemeriksaan dalam.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Posisi (<i>Position</i>)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 70.9pt; mso-add-space: auto; tab-stops: 1.0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Posisi
merupakan indikator untuk menetapkan arah bagian terbawah apakah sebelah kanan,
kiri, depan, belakang kepala, UUK atau kanan belakang.<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: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Psikis (Psikologis)<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: 150%;">Banyak
wanita normal bisa merasakan kegembiraan saat merasa kesakitan di awal
menjelang kelahiran bayinya. Faktor psikologis meliputi hal-hal sebagai berikut
:<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Melibatkan psikologis
ibu, emosi, dan persiapan intelektual<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pengalaman melahirkan
bayi sebelumnya<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kebiasaan adat<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 70.9pt; mso-add-space: auto; mso-list: l1 level1 lfo18; tab-stops: 1.0cm; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dukungan dari orang
terdekat pada kehidupan ibu<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l13 level1 lfo15; tab-stops: 1.0cm; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penolong<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; tab-stops: 1.0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Peran
penolong persalinan adalah mengantisipasi dan menangani komplikasi yang mungkin
terjadi pada ibu dan janin, dalam hal ini tergantung dari kemampuan dan
kesiapan penolong dalam menghadapi persalinan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; mso-list: l8 level1 lfo1; mso-text-indent-alt: -18.0pt; text-indent: -1.0cm;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span>V.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PENURUNAN KEPALA JANIN
MENURUT SISTEM PERLIMAAN <o:p></o:p></span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: 1.0cm; mso-border-alt: solid black .5pt; mso-border-insideh: .5pt solid black; mso-border-insidev: .5pt solid black; 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; padding: 0cm 5.4pt 0cm 5.4pt; width: 97.55pt;" valign="top" width="130">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Periksa Luar<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; padding: 0cm 5.4pt 0cm 5.4pt; width: 99.25pt;" valign="top" width="132">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Periksa Dalam<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; padding: 0cm 5.4pt 0cm 5.4pt; width: 6.0cm;" valign="top" width="227">
<div align="center" class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Keterangan<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-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 97.55pt;" valign="top" width="130">
<div align="center" class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 99.25pt;" valign="top" width="132">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<br /></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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 6.0cm;" valign="top" width="227">
<div align="center" class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">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-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 97.55pt;" valign="top" width="130">
<div align="center" class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 99.25pt;" valign="top" width="132">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 6.0cm;" valign="top" width="227">
<div align="center" class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">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-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 97.55pt;" valign="top" width="130">
<div align="center" class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 99.25pt;" valign="top" width="132">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 6.0cm;" valign="top" width="227">
<div align="center" class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">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-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 97.55pt;" valign="top" width="130">
<div align="center" class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 99.25pt;" valign="top" width="132">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 6.0cm;" valign="top" width="227">
<div align="center" class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">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-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 97.55pt;" valign="top" width="130">
<div align="center" class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 99.25pt;" valign="top" width="132">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 6.0cm;" valign="top" width="227">
<div align="center" class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">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-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 97.55pt;" valign="top" width="130">
<div align="center" class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 99.25pt;" valign="top" width="132">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 6.0cm;" valign="top" width="227">
<div align="center" class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Di
perineum<o:p></o:p></span></div>
</td>
</tr>
</tbody></table>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; mso-list: l8 level1 lfo1; mso-text-indent-alt: -18.0pt; text-indent: -1.0cm;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span>VI.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">KARAKTERISTIK
PERSALINAN SESUNGGUHNYA DAN PERSALINAN SEMU<o:p></o:p></span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: 1.0cm; mso-border-alt: solid black .5pt; mso-border-insideh: .5pt solid black; mso-border-insidev: .5pt solid black; 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; padding: 0cm 5.4pt 0cm 5.4pt; width: 203.85pt;" valign="top" width="272">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Persalinan Sesungguhnya<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; padding: 0cm 5.4pt 0cm 5.4pt; width: 203.85pt;" valign="top" width="272">
<div align="center" class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Persalinan Semu<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-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 203.85pt;" valign="top" width="272">
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Serviks menipis dan
membuka<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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 203.85pt;" valign="top" width="272">
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tidak ada perubahan
pada serviks<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-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 203.85pt;" valign="top" width="272">
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Rasa nyeri dengan
interval teratur<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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 203.85pt;" valign="top" width="272">
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Rasa nyeri tidak
teratur<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-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 203.85pt;" valign="top" width="272">
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Interval antara rasa
nyeri yang semakin perlahan semakin pendek<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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 203.85pt;" valign="top" width="272">
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tidak ada perubahan
interval antara rasa nyeri yang satu dengan yang lain<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-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 203.85pt;" valign="top" width="272">
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Waktu dan kekuatan
kontraksi semakin bertambah<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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 203.85pt;" valign="top" width="272">
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tidak ada perubahan
pada waktu dan kekuatan kontraksi<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-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 203.85pt;" valign="top" width="272">
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Rasa nyeri terasa di
bagian belakang dan menyebar ke depan<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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 203.85pt;" valign="top" width="272">
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kebanyakan rasa nyeri
di bagian depan<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-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 203.85pt;" valign="top" width="272">
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Berjalan menambah
intensitas<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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 203.85pt;" valign="top" width="272">
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tidak ada perubahan
rasa nyeri dengan berjalan<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-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 203.85pt;" valign="top" width="272">
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ada hubungan antara
tingkat kekuatan kontraksi dengan intensitas rasa nyeri<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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 203.85pt;" valign="top" width="272">
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tidak ada hubungan
antara tingkat kekuatan kontraksi uterus dengan intensitas nyeri<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-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 203.85pt;" valign="top" width="272">
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Lendir darah sering
nampak<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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 203.85pt;" valign="top" width="272">
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tidak ada lendir
darah<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-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 203.85pt;" valign="top" width="272">
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ada penurunan bagian
kepala bayi<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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 203.85pt;" valign="top" width="272">
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tidak ada kemajuan
penurunan bagian terendah janin<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-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 203.85pt;" valign="top" width="272">
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kepala janin sudah
terfiksasi di PAP di antara kontraksi<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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 203.85pt;" valign="top" width="272">
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kepala belum masuk
PAP walaupun ada kontraksi<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-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 203.85pt;" valign="top" width="272">
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pemberian obat
penenang tidak menghentikan proses persalinan sesungguhnya<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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 203.85pt;" valign="top" width="272">
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pemberian obat
penenang yang efisien menghentikan rasa nyeri
pada persalinan semu<o:p></o:p></span></div>
</td>
</tr>
</tbody></table>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; mso-list: l8 level1 lfo1; mso-text-indent-alt: -18.0pt; text-indent: -1.0cm;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">VII.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PENAPISAN
SAAT PERSALINAN<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bidan harus
merujuk ibu apabila didapati salah satu atau lebih penyulit seperti berikut :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l10 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Riwayat
Bedah SC<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l10 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perdarahan
Pervaginam<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l10 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Persalinan
Kurang Bulan (usia kehamilan kurang dari 37 minggu)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l10 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ketuban
pecah dengan mekonium yang kental<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l10 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ketuban
pecah lama (lebih dari 24 jam)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l10 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">f.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ketuban
pecah pada persalinan kurang bulan (kurang dari 37 minggu)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l10 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">g.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ikterus<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l10 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">h.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Anemia
berat<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l10 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">i.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tanda/gejala infeksi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l10 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">j.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Preeklamsia atau
hipertensi dalam kehamilan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l10 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">k.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tinggi
fundus uteri 40 cm atau lebih<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l10 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">l.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gawat janin<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l10 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">m.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Primipara
dalam fase aktif persalinan dengan palpasi kepala janin masih 5/5<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l10 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">n.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Presentasi
bukan belakang kepala<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l10 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">o.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Presentasi
majemuk<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l10 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">p.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kehamilan
gemeli<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l10 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">q.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tali
pusat menumbung<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l10 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">r.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Syok<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; mso-list: l8 level1 lfo1; mso-text-indent-alt: -18.0pt; text-indent: -1.0cm;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">VIII.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">KONSEP
MOLAGE DALAM PERSALINAN<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Molage
(penyusupan tulang kepala janin) adalah indikator penting tentang seberapa jauh
kepala bayi dapat menyesuaikan diri dengan bagian keras panggul ibu. Tulang
kepala yang saling menyusup atau tumpang tindih menunjukkan kemungkinan adanya
disproporsi tulang panggul (CPD). Ketidakmampuan akomodasi akan benar-benar
terjadi jika tulang kepala yang saling menyusup tidak dapat dipisahkan. Apabila
ada dugaan disproporsi tulang panggul, penting sekali untuk tetap memantau kondisi
janin dan kemajuan persalinan. Lakukan tindakan pertolongan awal yang sesuai
dan rujuk ibu dengan tanda-tanda disproporsi tulang panggul ke fasilitas
kesehatan yang memadai. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Setiap kali
melakukan pemeriksaan dalam, nilai penyusupan kepala janin. Catat temuan
dikotak yang sesuai dibawah lajur air ketuban pada partograf. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 46.35pt; mso-add-space: auto; mso-list: l3 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">0<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">: Tulang-tulang kepala
janin terpisah, sutura dengan mudah dapat dipalpasi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 46.35pt; mso-add-space: auto; mso-list: l3 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">: Tulang-tulang kepala
janin hanya saling bersentuhan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 46.35pt; mso-add-space: auto; mso-list: l3 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">: Tulang-tulang kepala
janin saling tumpang tindih, tapi masih dapat dipisahkan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 46.35pt; mso-add-space: auto; mso-list: l3 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">: Tulang-tulang kepala
janin saling tumpang tindih dan tidak dapat dipisahkan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; mso-list: l8 level1 lfo1; mso-text-indent-alt: -18.0pt; text-indent: -1.0cm;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span>IX.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">MEKANISME PERSALINAN
NORMAL<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gerakan-gerakan utama dari
mekanisme persalinan adalah sebagai berikut :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l16 level1 lfo21; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penurunan
kepala<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pada
primigravida, masuknya kepala ke dalam pintu atas panggul biasanya sudah
terjadi pada bulan terakhir dari kehamilan, tetapi pada multigravida biasanya
baru terjadi pada permulaan persalinan. Masuknya kepala ke dalam PAP, biasanya
dengan sutura sagitalis melintangdan dengan fleksi yang ringan. Masuknya kepala
melewati pintu atas panggul (PAP) dapat dalam keadaan asinklitismus yaitu bila
sutura sagitalis terdapat di tengah-tengah jalan lahir tepat di antara simfisis
dan promontorium.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penurunan kepala
lebih lanjut terjadi pada kala I dan kala II persalinan. Hal ini disebabkan karena
adanya kontraksi dan retraksi dari segmen atas rahim, yang menyebabkan tekanan
langsung fundus pada bokong janin. Dalam waktu yang bersamaan terjadi relaksasi
dari segmen bawah rahim sehingga terjadi penipisan dan dilatasi serviks.
Keadaan ini menyebabkan bayi terdorong ke dalam jalan lahir. Penurunan kepala
ini juga disebabkan karena tekanan cairan intrauterine, kekuatan meneran, atau
adanya kontraksi otot-otot abdomen. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l16 level1 lfo21; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Fleksi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pada awal
persalinan, kepala bayi dalam keadaan fleksi yang ringan. Dengan majunya kepala
biasanya fleksi juga bertambah. Pada pergerakan ini, dagu dibawa lebih dekat ke
arah dada janin sehingga ubun-ubun kecil lebih rendah dari ubun-ubun besar. Hal
ini disebabkan karena adanya tahanan dari dinding serviks, dinding pelvis.
Dengan adanya fleksi, diameter suboccipito bregmatika (9,5 cm) menggantikan
diameter suboccipito frontalis (11 cm). Sampai di dasar panggul, biasanya
kepala janin berada dalam keadaan fleksi maksimal.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l16 level1 lfo21; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Rotasi
dalam (putaran paksi dalam)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Putaran paksi
dalam adalah pemutaran dari bagian depan sedemikian rupa sehingga bagian
terendah dari bagian depan janin memutar ke depan ke bawah simfisis. Pada
presentasi belakang kepala, bagian yang terendah adalah daerah ubun-ubun kecil
dan bagian inilah yang akan memutar ke depan ke arah simfisis. Rotasi dalam
penting untuk menyelesaikan persalinan karena merupakan suatu usaha untuk
menyesuaikan posisi kepala dengan bentuk jalan lahir khususnya bidang tengah
dan pintu bawah panggul.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l16 level1 lfo21; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ekstensi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sesudah kepala
janin sampai di dasar panggul dan ubun-ubun kecil berada di bawah simfisis,
maka terjadilah ekstensi dari kepala janin. Hal ini disebabkan karena sumbu
jalan lahir pada pintu bawah panggul mengarah ke depan dan ke atas sehingga kepala harus mengadakan
fleksi untuk melewatinya. Jika kepala yang fleksi penuh pada waktu mencapai
dasar panggul tidak melakukan ekstensi, maka kepala akan tertekan pada perineum
dan dapat menembusnya. Suboksiput yang tertahan pada pinggir bawah simfisis
akan menjadi pusat pemutaran (<i>hypomochlion</i>),
maka lahirlah berturut-turut pada pinggir atas perineum : ubun-ubun besar,
dahi, hidung, mulut, dan dagu bayi dengan gerakan ekstensi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l16 level1 lfo21; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Rotasi
luar (putaran paksi luar)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kepala yang
sudah lahir selanjutnya mengalami restitusi yaitu kepala bayi memutar kembali
ke arah punggung anak untuk menghilangkan torsi pada leher yang terjadi karena
putaran paksi dalam.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l16 level1 lfo21; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">f.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ekspulsi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Setelah putaran
paksi luar, bahu depan sampai di bawah simfisis dan menjadi hipomoclion untuk
kelahiran bahu belakang. Setelah kedua bahu bayi lahir, selanjutnya seluruh
badan bayi dilahirkan searah dengan sumbu jalan lahir.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto;">
<br /></div>
Anonymoushttp://www.blogger.com/profile/09877824835430540158noreply@blogger.com0tag:blogger.com,1999:blog-8430991463257497357.post-63535158835537537512013-05-17T01:33:00.001-07:002013-05-17T01:44:51.700-07:00FISIOLOGI NIFAS<br />
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><br /></span></b></div>
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi7QNhyphenhyphenlNzrONlFFC9OuY5HxJvbWlRXYHNLKzjY_8OE7uSTns_5g8TdrSTTq6T80aEiLNHMGu9qy-f2hJTZsUc81K1-rKWINxoOwxU4estFkpFnXGominzsC1_3OuckfONgjGHE1DhXNRfh/s1600/images+(16).jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi7QNhyphenhyphenlNzrONlFFC9OuY5HxJvbWlRXYHNLKzjY_8OE7uSTns_5g8TdrSTTq6T80aEiLNHMGu9qy-f2hJTZsUc81K1-rKWINxoOwxU4estFkpFnXGominzsC1_3OuckfONgjGHE1DhXNRfh/s1600/images+(16).jpg" /></a></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><br /></span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b style="line-height: 150%;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">FISIOLOGI NIFAS</span></b></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; mso-list: l4 level1 lfo1; mso-text-indent-alt: -18.0pt; text-indent: -1.0cm;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span>I.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PENGERTIAN NIFAS<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Masa nifas
(puerperium) secara tradisional didefinisikan sebagai periode 6 minggu segera
setelah lahirnya bayi dan mencerminkan periode saat fisiologi ibu, terutama sistem
reproduksi, kembali mendekati keadaan sebelum hamil. Pengertian lainnya,
puerperium adalah masa sejak persalinan selesai dan berakhir setelah 6 minggu,
dimana alat-alat reproduksi berangsur-angsur kembali seperti normal.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; mso-list: l4 level1 lfo1; mso-text-indent-alt: -18.0pt; text-indent: -1.0cm;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span>II.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">INVOLUSI DAN
SUBINVOLUSI UTERUS<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Masa nifas
berawal segera setelah plasenta dan selaput ketuban keluar dari uterus.
Oksitosin yang disekresikan kelenjar hipofisis posterior menginduksi kontraksi
miometrium yang intermitten dan kuat, dank arena rongga uterus sudah kosong,
maka keseluruhan uterus berkontraksi penuh ke arah bawah dan dinding uterus
kembali menyatu berhadapan satu sama lain. Sekitar 1 jam pasca persalinan,
miometrium sedikit melemas, tetapi perdarahan aktif dihambat oleh aktivasi mekanisme
pembekuan darah, yang selama kehamilan mengalami perubahan besar, untuk
menghasilkan respon pembekuan yang cepat. Involusi uterus berlangsung
sedemikian cepat sehingga 50% dari massa total jaringan lenyap dalam 1 minggu.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ukuran sel
miometrium berkurang dan uterus kembali hampir ke ukuran prahamilnya, walaupun
proporsi jaringan ikat yang ada di uterus secara progresif meningkat seiring
dengan jumlah kehamilan. Involusi berlangsung lambat pada wanita yang menjalani
SC segmen bawah. Involusi uterus yang berlangsung lambat (sub-involusi)
mengindikasikan adanya retensi produk konsepsi dan atau infeksi sekunder, yang
biasanya ditandai dengan adanya lochia rubra yang terus-menerus keluar disertai
bau menusuk.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Involusi adalah
perubahan-perubahan alat genetalia interna dan eksterna yang berangsur-angsur
pulih kembali seperti keadaan sebelum hamil.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; text-align: justify;">
<br />
<a name='more'></a><br /></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Uterus/Tinggi
Fundus Uteri (TFU)<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Setelah janin lahir,
TFU kira-kira setinggi pusat<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Setelah plasenta lahir,
TFU kira-kira 2 jari di bawah pusat<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hari ke-5 postpartum,
TFU setinggi ½ dari jarak antara simfisis os pubis (SOP) dan pusat<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hari ke-12 postpartum,
TFU tidak teraba lagi<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: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Berat
Uterus<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">1 minggu postpartum :
500 gram<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2 minggu postpartum :
350 gram<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">6 minggu postpartum :
40-80 gram<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: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Miometrium<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Otot-otot uterus
berkontraksi segera setelah plasenta dilahirkan, sehingga pembuluh-pembuluh
darah yang berada diantara otot-otot uterus akan terjepit. Proses ini dapat
menghentikan perdarahan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l2 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Cerviks
uteri<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Warna menjadi merah
kehitam-hitaman karena penuh dengan pembuluh darah dan konsistensinya lunak<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Postpartum 2 jam
pembukaan 2-3 jari, namun setelah 1 minggu pembukaan tinggal 1 jari<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Setelah janin lahir,
tangan bisa masuk cavum uteri. Oleh karena itu pada kasus retensio plasenta
dapat dilakukan manual plasenta.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l2 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Endometrium<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2-3 hari postpartum,
lapisan desidua akan mengalami nekrosis kemudian terlepas dan keluar sebagai lochia,
sedangkan lapisan bawah decidua mengandung kelenjar-kelenjar endometrium baru<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tempat implantasi
plasenta mengalami degenerasi untuk kemudian terlepas lengkap dan tidak
menimbulkan jaringan parut<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l2 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">f.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ligamentum
dan Diafragma Pelvis <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Setelah janin
dilahirkan, berangsur-angsur mengerut kembali seperti semula. Kadang ligamentum
menjadi kendor sehingga sering menimbulkan keluhan kandungan turun (prolaps
uteri). Oleh karena itu dianjurkan untuk melakukan senam nifas.<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: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">g.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Luka-luka
jalan lahir<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: 150%;">Luka episiotomi
yang telah dijahit, luka dinding vagina, luka cervikks akan sembuh sempurna
selama tidak luas dan tidak ada infeksi primer maupun sekunder.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l2 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">h.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Saluran
kencing<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dinding saluran
kencing memperlihatkan pembengkakan (edema) dan memerah (hiperemis). Kadang
dapat menimbulkan retensi urine. kandung kencing (vesica urinaria) dalam masa
nifas kurang sensitif dan kapasitasnya bertambah, sehingga kandung kencing
penuh atau sesudah kencing masih tinggal sisa urine. Sisa urine dan trauma pada
dinding kandung kencing pada saat persalinan dapat memudahkan terjadinya
infeksi. Dilatasi ureter dan pyelum ginjal akan normal kembali dalam waktu 2
minggu.<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: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span>III.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">TAHAPAN PERUBAHAN LOKIA
MASA NIFAS<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: 150%;">Cairan yang
pertama kali keluar dari vagina disebut lokia rubra dan terdiri atas darah yang
terkumpul di dalam saluran reproduksi dan produk autolitik desidua yang
nekrotik dari tempat perlekatan plasenta. Lokia adalah cairan normal masa nifas
dan memiliki bau yang khas agak amis, kecuali jika terjadi infeksi. Pengeluaran
lokia dalam jumlah besar disertai bau menyengat, demam, dan perasaan malaise
merupakan indikasi infeksi intrauterine.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tahapan
perubahan lokia masa nifas :<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: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hari
ke-1 sampai dengan ke-3 post partum : <i>lochia
rubra/cruenta</i>, yang terdiri atas darah segar, sisa selaput plasenta,
sel-sel decidua, verniks kaseosa, lanugo dan meconium<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: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hari
ke-3 sampai dengan ke-7 post partum : <i>lochia
sanguinolenta</i>, berupa darah yang bercampur lendir, warna merah kecoklatan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l6 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hari
ke-7 sampai dengan ke-14 post partum : <i>lochia
serosa</i>, berupa cairan yang tidak mengandung darah, namun banyak mengandung
leukosit, mucus, sel epitel vagina, desidua nekrotik, bakteri non patologis,
warna coklat kekuningan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l6 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hari
ke-14 sampai dengan 6 minggu post partum : <i>lochia
alba</i>, berupa cairan putih yang terdiri dari sebagian besar cairan serosa
dan leukosit.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; mso-list: l4 level1 lfo1; mso-text-indent-alt: -18.0pt; text-align: justify; text-indent: -1.0cm;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span>IV.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PERUBAHAN FISIOLOGIS PADA
IBU NIFAS<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: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perubahan
Sistem Pencernaan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; text-align: justify; text-indent: 22.35pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Selama
persalinan, motilitas lambung berkurang akibat nyeri dan rasa takut. Penurunan
tonus sfingter esophagus bawah, penurunan motilitas lambung, dan peningkatan
keasaman lambung menyebabkan perlambatan pengosongan lambung. Kondisi ini dapat
menyebabkan relaksasi abdomen, peningkatan distensi gas, dan konstipasi segera
setelah melahirkan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> Defekasi pertama biasanya terjadi dalam
2-3 hari pascapersalinan. Namun hal ini dapat dipersulit dengan adanya
hemoroid, yang menyebabkan gangguan defekasi. Akibat pengaruh progesteron pada
sistem vena, aliran darah mungkin melambat karena pembuluh darah menjadi lebih
berkelok-kelok.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> Masalah konstipasi diperparah oleh
atonia usus, otot abdomen yang melemah, asupan makanan yang tidak teratur, dan
dehidrasi akibat persalinan. Pada hari ke-10, fungsi usus harus sudah kembali
normal. Inkontinensia feses mungkin mengisyaratkan kerusakan sfingter anus atau
perbaikan yang tidak adekuat.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l9 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perubahan
Sistem Perkemihan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Trauma
yang dialami oleh vesica urinaria (VU) selama persalinan biasanya menyebabkan edema
dan hiperemis vesica urinaria, yang tonus ototnya berkurang selama kehamilan.
Perubahan pada vesica urinaria dapat menyebabkan peningkatan risiko infeksi
saluran kemih (ISK) pada masa nifas. Trauma pada sfingter VU meningkatkan
frekuensi inkontinensia stres, yang ditandai oleh kebocoran urin saat pasien
batuk, tertawa, melakukan gerakan mendadak, atau berolahraga.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Nyeri
yang berkaitan dengan berkemih mungkin menandakan ISK. Dilatasi ureter,
peregangan berlebihan VU, serta instrumentasi atau persalinan dengan operasi,
semuanya meningkatkan risiko infeksi. Pada hari ke-10, fungsi VU harus diamati
dan dinilai, seharusnya tidak lagi ditemukan tanda inkontinensia spontan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l9 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perubahan
Sistem Musculoskeletal<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; text-align: justify; text-indent: 22.35pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ligamen,
fasia, dan diafragma pelvis yang meregang pada waktu persalinan, setelah bayi
lahir, secara berangsur-angsur menjadi ciut dan pulih kembali sehingga tidak
jarang uterus jatuh ke belakang dan menjadi retrofleksi, karena ligamen
rotundum menjadi kendor. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; text-align: justify; text-indent: 22.35pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Stabilisasi
secara sempurna terjadi pada 6-8 minggu setelah persalinan. Sebagai akibat
putusnya serat-serat elastik kulit dan distensi yang berlangsung lama akibat
besarnya uterus pada saat hamil, dinding abdomen masih lunak dan kendur untuk
sementara waktu. Pemulihan dibantu dengan latihan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l9 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perubahan
Hormonal<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pada
akhir persalinan, sebagian besar hormon steroid yang disintesis plasenta turun
drastis seiiring dengan pengeluaran plasenta. Kadar estrogen dan progesteron
turun ke tingkat sebelum hamil dalam 72 jam pasca persalinan. Kadar FSH pulih
ke konsentrasi prahamil dalam 3 minggu pasca persalinan, tetapi pemulihan
sekresi LH memerlukan waktu lebih lama, bergantung pada lama laktasi. Kadar
oksitosin dan prolaktin juga bergantung pada kinerja laktasi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l9 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perubahan
Sistem Kardiovaskuler dan Hematologis<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; text-align: justify; text-indent: 22.35pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pengeluaran
darah saat persalinan, yang secara normal diperkirakan 300-500 cc, dikompensasi
secara adekuat oleh peningkatan volume darah yang terjadi selama kehamilan.
Eritropoiesis mengalami pengaktifan sebelum dan sesudah persalinan. Diuresis
juga semakin mengurangi volume plasma pada hari-hari pertama nifas.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; text-align: justify; text-indent: 22.35pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pada
saat hamil terdapat hubungan pendek yang disebut <i>shunt</i> antara sirkulasi ibu dan plasenta. Namun setelah janin lahir,
kemudian plasenta lahir, maka sirkulasi ibu dan plasenta akan terputus dan
kemudian kondisi ini menyebabkan volume darah ibu relatif akan bertambah banyak
sehingga beban jantung juga akan meningkat. Namun secara fisiologis, keadaan
ini dapat diatasi dengan mekanisme kompensasi yaitu timbulnya hemokonsentrasi
(darah lebih kental) sehingga volume darah kembali seperti semula.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; text-align: justify; text-indent: 22.35pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hemokonsentrasi
terjadi juga akibat perbedaan jumlah darah yang keluar saat persalinan dengan
pemulihan keseimbangan normal air. Hemokonsentrasi menyebabkan
hiperkoagulabilitas akibat peningkatan konsentrasi faktor pembekuan. Kadar
hemoglobin juga kembali ke kadar normal prahamil dalam 4-6 minggu dan jumlah
leukosit turun ke kadar normal dalam seminggu pasca persalinan, namun kemudian
turun secara bertahap sampai ke kadar prahamil.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; text-align: justify; text-indent: 22.35pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mobilisasi
merupakan hal penting untuk mengoptimalkan aliran balik vena (<i>venous return</i>) untuk menghindari statis
di dalam jaringan vaskular sehingga risiko thrombosis vena profunda (<i>deep vein thrombosis</i>, DVT) berkurang.
Pada masa nifas cenderung terjadi bradikardi (penurunan denyut jantung) menjadi
60-70 kali per menit. Peningkatan denyut jantung mengindikasikan anemia berat,
thrombosis vena, dan infeksi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l9 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">f.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perubahan
Sistem Respirasi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; text-align: justify; text-indent: 22.35pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Diafragma
dapat meningkatkan jarak gerakannya setelah uterus tidak lagi menekannya
sehingga ventilasi lobus-lobus basal paru dapat berlangsung penuh. Compliance
dinding dada, volume dan kecepatan pernafasan kembali ke normal dalam 1-3
minggu.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; mso-list: l4 level1 lfo1; mso-text-indent-alt: -18.0pt; text-align: justify; text-indent: -1.0cm;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span>V.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PERUBAHAN PSIKOLOGIS
MASA NIFAS<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l3 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Adaptasi
Psikologis Ibu Masa Nifas<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Fase Taking In<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Fase ini
merupakan periode ketergantungan yang berlangsung dari hari pertama sampai
kedua setelah melahirkan. Pada saat ini, fokus perhatian ibu terutama pada
dirinya sendiri. Pengalaman selama proses persalinan sering berulang
diceritakannya. Kelelahan membuat ibu cukup istirahat untuk mencegah gejala
kurang tidur, seperti mudah tersinggung. Hal ini membuat ibu cenderung menjadi
pasif terhadap lingkungannya. Oleh karena itu kondisi ibu perlu dipahami dengan
menjaga komunikasi yang baik. Pada fase ini perlu diperhatikan pemberian ekstra
makanan untuk proses pemulihannya. Disamping nafsu makan ibu memang meningkat. <o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Fase Taking Hold<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Fase ini
berlangsung antara 3-10 hari setelah melahirkan. Pada fase taking hold, ibu
merasa khawatir akan ketidakmampuan dan rasa tanggung jawabnya dalam merawat
bayi. Selain itu perasaannya sangat sensitif sehingga mudah tersinggung jika
komunikasinya kurang hati-hati. Oleh karena itu, ibu memerlukan dukungan karena
saat ini merupakan kesempatan yang baik untuk menerima berbagai penyuluhan
dalam merawat diri dan bayinya sehingga tumbuh rasa percaya diri.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l7 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Fase Letting Go<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Fase ini
merupakan fase menerima tanggung jawab akan peran barunya yang berlangsung 10
hari setelah melahirkan. Ibu sudah mulai menyesuaikan diri dengan
ketergantungan bayinya. Keinginan untuk merawat diri dan bayinya meningkat pada
fase ini.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l3 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Post
Partum Blues<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ada kalanya ibu
mengalami perasaan sedih yang berkaitan dengan bayinya. Keadaan ini disebut dengan
baby blues, yang disebabkan oleh perubahan perasaan yang dialami ibu saat hamil
sehingga sulit menerima kehadiran bayinya. Perubahan perasaan ini merupakan
respon alami terhadap rasa lelah yang dirasakan. Gejala-gejala baby blues
antara lain menangis, mengalami perubahan perasaan, cemas, kesepian, khawatir
mengenai sang bayi, penurunan gairah sex, dan kurang percaya diri terhadap
kemampuan menjadi seorang ibu. Jika hal ini terjadi, ibu disarankan untuk
melakukan hal-hal berikut ini :<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mintalah bantuan suami atau
keluarga jika ibu membutuhkan istirahat untuk menghilangkan kelelahan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l7 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Beritahu suami mengenai
apa yang sedang ibu rasakan. Mintalah dukungan dan pertolongannya<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l7 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Buang rasa cemas dan
kekhawatiran akan kemampuan merawat bayi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l7 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Carilah hiburan dan
luangkan waktu untuk diri sendiri<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l3 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Depresi
Post Partum<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ada kalanya ibu
merasakan kesedihan karena kebebasan, otonomi, interaksi sosial, kemandiriannya
berkurang. Hal ini akan mengakibatkan depresi pasca persalinan (depresi post
partum). Berikut ini gejala-gejala depresi pasca persalinan :<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sulit tidur, bahkan
ketika bayi sudah tidur<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Nafsu makan hilang<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perasaan tidak berdaya
atau kehilangan control<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Terlalu cemas atau
tidak perhatian sama sekali pada bayi<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tidak menyukai atau
takut menyentuh bayi<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pikiran yang menakutkan
mengenai bayi<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sedikit atau tidak ada
perhatian terhadap penampilan pribadi<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gejala fisik seperti
banyak wanita sulit bernafas atau perasaan berdebar-debar<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 52.9pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penyakit ini
dapat disembuhkan dengan obat-obatan dan konsultasi dengan psikiater. Jika
depresi berkepanjangan ibu perlu mendapatkan perawatan di Rumah Sakit. Seorang
ibu multipara mudah mengalami/menderita depresi masa nifas. Hal ini disebabkan oleh
kesibukannya yang mengurusi anak-anak sebelum kelahiran anaknya ini. Ibu yang
tidak mengurusi dirinya sendiri, seorang ibu cepat murung, mudah marah-marah.
Hal ini menandakan ibu menderita depresi masa nifas. Dibutuhkan juga dukungan
keluarga dengan cara selalu mengunjungi dan menawarkan bantuan dan dorongan
kepada ibu.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l3 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Psikosis<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ibu yang
berisiko tinggi mengalami psikosis adalah ibu yang sebelumnya pernah mengalami depresi
atau tekanan jiwa, ibu yang rasa percaya dirinya rendah, ibu yang tidak
mendapatkan dukungan, ibu yang bayinya meninggal ataupun mempunyai masalah.
Tanda-tanda dan gejalanya adalah tidak bisa tidur, tidak nafsu makan, merasa
bahwa ia tidak dapat merawat dirinya sendiri atau bayinya, berfikir untuk
mencederai dirinya sendiri atau bayinya, seolah mendengar suara-suara atau
tidak dapat berfikir jernih, perilakunya aneh, kehilangan sentuhan atau
hubungan dengan kenyataan, adanya halusinasi atau khalayan, menyangkal bahwa
bayi yang dilahirkan adalah anaknya. Penatalaksanaan : dirujuk ke seorang ahli
yang mampu menangani masalah psikologis. Ia memerlukan pengobatan khusus untuk
membantu mengatasi keadaannya dan dukungan untuk ibu sangat diperlukan.<o:p></o:p></span></div>
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<br /></div>
Anonymoushttp://www.blogger.com/profile/09877824835430540158noreply@blogger.com0tag:blogger.com,1999:blog-8430991463257497357.post-20511295719843533672013-05-17T01:31:00.001-07:002013-05-17T01:45:21.658-07:00FISIOLOGI KEHAMILAN <br />
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhALtXNYgCbQSsd-c3bwfET3OZTT_u9qbX0sfmm4y9gCWwUizpGSDQrunbXwsZkfuRUg9plPzi9kGSSg3TwaQ8cEfS5KLUz8uMFnyH6lU6ka0hlJy6aW12y15pUlg8BYE988XCt1ow6s4rn/s1600/images+(12).jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhALtXNYgCbQSsd-c3bwfET3OZTT_u9qbX0sfmm4y9gCWwUizpGSDQrunbXwsZkfuRUg9plPzi9kGSSg3TwaQ8cEfS5KLUz8uMFnyH6lU6ka0hlJy6aW12y15pUlg8BYE988XCt1ow6s4rn/s1600/images+(12).jpg" /></a></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; text-align: center; text-indent: -36pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; text-align: center; text-indent: -36pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"></span><span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">DIAGNOSIS KEHAMILAN<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; text-align: center; text-indent: -36pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><br /></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dibutuhkan
kemampuan mengenal tanda (<i>signs</i>) dan
gejala (<i>symptoms</i>) kehamilan ditambah
dengan interpretasi hasil pemeriksaan laboratorium.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Secara
klinis tanda-tanda kehamilan dibagi dalam dua kategori, yaitu :<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: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tanda
kehamilan yang tidak pasti (<i>uncertain
signs</i>)<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: 150%;">Walaupun ada,
tidak berarti pasti hamil, namun pada orang hamil tanda ini pasti ada. Untuk
tanda kehamilan tidak pasti ini, dikenal juga dengan istilah <i>probable signs</i> dan <i>presumptive signs</i>. <i>Probable
signs </i>merupakan gejala yang bersifat subjektif dan hanya dapat dirasakan
pasien, sedangkan <i>presumptive signs</i> merupakan
tanda yang bersifat objektif yakni dapat diukur, diperiksa, dan dilihat oleh
pemeriksa. Adapun yang termasuk <i>uncertain
signs</i> adalah :<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: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Amenorrhea<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 70.9pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tidak ada
haid/terlambat haid pada wanita usia subur.
Terlambat haid juga dapat terjadi pada kondisi stress, pemakaian
obat-obatan, penyakit kronis atau gangguan kelenjar hipofisis-hipotalamus.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78.0pt; mso-add-space: auto; mso-list: l10 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mual
(<i>nausea</i>) dan muntah (<i>vomitus</i>)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 70.9pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mual dan muntah
disebabkan karena adanya peningkatan kadar hormon hCG dari plasenta dan karena
motilitas lambung menurun akibat meningkatnya kadar hormon progesterone dalam
darah.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78.0pt; mso-add-space: auto; mso-list: l10 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mastodinia<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 70.9pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Rasa kencang dan
nyeri pada payudara yang disebabkan oleh payudara membesar. Pembesaran payudara
disebabkan oleh stimulasi hormon estrogen, progesterone, hormon plasenta
laktogen (HPL), dan sedikit prolaktin.
Mastodinia dapat pula terjadi pada masa pra-menstruasi.<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: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Quickening<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 70.9pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Persepsi gerakan
janin yang pertama kali dirasakan oleh ibu. 18 minggu pada multigravida, 20
minggu pada primigravida. Ada yang disebut dengan <i>pseudocysis</i> yaitu keadaan dimana seorang wanita mengalami hamil
palsu.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78.0pt; mso-add-space: auto; mso-list: l10 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Poliuria<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 70.9pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Frekuensi miksi
bertambah terutama pada waktu malam hari. Keluhan ini disebabkan karena uterus
yang membesar mendesak vesica urinaria sehingga daya tampung vesica urinaria
berkurang.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78.0pt; mso-add-space: auto; mso-list: l10 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">f.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Konstipasi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 70.9pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ini terjadi
karena pengaruh progesteron yang menyebabkan relaksasi otot polos usus,
menyebabkan tonus otot polos berkurang, sukar kontraksi sehingga sukar BAB.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78.0pt; mso-add-space: auto; mso-list: l10 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">g.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perubahan
Berat Badan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 70.9pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pada kehamilan
2-3 bulan sering terjadi penurunan berat badan karena mual dan muntah dan nafsu
makan berkurang. Setelah lebih dari 3 bulan berat badan mulai meningkat karena
nafsu makan makin baik.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78.0pt; mso-add-space: auto; mso-list: l10 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">h.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Suhu
Basal Meningkat<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 70.9pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Suhu basal
adalah suhu yang diukur pada pagi hari sebelum melakukan aktivitas. Pada orang
normal suhu basal berada pada kisaran 36,5-37<sup>0</sup>C, pada saat ovulasi
terjadi kenaikan sebesar 0,5<sup>0</sup>C. Jika terjadi kehamilan, sesudah ovulasi
suhu tetap tinggi terus antara 37,2-37,8<sup>0</sup>C (selama lebih dari 3
minggu). Kenaikan suhu basal ini disebabkan karena efek thermogenik
progesteron.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78.0pt; mso-add-space: auto; mso-list: l10 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">i.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pigmentasi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 70.9pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Muncul pada
minggu ke-16 kehamilan. Terjadinya pigmentasi disebabkan karena stimulasi MSH (<i>Melanocyte Stimulating Hormone</i>).
Pigmentasi ditandai dengan :<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Cloasma Gravidarum :
deposit pigmen yang berlebihan pada pipi, hidung dan dahi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 92.15pt; mso-add-space: auto; mso-list: l8 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pada areola dan papilla
mamae warna kulit menjadi lebih hitam<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Striae gravidarum :
perubahan warna seperti jaringan parut pada kulit daerah abdomen , garis-garis
hitam (linea nigra). Kadang-kadang terjadi teleangiektasia karena pengaruh
estrogen yang tinggi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78.0pt; mso-add-space: auto; mso-list: l10 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">j.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perubahan Mammae<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 70.9pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Akibat stimulasi
hormon Prolaktin dan HPL, sehingga dengan pemijatan ringan dapat mengeluarkan
kolostrum pada usia kehamilan > 16 minggu.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78.0pt; mso-add-space: auto; mso-list: l10 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">k.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perubahan
pada Organ Pelvis<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Livide (kebiruan) pada
cerviks uteri dan dinding vagina. Karena sirkulasi bertambah tetapi aliran
balik berkurang sehingga terjadi bendungan vena pada bulbus vestibule vagina (<i>Chadwick sign</i> : dinding vagina
kebiru-biruan), demikian halnya dengan dinding vagina bagian dalam juga
mengalami hal serupa (<i>Jacquimier’s sign</i>).<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Munculnya <i>Heggar’s sign</i> yaitu perlunakan daerah
isthmus uteri atau segmen bawah rahim sehingga daerah tersebut pada penekanan
mempunyai kesan lebih tipis dan uterus mudah difleksikan.Tanda ini mulai
terlihat pada minggu ke-6 dan menjadi nyata pada minggu ke-7 sampai dengan
minggu ke-8.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Munculnya <i>Ladin’s sign</i> yaitu suatu pelembutan atau
perlunakan yang terjadi pada daerah <i>cervicouterine
junction</i> atau bagian tengah dinding uterus bagian dalam.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><i><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">McDonald’s
sign</span></i><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> yaitu fundus uteri menjadi lebih mudah
untuk difleksikan dari bagian cervix yang biasanya terjadi pada minggu ke-7
sampai 8 kehamilan.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><i><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Goodell’s
sign </span></i><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">yaitu pelembutan atau perlunakan pada
bagian cerviks uteri .<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Terjadinya pelembutan
atau perlunakan yang tidak merata pada tempat terjadinya implantasi (<i>Vorn
Fernwald’s sign</i>) atau jika tempat implantasinya di daerah cornu uteri maka
akan terjadi pembesaran asimetris pada tempat implantasinya dan kemudian
menimbulkan perlunakan dengan pemeriksaan toucher (<i>Piscasek’s sign</i>)<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: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">l.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pembesaran perut<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 70.9pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Nyata setelah
minggu ke-6 karena pada saat ini uterus telah keluar dari rongga pelvis dan
menjadi organ rongga perut.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78.0pt; mso-add-space: auto; mso-list: l10 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">m.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Epulis<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 70.9pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Di bawah
pengaruh estrogen dan progesteron, gusi mengalami pembengkakan sehingga mudah
berdarah.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto; mso-list: l7 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tanda
kehamilan pasti (<i>certain signs</i>)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kalau ada tanda
ini dipastikan hamil, sedangkan kalau tidak ada pasti tidak hamil. Adapun tanda
kehamilan pasti antara lain :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 70.9pt; mso-add-space: auto; mso-list: l11 level1 lfo5; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Adanya
denyut jantung janin (DJJ)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 70.9pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Adanya DJJ dapat
diketahui sebagai berikut :<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Stetoskop Laennec pada
minggu ke-17 sampai 18<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Stetoskop ultrasonik/Doppler
pada minggu ke-12<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 92.15pt; mso-add-space: auto; mso-list: l4 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">USG pada minggu ke-7
sampai ke-8<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 92.15pt; mso-add-space: auto; mso-list: l4 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Fetal EKG, dapat
direkam pada minggu ke-12<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 70.9pt; mso-add-space: auto; mso-list: l11 level1 lfo5; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pemeriksaan
USG (ultrasonografi)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 70.9pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pada minggu ke-6
sampai ke-7 dapat dilihat gestasional sac, minggu ke-7 sampai 8 dilihat dan
didengar DJJ, minggu ke-8 sampai 9 dilihat gerakan janin, minggu ke-9 sampai 10
dilihat plasenta, dan pada minggu ke-12 sudah dapat diukur diameter biparietal
kepala janin untuk menentukan HPL<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 70.9pt; mso-add-space: auto; mso-list: l11 level1 lfo5; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Palpasi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 70.9pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Yang harus
ditentukan adalah <i>outlet janin </i>,
biasanya menjadi jelas setelah minggu ke-22.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 70.9pt; mso-add-space: auto; mso-list: l11 level1 lfo5; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Rontgenografi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 70.9pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gambaran
tulang-tulang janin tampak setelah minggu ke-12 sampai minggu ke-14.
Pemeriksaan ini dilakukan hanya atas indikasi yang mendesak sekali janin sangat
peka terhadap sinar X.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 70.9pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 70.9pt; mso-add-space: auto; mso-list: l11 level1 lfo5; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tes
Laboratorium<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 70.9pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Yang paling
popular adalah tes inhibisi koagulasi yaitu mendeteksi adanya hCG yang dibentuk
oleh sinsitiotrofoblas dalam urin. Tes deteksi hCG yang terkenal adalah PP
test.<o:p></o:p></span><br />
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span><br />
<a name='more'></a><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><br /></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l9 level1 lfo1; mso-text-indent-alt: -18.0pt; text-align: justify; text-indent: -36.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span>II.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PERUBAHAN ENDOKRIN PADA
KEHAMILAN<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perubahan fisiologi pada kehamilan
dikendalikan oleh perubahan sekresi hormon.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto; mso-list: l6 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Progesteron<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Corpus Luteum
pada ovarium menyediakan progesteron sampai usia kehamilan 10 minggu. Setelah
itu produksi progesteron plasenta mendominasi sistem ibu. Progesteron aktif di
dalam uterus, dimana progesteron memelihara bagian desidua uterus dan
merelaksasi otot polos miometrium. Progesteron juga memiliki efek perifer pada
otot polos vaskuler dan organ lain harus beradaptasi terhadap kebutuhan saat
kehamilan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto; mso-list: l6 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Estrogen<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Estrogen utama
dalam kehamilan adalah estriol. Pada awal kehamilan, kadar estron dan estradiol
meningkat, tetapi kadar estriol belum meningkat sampai minggu ke-9. Estrogen
memiliki efek merangsang pertumbuhan, dan secara mencolok mendorong pertumbuhan
endometrium. Estrogen juga merangsang retensi cairan dan meningkatkan kemampuan
jaringan ikat menahan air dengan mempengaruhi komposisi jaringan tersebut.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto; mso-list: l6 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Human
Chorionic Gonadotropin (hCG)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">hCG mula-mula
diproduksi oleh sel lapisan luar blastokista yang kemudian sel ini
berdiferensiasi menjadi trofoblas, dan kemudian menjadi plasenta.
Sinsitiotrofoblas yang berkembang dari trofoblas terus menghasilkan hCG.
Biasanya hCG didalam sirkulasi darah ibu pada usia kehamilan 8-10 minggu pasca
fertilisasi. Pembentukan hCG maksimal pada 60-90 hari, kemudian turun ke kadar
rendah yang menetap selama kehamilan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">hCG memiliki
sifat dapat merangsang hormon tiroksin dari kelenjar tiroid, mempengaruhi nafsu
makan dan pengendapan lemak, dan juga memepengaruhi rasa haus dan pengeluaran
antidiuretik hormon (ADH). Selain itu hCG juga dapat meningkatkan pertumbuhan
miometrium dan menghambat kontraktilitas otot polos termasuk otot polos
miometrium.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto; mso-list: l6 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Human
Placental Lactogen (hPL)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">hPL merupakan hormon
protein yang diproduksi secara eksklusif oleh plasenta. Seiring dengan
penurunan kadar hCG, terjadi peningkatan sekresi hPL. hPL bersifat antagonistik
terhadap insulin dan menyebabkan peningkatan glukosa darah (hiperglikemik).
Efek diabetogenik hPL menyebabkan perubahan metabolisme glukosa dan lemak yang
menguntungkan bagi janin. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto; mso-list: l6 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Relaksin<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hormon ini
mungkin disintesis di ovarium dan disimpan dalam plasenta. Kadar relaksin
paling tinggi pada trimester I kehamilan. Relaksin memiliki peran dalam pelunakan
ligamentum elastik tulang-tulang pelvis dan telah digunakan secara klinis pada
pematangan serviks selama induksi kehamilan. Peran pasti relaksin pada
kehamilan belum jelas, tetapi zat ini nampaknya dapat menghambat aktivitas
uterus pada awal kehamilan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto; mso-list: l6 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">f.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hormon
adrenal dan hipofisis<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ukuran dan
aktivitas kelenjar adrenal meningkat selama kehamilan. Estrogen merangsang
pembentukan kortisol oleh adrenal dengan menghambat metabolisme kortisol.
Peningkatan kadar kortisol dalam darah dapat menimbulkan efek positif pada
penyakit tertentu seperti artitis reumatoid dan ekzema. Produksi prolaktin
hipofisis juga meningkat secara cepat sebagai akibat rangsangan estrogen pada
wanita hamil.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto; mso-list: l6 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">g.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hormon
Tiroksin<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Estrogen, hCG
dan perubahan fungsi hepar dan ginjal menyebabkan kadar T<sub>3</sub> dan T<sub>4</sub>
dan globulin pengikat tiroksin (<i>tiroksin
binding globulin</i>) berubah. Keadaan hamil menjadi mirip dengan kondisi
hipertiroidisme pada beberapa aspek misalnya terjadi peningkatan suhu tubuh,
peningkatan nafsu makan, dan peningkatan rasa lelah.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l9 level1 lfo1; mso-text-indent-alt: -18.0pt; text-align: justify; text-indent: -36.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span>III.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PERUBAHAN ANATOMIS DAN
FISIOLOGIS SISTEM REPRODUKSI<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto; mso-list: l0 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Uterus<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Intinya uterus
mengalami peningkatan ukuran dan perubahan bentuk. Uterus akan membesar pada
bulan-bulan pertama di bawah pengaruh estrogen dan progesteron yang kadarnya
meningkat. Endometrium menebal menjadi desidua. Estrogen menyebabkan hiperplasi
jaringan dan progesteron berperan untuk elastisitas atau kelenturan uterus
sehingga menyebabkan relaksasi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Taksiran kasar
pembesaran uterus pada palpasi tinggi fundus uteri (TFU) adalah sebagai berikut
:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div align="center">
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: 2.0cm; mso-border-alt: solid black .5pt; mso-border-insideh: .5pt solid black; mso-border-insidev: .5pt solid black; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184; width: 493px;">
<tbody>
<tr>
<td style="border: solid black 1.0pt; mso-border-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 151.6pt;" valign="top" width="202"><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tidak
hamil/normal<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; padding: 0cm 5.4pt 0cm 5.4pt; width: 218.35pt;" valign="top" width="291"><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">sebesar
telur ayam<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-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 151.6pt;" valign="top" width="202"><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kehamilan
8 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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 218.35pt;" valign="top" width="291"><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">sebesar
telur bebek<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-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 151.6pt;" valign="top" width="202"><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kehamilan
12 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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 218.35pt;" valign="top" width="291"><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">3
jari diatas sympisis<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-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 151.6pt;" valign="top" width="202"><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kehamilan
16 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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 218.35pt;" valign="top" width="291"><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">pertengahan
sympisis-pusat<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-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 151.6pt;" valign="top" width="202"><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kehamilan
20 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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 218.35pt;" valign="top" width="291"><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">3
jari dibawah pusat<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-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 151.6pt;" valign="top" width="202"><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kehamilan
24 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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 218.35pt;" valign="top" width="291"><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Setinggi
pusat<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-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 151.6pt;" valign="top" width="202"><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kehamilan
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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 218.35pt;" valign="top" width="291"><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">3
jari diatas pusat<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-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 151.6pt;" valign="top" width="202"><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kehamilan
32 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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 218.35pt;" valign="top" width="291"><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">pertengahan
pusat-processus xyphoideus<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-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 151.6pt;" valign="top" width="202"><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kehamilan
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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 218.35pt;" valign="top" width="291"><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Setinggi
processus xyphoideus<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-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 151.6pt;" valign="top" width="202"><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kehamilan
40 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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 218.35pt;" valign="top" width="291"><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">1-2
jari dibawah processus xyphoideus<o:p></o:p></span></div>
</td>
</tr>
</tbody></table>
</div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Serviks uteri mengalami
hipervaskularisasi akibat stimulasi estrogen dan perlunakan akibat progesteron
sehingga menimbulkan tanda Hegar (Hegar’s sign), warna menjadi livid kebiruan.
Sekresi lendir serviks meningkat pada kehamilan memberikan gejala keputihan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto; mso-list: l0 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Decidua<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Decidua adalah
nama yang diberikan kepada endometrium selama kehamilan. Progesteron dan
estrogen pada awalnya diproduksi oleh corpus luteum yang menyebabkan decidua
menjadi lebih tebal, lebih vaskuler, dan lebih kaya di fundus. Saat placenta
telah terbentuk, maka plasenta dapat menghasilkan hormon sendiri dan corpus
luteum tidak lagi dipertahankan oleh hCG yang dihasilkan sel sinsitiotrofoblas.
Corpus luteum mengecil dan akan berubah menjadi corpus albicans. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto; mso-list: l0 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Miometrium<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Estrogen
berperan penting dalam pertumbuhan otot di dalam uterus. Pada usia kehamilan 8 minggu, uterus mulai
menghasilkan gelombang kecil dari kontraksi yang dikenal sebagai kontraksi
Braxton Hicks. Pada umumnya kontraksi ini tanpa rasa sakit walaupun beberapa
wanita mengeluhkan nyeri dengan intensitas rendah.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto; mso-list: l0 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Serviks<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Serviks uteri
pada kehamilan juga mengalami perubahan karena hormon estrogen. Jika korpus
uteri mengandung lebih banyak jaringan otot, maka serviks mengandung lebih
banyak jaringan ikat, hanya 10% jaringan otot. Dibawah pengaruh hormon
progesteron, sel epitel kelenjar yang terdapat di sepanjang canalis cervisis
uteri menghasilkan secret sehingga membentuk suatu penyumbatan serviks yang
disebut operculum atau mucous plug sehingga melindungi cavum uteri dari
infeksi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto; mso-list: l0 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Vagina<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Estrogen
menyebabkan perubahan di dalam lapisan otot dan epitel vagina, lapisan
otot-otot sekitar vagina juga hipertrofi, sehingga beberapa ligamentum sekitar
vagina menjadi lebih elastis. Dibawah pengaruh estrogen, epitel kelenjar
sepanjang vagina aktif mengeluarkan sekret sehingga memberi gambaran seperti
keputihan (leucorrhoea). Sel lapisan epithelium
juga mengalami peningkatan glikogen. Sel itu berinteraksi dengan baksil
Doderlein’s (<i>Lactobacillus sp</i>), suatu
bakteri yang hidup normal bersama organisme lain pada vagina, dan menghasilkan
suatu lingkungan yang lebih asam sebagai proteksi ekstra terhadap beberapa
organisme seperti <i>Candida albicans</i>.
Selain itu vagina juga lebih vaskuler, sehingga muncul warna merah kebiruan
(livid) terutama pada bulbus vestibule yang menimbulkan tanda chadwick’s sign).
Warna porsio pun tampak livid (Jacquimier’s sign). Peningkatan aliran darah
berarti denyut arteri uterus dapat dirasakan melalui forniks lateralis
(Oslander’s sign). <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto; mso-list: l0 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">f.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ovarium<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pada permulaan
kehamilan masih terdapat corpus luteum graviditas sampai terbentuk plasenta
pada kira-kira 16 minggu kehamilan. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto; mso-list: l0 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">g.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mammae<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Payudara akan
membesar dan tegang akibat stimulasi hormon somatomammotropin, estrogen, dan
progesteron, akan tetapi belum mengeluarkan air susu. Estrogen menimbulkan hipertrofi sistem saluran (ductus
dan ductulus), sedangkan progesteron menambah sel-sel asinus (alveolus) pula
dan menimbulkan perubahan dalam sel-sel, sehingga terjadi perubahan kasein,
laktalbumin, dan laktoglobulin. Papilla mammae (putting susu) akan membesar,
lebih tegak, dan tampak lebih hitam, seperti seluruh areola mammae karena
hiperpigmentasi dibawah stimulasi MSH. </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l9 level1 lfo1; mso-text-indent-alt: -18.0pt; text-align: justify; text-indent: -36.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span>IV.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PENINGKATAN BERAT BADAN
SELAMA KEHAMILAN<o:p></o:p></span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: 36.0pt; mso-border-alt: solid black .5pt; mso-border-insideh: .5pt solid black; mso-border-insidev: .5pt solid black; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184; width: 507px;">
<tbody>
<tr>
<td style="border: solid black 1.0pt; mso-border-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 132.45pt;" valign="top" width="177"><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Massa<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; padding: 0cm 5.4pt 0cm 5.4pt; width: 61.95pt;" valign="top" width="83"><div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">10
minggu<o:p></o:p></span></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">(gr)<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; padding: 0cm 5.4pt 0cm 5.4pt; width: 61.95pt;" valign="top" width="83"><div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">20
minggu<o:p></o:p></span></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">(gr)<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; padding: 0cm 5.4pt 0cm 5.4pt; width: 61.95pt;" valign="top" width="83"><div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">30
minggu<o:p></o:p></span></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">(gr)<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; padding: 0cm 5.4pt 0cm 5.4pt; width: 61.95pt;" valign="top" width="83"><div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">40
minggu<o:p></o:p></span></div>
<div align="center" class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">(gr)<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-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 132.45pt;" valign="top" width="177"><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Fetus
(bayi)<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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 61.95pt;" valign="top" width="83"><div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 61.95pt;" valign="top" width="83"><div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">300<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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 61.95pt;" valign="top" width="83"><div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">1500<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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 61.95pt;" valign="top" width="83"><div align="center" class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">3500<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-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 132.45pt;" valign="top" width="177"><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Plasenta<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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 61.95pt;" valign="top" width="83"><div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">20<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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 61.95pt;" valign="top" width="83"><div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">170<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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 61.95pt;" valign="top" width="83"><div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">430<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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 61.95pt;" valign="top" width="83"><div align="center" class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">650<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-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 132.45pt;" valign="top" width="177"><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Cairan
amnion<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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 61.95pt;" valign="top" width="83"><div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">30<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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 61.95pt;" valign="top" width="83"><div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">350<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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 61.95pt;" valign="top" width="83"><div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">750<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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 61.95pt;" valign="top" width="83"><div align="center" class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">800<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-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 132.45pt;" valign="top" width="177"><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Uterus<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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 61.95pt;" valign="top" width="83"><div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">140<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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 61.95pt;" valign="top" width="83"><div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">320<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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 61.95pt;" valign="top" width="83"><div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">600<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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 61.95pt;" valign="top" width="83"><div align="center" class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">970<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-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 132.45pt;" valign="top" width="177"><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mammae<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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 61.95pt;" valign="top" width="83"><div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">45<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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 61.95pt;" valign="top" width="83"><div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">180<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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 61.95pt;" valign="top" width="83"><div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">360<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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 61.95pt;" valign="top" width="83"><div align="center" class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">405<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-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 132.45pt;" valign="top" width="177"><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Plasma
darah<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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 61.95pt;" valign="top" width="83"><div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">100<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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 61.95pt;" valign="top" width="83"><div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">600<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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 61.95pt;" valign="top" width="83"><div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">1300<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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 61.95pt;" valign="top" width="83"><div align="center" class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">1250<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-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 132.45pt;" valign="top" width="177"><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Cairan
interstitial<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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 61.95pt;" valign="top" width="83"><div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 61.95pt;" valign="top" width="83"><div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">30<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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 61.95pt;" valign="top" width="83"><div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">80<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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 61.95pt;" valign="top" width="83"><div align="center" class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">1580<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-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 132.45pt;" valign="top" width="177"><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jaringan
lemak maternal<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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 61.95pt;" valign="top" width="83"><div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">310<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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 61.95pt;" valign="top" width="83"><div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2050<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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 61.95pt;" valign="top" width="83"><div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">3480<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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 61.95pt;" valign="top" width="83"><div align="center" class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">3345<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-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 132.45pt;" valign="top" width="177"><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Total<o:p></o:p></span></b></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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 61.95pt;" valign="top" width="83"><div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">650<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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 61.95pt;" valign="top" width="83"><div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">4000<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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 61.95pt;" valign="top" width="83"><div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">8500<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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 61.95pt;" valign="top" width="83"><div align="center" class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">12500<o:p></o:p></span></div>
</td>
</tr>
</tbody></table>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l9 level1 lfo1; mso-text-indent-alt: -18.0pt; text-align: justify; text-indent: -36.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span>V.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">ADAPTASI FISIOLOGIS
SISTEM KARDIOVASKULER PADA KEHAMILAN<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto; mso-list: l3 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Volume
Darah<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Volume darah
total meningkat sebesar 30-50%, dan bisa lebih pada kehamilan multipel. Kapasitas
pengangkut oksigen harus dipertahankan saat terjadinya peningkatan volume darah
yang bersirkulasi. Absorpsi besi (Fe) meningkat untuk memenuhi kebutuhan akan
peningkatan hemoglobin selama terjadi penambahan volume darah (hemodilusi).
Perubahan estrogen dan progesteron menyebabkan peningkatan resistensi vaskuler
yang diikuti oleh peningkatan retensi natrium dan air serta ekspansi volume
darah (plasma) atau hemodilusi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto; mso-list: l3 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Curah
jantung (Cardiac Output)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Volume darah dan
curah jantung meningkat sejajar. Curah jantung meningkat sekitar 30-50%, suatu
peningkatan rerata 1,5 liter per menit dari 4,5 liter/mnt menjadi 6 liter/mnt.
Curah jantung meningkat cepat pada trimester I dan dipertahankan selama
kehamilan. Peningkatan curah jantung lebih besar lagi pada kehamilan multipel.
Curah jantung dipengaruhi oleh postur, saat wanita hamil berbaring terlentang,
uterusnya dapat menekan vena cava inferior yang menyebabkan penurunan curah
jantung. Saat persalinan, curah jantung meningkat sebesar 2 liter per mnt.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pada kehamilan
frekuensi denyut jantung (FDJ) maupun volume sekuncup jantung meningkat. FDJ
meningkat segera setelah implantasi rata-rata 20% (15 denyutan per menit) yakni
dari 70 kali per mnt menjadi 80 kali per mnt. Sementara volume sekuncup jantung
biasanya meningkat sekitar 10% dari 64 ml menjadi 71 ml. Estrogen dapat
merangsang peningkatan penimbunan komponen sel miokardium dan meningkatkan kontraktilitas
miokardium.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto; mso-list: l3 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tekanan
Darah<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kehamilan normal
tidak banyak berpengaruh pada tekanan darah. Sekalipun dalam kehamilan terjadi
peningkatan curah jantung dan resistensi vascular, tekanan sistolik ternyata
tidak banyak berubah. Namun, tekanan diastolic cenderung lebih rendah pada dua
trimester pertama dan kembali ke tingkat sebelum hamil pada trimester ketiga.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pada akhir
kehamilan, sebagian besar wanita mengalami pembengkakan (oedema) di tungkai
bawah akibat kombinasi efek progesteron yang melemaskan tonus vascular perifer,
terhambatnya aliran balik vena oleh uterus (<i>vena
cava syndrome</i>), dan gaya gravitasi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l9 level1 lfo1; mso-text-indent-alt: -18.0pt; text-indent: -36.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span>VI.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">ADAPTASI FISIOLOGIS
SISTEM HEMATOLOGIS PADA KEHAMILAN<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Wanita
hamil mengalami anemia ringan. Produksi hemoglobin dan massa total eritrosit
pada ibu meningkat selama kehamilan akibat meningkatnya produksi eritropoetin. Volume
vaskuler maternal meningkat sangat
banyak. Hal ini menyebabkan anemia delusional ringan yang melindungi ibu dari
kehilangan hemoglobin yang berlebihan saat persalinan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Wanita
hamil juga dapat mengalami leukositosis (peningkatan jumlah leukosit) ringan
yang dapat menjadi jelas selama persalinan dan pasca persalinan. Wanita hamil
juga dapat mengalami hiperkoagulabilitas. Peningkatan koagulabilitas terjadi
karena adanya peningkatan sintesis prokoagulan di hepar. Sampai 8% wanita akan
mengalami trombositopenia ringan (< 150.000 platelet/ml).</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Berikut
ini ringkasan perubahan hematologis pada kehamilan :<o:p></o:p></span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: 36.0pt; mso-border-alt: solid black .5pt; mso-border-insideh: .5pt solid black; mso-border-insidev: .5pt solid black; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184; width: 502px;">
<tbody>
<tr>
<td colspan="2" style="border: solid black 1.0pt; mso-border-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 252.9pt;" valign="top" width="337"><div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perubahan
Kehamilan<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; padding: 0cm 5.4pt 0cm 5.4pt; width: 123.9pt;" valign="top" width="165"><div align="center" class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Catatan<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-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 97.0pt;" valign="top" width="129"><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Volume
Plasma<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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 155.9pt;" valign="top" width="208"><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Meningkat
sampai sekitar 50% dari 2600 ml menjadi 3900 ml<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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 123.9pt;" valign="top" width="165"><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Lebih
besar pada kehamilan kedua dan berikutnya, berkolerasi dengan berat lahir<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-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 97.0pt;" valign="top" width="129"><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Massa
eritrosit<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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 155.9pt;" valign="top" width="208"><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Meningkat
(sekitar 18%)<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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 123.9pt;" valign="top" width="165"><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Meningkat
lebih besar apabila ibu mendapat suplemen zat besi (bisa sampai 30%)<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-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 97.0pt;" valign="top" width="129"><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Leukosit<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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 155.9pt;" valign="top" width="208"><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Baik
jumlah sel maupun aktivitas metabolik meningkat<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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 123.9pt;" valign="top" width="165"><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Peningkatan
inisial terjadi awal kehamilan dan serupa dengan respons terhadap stress lain<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-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 97.0pt;" valign="top" width="129"><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Protein
plasma<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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 155.9pt;" valign="top" width="208"><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menurun<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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 123.9pt;" valign="top" width="165"><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penurunan
tekanan osmotic koloid plasma merupakan predisposisi terjadinya edema<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-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 97.0pt;" valign="top" width="129"><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Faktor
pembekuan<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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 155.9pt;" valign="top" width="208"><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Meningkat<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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 123.9pt;" valign="top" width="165"><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Faktor
fibrinolitik justru berkurang<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-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 97.0pt;" valign="top" width="129"><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Trombosit<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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 155.9pt;" valign="top" width="208"><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menurun<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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 123.9pt;" valign="top" width="165"><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Koagulabilitas
darah meningkat<o:p></o:p></span></div>
</td>
</tr>
</tbody></table>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l9 level1 lfo1; mso-text-indent-alt: -18.0pt; text-indent: -36.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">VII.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">ADAPTASI FISIOLOGIS
SISTEM RESPIRASI PADA KEHAMILAN<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Usaha
pernafasan ibu harus meningkat pada kehamilan untuk memenuhi peningkatan
kebutuhan metabolik jaringan ibu dan janin. Pada akhir kehamilan, konsumsi
oksigen meningkat sebesar 16-20%. Sistem respirasi juga dipengaruhi oleh volume uterus yang terus membesar. Diafragma
melakukan sebagian kerja respirasi, pernafasan lebih bersifat torakhalis dari
pada abdominalis.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Seiring
dengan peningkatan kadar progesteron selama kehamilan, peningkatan
responsivitas terhadap pCO<sub>2</sub> menyebabkan volume tidal dan volume
ventilasi per menit meningkat. Karena itu, hiperventilasi merupakan hal normal
pada kehamilan. Konsumsi oksigen meningkat, namun tekanan oksigen arteri tidak
mengalami perubahan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tekanan
parsial oksigen pada ibu sedikit meningkat (dari 95-100 menjadi 101-106 mmHg)
dan kadar karbondioksida menurun (dari 35-40 mmHg menjadi 26-34 mmHg).
Penurunan kadar karbondioksida pada kehamilan menyebabkan alkalosis
respiratorik ringan. Terjadi kompensasi metabolik berupa peningkatan kadar
ekskresi ion bikarbonat oleh ginjal. Selain itu, progesteron juga memiliki efek
local yaitu merelaksasi otot polos jalan nafas (bronkus dan bronkiolus) dan
pembuluh darah paru. Banyak wanita hamil mengalami dispnea, yang menimbulkan
rasa tidak nyaman dan kecemasan, sering pada awal kehamilan sebelum terjadi
perubahan tekanan intraabdominal. Hal ini berkaitan dengan pCO<sub>2</sub> dan
mungkin disebabkan hiperventilasi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l9 level1 lfo1; mso-text-indent-alt: -18.0pt; text-indent: -36.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">VIII.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">ADAPTASI FISIOLOGIS
SISTEM EKSKRESI PADA KEHAMILAN<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Selama
kehamilan, ginjal meningkatkan ekskresi produk sisa sebagai respons terhadap
peningkatan metabolisme ibu dan janin, sementara retensi cairan dan elektrolit
berubah sebagai respons terhadap perubahan kardiovaskuler. Peningkatan volume
darah sirkulasi dan hemodilusi pada kehamilan dicapai melalui peningkatan
reabsorpsi natrium di tubulus ginjal.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pada
kehamilan, anatomi makroskopik sistem ginjal mengalami perubahan. Ginjal
membesar akibat peningkatan aliran darah ginjal dan volume vaskuler. Peningkatan
aliran darah ginjal menyebabkan peningkatan laju filtrasi glomerulus
(glomerular filtration rate-GFR) sejak awal kehamilan. Peningkatan GFR
menyebabkan peningkatan kadar natrium, glukosa, dan asam amino di dalam filtrate,
namun reabsorpsi tubulus ginjal juga meningkat sehingga sebagian besar beban
natrium yang meningkat tersebut direabsorpsi. Retensi natrium menyebabkan retensi
cairan (penimbunan air).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Selama
kehamilan, fungsi vesica urinaria juga terpengaruh. Frekuensi berkemih
meningkat pada awal kehamilan karena uterus yang sedang tumbuh di dalam cavum
pelvis menimbulkan tekanan pada vesica urinaria di bawahnya. Dinding vesica
urinaria menjadi lebih edema dan hiperemis, yang meningkatkan kerentanan
terhadap infeksi dan trauma.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l9 level1 lfo1; mso-text-indent-alt: -18.0pt; text-indent: -36.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span>IX.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">ADAPTASI FISIOLOGIS
SISTEM PENCERNAAN PADA KEHAMILAN<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Progesteron
merelaksasi otot polos sehingga mempengaruhi seluruh saluran gastrointestinal selama
kehamilan. Pengosongan lambung menjadi lambat, begitu juga pergerakan zat-zat
yang dicerna di sepanjang saluran gastrointestinal. Pengosongan kandung empedu
menjadi lebih lama dan cairan empedu cenderung untuk mengendap di dalam saluran
empedu dan duktus koledukus. Gangguan ringan pada saluran gastrointestinal
sangat sering dijumpai dalam kehamilan. Gangguan ini meliputi mual, muntah,
konstipasi dan nyeri dada. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gusi
menjadi lebih hiperemis, edema dan spongy karena efek estrogen pada aliran
darah dan konsistensi jaringan lunak. Gusi menjadi mudah berdarah dan lebih
peka terhadap makanan yang kasar dan tindakan menggosok gigi yang kuat. Kadang
timbul nyeri pada ulu hati (<i>heartburn</i>),
suatu rasa/sensasi panas atau terbakar di midsternum, sering terjadi pada
30-70% wanita hamil. Efek progesteron pada tonus sfingter esophagus bawah
menyebabkan kompetensi sfingter terganggu sehingga meningkatkan kemungkinan
regurgitasi asam lambung ke esophagus.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sekresi
HCl lambung cenderung menurun, sehingga kadang terjadi remisi/perbaikan gejala
ulkus peptikum selama kehamilan. Sekresi pepsin juga menurun, begitupun tonus
dan motilitas lambung juga menurun pada kehamilan. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l9 level1 lfo1; mso-text-indent-alt: -18.0pt; text-indent: -36.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span>X.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">ADAPTASI FISIOLOGIS
SISTEM INTEGUMENTUM PADA KEHAMILAN<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sejumlah
perubahan dapat ditemukan pada penampilan seorang wanita hamil. Peningkatan
hormon melanotrofik (<i>melanotrophic
hormone-MH</i>) atau dikenal juga dengan MSH yang bersirkulasi menyebabkan
terjadinya peningkatan pigmentasi kulit. Pada awal kehamilan, putting susu dan
areola mamae bertambah hitam/gelap. Terbentuk satu garis gelap dari pusar
sampai pubis yang disebut linea nigra yang memperlihatkan garis pelipatan dan
fusi abdomen pada masa embrio. Kloasma gravidarum, pigmentasi berbercak yang
biasanya berbentuk kupu-kupu (<i>mask of
pregnancy</i>) di sekitar mata dan dahi. Freckles (lentigo) dan jaringan parut
yang baru terbentuk mungkin bertambah gelap.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l9 level1 lfo1; mso-text-indent-alt: -18.0pt; text-indent: -36.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span>XI.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PENENTUAN USIA
KEHAMILAN<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Beberapa
cara penetapan usia kehamilan adalah dengan menggunakan riwayat haid
(menstruasi), pemeriksaan klinis, dan pemeriksaan sonografi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto; mso-list: l5 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penggunaan
riwayat haid<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jika seorang ibu
memiliki siklus haid teratur dan ia melakukan pemeriksaan kehamilan sedini
mungkin, maka HPHT dapat digunakan untuk mengestimasi usia kehamilan. Pada
umumnya konsepsi dianggap terjadi pada hari ke-14 pada siklus 28 hari.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto; mso-list: l5 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pemeriksaan
klinis<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78.0pt; mso-add-space: auto; mso-list: l2 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Besar uterus<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78.0pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pada kehamilan
muda (sampai dengan usia 12 minggu), besar uterus ditentukan dengan pemeriksaan
bimanual, sedangkan pada kehamilan trimester II dan selanjutnya, besar uterus
dilakukan melalui pemeriksaan tinggi fundus uteri (TFU).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78.0pt; mso-add-space: auto; mso-list: l2 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pergerakan janin<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78.0pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pada
primigravida, pergerakan janin umumnya dirasakan saat usia kehamilan mencapai
19-21 minggu, sedangkan pada multigravida sudah terasa pada usia 17-19 minggu.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78.0pt; mso-add-space: auto; mso-list: l2 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mendengar DJJ<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78.0pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pada usia
kehamilan 12 minggu, DJJ sudah dapat didengar dengan memakai fetal Doppler.
Sementara itu dengan menggunakan stetoskop monoaural (Laennec), DJJ dapat
didengar pada usia kehamilan 17-18 minggu.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto; mso-list: l5 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pemeriksaan
sonografi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pengukuran
kantong gestasi (KG) dan panjang janin (CRL-crown rump length) dapat digunakan
pada trimester I (sampai dengan 12 minggu), dengan deviasi akurasi 2-5 hari.
Pada usia kehamilan > 13 minggu, janin sudah mengalami fleksi sehingga
ukuran CRL tidak dapat digunakan lagi. Pada kehamilan trimester II dan III
harus memakai ukuran lain, misalnya diameter biparietal kepala janin (BPD),
lingkar kepala, lingkar perut, lingkar dada, dan panjang femur. Untuk usia
kehamilan 14-18 minggu, BPD dapat mengestimasi usia kehamilan dengan tingkat
deviasi 9 hari. Sedangkan pengukuran lingkaran kepala mengestimasi usia
kehamilan dengan deviasi 4 hari.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<b><u><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perkiraan Tanggal
Kelahiran<o:p></o:p></span></u></b></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perkiraan
tanggal kelahiran (<i>expected date of
delivery</i>) yang selama ini banyak digunakan adalah berdasarkan pada Rumus
Naegle yang didasarkan pada hari pertama haid terakhir (HPHT) yaitu dengan
menambahkan 7 pada tanggal HPHT (tanggal +7), dan mengurangi 3 atau menambahkan
9 pada bulan HPHT ( bulan -3/+9), dan menambahkan 1 / tidak ditambahkan pada
tahun (+1/+0). Rumus Naegle hanya memiliki akurasi bagi wanita yang memiliki
siklus haid 28 hari, padahal kini sebagian besar wanita tidak memiliki siklus
haid yang teratur.<o:p></o:p></span></div>
Anonymoushttp://www.blogger.com/profile/09877824835430540158noreply@blogger.com0tag:blogger.com,1999:blog-8430991463257497357.post-19901432285718841262013-05-17T01:27:00.001-07:002013-05-17T01:27:36.827-07:00GOLONGAN OBAT ANTIBIOTIKA PADA IBU HAMIL<br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgxVLkQIxF7UGWsjGDmwi6Bjfo13MCV6BbeBj0y9oGUKPD17566KN6ubWJMOU1Hmaz0bhg8XJImRpoVYzLzq1_tzrv5vgzMVyYqbBOynsjt4DmOeOVaXM8zjiMhoQNUjFgRVMO4spKH5FyL/s1600/images+(15).jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgxVLkQIxF7UGWsjGDmwi6Bjfo13MCV6BbeBj0y9oGUKPD17566KN6ubWJMOU1Hmaz0bhg8XJImRpoVYzLzq1_tzrv5vgzMVyYqbBOynsjt4DmOeOVaXM8zjiMhoQNUjFgRVMO4spKH5FyL/s1600/images+(15).jpg" /></a></div>
<h1 align="center" style="line-height: 150%; text-align: center;">
<a href="" name="_Toc338709008"></a><a href="" name="_Toc337977675"></a><a href="" name="_Toc337807472"></a><a href="" name="_Toc337708884"><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">KATA PENGANTAR</span></a></h1>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Puji syukur kepada Tuhan Yang Maha Esa yang
telah memberikan karunia-Nya sehingga kami dapat menyelesaikan makalah ini
dengan baik. Makalah ini membahas
tentang “GOLONGAN OBAT ANTIBIOTIKA PADA IBU HAMIL” agar mahasiswa dapat
memahaminya.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Penulis mengucapkan terima kasih kepada dosen
pengampu mata kuliah Askeb II Kebidanan yang telah membimbing kami dalam
penyusunan makalah ini. Kami menyadari bahwa makalah ini masih belum sempurna,
oleh karena itu kami mengharapkan kritik dan saran dari semua pihak demi
perbaikan pembuatan makalah selanjutnya. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Semoga makalah ini dapat memberikan wawasan
yang lebih luas kepada pembaca. Akhir kata, kami mengucapkan terima kasih
kepada semua pihak yang telah berperan serta dalam penyusunan makalah ini.
Semoga Tuhan Yang Maha Esa senantiasa memberikan kelancaran dan kemudahan bagi
kita semua. <o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;"> </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%; text-align: right;">Yogyakarta, Oktober 2012</span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%; text-align: right;">Penulis</span></div>
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<a href="" name="_Toc338709010"><span style="color: windowtext; font-family: "Times New Roman","serif"; mso-fareast-font-family: Calibri;"><b>BAB I</b></span></a></div>
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<a href="" name="_Toc338709011"></a><a href="" name="_Toc338709011"><span style="color: windowtext; font-family: "Times New Roman","serif"; mso-fareast-font-family: Calibri;"><b>PENDAHULUAN</b></span></a></div>
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<h2 style="line-height: 150%; margin-left: 19.5pt; text-align: justify; text-indent: -19.5pt;">
<a href="" name="_Toc338709012"><!--[if !supportLists]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.1<span style="font-family: 'Times New Roman'; font-size: 7pt; font-weight: normal; line-height: normal;">
</span></span><!--[endif]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Latar Belakang</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;"><o:p></o:p></span></h2>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Sejarah antibiotik dimulai ketika ditemukannya obat antibiotik pertama
oleh Alexander Flemming yaitu Penicillin-G. Flemming berhasil mengisolasi
senyawa tersebut dari Penicillium chrysogenumsyn. P. Notatum. Dengan penemuan antibiotik
ini membuka sejarah baru dalam bidang kesehatan karena dapat meningkatkan angka
kesembuhan yang sangat bermakna. Kemudian terjadilah penggunaan besar-besaran
antibiotik pada saat perang dunia untuk pengobatan berbagai macam penyakit.
Masalah baru muncul ketika mulai dilaporkannya resistensi beberapa mikroba
terhadap antibiotik karena penggunaan antibiotik yang besar-besaran. <o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Hal ini tidak seharusnya terjadi jika kita sebagai pelaku kesehatan
mengetahui penggunaan antibiotik yang tepat. Kemajuan bidang kesehatan diikuti
dengan kemunculan obat-obat antibiotik yang baru menambah tantangan untuk
mengusai terapi medikamentosa ini. Antibiotik tidak hanya dari satu jenis saja.
Beberapa senyawa-senyawa yang berbeda dan berlainan ternyata mempunyai
kemampuan dalam membunuh mikroba.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Dimulai dengan mengetahui jenis-jenis dari antibiotik dilanjutkan
mengetahui mekanisme dan farmakologi dari obat-obat antibiotik tersebut dan
terakhir dapat mengetahui indikasi yang tepat dari obat antibiotik tersebut.
Semua ini bertujuan akhir untuk mengoptimalkan penggunaan antibiotik yang tepat
dan efektif dalam mengobati sebuah penyakit sekaligus dapat mengurangi tingkat
resistensi.<o:p></o:p></span></div>
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<a name='more'></a><br /><br />
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<a href="" name="_Toc338709013"><!--[if !supportLists]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.2<span style="font-family: 'Times New Roman'; font-size: 7pt; font-weight: normal; line-height: normal;">
</span></span><!--[endif]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Rumusan Masalah</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;"><o:p></o:p></span></h2>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Apakah
yang dimaksud dengan antibiotik ?<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Apa
saja yang termasuk golongan antibiotik ?<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Apa
saja antibiotik yang aman bagi ibu hamil ?<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Bagaimana
studi kasus infeksi pada ibu hamil ?<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5)<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%;">Bagaimana
menelaah kasus berdasarkan kajian farmakoterapi ?<o:p></o:p></span></div>
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<a href="" name="_Toc338709014"><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">1.3 Tujuan Penulisan</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;"><o:p></o:p></span></h2>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: Calibri;">Bagi penulis<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Dapat menambah wawasan ilmu pengetahuan dalam
upaya meningkatkan mutu pelayanan kesehatan.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: Calibri;">Bagi pembaca<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Sebagai bahan bacaan dan menambah pengetahuan
tentang pelayanan kesehatan yang bermutu dan sesuai dengan standard.<o:p></o:p></span></div>
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<a href="" name="_Toc338709015"><span style="color: windowtext; font-family: "Times New Roman","serif"; mso-fareast-font-family: Calibri;"><b>BAB II</b></span></a></div>
<a href="" name="_Toc338709016"></a><div style="text-align: center;">
<a href="" name="_Toc338709016"></a><a href="" name="_Toc338709016"><span style="color: windowtext; font-family: "Times New Roman","serif"; mso-fareast-font-family: Calibri;"><b>ISI</b></span></a></div>
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<a href="" name="_Toc338709017"><span style="color: windowtext; font-family: "Times New Roman","serif"; mso-fareast-font-family: Calibri;">2.1
DEFINISI ANTIBIOTIKA</span></a><br />
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Kata antibiotik berasal dari bahasa yunani
yaitu Anti (melawan) dan Biotikos (cocok untuk kehidupan). Istilah ini
diciptakan oleh Selman tahun 1942 untuk menggambarkan semua senyawa yang
diproduksi oleh mikroorganisme yang dapat menghambat pertumbuhan mikroorganisme
lain. Namun istilah ini kemudian digeser dengan ditemukannya obat antibiotik
sintetis.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Penggunaan istilah antimikroba cenderung
mengarah ke semua jenis mikroba dan termasuk didalamnya adalah antibiotik, anti
jamur, anti parasit, anti protozoa, anti virus, dll. Antibiotik berbeda dengan
istilah disinfectant karena desifektant membunuh kuman dengan cara membuat
lingkungan yang tidak wajar bagi kuman. Sedangkan kerja dariantibiotik adalah
cenderung bersifat Toksisitas Selektif dan dapat membunuh kuman tanpa merugikan
inang.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Prinsip Penggunaan Antibiotik<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%; mso-fareast-font-family: Calibri;">Berdasarkan penyebab infeksi: Dari hasil
pemeriksaan mikrobiologis, pemberian antibiotika tanpa pemeriksaan mikrobiologis
dapat didasarkan pada educate guess.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; mso-list: l16 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%; mso-fareast-font-family: Calibri;">Berdasarkan faktor pasien: Fungsi ginjal dan
hati, riwayat alergi, daya tahan terhadap infeksi, daya tahan terhadap obat,
usia, wanita hamil dan menyusui.<o:p></o:p></span></div>
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<a href="" name="_Toc338709018"><span style="color: windowtext; font-family: "Times New Roman","serif"; mso-fareast-font-family: Calibri;">2.2
PENGENALAN GOLONGAN ANTIBIOTIKA</span></a><br />
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<!--[if !supportLists]--><b><span 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;">1.<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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penisilin</span></b><b><span 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;"><o:p></o:p></span></b></div>
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<span 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;">Penisilin diperoleh dari jamur Penicilium chrysogeneum dari bermacam-macam
jenis yang dihasilkan (hanya berbeda mengenai gugusan samping R ) benzil penisilin
ternyata paling aktif. Sefalosforin diperoleh dari jamur cephalorium
acremonium, berasal dari sicilia (1943) penisilin bersifat bakterisid dan
bekerja dengan cara menghambat sintesi dinding sel.<o:p></o:p></span></div>
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<span 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;">Penisilin terdiri dari:<o:p></o:p></span></div>
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<!--[if !supportLists]--><span 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;">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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Benzil
Penisilin Dan Fenoksimetil Penisilin<o:p></o:p></span></div>
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<!--[if !supportLists]--><span 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;">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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Benzil
Penisilin<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">·<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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Indikasi: infeksi saluran kemih, otitis media,
sinusitis, bronchitis kronis, salmonelosis invasive, gonore.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 89.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l32 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">·<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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kontraindikasi: hipersensitivitas ( alergi ) terhadap
penisilin.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">·<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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Efek samping: reaksi alergi berupa urtikaria, demam,
nyeri sendi, angioudem, leukopoia,
trombositopenia, diare pada pemberian per oral.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 71.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span 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;">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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Fenoksimetil
Penisilin<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">·<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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Indikasi: tonsillitis, otitis media, erysipelas, demam
rematik, prpopiliaksis infeksi pneumokokus.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span 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;">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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pensilin
Tahan Penisilinase<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level2 lfo1; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><span 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;">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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kloksasilin<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">·<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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Indikasi: infeksi karena stapilokokus yang memproduksi
pensilinase.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">·<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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Peringatan: gangguan fungsi ginjal, lesi eritematous
pada glandular fever, leukemia limfositik kronik, dan AIDS, riwayat infeksi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">·<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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Interaksi: obat ini berdifusi dengan baik dengan
jaringan dan cairan tubuh. tetapi penetrasi ke dalam cairan otak kurang baik
kecuali jika selaput otak mengalami infeksi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">·<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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kontraindikasi: hipersensitivitas ( alergi ) terhadap
penisilin.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">·<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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Efek samping : reaksi alergi berupa urtikaria, demam,
nyeri sendi, angioudem, leukopoia, trombositopenia, diare pada pemberian per
oral.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level2 lfo1; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><span 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;">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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Flukoksasilin<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo13; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">·<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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Indikasi :infeksi
karena stapilokokus yang memproduksi pensilinase.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo13; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">·<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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Peringatan :gangguan fungsi ginjal, lesi eritematous
pada glandular fever, leukemia limfositik kronik, dan AIDS.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo13; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">·<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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Interaksi : obat ini berdifusi dengan baik dengan
jaringan dan cairan tubuh. Tapi penetrasi ke dalam cairan otak kurang baik
kecuali jika selaput otak mengalami infeksi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo13; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">·<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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kontraindikasi : hipersensitivitas ( alergi ) terhadap
penisilin.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo13; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">·<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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Efek samping : reaksi alergi berupa urtikaria, demam,
nyeri sendi, angioudem, leukopoia, trombositopenia, diare pada pemberian per
oral.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span 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;">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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pensilin
Spectrum Luas<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 71.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span 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;">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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ampisilin<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span 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;">Ibu hamil: Kategori B<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span 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;">Ibu menyusui: Kategori A<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">·<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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Indikasi: Infeksi saluran kemih, otitis media,
sinusitis, bronchitis kronis, salmonelosis invasive, gonore.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">·<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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Peringatan: Riwayat alergi, gangguan fungsi ginjal,
lesi eritematous pada glandular fever, leukemia limfositik kronik, dan AIDS.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">·<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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Interaksi: Obat ini berdifusi dengan baik dengan
jaringan dan cairan tubuh. Tapi penetrasi kedalam cairan otak kurang baik
kecuali jika selaput otak mengalami infeksi. Absorbsi sebagian besar
dipengaruhi oleh makanan. Pengobatan lebih baik diberikan pada saat lambung
kosong, 1 jam sebelum atau 2 jam sesudah makan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">·<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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kontraindikasi: Hipersensitivitas ( alergi ) terhadap
penisilin.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">·<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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Efek samping: Reaksi alergi berupa urtikaria, demam,
nyeri sendi, angioudem, leukopoia, trombositopenia, diare pada pemberian per
oral.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">·<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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pengaturan dosis Oral: 250-500 mg tiap 6 jam,
diberikan 30 menit sebelum makan. Infeksi saluran kemih: 500 mg tiap 8 jam. Injeksi
intramuskuler, intravena atau infus: 500 mg tiap 4-6 jam. Anak di bawah 10
tahun: setengah dosis dewasa.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">·<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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sediaan Ampisilin (generik): kapsul 250mg, 500mg;
sirup kering 125mg/5ml, 250mg/5ml; serbuk untuk injeksi 500mg, 1g.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span 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;">Amcillin: kapsul 250mg, 500mg;
tablet 250mg, 500mg; sirup kering 125mg/5ml, 250mg/5ml; serbuk untuk injeksi
1g, 2g.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span 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;">Ampi: kapsul 250mg, 500mg; sirup
kering 125mg/5 ml.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 71.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span 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;">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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Amoksisilin<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span 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;">Ibu Hamil : Ketegori B<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span 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;">Ibu Menyusui : Kategori A<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">·<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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Indikasi: infeksi saluran kemih, otitis media,
sinusitis, bronchitis kronis, salmonelosis invasive, gonore.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">·<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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Peringatan: gangguan fungsi ginjal, lesi eritematous
pada glandular fever, leukemia limfositik kronik, dan AIDS.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">·<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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Interaksi: obat ini berdifusi dengan baik dengan
jaringan dan cairan tubuh. Tapi penetrasi ke dalam cairan otak kurang baik kecuali
jika selaput otak mengalami infeksi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">·<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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kontraindikasi: hipersensitivitas ( alergi ) terhadap
penisilin.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">·<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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Efek samping: reaksi alergi berupa urtikaria, demam,
nyeri sendi, angioudem, leukopoia, trombositopenia, diare pada pemberian per
oral.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">·<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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pengaturan Dosis: <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span 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;">Dewasa: 1x 500mg tablet tiap 12 jam atau 250mg
tablet tiap 8 jam.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span 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;">Suspensi: dewasa, untuk yang sulit
menelan, 125mg/5ml atau 250mg/5ml suspensi menggantikan tablet 500mg.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<b><span 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;">Anak<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span 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;">Kurang dari 3 bulan: 30mg/kg/hr
dibagi tiap 12 jam didasarkan pada komponen amoksisilin. Dianjurkan menggunakan
suspensi 125 mg/5ml<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span 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;">3 bulan atau lebih: didasarkan pada
komponen amoksisilin. Jangan menggunakan tablet 250mg jika berat<40kg.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span 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;">40kg atau lebih: sesuai dosis dewasa<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span 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;">Amoksisilin dapat diminum dengan
atau tanpa makanan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span 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;">Neonatus dan bayi 12 minggu (3
bulan) atau lebih muda: karena fungsi ginjal yang belum optimal mempengaruhi
eliminasi amoksisilin, dosis paling tinggi yang diijinkan adalah 30mg/kg/hr
dibagi tiap 12 jam.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">·<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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sediaan </span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Amoksisilin
(generik): kaplet </span><span lang="ES" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">500mg; kapsul 250mg; sirup kering
125mg/5ml, 250mg/5ml; serbuk untuk injeksi 1g.</span><span 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;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-left: 90.0pt; mso-add-space: auto;">
<span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Amoksan: drops
125mg/1,25 ml; kap</span><span lang="ES" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">sul 250mg, 500mg; sirup kering
125mg/5ml, 250mg/5ml; serbuk untuk injeksi 1g.</span><span 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;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-left: 90.0pt; mso-add-space: auto;">
<span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ka</span><span 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;">l</span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">mox: kap</span><span lang="ES" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">sul 500mg; sirup kering
125mg/5ml.</span><span 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;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-left: 90.0pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span 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;">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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penisilin
Anti Pseudomona<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 71.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span 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;">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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tikarsilin<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span 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;">Indikasi : infeksi yang disebabkan oleh pseoudomonas dan proteus.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 71.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span 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;">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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Piperasilin<br />
Indikasi : infeksi yang disebabkan oleh pseoudomonas aerugenosa.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 71.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span 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;">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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sulbenisilin<br />
Indikasi : infeksi yang disebabkan oleh pseoudomonas aerugenosa.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo2; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><b><span 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;">2.<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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Aminoglikosida</span></b><span 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;"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span 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;">Aminoglokosida bersifat bakterisidal dan aktif terhadap bakteri gram
posistif dan gram negative. Gentamisin, Amikasin dan kanamisin juga aktif terhadap pseudomonas aeruginosa. <o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span 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;">Streptomisin aktif terhadap mycobacterium tuberculosis dan penggunaannya
sekarang hampir terbatas untuk tuber kalosa.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span 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;">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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gentamisin<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">·<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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Indikasi : septicemia dan sepsis pada neonatus,
meningitis dan infeksi SSP lainnya. Infeksi bilier, pielonefritis dan prostates
akut, endokarditis, pneumonia nosokomial, terapi tambahan pada miningitis
karena listeria.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">·<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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kontraindikasi: kehamilan, miastenia gravis.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">·<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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Efek samping: nefrotoksisitas yang biasanya terjadi
pada orang tua atau pasien gangguan fungsi ginjal. Jika terjadi gangguan fungsi
ginjal maka interval pemberian harus diperpanjang.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">·<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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mekanisme kerja obat: Aminoglikosida bersifat
bakterisidal dan digunakan terutama pada infeksi bakteri gram positif dan
negatif. Aktivitas bakterisid melalui penghambatan sintesis protein bakteri.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">·<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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pengaturan dosis Gentamisin: Dosis pada pasien infeksi
serius dengan fungsi ginjal normal 3 mg/kg/hari dalam dosis terbagi tiga setiap
8 jam.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<!--[if gte vml 1]><v:shapetype
id="_x0000_t32" coordsize="21600,21600" o:spt="32" o:oned="t" path="m,l21600,21600e"
filled="f">
<v:path arrowok="t" fillok="f" o:connecttype="none"/>
<o:lock v:ext="edit" shapetype="t"/>
</v:shapetype><v:shape id="_x0000_s1026" type="#_x0000_t32" style='position:absolute;
left:0;text-align:left;margin-left:157.95pt;margin-top:8.9pt;width:36pt;
height:0;z-index:251658240' o:connectortype="straight">
<v:stroke endarrow="block"/>
</v:shape><![endif]--><!--[if !vml]--><span style="height: 12px; left: 0px; margin-left: 210px; margin-top: 6px; mso-ignore: vglayout; position: absolute; width: 51px; z-index: 251658240;"><img height="12" src="file:///C:/Users/OLDSCH~1/AppData/Local/Temp/msohtmlclip1/01/clip_image001.png" v:shapes="_x0000_s1026" width="51" /></span><!--[endif]--><span 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;">Anak-anak 6-7,5 mg/kg/hari (2-2,5
mg/kg setiap 8 jam)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<!--[if gte vml 1]><v:shape
id="_x0000_s1027" type="#_x0000_t32" style='position:absolute;left:0;
text-align:left;margin-left:193.95pt;margin-top:8.65pt;width:27.8pt;height:0;
z-index:251659264' o:connectortype="straight">
<v:stroke endarrow="block"/>
</v:shape><![endif]--><!--[if !vml]--><span style="height: 12px; left: 0px; margin-left: 258px; margin-top: 6px; mso-ignore: vglayout; position: absolute; width: 40px; z-index: 251659264;"><img height="12" src="file:///C:/Users/OLDSCH~1/AppData/Local/Temp/msohtmlclip1/01/clip_image002.png" v:shapes="_x0000_s1027" width="40" /></span><!--[endif]--><span 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;">Infant dan neonatus 7,5 mg/kg/hari (2,5 mg/kg
setiap 8 jam)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<!--[if gte vml 1]><v:shape
id="_x0000_s1028" type="#_x0000_t32" style='position:absolute;left:0;
text-align:left;margin-left:221.75pt;margin-top:8.4pt;width:25.4pt;height:0;
z-index:251660288' o:connectortype="straight">
<v:stroke endarrow="block"/>
</v:shape><![endif]--><!--[if !vml]--><span style="height: 12px; left: 0px; margin-left: 295px; margin-top: 5px; mso-ignore: vglayout; position: absolute; width: 37px; z-index: 251660288;"><img height="12" src="file:///C:/Users/OLDSCH~1/AppData/Local/Temp/msohtmlclip1/01/clip_image003.png" v:shapes="_x0000_s1028" width="37" /></span><!--[endif]--><span 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;">Neonatus umur < 1 minggu 5 mg/kg hari (2,5 mg setiap 12 jam).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span 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;">Durasi terapi : biasanya 7-10 hari.
Dosis pada pasien infeksi serius dengan fungsi ginjal normal 3 mg/kg/hari dalam
dosis terbagi tiga setiap 8 jam.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">·<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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sediaan Gentamisin (generik):cairan injeksi 10 mg/ml;40
mg/ml (K)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span 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;">Garamycin®: cairan injeksi 20 mg/ml;
40 mg/ml; 60 mg/ml; 80 mg/ml (K)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l30 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">·<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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Perhatian: gangguan funsi ginjal, bayi dan usia lanjut
(sesuaikan dosis, awasi fungsi ginjal, pendengaran dan vestibuler dan periksa
kadar plasma), hindari penggunaan jangka panjang. Aminoglikosida dapat menembus
sawar plasenta, sehingga pemberian pada wanita hamil sedapat mungkin dihindari
(Kategori C). Apabila bila menyusui ekresi gentamisin dalam ASI sangat minimal
(Kategori A).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span 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;">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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Amikasin<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span 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;">Indikasi : infeksi generatif yang
resisten terhadap gentamisin.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span 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;">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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kanamisin<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span 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;">Indikasi: infeksi berat kuman gram
negative yang resisten terhadap gentainisin<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo2; text-align: justify; text-indent: 3.3pt;">
<!--[if !supportLists]--><b><span 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;">3.<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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Makrolida</span></b><span 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;"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span 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;">Eritromisin memiliki spectrum antibakteri yang hampir sama dengan
penisilin, sehingga obat ini digunakan sebagai alternative penisilin. Indikasi
eritremisin mencakup indikasi saluran napas, pertusis, penyakit gionnaire dan
enteritis karena kampilo bakteri.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span 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;">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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Eritromisin<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l30 level1 lfo15; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Indikasi:
sebagai alternatif untuk pasien yang alergi penisilin untuk pengobatan
enteritis kampilobakter, pneumonia, penyakit legionaire, sifilis, uretritis non
gonokokus, prostatitis kronik, akne vulgaris, dan profilaksis difteri dan
pertusis.</span><span 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;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l30 level1 lfo15; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kontraindikasi:
penyakit hati.</span><span 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;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l30 level1 lfo15; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">·<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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Efek samping: Mual, muntah, dan diare.Untuk infeksi
ringan efek samping ini dapat dihindarkan dengan pemberian dosis rendah.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">·<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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mekanisme kerja obat: Antibiotik golongan makrolida
terikat secara reversible pada sisi P ribosom subunit 50s dari bakteri dan
dapat menghambat RNA-dependent protein synthesis dengan cara merangsang pemutusan
peptidyl t-RNA dari ribosom. Antibiotik ini dapat bersifat bakteriostatik
maupun bakterisid, tergantung faktor konsentrasi obat.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">·<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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Interaksi obat / Makanan : Jika diberikan bersamaan
dengan antasida, konstanta kecepatan eliminasi eritromisin dapat turun, dan
berikan 2 jam sebelum atau sesudah makan. Eritromisin estolat dan etilsuksinat,
dan eritromisin base dalam bentuk tablet lepas lambat tidak dipengaruhi oleh
makanan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">·<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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pengaturan dosis: Oral : Dewasa dan Anak di atas 8
tahun, 250-500 mg tiap 6 jam atau 0,5-1 g tiap 12 jam. Anak sampai 2 tahun, 125
mg tiap 6 jam; 2-8 tahun 250 mg tiap 6 jam. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span 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;">Infus intravena: infeksi berat pada
dewasa dan anak, 50 mg/kg/hari secara infus kontinyu atau dosis terbagi tiap 6
jam; infeksi ringan 25 mg/kg/hari bila pemberian per oral tidak memungkinkan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">·<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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sediaan Erybiotic : 250 mg/kapsul; 500 mg/kaplet; 200
mg/5 ml sirop. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span 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;">Erysanbe : 250 mg/kapsul; 500
mg/kaplet; 200 mg/5 ml sirop kering; 200 mg/tablet kunyah.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span 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;">Erythrocin : 250 mg/kapsul; 500
mg/kaplet; 250 mg/5 ml sirop; 200 mg/tablet; 100 mg/2,5 ml sirop tetes.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">·<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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Perhatian Kehamilan: eritromisin dapat melewati
plasenta tetapi menghasilkan kadar yang rendah dalam jaringan. Gunakan jika
hanya benar-benar perlu (Kategori B).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span 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;">Menyusui: eritromisin diekskresikan
melalui ASI. Meskipun demikian, belum ditemukan adanya efek samping pada bayi
(Kategori A).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span 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;">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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Azitromisin<br />
Indikasi: infeksi saluran napas, otitis media, infeksi klamida daerah genital
tanpa kompliasi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span 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;">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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Klaritromisin<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span 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;">Indikasi : infeksi saluran napas,
infeksi ringan dan sedang pada kulit dan jaringan lunak; terapi tambahan untuk
eradikasi helicobacter pylori pada tukak<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span 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;">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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Spiramisin<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo2; text-align: justify; text-indent: 3.3pt;">
<!--[if !supportLists]--><b><span 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;">4.<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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sefalosforin</span></b><span 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;"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span 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;">Sefalosforin merupakan antibiotic betalaktam yang bekerja dengan cara
menghambat sintesis dinding mikroba. Farmakologi sefalosforin mirip dengan
penisilin, ekseresi terutama melalui ginjal dan dapat di hambat probenisid.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span 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;"> Sefalosforin
terbagi atas :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l20 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span 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;">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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sefadroksil<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">·<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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Indikasi: infeksi baktri gram (+) dan (-)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">·<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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kontra indikasi: hipersensitivitas terahadap
sefalosforin, porfiria<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo15; tab-stops: 63.8pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">·<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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Interaksi: sefalosforin aktif terhadap kuman garm (+)
dan (-) tetapi spectrum anti mikroba masing-masng derrivat bervariasi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">·<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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Efek samping: diare dan colitis yang disebabkan oleh
antibiotic ( penggunaan dosis tinggi) mual dan mumtah rasa tidak enak pada
saluran cerna sakit kepala, Dll<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l20 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span 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;">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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sefrozil <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 59.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span 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;">Indikasi : ISPA, eksaserbasi akut
dari bronchitis kronik dan otitis media.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l20 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span 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;">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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sefotakzim<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 59.25pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span 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;">Indikasi : profilaksis pada pembedahan, epiglotitis karena hemofilus,
meningitis.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l20 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span 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;">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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sefuroksim<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 59.25pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span 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;">Indikasi : profilaksis tindakan bedah, lebih aktif terhadap H. influenzae
dan N gonorrhoeae.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l20 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span 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;">5)<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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sefamandol<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 59.25pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span 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;">Indikasi: profilaksis pada Tindakan 1 pembedahan.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo2; text-align: justify; text-indent: 3.3pt;">
<!--[if !supportLists]--><b><span 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;">5.<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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tetrasiklin</span></b><span 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;"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span 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;">Tetrasiklin merupakan antibiotik dengan spectrum luas. Penggunaannya
semakin lama semakin berkurang karena masalah resistansi.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt;">
<span 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;">Tetrasiklin
terbagi atas :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo23; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span 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;">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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tetrasiklin.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 89.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo24; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">·<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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Indikasi: akne vulgaris, eksaserbasi bronkitis kronis,
klamidia, mikoplasma dan riketsia, efusi pleura karena keganasan atau sirosis.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 89.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo24; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">·<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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kontraindikasi: hipersensitivitas terhadap golongan
tetrasiklin.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 89.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo24; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">·<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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mekanisme kerja obat: tetrasiklin merupakan
bakteriostatik yang bekerja dengan mempengaruhi sintesis protein pada tingkat
ribosom. Antibiotik ini berikatan secara reversible dengan ribosom subunit 30s
dari bakteri, mencegah terjadinya ikatan aminoacyl transfer RNA dan menghambat
sintesis protein, serta perkembangan sel. Golongan tetracycline mempunyai
aktivitas luas terhadap bakteri gram positif dan negatif.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 89.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo24; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">·<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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Efek samping: Mual, muntah, diare, eritema (hentikan
pengobatan), sakit kepala dan gangguan penglihatan dapat merupakan petunjuk
peningkatan intrakranial, hepatotoksisitas, pankreatitis dan kolitis.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 89.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo24; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">·<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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Interaksi obat / makanan: Jika diberikan bersama
antasida, garam besi, maka absorpsi dan kadar serum tetrasiklin turun.
Pengatasan: tetrasiklin diberikan 1 jam sebelum atau 2 jam setelah antasida.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 89.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span 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;">Jika diberikan bersama kontrasepsi
oral maka tetrasiklin mempengaruhi resirkulasi enterohepatik kontrasepsi
steroid, sehingga menurunkan efeknya.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 89.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span 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;">Jika diminum menggunakan susu, maka
tetrasiklin akan membentuk khelat yang sulit diabsorpsi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 89.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo24; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">·<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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pengaturan dosis: Oral : 250 mg tiap 6 jam. Pada
infeksi berat dapat ditingkatkan sampai 500 mg tiap 6-8 jam.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 89.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span 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;">Sifilis primer, sekunder dan laten:
500 mg tiap 6-8 jam selama 15 hari.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 89.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span 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;">Uretritis non gonokokus: 500 mg tiap
6 jam selama 7-14 hari (21 hari bila pengobatan pertama gagal atau bila
kambuh).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 89.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span 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;">Injeksi intra vena: 500 mg tiap 12
jam, maksimum 2 g perhari.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 89.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo24; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">·<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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sediaan: Bufacyn : 250 mg/kapsul; 500 mg/kapsul; 125
mg/5 ml sirop.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 89.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span 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;">Conmycin : 250 mg/kapsul; 500
mg/kapsul.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 89.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span 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;">Erlacylin : 30 mg/g salep, 1 % salep
mata.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 89.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span 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;">Hufacyclin : 250 mg/kapsul; 250 mg/5
ml sirop.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 89.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span 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;">Megacycline : 250 mg/tablet.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 89.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span 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;">Sakacyclin : 250 mg/kapsul.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 89.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span 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;">Super Tetra : 250 mg/kapsul lunak.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 89.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span 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;">Tetradex : 250 mg/kapsul; 500
mg/kapsul.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 89.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo24; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">·<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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Perhatian: Kehamilan: golongan tetrasiklin dapat
melewati plasenta dan ditemukan dalam jaringan fetus. Dapat terjadi efek toksis
pada fetus yang berupa retardasi perkembangan tulang (Kategori D).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 89.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span 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;">Menyusui: tetrasiklin dapat
diekskresikan melalui air susu ibu.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 89.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span 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;">Penggunaan antibiotik golongan
tetrasiklin selama masa pertumbuhan gigi (dari akhir masa kehamilan sampai anak
usia 8 tahun) dapat menyebabkan perubahan warna gigi (kuning, abu-abu, coklat)
yang bersifat permanen.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 89.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span 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;">Antibiotik golongan tetrasiklin
membentuk kompleks kalsium yang stabil pada jaringan pembentuk tulang <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo23; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span 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;">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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Demeklosiklin
Hidroklorida<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span 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;">Indikasi: tetrasiklin. Lihat jugas gangguan sekresi hormone antidiuretik<br />
Efek samping lihat tetrasiklin. Fotositivtas lebih sering terjadi pernah
dilaporkan terjadinya diabeters indipidus nefrogenik.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo23; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span 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;">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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Doksisiklin<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span 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;">Indikasi: tetrasiklin.bruselosis (kombniasi dengan tetrasiklin), sinusitis
kronis , pretatitis kronis, penyakit radang perlvis (bersama metronidazo)<o:p></o:p></span></div>
<div class="MsoListParagraph" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo23; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span 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;">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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Oksitetrasiklin<b><br />
</b>Dosis: 250-500 mg tiap 6 jam<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span 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;">Oxytetracycline ( generic ) cairan Inj. 50 mg/ vial (K)<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span 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;">Teramycin (Pfizer Indonesia) cairan inj. 50 mg/ vial. Kapsul 250 mg (K).<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; mso-list: l11 level1 lfo2; text-align: justify; text-indent: 3.3pt;">
<!--[if !supportLists]--><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6.<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%; mso-fareast-font-family: Calibri;">Anti Jamur<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Obat-obat anti jamur juga disebut dengan obat
anti mikotik, dipakai untuk mengobati dua jenis infeksi jamur : infeksi jamur
superficial pada kulit atauselaput lender dan infeksi jamur sistemik pada
paru-paru atau system saraf pusat. Infeksi jamur dapat ringan, seperti pada
tinea pedis (atlete¶s food) atau berat,seperti pada paru-paru atau jamur
seperti candida spp, (ragi), merupakan bagian dari flora normal pada mulut,
kulit, usus halus dan vagina. <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%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Tabel. Pedoman pemilihan Antimikroba<o:p></o:p></span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; margin-left: 36.0pt; mso-border-alt: solid windowtext .5pt; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184; width: 507px;">
<tbody>
<tr>
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.1pt;" valign="top" width="35">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">No<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 3.0cm;" valign="top" width="113">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Infeksi<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 140.35pt;" valign="top" width="187">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Penyebab<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.0pt;" valign="top" width="172">
<div align="center" class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Antimikroba<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.1pt;" valign="top" width="35">
<div align="center" class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">1.<o:p></o:p></span></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: 3.0cm;" valign="top" width="113">
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Uretritis<o:p></o:p></span></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: 140.35pt;" valign="top" width="187">
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">N. Gonorrhoe (bukan penghasil penisilinase)<o:p></o:p></span></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: 129.0pt;" valign="top" width="172">
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Ampisilin,amoksisilin,<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Penisilin, G tetraksilin<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.1pt;" valign="top" width="35">
<div align="center" class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<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: 3.0cm;" valign="top" width="113">
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<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: 140.35pt;" valign="top" width="187">
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">N.Gonorrhoe (penghasil penisilinase).<o:p></o:p></span></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: 129.0pt;" valign="top" width="172">
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Fluorokuinolon, seftriakson.<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.1pt;" valign="top" width="35">
<div align="center" class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">2.<o:p></o:p></span></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: 3.0cm;" valign="top" width="113">
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Herpes genital<o:p></o:p></span></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: 140.35pt;" valign="top" width="187">
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Virus Herpes Simpleks<o:p></o:p></span></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: 129.0pt;" valign="top" width="172">
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Asiklovir<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.1pt;" valign="top" width="35">
<div align="center" class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">3.<o:p></o:p></span></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: 3.0cm;" valign="top" width="113">
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Sifilis<o:p></o:p></span></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: 140.35pt;" valign="top" width="187">
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">T.pallidum<o:p></o:p></span></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: 129.0pt;" valign="top" width="172">
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Penisilin G, seftriakson, tetraksilin.<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 26.1pt;" valign="top" width="35">
<div align="center" class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">4.<o:p></o:p></span></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: 3.0cm;" valign="top" width="113">
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Sistisis akut<o:p></o:p></span></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: 140.35pt;" valign="top" width="187">
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">E. coli,S. saprophyticus<o:p></o:p></span></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: 129.0pt;" valign="top" width="172">
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Ampisilin,trimetropim<o:p></o:p></span></div>
</td>
</tr>
</tbody></table>
<br />
<a href="" name="_Toc338709019"><span style="color: windowtext; font-family: "Times New Roman","serif"; mso-fareast-font-family: Calibri;">2.3 Pemilihan antibiotik yang
aman untuk ibu hamil</span></a><br />
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Antibiotika banyak digunakan secara luas pada
kehamilan. Karena adanya efek samping yang potensial bagi ibu maupun janinnya,
penggunaan antibiotika seharusnya digunakan jika terdapat indikasi yang jelas.
Prinsip utama pengobatan wanita hamil dengan penyakit adalah dengan memikirkan
pengobatan apakah yang tepat jika wanita tersebut tidak dalam keadaan hamil.
Biasanya terdapat berbagai macam pilihan, dan untuk alasan inilah prinsip yang
kedua adalah mengevaluasi keamanan obat bagi ibu dan janinnya.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Kehamilan akan mempengaruhi pemilihan
antibiotik. Umumnya <i>penisilin dan</i> <i>sefalosporin</i> dianggap sebagai preparat
pilihan pertama pada kehamilan, karena pemberian sebagian besar antibiotik
lainnya berkaitan dengan peningkatan risiko malformasi pada janin. Bagi
beberapa obat antibiotik, seperti eritromisin, risiko tersebut rendah dan
kadang-kadang setiap risiko pada janin harus dipertimbangkan terhadap
keseriusan infeksi pada ibu. Beberapa jenis antibiotika dapat menyebabkan
kelainan pada janin. Hal ini terjadi karena antibiotika yang diberikan kepada
wanita hamil dapat mempengaruhi janin yang dikandungnya melalui plasenta.
Antibiotika yang demikian itu disebut teratogen suatu obat atau zat yang
menyebabkan pertumbuhan janin yang abnormal. Pada manusia, periode terjadinya
teratogenesis adalah mulai hari ke 17 sampai hari ke 54 post konsepsi. Besarnya
reaksi toksik atau kelainan yang ditimbulkan oleh antibiotika dipengaruhi oleh
:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l8 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%; mso-fareast-font-family: Calibri;">Besarnya dosis yang diberikan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l8 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%; mso-fareast-font-family: Calibri;">Lama dan saat pemberian.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l8 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<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%; mso-fareast-font-family: Calibri;">Sifat genetik ibu dan janin.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l8 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d.<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%; mso-fareast-font-family: Calibri;">Jenis antibiotik.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l8 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">e.<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%; mso-fareast-font-family: Calibri;">Trimester kehamilan.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Durasi penggunaan obat merupakan faktor
penting untuk diingat. Penggunaan antibiotik dalam jangka waktu lama bisa
menyebabkan kecacatan pada janin dan dalam kasus yang lebih buruk bisa menyebabkan
keguguran. Pasalnya, beberapa jenis antibiotik lebih aman digunakan pada
trimester tertentu.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Untuk keadaan hamil, apalagi masih dalam
trimester ketiga, pemberian antibiotik bisa sangat membahayakan janin, karena
hampir semua antibiotik memberikan efek samping mual, muntah, pusing dan
gangguan sistem pencernaan. Efek-efek samping yang ditimbulkan juga akan
menekan kehamilan. Bahkan ada antibiotik yang bisa menembus sampai ke sistem
kelenjar / cairan, seperti liur, kelenjar getah bening, cairan otak dan ASI.
Jika pada masa menyusui minum antibiotik, maka obat akan merembes di ASI dan
bayi akan minum ASI bercampur obat.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Namun bukan berarti ibu hamil dan menyusui
tidak boleh minum obat antibiotik, harus hati-hati dan perhatikan petunjuk
dokter tentang cara pemakaiannya. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Penisilin merupakan obat-obatan yang paling
umum digunakan selama kehamilan. Antibiotik ini dipasarkan dengan beberapa nama
seperti cephradine, cefalexin, cefuroxime, cefaclor, dan lain-lain. Obat yang
umum digunakan ini mengandung cloxacillin, amxycillin, dan methicillin.
Obat-obatan ini dinyatakan aman selama kehamilan.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; text-align: justify;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Berikut beberapa contoh antibiotik yang dinyatakan aman digunakan
selama kehamilan:<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 53.45pt; mso-add-space: auto; mso-list: l3 level1 lfo26; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%; mso-fareast-font-family: Calibri;">Amoxicillin<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 53.45pt; mso-add-space: auto; mso-list: l3 level1 lfo26; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%; mso-fareast-font-family: Calibri;">Ampicillin<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 53.45pt; mso-add-space: auto; mso-list: l3 level1 lfo26; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%; mso-fareast-font-family: Calibri;">Clindamycin<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 53.45pt; mso-add-space: auto; mso-list: l3 level1 lfo26; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%; mso-fareast-font-family: Calibri;">Erythromycin<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 53.45pt; mso-add-space: auto; mso-list: l3 level1 lfo26; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5)<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%; mso-fareast-font-family: Calibri;">Penicillin<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Berdasarkan indeks keamanan obat pada
kehamilan menurut United States Food and Drug Administration (US FDA),
klasifikasi obat berdasarkan tingkat keamanan penggunaannya selama
kehamilan dibagi dalam lima kategori. Lima kategori tersebut terdiri
dari A, B, C, D, dan X, dengan urutan yang paling aman hingga paling berbahaya.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Pada ibu hamil, penggunaan antibiotik dapat
dibagi menjadi 3 kelompok, yaitu:<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l24 level1 lfo3; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%; mso-fareast-font-family: Calibri;">Antibiotik
yang dianggap aman<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l24 level1 lfo3; tab-stops: list 36.0pt 54.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%; mso-fareast-font-family: Calibri;">Atibiotik yang harus diberikan secara hati-hati<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l24 level1 lfo3; tab-stops: list 36.0pt 54.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%; mso-fareast-font-family: Calibri;">Antibiotik yang merupakan kontraindikasi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">1. Antibiotik yang dianggap aman<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Kenyataannya amat jarang obat yang termasuk
kategori A, bahkan vitamin pun tergolong kategori B. Beberapa golongan
antibiotik kategori A:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 53.45pt; mso-add-space: auto; mso-list: l21 level1 lfo25; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%; mso-fareast-font-family: Calibri;">Golongan Penisilin dengan ikatan protein
rendah mampu melintasi plasenta dengan mudah dan dianggap aman untuk digunakan
namun beberapa golongan Metiltetrazoletiol harus digunakan lebih hati-hati.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 53.45pt; mso-add-space: auto; mso-list: l21 level1 lfo25; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%; mso-fareast-font-family: Calibri;">Golongan Makrolid tidak menunjukkan efek
samping yang berbahaya untuk janin, tetapi tetap diperhatikan kontraindikasi
pada kehamilan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 53.45pt; mso-add-space: auto; mso-list: l21 level1 lfo25; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%; mso-fareast-font-family: Calibri;">Golongan Nitrofurantion dan metronidazol juga
dapat dianggap aman.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">2. Antibiotik yang harus digunakaan hati-hati<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Obat yang termasuk kelompok ini hanya boleh
digunakan dalam kondisi tertentu yang sangat diperlukan. Golongan antibiotik B
diantaranya adalah Fluorokuinolon, Kontrimoksazol, dan Kloramfenikol. Pada
Kloramfenikol sebaiknya tidak digunakan selama kehamilan, kecuali bila obat
lain yang lebih aman tidak bisa digunakan. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">3. Antibiotik yang merupakan kontraindikasi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Antibiotik yang termasuk dalam golongan C
adalah Tetrasiklin dan Aminoglikosida. Tetrasiklin bila diberikan pada periode
perkembangan tulang dan gigi (bulan keempat dan kelima gestasi) menimbulkan
yellow dyscoloration yang akan mempengaruhi gigi dan tulang yang sedang
dibentuk. Sedangkan Aminoglikosida harus digunakan secara hati-hati
pada trimester kedua.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 35.45pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Adapun beberapa golongan antibiotic yang
memerlukan perhatian khusus bagi ibu hamil adalah :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 53.45pt; mso-add-space: auto; mso-list: l1 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%; mso-fareast-font-family: Calibri;">Golongan Aminoglikosida (biasanya dalam
turunan garam sulfate-nya), seperti amikacin sulfate, tobramycin sulfate,
dibekacin sulfate, gentamycin sulfate, kanamycin sulfate, dan netilmicin
sulfate.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 53.45pt; mso-add-space: auto; mso-list: l1 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%; mso-fareast-font-family: Calibri;">Golongan Sefalosporin, seperti : cefuroxime
acetyl, cefotiam diHCl, cefotaxime Na, cefoperazone Na, ceftriaxone Na,
cefazolin Na, cefaclor dan turunan garam monohydrate-nya, cephadrine, dan
ceftizoxime Na.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 53.45pt; mso-add-space: auto; mso-list: l1 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%; mso-fareast-font-family: Calibri;">Golongan Chloramfenicol, seperti :
chloramfenicol, dan thiamfenicol.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 53.45pt; mso-add-space: auto; mso-list: l1 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%; mso-fareast-font-family: Calibri;">Golongan Makrolid, seperti : clarithomycin,
roxirhromycin, erythromycin, spiramycin, dan azithromycin.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 53.45pt; mso-add-space: auto; mso-list: l1 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5)<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%; mso-fareast-font-family: Calibri;">Golongan Penicillin, seperti : amoxicillin,
turunan tridydrate dan turunan garamnya.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 53.45pt; mso-add-space: auto; mso-list: l1 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6)<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%; mso-fareast-font-family: Calibri;">Golongan Kuinolon, seperti : ciprofloxacin dan
turunan garam HCl-nya, ofloxacin, sparfloxacin dan norfloxacin.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 53.45pt; mso-add-space: auto; mso-list: l1 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">7)<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%; mso-fareast-font-family: Calibri;">Golongan Tetracyclin, seperti : doxycycline,
tetracyclin dan turunan HCl-nya (tidak boleh untuk wanita hamil), dan
oxytetracylin (tidak boleh untuk wanita hamil).<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 35.45pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Beberapa hal yang perlu dipertimbangkan dalam
pemberian obat pada ibu hamil adalah:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 53.45pt; mso-add-space: auto; mso-list: l25 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%; mso-fareast-font-family: Calibri;">Keamanan : meski ada obat lain yang
efektivitasnya lebih baik, tapi jika keamanannya bagi ibu hamil belum
diketahui, lebih baik tidak diberikan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 53.45pt; mso-add-space: auto; mso-list: l25 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%; mso-fareast-font-family: Calibri;">Dosis : pada awalnya pemberian obat harus
dalam dosis rendah. Jika perlu, penambahan dosis diberikan sedikit demi sedikit
sampai tercapai efek terapi yang diinginkan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 53.45pt; mso-add-space: auto; mso-list: l25 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%; mso-fareast-font-family: Calibri;">Durasi pemberian : jika tidak diperlukan
sekali, pemberian obat tidak boleh terlalu lama. Sampai akhirnya, pemberian
bermacam obat sedapat mungkin dihindari demi keselamatan ibu dan bayinya.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 53.45pt; mso-add-space: auto; mso-list: l25 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%; mso-fareast-font-family: Calibri;">Jenis dan cara kerja obat sebagai bahan
pertimbangan sebelum diberikan kepada ibu hamil.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 53.45pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<a href="" name="_Toc338709020"><span style="color: windowtext; font-family: "Times New Roman","serif"; mso-fareast-font-family: Calibri;">2.4 Studi kasus infeksi pada
ibu hamil</span></a><br />
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Studi terkini menyebutkan bahwa pemakaian
antibiotik untuk mengatasi infeksi saluran kemih pada ibu hamil akan
meningkatkan risiko anak cacat lahir. Peneliti menemukan fakta cacat lahir itu
pada dua jenis antibiotik, yaitu <i>sulfonamide
(contoh: Bactrim) dan nitrofurantoins (contoh: Macrobid).</i> Sementara itu,
antibiotik penicillins dan erythromycins, yang banyak diresepkan untuk ibu
hamil selama ini tergolong aman. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Infeksi merupakan penyebab utama kematian
prematur pada bayi. Meskipun terapi profilaksis antibiotik belum terbukti
bermanfaat, pemberian obat-obat antibiotik kepada ibu hamil dengan ketuban
pecah dini dapat memperlambat kelahiran dan menurunkan insidens infeksi. Penggunaan
antibiotik yang diketahui tidak aman itu harus menjadi perhatian para tenaga
kesehatan dalam mengambil keputusan untuk menangani infeksi pada ibu hamil. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Infeksi bakteri sangat berbahaya pada ibu
hamil dan janinnya. Pemakaian antibiotik perlu lebih diperhatikan, karena studi
mengenai pengaruh antibiotik terhadap ibu hamil belum banyak dilakukan. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Dalam investigasinya, peneliti menganalisis
enam jenis antibiotik pada 13.000 wanita hamil yang kandungannya terdeteksi
cacat dan juga 5.000 wanita hamil yang bebas dari cacat kandungan. Sebanyak 30
persen wanita dalam grup tersebut mengonsumsi antibiotik selama kehamilan, terutama
pada trimester pertama. Hasilnya ternyata, sebanyak 14% wanita yang melahirkan
anak cacat diketahui menggunakan antibiotik beberapa bulan sebelum kehamilan
dan pada trimester pertama. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Antibiotik sulfonamide terkait dengan enam
jenis cacat lahir, sedangkan nitrofurantoins terkait pada empat jenis cacat.
Dua jenis antibiotik ini berisiko paling banyak menghasilkan cacat lahir
dibanding antibiotik lain yang risiko cacat lahirnya hanya 1 jenis. Cacat lahir
itu antara lain ketidak normalan jantung yang dikenal dengan (hypoplastic left
heart syndrome). Penggunaan sulfonamides akan meningkatkan risiko cacat
tersebut hingga 4 kali lipat. Terjadi pada 1 dari 42.000 kelahiran. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Studi ini dimuat dalam <b><u>Archives of Pediatrics & Adolescent Medicine</u></b> dan
diharapkan menjadi panduan para tenaga kesehatan dan ibu hamil untuk
menggunakan antibiotik yang lebih aman. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Ada kalanya, ibu hamil yang mengalami infeksi
memerlukan penggunaan antibiotik sebagai pilihan obat. Sebagian antibiotik pada
semua fase kehamilan aman dikonsumsi, sebagian lagi dikontraindikasikan pada
fase tertentu, dan ada juga yang dikontraindikasikan untuk semua fase
kehamilan.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; text-align: justify;">
<br /></div>
<a href="" name="_Toc338709021"><span style="color: windowtext; font-family: "Times New Roman","serif"; mso-fareast-font-family: Calibri;">2.5 Menelaah kasus
berdasarkan kajian farmakoterapi</span></a><br />
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<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Penyakit infeksi merupakan penyakit yang
banyak kita temui dimasyarakat kita atau bahkan menimpa kita sendiri.
Antiinfeksi atau antibiotik merupakan golongan obat yang paling banyak
digunakan dan paling banyak disalahgunakan juga. Penyakit infeksi adalah suatu
penyakit yang disebabkan oleh agen patogen yang masuk ke dalam tubuh dan memicu
perkembangan infeksi. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Agen patogen ini dapat berupa bakteri, virus,
jamur (fungi), parasit.<br />
Penyakit infeksi merupakan jenis penyakit yang sangat mudah menyebar dan
menular, akibat perpindahan atau pergerakan agen patogen tersebut dari satu
individu ke individu lainnya. Penularan infeksi dapat terjadi melalui:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; mso-list: l0 level1 lfo27; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%; mso-fareast-font-family: Calibri;">Kontak fisik penderita dengan individu lainnya<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l0 level1 lfo27; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%; mso-fareast-font-family: Calibri;">Udara yang terkontaminasi agen patogen<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l0 level1 lfo27; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%; mso-fareast-font-family: Calibri;">Makanan yang terkontaminasi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l0 level1 lfo27; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%; mso-fareast-font-family: Calibri;">Cairan tubuh (darah, mukus, urin)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; mso-list: l0 level1 lfo27; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5)<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%; mso-fareast-font-family: Calibri;">Vektor pembawa agen patogen (lalat, nyamuk,
atau binatang lainnya)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Tingkat keparahan penyakit infeksi pada
seseorang bervariasi, yang sangat dipengaruhi kondisi kekebalan tubuh (sistem
imun) seseorang tersebut. Seseorang yang kontak dengan agen patogen dapat
mengalami infeksi atau bebas dari infeksi agen patogen tersebut. Sedangkan pada
orang yang telah terinfeksi sebagian akan menunjukan gejala sakit dan dapat
berkembang semakin parah dan sebagian lainnya asimptomatik dan kebal terhadap
infeksi tersebut. Penyakit infeksi juga merupakan penyebab kematian yang paling
banyak terjadi. Penggunaan antibiotik yang tidak rasional tersebut memicu
cepatnya proses perkembangan resistensi antibiotik.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Antiinfeksi dapat berupa antibiotik atau antimikroba,
antivirus, antifungi, antiparasit.Antibiotik merupakan agen antiinfeksi yang
paling banyak digunakan. Konsep penggunaan antibiotik dapat berupa terapi
spesifik, pencegahan (profilaksis) dan terapi empirik: <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l5 level1 lfo28; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%; mso-bidi-font-style: italic; mso-fareast-font-family: Calibri;">Terapi Spesifik</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Pada terapi ini, antibiotik digunakan untuk mengobati penyakit yang
disebabkan oleh organisme penginfeksi dimana pilihan antimikroba yang tepat
telah diketahui. Antibiotik yang digunakan dalam terapi ini telah teruji,
sehingga pemilihannya relatif mudah berdasarkan sensitivitas mikroba dan
kondisi pasiennya, disamping faktor lain seperti biaya.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l5 level1 lfo28; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%; mso-bidi-font-style: italic; mso-fareast-font-family: Calibri;">Terapi Empirik</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Terapi empirik antibiotik adalah terapi terhadap organisme penginfeksi
dan antimikroba tepatnya belum diketahui, tetapi dapat diprediksi
berdasarkan studi sebelumnya. Terapi ini harus dilakukan pada penyakit-penyakit
infeksi yang serius dan bersifat <i>life-threatening</i>. Pemilihan
antibiotik didasarkan pada pengalaman klinis dengan menggunakan antibiotik
tertentu yang diduga akan efektif pada kondisi tersebut. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l5 level1 lfo28; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%; mso-bidi-font-style: italic; mso-fareast-font-family: Calibri;">Terapi Profilaksis</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Terapi profilaksis adalah terapi antibiotik yang diberikan dengan
tujuan pencegahan infeksi spesifik pada beberapa individu atau infeksi pasca
operasi. Dalam terapi profilaksis operasi antibiotik jangka pendek diberikan
sebelum terdapat bukti klinis terjadinya infeksi. Dalam terapi ini perlu
dilakukan pertimbangan berikut:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l4 level1 lfo31; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">A.<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%; mso-bidi-font-style: italic; mso-fareast-font-family: Calibri;">Pertimbangan
Pemilihan Antibiotika</span></b><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;"><o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Dalam pemilihan antibiotik, maka perlu
dilakukan pertimbangan-pertimbangan berikut:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 60.55pt; mso-add-space: auto; mso-list: l31 level1 lfo29; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%; mso-fareast-font-family: Calibri;">Mengidentifikasi organisme penginfeksi berdasarkan
informasi klinis, tropisme jaringan, dan data mikrobiologi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 60.55pt; mso-add-space: auto; mso-list: l31 level1 lfo29; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%; mso-fareast-font-family: Calibri;">Kesesuaian antimikroba dan mikroba penginfeksi
harus diketahui.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 60.55pt; mso-add-space: auto; mso-list: l31 level1 lfo29; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%; mso-fareast-font-family: Calibri;">Pemilihan obat juga harus menjamin tercapainya
konsentrasi terapeutik pada tempat infeksi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 60.55pt; mso-add-space: auto; mso-list: l31 level1 lfo29; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%; mso-fareast-font-family: Calibri;">Spektrum dan cara kerja antibiotik.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 60.55pt; mso-add-space: auto; mso-list: l31 level1 lfo29; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5)<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%; mso-fareast-font-family: Calibri;">Faktor kondisi pasien. Dalam pemilihan
antibiotik ini harus diperhatikan juga usia, status imunologi, keberadaan benda
asing (<i>pace maker</i>), sejarah reaksi alergi, disfungsi ginjal dan atau
hati, adanya penyakit tertentu, kehamilan dan ibu menyusui, serta faktor
genetik. Adanya benda asing dalam tubuh seperti alat pacu jantung dan alat-alat
lain dapat menurunkan aktivitas antibiotik.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 60.55pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l4 level1 lfo31; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%; mso-bidi-font-style: italic; mso-fareast-font-family: Calibri;">Cara Kerja
Antibiotik</span></b><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;"><o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Setiap antibiotik dapat memiliki mekanisme kerja
yang khas dalam peranannya menghambat/membunuh bakteri patogen. Namun secara
umum, berdasarkan cara kerjanya antibiotik dapat digolongkan menjadi:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 60.55pt; mso-add-space: auto; mso-list: l26 level1 lfo30; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%; mso-fareast-font-family: Calibri;">Antibiotik bakterisida, yaitu antibiotik yang
dapat menyebabkan kematian mikroba pada konsentrasi yang dapat dicapai secara
klinis. Contoh: beta laktam, glikoprotein, aminoglikosida, kuinolon dan
metronidazol.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 60.55pt; mso-add-space: auto; mso-list: l26 level1 lfo30; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%; mso-fareast-font-family: Calibri;">Antibiotik bakteriostatik, yaitu antibiotik
yang menghambat pertumbuhan mikroba pada konsentrasi yang dapat dicapai secara
klinis. Contoh: klindamisin, makrolida, sulfonamida, trimetoprim, tetrasiklin
dan kloramfenikol.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l4 level1 lfo31; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%; mso-bidi-font-style: italic; mso-fareast-font-family: Calibri;">Durasi Terapi
Antibiotik</span></b><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;"><o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Untuk mengasilkan efek terapi yang tepat,
antibiotik harus diberikan pada rentang waktu yang tepat pula. Panduan umum
sehubungan dengan durasi terapi antibiotik adalah sekurang-kurangnya 72 jam
pada terapi infeksi akut yang tidak kompleks. Sedangkan pada infeksi kronis
seperti endokarditis dan osteomyelitis, terapi memerlukan durasi yang lebih
panjang, yaitu berkisar antara 4-6 minggu dengan analisis lanjutan untuk
menilai keberhasilan terapi.<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%; mso-fareast-font-family: "Times New Roman";">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%; mso-bidi-font-style: italic; mso-fareast-font-family: Calibri;">Komplikasi Terapi
Antibiotika</span></b><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;"><o:p></o:p></span></b></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Komplikasi terapi antibiotika dapat
mengakibatkan terjadinya:<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%; mso-fareast-font-family: Calibri;">Hipersensitivitas, contoh pada penisilin<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%; mso-fareast-font-family: Calibri;">Toksisitas langsung, contoh aminoglikosida
pada konsentrasi tinggi<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%; mso-fareast-font-family: Calibri;">Superinfeksi, contoh antibiotika spektrum luas
atau kombinasi antibiotika<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%; mso-fareast-font-family: "Times New Roman";">E.<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%; mso-bidi-font-style: italic; mso-fareast-font-family: Calibri;">Efektivitas Terapi
Antibiotika</span></b><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;"><o:p></o:p></span></b></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Untuk menilai efektivitas terapi antibiotika
dapat dilihat/dikaji dari berbagai parameter-parameter klinis berikut:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 60.55pt; mso-add-space: auto; mso-list: l10 level1 lfo33; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%; mso-fareast-font-family: Calibri;">Derajat demam. Demam merupakan parameter
penting untuk menilai respon terapi antibiotika. Karena demam merupakan salah
satu gejala adanya infeksi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 60.55pt; mso-add-space: auto; mso-list: l10 level1 lfo33; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%; mso-fareast-font-family: Calibri;">Jumlah sel darah putih (neutrofil), jumlah sel
darah putih pada tahap awal infeksi akan meningkat secara signifikan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 60.55pt; mso-add-space: auto; mso-list: l10 level1 lfo33; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%; mso-fareast-font-family: Calibri;">Data radiografi; effusi kecil, abses, dan
ruang yang muncul menandakan adanya pusat infeksi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 60.55pt; mso-add-space: auto; mso-list: l10 level1 lfo33; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%; mso-fareast-font-family: Calibri;">Nyeri dan inflamasi; pembengkakan, eritema,
permukaan yang empuk/lunak muncul pada infeksi permukaan, sendi dan tulang.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 60.55pt; mso-add-space: auto; mso-list: l10 level1 lfo33; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5)<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%; mso-fareast-font-family: Calibri;">Laju endap darah (LED), peningkatan LED
berkaitan dengan infeksi akut maupun kronis, seperti: endokarditis,
osteomyelitis, dan infeksi intraabdominal.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 60.55pt; mso-add-space: auto; mso-list: l10 level1 lfo33; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6)<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%; mso-fareast-font-family: Calibri;">Konsentrasi komponen serum, khususnya komponen
C3 akan turun pada infeksi yang serius.<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%; mso-fareast-font-family: "Times New Roman";">F.<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%; mso-bidi-font-style: italic; mso-fareast-font-family: Calibri;">Kegagalan Terapi
Antibiotika</span></b><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;"><o:p></o:p></span></b></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Kegagalan terapi antibiotika dapat terjadi
akibat beberapa faktor berikut:<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%; mso-fareast-font-family: Calibri;">Salah diagnosa (<i>unsuspected infection</i>)<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%; mso-fareast-font-family: Calibri;">Regimen obat yang tidak tepat baik dari segi
dosis, rute pemberian, frekuensi dan durasinya.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 60.55pt; mso-add-space: auto; mso-list: l33 level1 lfo34; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%; mso-fareast-font-family: Calibri;">Pemilihan antibiotika yang tidak tepat<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 60.55pt; mso-add-space: auto; mso-list: l33 level1 lfo34; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%; mso-fareast-font-family: Calibri;">Resistensi mikroba<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5)<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%; mso-fareast-font-family: Calibri;">Ekspektasi yang berlebihan; nekrosis jaringan,
pengurasan secara operasi, demam virus, artritis, neoplasma, dan reaksi obat<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 60.55pt; mso-add-space: auto; mso-list: l33 level1 lfo34; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6)<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%; mso-fareast-font-family: Calibri;">Infeksi oleh dua atau lebih mikroba<o:p></o:p></span></div>
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<a href="" name="_Toc338709022"><span style="color: windowtext; font-family: "Times New Roman","serif"; mso-fareast-font-family: Calibri;">BAB III</span></a></div>
<a href="" name="_Toc338709023"></a><div style="text-align: center;">
<a href="" name="_Toc338709023"></a><a href="" name="_Toc338709023"><span style="color: windowtext; font-family: "Times New Roman","serif"; mso-fareast-font-family: Calibri;">PENUTUP</span></a></div>
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<a href="" name="_Toc338709024"><span style="color: windowtext; font-family: "Times New Roman","serif"; mso-fareast-font-family: Calibri;">3.1 KESIMPULAN</span></a><br />
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Kemajuan bidang kesehatan diikuti dengan kemunculan obat-obat
antibiotik yang baru menambah tantangan untuk mengusai terapi medikamentosa
ini. Antibiotik tidak hanya dari satu jenis saja. Beberapa senyawa-senyawa yang
berbeda dan berlainan ternyata mempunyai kemampuan dalam membunuh mikroba.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Penisilin merupakan obat-obatan yang paling umum digunakan selama
kehamilan. Antibiotik ini dipasarkan dengan beberapa nama seperti cephradine,
cefalexin, cefuroxime, cefaclor, dan lain-lain. Obat yang umum digunakan ini
mengandung cloxacillin, amxycillin, dan methicillin. Obat-obatan ini dinyatakan
aman selama kehamilan.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Berikut beberapa contoh antibiotik yang dinyatakan aman digunakan
selama kehamilan:<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">1) Amoxicillin<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">2) Ampicillin<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">3) Clindamycin<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">4) Erythromycin<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">5) Penicillin<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Berdasarkan
indeks keamanan obat pada kehamilan menurut United States Food and Drug
Administration (US FDA), klasifikasi obat berdasarkan tingkat keamanan
penggunaannya selama kehamilan dibagi
dalam lima kategori. Lima kategori tersebut terdiri dari A, B, C, D, dan X,
dengan urutan yang paling aman hingga paling berbahaya.<o:p></o:p></span></div>
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<a href="" name="_Toc338709025"><span style="color: windowtext; font-family: "Times New Roman","serif"; mso-fareast-font-family: Calibri;">DAFTAR PUSTAKA</span></a></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Farmakologi dan Terapi, Edisi 5. 2007. Departemen
Farmakologi Dan Terapeutik Fakultas Kedokteran Universitas Indonesia<o:p></o:p></span></div>
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<i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Disimpulkan oleh: Linda Wati dari buku
berjudul Penyakit-Penyakit Pada Kehamilan: Peran Seorang Internis, diterbitkan
oleh Pusat Penerbitan Ilmu Penyakit Dalam FKUI.<span style="color: #0070c0;"><o:p></o:p></span></span></i></div>
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<i><span style="color: #0070c0; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">http://www.mediaindonesia.com/mediahidupsehat/index.php/<o:p></o:p></span></i></div>
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Anonymoushttp://www.blogger.com/profile/09877824835430540158noreply@blogger.com1tag:blogger.com,1999:blog-8430991463257497357.post-9973932070833566392013-05-17T01:19:00.001-07:002013-05-17T01:19:25.996-07:00PRAKTIKUM FARMAKOLOGI (KAPSUL)<br />
<div class="separator" style="clear: both; text-align: center;">
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<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><br /></span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">LAPORAN
PRAKTIKUM FARMAKOLOGI<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">KAPSUL<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Resep
no. : 027<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bentuk
Sediaan : Kapsul<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">A.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dasar
Teori <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kapsul
adalah sediaan padat yang terbungkus dalam cangkang keras atau lunak yang dapat
larut. Sediaan ini dibuat untuk mengemas racikan obat yang terdiri dari
beberapa macam bahan dengan dosis yang sesuai. Istilah kapsul berasal dari
bahasa latin “capsula” yang berarti kotak kecil.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Oleh
karena itu, pada abad XIX ada masalah dengan rasa dan bau obat yang tidak enak,
khususnya herbal sehingga diciptakannya kapsul. Sediaan dalam bentuk kapsul
sangat menguntungkan karena rasa dan bau yang tidak mengenakkan, dapat
tertutupi sehingga semakin mudah untuk ditelan atau dikonsumsi. Selain itu
juga, lebih cepat mengerjakannya dibanding sediaan lain berupa tablet dan pil yang
memerlukan zat tambahan. Disamping bentuknya yang menarik dan praktis,
keuntungan lainnya dari sediaan kapsul yaitu, dokter dapat mengkombinasikan
beberapa macam obat dan dosis yang berbeda sesuai kebutuhan pasien.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kapsul adalah
bentuk sediaan obat terbungkus cangkag kapsul, keras atau lunak. Cangkang
kapsul dibuat dari gelatin dengan atau tanpa zat tambahan lain (Anonim,
1979). Dalam Formularium Nasioanl, kapsul didefinisikan sebagai sediaan
berupa serbuk yang diisikan dalam cangkang kapsul atau berupa cairan, setengah
padat yang dibungkus dengan kapsul dasar (Anonim, 1978).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bentuk
kapsul bermacam – macam, misalnya bulat, oval, panjang, dan silinder. Biasanya
kapsul dibuat dari gelatin USP yang dikeruhkan dengan TiO<sub>2</sub> (putih)
dan diberi warna bervariasi sesuai dengan yang diinginkan untuk <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">membedakan
isinya. Biasanya tutup wadahnya diberi warna yang berbeda. Ukuran kapsul juga
dibedakan oleh panjang dan diameter dari kapsul yang dinyatakan dalam angka –
angka. Kapasitas muatannya tergantung dari jenis zat yang dimasukkan. Biasanya
bila voluminius, kapasitasnya lebih kecil (Chaerunnisa, dkk, 2009). <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ukuran cangkang
kapsul bermacam – macam dan dapat dilihat pada tabel berikut ini :<o:p></o:p></span></div>
<table border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="background: #77C4EE; border-collapse: collapse; margin-left: 27.9pt; mso-padding-alt: 0cm 0cm 0cm 0cm; mso-yfti-tbllook: 1184;">
<tbody>
<tr>
<td style="background: transparent; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 46.8pt;" width="62">
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ukuran<o:p></o:p></span></div>
</td>
<td style="background: transparent; border-left: none; border: solid windowtext 1.0pt; mso-border-left-alt: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt;">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; text-align: center; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perkiraan
Volume (ml)<o:p></o:p></span></div>
</td>
<td style="background: transparent; border-left: none; border: solid windowtext 1.0pt; mso-border-left-alt: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt;">
<div align="center" class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; text-align: center; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perkiraan
Jumlah Serbuk<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="background: transparent; border-top: none; border: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 46.8pt;" width="62">
<div align="center" class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; text-align: center; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">000<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; padding: 0cm 5.4pt 0cm 5.4pt;">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; text-align: center; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">1,4<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; padding: 0cm 5.4pt 0cm 5.4pt;">
<div align="center" class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; text-align: center; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">0,43
– 1,8 gr<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="background: transparent; border-top: none; border: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 46.8pt;" width="62">
<div align="center" class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; text-align: center; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">00<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; padding: 0cm 5.4pt 0cm 5.4pt;">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; text-align: center; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">0,95<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; padding: 0cm 5.4pt 0cm 5.4pt;">
<div align="center" class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; text-align: center; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">0,39
– 1,3 gr<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="background: transparent; border-top: none; border: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 46.8pt;" width="62">
<div align="center" class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; text-align: center; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">0<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; padding: 0cm 5.4pt 0cm 5.4pt;">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; text-align: center; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">0,68<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; padding: 0cm 5.4pt 0cm 5.4pt;">
<div align="center" class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; text-align: center; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">325
– 900 mg<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="background: transparent; border-top: none; border: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 46.8pt;" width="62">
<div align="center" class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; text-align: center; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">1<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; padding: 0cm 5.4pt 0cm 5.4pt;">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; text-align: center; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">0,5<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; padding: 0cm 5.4pt 0cm 5.4pt;">
<div align="center" class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; text-align: center; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">227
– 650 mg<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="background: transparent; border-top: none; border: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 46.8pt;" width="62">
<div align="center" class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; text-align: center; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2<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; padding: 0cm 5.4pt 0cm 5.4pt;">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; text-align: center; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">0,37<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; padding: 0cm 5.4pt 0cm 5.4pt;">
<div align="center" class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; text-align: center; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">200
– 520 mg<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="background: transparent; border-top: none; border: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 46.8pt;" width="62">
<div align="center" class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; text-align: center; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">3<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; padding: 0cm 5.4pt 0cm 5.4pt;">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; text-align: center; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">0.3<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; padding: 0cm 5.4pt 0cm 5.4pt;">
<div align="center" class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; text-align: center; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">120
– 390 mg<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="background: transparent; border-top: none; border: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 46.8pt;" width="62">
<div align="center" class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; text-align: center; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">4<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; padding: 0cm 5.4pt 0cm 5.4pt;">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; text-align: center; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">0,21<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; padding: 0cm 5.4pt 0cm 5.4pt;">
<div align="center" class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; text-align: center; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">100
– 260 mg<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="background: transparent; border-top: none; border: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 46.8pt;" width="62">
<div align="center" class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; text-align: center; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">5<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; padding: 0cm 5.4pt 0cm 5.4pt;">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; text-align: center; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">0,13<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; padding: 0cm 5.4pt 0cm 5.4pt;">
<div align="center" class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; text-align: center; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">65
– 130 mg<o:p></o:p></span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">(Ansel &
Prince, 2006).<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kebanyakan
kapsul – kapsul yang beredar di pasaran adalah kapsul yang semuanya dapat ditelan
oleh pasien untuk keuntungan dalam pengobatan. Kapsul gelatin keras merupakan
jenis yang digunakan oleh ahli farmasi dalam menggabungkan obat – obat. Kapsul
gelatin lunak mengandung lebih banyak uap air daripada kapsul keras, sehingga
pada pembuatannya ditambah bahan pengawet untuk mencegah timbulnya jamur dalam
cangkang kapsul. Persiapan pengisian kapsul dapat dibagi dalam beberapa tahap.
Tahap pertama adalah persiapan dan pengembagan formulasi serta pemilihan ukuran
kapsul. Kedua, pengisian cangkang kapsul. Ketiga, pembersihan dan pemolesan
kapsul (Ansel, 1989). <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<a name='more'></a><br />
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; mso-list: l6 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">B.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Resep
<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l8 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Resep
yang dikerjakan pada praktikum <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kapsul<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">R/
tetracyclin 500 mg<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">m.f
caps. dtd. No X <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pro:
Bp. Sutarto<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 15.75pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Keterangan :<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 15.75pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
<table border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="background: #77C4EE; border-collapse: collapse; margin-left: 41.4pt; mso-padding-alt: 0cm 0cm 0cm 0cm; mso-yfti-tbllook: 1184;">
<tbody>
<tr>
<td style="background: transparent; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.5pt;" width="34">
<div align="center" class="MsoNormal" style="line-height: 15.75pt; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">No<o:p></o:p></span></div>
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<td style="background: transparent; border-left: none; border: solid windowtext 1.0pt; mso-border-left-alt: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt;">
<div align="center" class="MsoNormal" style="line-height: 15.75pt; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Singkatan<o:p></o:p></span></div>
</td>
<td style="background: transparent; border-left: none; border: solid windowtext 1.0pt; mso-border-left-alt: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt;">
<div align="center" class="MsoNormal" style="line-height: 15.75pt; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Bahasa Latin<o:p></o:p></span></div>
</td>
<td style="background: transparent; border-left: none; border: solid windowtext 1.0pt; mso-border-left-alt: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt;">
<div align="center" class="MsoNormal" style="line-height: 15.75pt; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Arti<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="background: transparent; border-top: none; border: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.5pt;" width="34">
<div align="center" class="MsoNormal" style="line-height: 15.75pt; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">1.<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; padding: 0cm 5.4pt 0cm 5.4pt;">
<div align="center" class="MsoNormal" style="line-height: 15.75pt; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">R/<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; padding: 0cm 5.4pt 0cm 5.4pt;">
<div align="center" class="MsoNormal" style="line-height: 15.75pt; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Recipe<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; padding: 0cm 5.4pt 0cm 5.4pt;">
<div align="center" class="MsoNormal" style="line-height: 15.75pt; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Ambillah<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="background: transparent; border-top: none; border: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.5pt;" width="34">
<div align="center" class="MsoNormal" style="line-height: 15.75pt; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">2.<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; padding: 0cm 5.4pt 0cm 5.4pt;">
<div align="center" class="MsoNormal" style="line-height: 15.75pt; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Caps.<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; padding: 0cm 5.4pt 0cm 5.4pt;">
<div align="center" class="MsoNormal" style="line-height: 15.75pt; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Capsulae<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; padding: 0cm 5.4pt 0cm 5.4pt;">
<div align="center" class="MsoNormal" style="line-height: 15.75pt; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Kapsul<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="background: transparent; border-top: none; border: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.5pt;" width="34">
<div align="center" class="MsoNormal" style="line-height: 15.75pt; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">3.<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; padding: 0cm 5.4pt 0cm 5.4pt;">
<div align="center" class="MsoNormal" style="line-height: 15.75pt; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">pro<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; padding: 0cm 5.4pt 0cm 5.4pt;">
<div align="center" class="MsoNormal" style="line-height: 15.75pt; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">pro<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; padding: 0cm 5.4pt 0cm 5.4pt;">
<div align="center" class="MsoNormal" style="line-height: 15.75pt; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Untuk<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="background: transparent; border-top: none; border: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.5pt;" width="34">
<div align="center" class="MsoNormal" style="line-height: 15.75pt; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">4.<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; padding: 0cm 5.4pt 0cm 5.4pt;">
<div class="MsoNormal" style="line-height: 15.75pt; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">m.f.caps. dtd No. X<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; padding: 0cm 5.4pt 0cm 5.4pt;">
<div class="MsoNormal" style="line-height: 15.75pt; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Misce fuc capsulae da
tales doses numero X<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; padding: 0cm 5.4pt 0cm 5.4pt;">
<div class="MsoNormal" style="line-height: 15.75pt; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; font-size: 12pt;">Campur dan buatlah
masukkan ke dalam kapsul berilah sesuai dengan takaran sebanyak sepuluh
kapsul<o:p></o:p></span></div>
</td>
</tr>
</tbody></table>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l8 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Khasiat
Obat <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bruselosis, batuk rejan, pneumonia, demam
yang disebabkan oleh Rickettsia, infeksi saluran kemih, bronkitis kronik.
Psittacosis dan Lymphogranuloma inguinale. Juga untuk pengobatan
infeksi-infeksi yang disebabkan oleh Staphylococcus dan Streptococcus pada
penderita yang peka terhadap penisilin, disentri amuba, frambosia, gonore dan
tahap tertentu pada sifilis.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tetracycline merupakan antibiotik
bakteriostatis yang berikatan dengan subunit ribosomal 16S-30S dan cara kerja
antibiotik ini mencegah pengikatan aminoasil-tRNA dari situs A pada ribosom,
sehingga dengan demikian akan menghambat translasi protein. Namun antibiotik
jenis ini memiliki efek samping yaitu menyebabkan gigi menjadi berwarna dan
dampaknya terhadap ginjal dan hati.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l8 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perhitungan
Dosis<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l14 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dewasa:
4 kali sehari 250 mg – 500 mg.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Lama
pemakaian:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kecuali
apabila terjadi hal-hal yang tidak diinginkan, pengobatan dengan Tetracycline
kapsul hendaknya paling sedikit berlangsung selama 3 hari, agar kuman-kuman
penyebab penyakit dapat terberantas seluruhnya dan untuk mencegah terjadinya
resistansi bakteri terhadap tetrasiklin.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">(
Lengkapi lagi yaw untuk perhitungan dosisnya……………………………………<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%; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Cara
Kerja <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tetrasiklin HCl termasuk golongan tetrasiklin,
mempunyai spektrum luas dan bersifat bakteriostatik, cara kerjanya dengan
menghambat pembentukan protein pada bakteri.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tetrasiklin
membentuk kompleks khelat dengan ion-ion kalsium, magnesium, besi dan
aluminium. Maka sebaiknya tidak diberikan bersamaan dengan tonikum-tonikum yang
mengandung besi atau dengan antasida berupa senyawa aluminium, amgnesium. Susu
mengandung banyak kalsium, sehingga sebaiknya tidak diminum bersamaan dengan
susu.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pengobatan
dengan tetrasiklin jangan dikombinasikan dengan penisilin atau sefalosporin.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Karbamazepin
dan fenitoin: menurunkan efektifitas tetrasiklin secara oral.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tetrasiklin
akan memperpanjang kerja antikluogulan kumarin, sehingga proses pembekuan akan
tertunda.<o:p></o:p></span></div>
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<br /></div>
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<br /></div>
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<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; mso-list: l8 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Laboratorium
STIKES<o:p></o:p></span></div>
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Yogyakarta<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: 150%;">No
: 027 Selasa, 27
November 2012<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bp.
Sutarto<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: 150%;">4
x sehari 1 kapsul<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: 150%;">Diminum
sampai habis <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: 150%;">Sebelum
makan atau 2 jam sesudah makan<o:p></o:p></span></div>
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<br /></div>
<br clear="ALL" />
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; mso-list: l11 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">C.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pembahasan<o:p></o:p></span></div>
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<br /></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dalam
Farmakope Indonesia Edisi III, kapsul adalah bentuk sediaan obat terbungkus
cangkag kapsul, keras atau lunak. Cangkang kapsul dibuat dari gelatin dengan
atau tanpa zat tambahan lain. Bentuk kapsul bermacam – macam, misalnya bulat,
oval, panjang, dan silinder. Warna kapsul dibuat bervariasi sesuai dengan yang
diinginkan untuk membedakan isinya.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pada
praktikum ini dibuat obat dalam bentuk kapsul. Pada dasarnya sediaan kapsul
sudah tepat diberikan untuk pasien dewasa, karena pada umumya orang dewasa
tidak mengalami kesulitan dalam mengonsumsi obat. Selain itu, pembuatan obat
dalam bentuk kapsul juga memiliki beberapa keuntungan, diantaranya : bisa
menutupi obat atau zat – zat yang rasa dan baunya kurang enak; tidak diperlukan
zat tambahan (corigens), seperti corigens coloris (warna), corigen odoris
(bau), corigens saporis (rasa); tidak memerlukan zat tambahan atau zat pengisi;
cepat melepaskan zat berkhasiatnya dalam jumlah yang seragam dan segera bekerja
pada lambung; berdasarkan warna dapat dibedakan isi kapsul; dan lain – lain.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Namun,
obat dalam sediaan kapsul juga memiliki beberapa kerugian, diantaranya : tidak
sesuai untuk bahan obat yang mudah larut (KCl, KBr, NH4Br, CaCl2) karena dapat
mengiritasi lambung; tidak cocok untuk zat – zat yang mudah menguap karena pori
– pori kapsul tidak bisa menahannya; pada kelembaban tinggi kapsul akan berubah
bentuk, pada kelembaban rendah sifatnya rapuh sehingga pewadahan harus dalam
pot gelas disimpan di tempat sejuk dan kering.<o:p></o:p></span></div>
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<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: center; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">HASIL
LAPORAN PRAKTIKUM <o:p></o:p></span></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: center; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">III.
KAPSUL<o:p></o:p></span></div>
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<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 252.0pt; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Selasa, 27 November 2012<o:p></o:p></span></div>
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<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-indent: 18.0pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">R/ tetracyclin
500 mg<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">m.f
caps. dtd. No X <o:p></o:p></span></div>
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<br /></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pro:
Bp. Sutarto<o:p></o:p></span></div>
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<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; mso-list: l5 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Problema Resep <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l3 level1 lfo5; text-align: justify; text-indent: -36.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tujuan <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: 150%;">Kapsul
merupakan sediaan padat yang terdiri dari obat dalam cangkang keras atau lunak
yang dapat larut. Keuntungan/tujuan sediaan kapsul yaitu:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l0 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menutupi
bau dan rasa yang tidak enak<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l0 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menghindari
kontak langsung dengan udara dan sinar matahari<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l0 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Lebih
enak dipandang<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l0 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dapat
untuk 2 sediaan yang tidak tercampur secara fisis (income fisis), dengan
pemisahan antara lain menggunakan kapsul lain yang lebih kecil kemudian
dimasukkan bersama serbuk lain ke dalam kapsul yang lebih besar.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l0 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mudah
ditelan.<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: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jumlah Penimbangan
Bahan Obat <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: 150%;">Tetracyclin,
sebanyak 500x10 = 5000mg<o:p></o:p></span></div>
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<br /></div>
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<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l3 level1 lfo5; text-align: justify; text-indent: -36.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Etiket yang Digunakan<o:p></o:p></span></div>
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id="_x0000_t32" coordsize="21600,21600" o:spt="32" o:oned="t" path="m,l21600,21600e"
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<td><img height="292" src="file:///C:/Users/OLDSCH~1/AppData/Local/Temp/msohtmlclip1/01/clip_image006.png" v:shapes="_x0000_s1032 _x0000_s1033 _x0000_s1034" width="329" /></td>
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<!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> </span></div>
<br clear="ALL" />
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> Laboratorium STIKES<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: 150%;"> Respati
Yogyakarta<o:p></o:p></span></div>
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<br /></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">No : 027
Selasa, 27 November 2012<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: 150%;">Bp. Sutarto<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">4 x sehari 1
kapsul<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: 150%;">Diminum sampai
habis <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: 150%;">Sebelum makan
atau 2 jam sesudah makan<o:p></o:p></span></div>
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<td align="left" colspan="3" valign="top"><img height="2" src="file:///C:/Users/OLDSCH~1/AppData/Local/Temp/msohtmlclip1/01/clip_image008.png" v:shapes="_x0000_s1036" width="329" /></td>
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<!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> </span></div>
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<br /></div>
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<br /></div>
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<br /></div>
<br clear="ALL" />
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; mso-list: l5 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Cara
Pembuatan <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: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Timbang
tetracyclin yang dibutuhkan, sebanyak 500 x10 = 5000 mg<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l10 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gerus
tetracyclin dalam mortir, bagi sama banyak sesuai resep, seperti pada pulveres.<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: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Masukkan
serbuk tetracyclin yang sudah dibagi masing-masing ke dalam cangkang kapsul
yang sesuai dengan ukuran dan ditutup.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l10 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bersihkan
kapsul dengan lap kering dan bersih.<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: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Masukkan
ke dalam plastic dan beri etiket.<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>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; mso-list: l5 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Permasalahan
<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l2 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tujuan
Pengobatan Tetracyclin<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: 150%;">Tetracycline merupakan obat spektrum
luas pertama dan telahdigunakan sewenang-wenang. Merupakan obat terpilih untuk
infeksiMycoplasma pneumoniae, Clamidia, serta ricetsia. Obat ini juga berguna.<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: 150%;">untuk
infeki bakteri campuran infeksi saluran pernafasan misalnya
sinusitisdan bronchitis. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dapat digunakan untuk infeksi Vibrio dan kolera namunresistensi
telah dilaporkan.Tetracycline efektif untuk infeksi
infeksi melalui hubungan seksualyang disebabkan clamidia. Doxycycline
efektif terhadap leptospirosis. Untuk protozoa yang dapat dihabat
oleh tetracycline adalah Entamoeba hitolitika atauPlasmodium falciparum
(Doxicycline)<o:p></o:p></span></div>
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<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l2 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perhitungan
Dosis Obat<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l12 level1 lfo13; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dewasa:
4 kali sehari 250 mg – 500 mg.<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: 150%;">Lama pemakaian:<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: 150%;">Kecuali apabila
terjadi hal-hal yang tidak diinginkan, pengobatan dengan Tetracycline kapsul
hendaknya paling sedikit berlangsung selama 3 hari, agar kuman-kuman penyebab
penyakit dapat terberantas seluruhnya dan untuk mencegah terjadinya resistansi
bakteri terhadap tetrasiklin.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Anak-anak
di atas 8 tahun: sehari 25 – 50 mg/kg berat badan dibagi dalam 4 dosis,
maksimum 1 g.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Diberikan 1 jam
sebelum atau 2 jam setelah makan.<o:p></o:p></span></div>
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<br /></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Efek
samping Tetracyclin<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: 150%;">Efek
samping yang bisa timbul antara lain :<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: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Efek
samping pencernakan seperti mual, muntah dan diare karena mengubah flora
normal. Hal ini merupakan alasan penghentian dan pengurangan pemberian
tetracycline. <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: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penumpukan
di tulang dan gigi tetracycline sering terjadi. Kontraindikasi pemberian pada
ibu hamil karena dapat menumpuk di gigi janin yang menyeabkan kekuning-kuningan
pada gigi serta penumpukan di tulang yang menyebabkan gangguan pertumbuhan pada
janin dan anak umur dibawah 8 tahun.<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: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hepatotoksis
juga dapat diberikan jika diberikan pada dosis besar atautelah terjadi
insuficiensi hepar sebelumnya.<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: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Trombosis
vena dapat terjadi pada pemberian IV<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: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">e)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hiperfotosensitif
terutama demeclocycline<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: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">f)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Reaksi
vestibular seperti pusing, vertigo, mual, muntah (minocycline)<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: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">g)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gangguan
gastrointestinal seperti: anoreksia, pyrosis, vomiting, flatulen dan diare.<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: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">h)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Reaksi
hipersensitif seperti: urtikaria, edema, angioneurotik, atau anafilaksis.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l4 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">i)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jarang terjadi seperti:
anemia hemolitik, trombositopenia,neutropenia dan eosinofilia.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l2 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Lama
Pengobatan Antibiotic<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Karena
biasanya antibiotika bekerja sangat spesifik pada suatu proses, mutasi yang
mungkin terjadi pada bakteri memungkinkan munculnya <i><a href="http://id.wikipedia.org/wiki/Strain" title="Strain">strain</a></i> bakteri
yang 'kebal' terhadap antibiotika. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Itulah sebabnya, pemberian antibiotika
biasanya diberikan dalam dosis yang menyebabkan bakteri segera mati dan dalam
jangka waktu yang agak panjang agar mutasi tidak terjadi. Penggunaan
antibiotika yang 'tanggung' hanya membuka peluang munculnya tipe bakteri yang
'kebal'.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l2 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Aturan
Pakai<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hendaknya
diminum dengan segelas penuh air +/- 240 ml untuk meminimkan iritasi saluran
pencernaan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l1 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sebaiknya
tetrasikli tidak diberikan pada kehamilan 5 bulan terakhir sampai anak berusia
8 tahun, karena menyebabkan perubahan warna gigi menjadi kuning dan
terganggupertumbuhan tulang.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l1 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penggunaan
tetrasiklin pada penderita dengan gangguan fungsi ginjal,dapat menimbulkan efek
komulasi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l1 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hati-hati
penggunaan pada penderita dengan gangguan fungsi hati, wanita menyusui.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l1 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> Jangan minum susu atau makanan produk susu
lainnya dalam waktu 1 – 3 jam setelah penggunaan Tetrasiklin.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l2 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sediaan
Obat Brand Name Yang Beredar Di Perdagangkan<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: 150%;">Cari
di iso dan mims ?<o:p></o:p></span></div>
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<br /></div>
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<br /></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">D.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kesimpulan
<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: 150%;">Berdasarkan
percobaan yang telah dilakukan dapat disimpulkan :<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: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kapsul
adalah bentuk sediaan obat terbungkus cangkag kapsul, keras atau lunak.
Cangkang kapsul dibuat dari gelatin dengan atau tanpa zat tambahan lain.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l7 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Obat
ini berkhasiat untuk mengobati faringitis, laryngitis, bronkio pneumonia,
sinusitis, infeksi saluran pencernaan, saluran kencing, kulit, dan jaringan
lunak.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l11 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">E.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Daftar
Pustaka<o:p></o:p></span></div>
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<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-top: 12.0pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Anonim, 1979,
Farmakope Indonesia, Edisi III, Departemen Kesehatan Republik Indonesia,
Jakarta.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Anonim,
1978, Formularium Nasional, Edisi II, Departemen Kesehatan Republik Indonesia,
Jakarta.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ansel,
H.C., 1989, Pengantar Bentuk Sediaan Farmasi, Universitas Indonesia Press, Jakarta.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ansel,
H.C. & Prince, S.J., Kalkulasi Farmasetik (Panduan Untuk Apoteker), Penerbit
Buku Kedokteran EGC, Jakarta.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Chaerunnisaa,
A.Y., 2009, Farmasetika Dasar, Widya Padjadjaran, Bandung.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tambahkan
daftar pustaka iso dan mims ?<o:p></o:p></span></div>
Anonymoushttp://www.blogger.com/profile/09877824835430540158noreply@blogger.com0tag:blogger.com,1999:blog-8430991463257497357.post-6674187911566772342013-05-17T01:09:00.001-07:002013-05-17T01:09:56.448-07:00ADAFTASI FISIOLOGIS FETUS DARI INTRAUTERIN KE EKSTRAUTERIN<br />
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<h1 align="center" style="line-height: 150%; margin-bottom: 12.0pt; text-align: center;">
<a href="" name="_Toc341694783"><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">KATA PENGANTAR</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></h1>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Puji
syukur kepada Tuhan Yang Maha Esa yang telah memberikan karunia-Nya sehingga
kami dapat menyelesaikan makalah ini dengan baik. Makalah ini membahas tentang
“ADAFTASI FISIOLOGI FETUS DARI INTRAUTERINE KE EKSTRAUTERIN” agar mahasiswa dapat
memahaminya.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penulis
mengucapkan terima kasih kepada dosen pengampu mata kuliah Biologi Reproduksi
Kebidanan yang telah membimbing kami dalam penyusunan makalah ini. Kami
menyadari bahwa makalah ini masih belum sempurna, oleh karena itu kami mengharapkan
kritik dan saran dari semua pihak demi perbaikan pembuatan makalah selanjutnya.
<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Semoga
makalah ini dapat memberikan wawasan yang lebih luas kepada pembaca. Akhir
kata, kami mengucapkan terima kasih kepada semua pihak yang telah berperan
serta dalam penyusunan makalah ini. Semoga Tuhan Yang Maha Esa senantiasa
memberikan kelancaran dan kemudahan bagi kita semua. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<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: 12pt; line-height: 150%; text-align: left;">Yogyakarta,
November 2012</span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%; text-align: left;"><br /></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%; text-align: left;"> </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%; text-align: left;">Penulis</span></div>
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<br /></div>
<w:sdt docparttype="Table of Contents" docpartunique="t" id="-414012263" sdtdocpart="t">
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<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BAB I</span></b><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"><o:p></o:p></span></b></div>
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<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PENDAHULUAN<o:p></o:p></span></b></div>
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<br /></div>
<h2 style="line-height: 150%; margin-bottom: 12.0pt;">
<a href="" name="_Toc341694784"><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">1.1 </span></a><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> </span><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Latar Belakang</span><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> <o:p></o:p></span></h2>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 14.7pt;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bayi baru lahir normal harus
menjalani proses adaptasi dari kehidupan di dalam rahim (intrauterine) ke
kehidupan di luar rahim (ekstrauterin). </span><span 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;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 14.7pt;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemahaman terhadap adaptasi
dan fisiologi bayi baru lahir sangat penting sebagai dasar dalam memberikan
asuhan. Perubahan lingkungan dari dalam uterus ke ekstrauterin dipengaruhi oleh
banyak faktor seperti kimiawi, mekanik, dan termik yang menimbulkan perubahan
metabolik, pernapasan dan sirkulasi pada bayi baru lahir normal.
Penatalaksanaan dan mengenali kondisi kesehatan bayi baru lahir resiko tinggi
yang mana memerlukan pelayanan rujukan</span><span 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;"> atau</span><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> tindakan lanjut.</span><span 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;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 14.7pt;">
<span 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;">Banyak perubahan yang akan dialami oleh bayi yang semula berada dalam
lingkungan interna (dalam kandungan Ibu) yang hangat dan segala kebutuhannya
terpenuhi (O2 dan nutrisi) ke lingkungan eksterna (diluar kandungan ibu) yang
dingin dan segala kebutuhannya memerlukan bantuan orang lain untuk memenuhinya.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; text-align: justify; text-indent: 14.7pt;">
<span lang="IT" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IT; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sebagai seorang </span><span 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;">tenaga
kesehatan, bidan</span><span lang="IT" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IT; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> harus mampu memahami tentang
beberapa adaptasi atau perubahan fisiologi bayi baru lahir (B</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">BL). Hal ini sebagai dasar dalam memberikan asuhan ke</span><span 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;">perawatan</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> yang tepat. Setelah lahir, BBL harus mampu beradaptasi dari keadaan yang
sangat tergantung (plasenta) menjadi mandiri secara fisiologi. Setelah lahir,
bayi harus mendapatkan oksigen melalui sistem sirkulasi pernapasannya sendiri,
mendapatkan nutrisi per oral untuk mempertahankan kadar gula darah yang cukup,
mengatur suhu tubuh dan melawan setiap penyakit </span><span 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;"> atau </span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">infeksi.</span><span 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;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; text-align: justify; text-indent: 14.7pt;">
<br /></div>
<a name='more'></a><br />
<h2 style="line-height: 150%;">
<a href="" name="_Toc341694785"><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">1.2 </span></a><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> </span><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tujuan</span><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> <o:p></o:p></span></h2>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.4pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%; mso-fareast-font-family: Calibri;">Bagi penulis<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 39.4pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Dapat menambah wawasan ilmu pengetahuan dalam
upaya meningkatkan mutu pelayanan kesehatan.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.4pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%; mso-fareast-font-family: Calibri;">Bagi pembaca<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.4pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Sebagai bahan bacaan dan menambah pengetahuan
tentang pelayanan kesehatan yang bermutu dan sesuai dengan standard.<o:p></o:p></span></div>
<h2 style="line-height: 150%; margin-bottom: 12.0pt;">
<a href="" name="_Toc341694786"><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">1.3 Manfaat</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></h2>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 42.55pt; mso-add-space: auto; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">1)
Untuk menambah pengetahuan mengenai
adaptasi fisiologi fetus.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 42.55pt; mso-add-space: auto; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2)
Untuk membantu mahasiswa dalam memahami
proses fisiologi pada fetus.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 42.55pt; mso-add-space: auto; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">3)
Untuk menambah wawasan mengenai perubahan pada bayi yang mengalami ikterus
fisiologis.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 42.55pt; mso-add-space: auto; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">4) Untuk memahami mekanisme kehilangan panas
pada bayi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 42.55pt; mso-add-space: auto; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">5) Untuk mengetahui dan memahami tentang
pencegahan hipotermi pada bayi yang baru lahir.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 42.55pt; mso-add-space: auto; text-align: justify; text-indent: -21.25pt;">
<br /></div>
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<br /></div>
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<h1 align="center" style="line-height: 150%; text-align: center;">
<a href="" name="_Toc341694787"><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BAB II</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> </span><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"><o:p></o:p></span></h1>
<h1 align="center" style="line-height: 150%; text-align: center;">
<a href="" name="_Toc341694788"><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">ISI</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></h1>
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<br /></div>
<h2 style="line-height: 150%; margin-bottom: 12.0pt;">
<a href="" name="_Toc341694789"><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.1 </span></a><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Adaptasi Fisiologi Fetus</span><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">
</span><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></h2>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 14.7pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sejak konsepsi perkembangan konseptus terjadi sangat
cepat yaitu zigot mengalami pembelahan menjadi morula (terdiri atas 16 sel
blastomer), kemudian menjadi blastokis (terdapat cairan di tengah) yang
mencapai uterus, dan kemudian sel-sel mengelompok, berkembang menjadi embrio
(sampai minggu ke-27). Setelah minggu ke-10 hasil konsepsi disebut janin.
Dengan demikian adaptasi fetus sudah terjadi secara fisiologis.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 14.7pt;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bayi baru lahir normal adalah
bayi yang baru lahir dengan kehamilan atau masa gestasinya dinyatakan cukup
bulan (aterm) yaitu 36 – 40 minggu. Bayi baru lahir normal harus menjalani
proses adaptasi dari kehidupan di dalam rahim (intrauterine) ke kehidupan di
luar rahim (ekstrauterin). </span><span 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;"><o:p></o:p></span></div>
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<br /></div>
<h2 style="line-height: 150%; margin-bottom: 12.0pt;">
<a href="" name="_Toc341694790"><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">2.2 </span></a><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> </span><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Perubahan Pernafasan</span><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"><o:p></o:p></span></h2>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">1)
Perubahan Pernafasan Intrauterine <o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gerakan nafas janin telah dapat dilihat sejak
kehamilan 12 minggu dan pada 34 minggu secara reguler gerak nafas ialah
40-60/menit dan di antara jeda adalah periode apnea. Cairan ketuban akan masuk
sampai bronkioli, sementara di dalam alveolus terdapat cairan alveoli. Gerakan
nafas janin dirangsang oleh kondisi hiperkapnia dan peningkatan kadar glukosa.
Sebaliknya, kondisi hipoksia akan menurunkan frekuensi nafas. Pada aterm
normal, gerak nafas akan berkurang dan dapat apnea selama 2 jam. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 14.7pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Alveoli terdiri atas dua lapis sel epitel yang
mengandung sel tipe I dan II. Sel tipe II membuat sekresi fosfolipid suatu
surfaktan yang penting untuk fungsi pengembangan nafas. Surfaktan yang utama
ialah sfingomielin dan lesitin serta fosfatidil gliserol. Produksi sfingomielin
dan fosfatidil gliserol akan memuncak pada 32 minggu, sekalipun sudah
dihasilkan sejak 24 minggu. Pada kondisi tertentu, misalnya diabetes, produksi
surfaktan ini kurang; juga pada pretrem ternyata dapat dirangsang untuk
meningkat dengan cara pemberian kortikosteroid pada ibunya. Steroid dan faktor
pertumbuhan terbukti merangsang pematangan paru melalui suatu penekanan protein
yang sama (HoxB5)<sup>11</sup>. Pemeriksaan kadar L/S rasio pada air ketuban
merupakan cara untuk mengukur tingkat kematangan paru, di mana rasio L/S > 2
menandakan paru sudah matang.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 14.7pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tidak saja fosfolipid yang berperan pada proses
pematangan selular. Ternyata gerakan nafas juga merangsang gen untuk aktif
mematangkan sel alveoli. (</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Sarwono,
Prawirohardjo., (2010</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">,</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">)</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> Hal 161 ).<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Janin dalam kandungan sudah mengadakan
gerakan-gerakan pernafasan, namun air ketuban tidak masuk ke dalam alveoli
paru-parunya. Pusat pernapasan ini di pengaruhi oleh kadar O2 dan CO2 di dalam
tubu</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">h</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">
janin. Keadaan ini</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">dipengaruhi
oleh sirkulasi plasenter (pengaliran darah antara uterus dan plasenta). Apabila
terdapat gangguan pada sirkulasi utero-plasenter sehingga satu rasi oksigen
lebih menurun, misalnya pada kontraksi uterus yang tidak sempurna, eklampsia
dan sebagainya, maka dapatlah gangguan dalam keseimbangan asam dan basa pada
janin tersebut, dengan akibat dapat melumpuhkan pusat pernafasan janin. </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; text-align: justify; text-indent: 14.7pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pada permukaan paru-paru yang telah
matur ditemukan lipoprotein yang berfungsi untuk mengurangi tahanan pada
permukaan alveoli dan memudahkan paru-paru berkembang pada penarikan nafas
pertama pada janin. Ketika partus, uterus berkontraksi dalam keadaan ini
darah didalam sirkulasi utero plasenter seolah-olah diperas ke dalam vena
umbilicus dan sirkulasi janin sehingga jantung janin terutama serambi kanan
berdilatasi. Akibatnya apabila diperhatikan bunyi jantung janin segera setelah
kontraksi uterus hilang akan terdengar terlambat. Dalam keadaan ini fisiologi
bukan patologi. <o:p></o:p></span></div>
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<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.4pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo13; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Perubahan
Pernafasan Ekstrauterin<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Selama dalam uterus, janin
mendapatkan oksigen dari pertukaran gas melalui plasenta. Setelah bayi lahir,
pertukaran gas harus melalui paru – paru.</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: 42.55pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">A</span><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">.
Perkembangan paru-paru</span><span 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;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.0cm; text-align: justify; text-indent: 15.3pt;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Paru-paru berasal dari titik
tumbuh yang muncul dari pharynx yang bercab</span><span 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;">a</span><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">ng dan kemudian bercabang kembali membentuk struktur percabangan bronkus
proses ini terus berlanj</span><span 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;">u</span><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">t sampai
sekitar usia 8 tahun, sampai jumlah bronkus dan alveolus akan sepenuhnya
berkembang, walaupun janin memperlihatkan adanya gerakan napas sepanjang
trimester II dan III. Paru-paru yang tidak matang akan mengurangi kelangsungan
hidup BBL sebelum usia 24 minggu.</span><span lang="EN-GB" 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><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Hal ini disebabkan karena keterbatasan permukaan alveolus, ketidakmatangan
sistem kapiler paru-paru dan tidak tercukupinya jumlah surfaktan.</span><span 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;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">B</span><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">.
Awal adanya napas</span><span 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;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Faktor-faktor yang berperan pada rangsangan nafas pertama bayi adalah :</span><span 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;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span 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;">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Hipoksia
pada akhir persalinan dan rangsangan fisik lingkungan luar rahim yang
merangsang pusat pernafasan di otak.</span><span 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;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span 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;">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tekanan
terhadap rongga dada, yang terjadi karena kompresi paru -paru selama
persalinan, yang merangsang masuknya udara ke dalam paru-paru secara mekanis.
Interaksi antara system pernapasan, kardiovaskuler dan susunan saraf pusat
menimbulkan pernapasan yang teratur dan berkesinambungan serta denyut yang
diperlukan untuk kehidupan.</span><span 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;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span 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;">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penimbunan
karbondioksida (CO2)</span><span 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><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Setelah bayi
lahir, kadar CO2 meningkat dalam darah dan akan merangsang pernafasan. Ber</span><span 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;">k</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">urangnya O2 akan mengurangi gerakan pernafasan janin, tetapi sebaliknya
kenaikan CO2 akan menambah frekuensi dan tingkat gerakan pernapasan janin. </span><span 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;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span 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;">4)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Perubahan suhu</span><span 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><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Keadaan dingin akan merangsang pernapasan.</span><span 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;"><o:p></o:p></span></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">C</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">.
Surfaktan dan upaya respirasi untuk bernapas</span><span 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;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Upaya pernafasan pertama seorang bayi berfungsi untuk :</span><span 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;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span 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;">a) </span><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mengeluarkan cairan dalam paru-paru</span><span 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;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.0cm; text-align: justify;">
<span 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;">b) </span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mengembangkan jaringan alveolus paru-paru untuk pertama kali.</span><span 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;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 15.3pt;">
<span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Agar alveolus dapat berfungsi,
harus terdapat survaktan <i>(lemak lesitin /sfingomielin</i>) yang cukup dan
aliran darah ke paru – paru. Produksi surfaktan dimulai pada 20 minggu
kehamilan, dan jumlahnya meningkat sampai paru-paru matang (sekitar 30-34
minggu kehamilan). Fungsi surfaktan adalah untuk mengurangi tekanan permukaan
paru dan membantu untuk menstabilkan dinding alveolus sehingga tidak kolaps
pada akhir pernapasan.</span><span 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;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.0cm; text-align: justify; text-indent: 15.3pt;">
<span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tidak adanya surfaktan
menyebabkan alveoli kolaps setiap saat akhir pernapasan, yang menyebabkan sulit
bernafas. Peningkatan kebutuhan ini memerlukan penggunaan lebih banyak oksigen
dan glukosa. Berbagai peningkatan ini menyebabkan stres pada bayi yang
sebelumnya sudah terganggu.</span><span 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;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">D</span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">. Dari
cairan menuju udara</span><span 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;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 15.3pt;">
<span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bayi cukup bulan mempunyai cairan
di paru-parunya. Pada saat bayi melewati jalan lahir selama persalinan, sekitar
sepertiga cairan ini diperas keluar dari paru-paru. Seorang bayi yang
dilahirkan secar</span><span 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;">a</span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> sectio </span><span 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;">c</span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">esaria kehilangan keuntungan dari kompresi rongga dada dan dapat menderita
paru-paru basah dalam jangka waktu lebih lama. </span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dengan beberapa kali tarikan napas yang pertama udara memenuhi ruangan
trakea dan bronkus BBL. Sisa cairan di paru-paru dikeluarkan dari paru-paru dan
diserap oleh pembuluh limfe dan darah. </span><span 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;"><o:p></o:p></span></div>
<h2 style="line-height: 150%; margin-bottom: 12.0pt; margin-left: 21.3pt; margin-right: 0cm; margin-top: 10.0pt; text-indent: -21.3pt;">
<a href="" name="_Toc341694791"><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">2.3 </span></a><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> </span><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Perubahan Sirkulasi</span><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"><o:p></o:p></span></h2>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">1)
Perubahan Sirkulasi Intrauterine<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; text-align: justify; text-indent: 14.7pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mula-mula
darah yang kaya oksigen dan nutrisi yan</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">g</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> berasal dari plasenta, melalui
vena umbilicalis, masuk kedalam tubuh janin. Sebagian besar darah melalui
ductus venosus arantii akan mengalir ke vena cava inferior. Dalam atrium
dekstra sebagian besar darah akan mengalir secara fisiologi ke atrium sinistra,
melalui voramen oval yang terletak diantara atrium dekstra dan atrium sinistra.
Dari</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">atrium sinistra darah mengalir ke
ventricle kiri kemudian dipompakan ke aorta. Hanya sebagian kecil darah dari
atrium kanan mengalir ke ventricle kanan bersama-sama dengan darah yang berasal
dari vena cava superior. </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; text-align: justify; text-indent: 14.7pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Karena
tekanan dari paru-paru yang belum berkembang, sebagian darah dari ventricle
kanan yang seharusnya mengalir melalui arteri pulmonalis ke paru-paru, akan
mengalir melalui ductus Botalii ke aorta. Sebagian kecil akan mengalir ke
paru-paru dan selanjutnya ke</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">atrium
sinistra melalui vena pulmonalis. Darah dari sel-sel tubuh yang miskin oksigen
penuh dengan sisa pembakaran dan sebagiannya akan dialirkan ke</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">plasenta melalui dua ateriol
umbikalis. Seterusnya akan diedarkan ke pembuluh darah di kotiledon dan
jonjot-jonjot dan kembali melalui vena umbilikalis k</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">e </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">janin. </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 21.3pt; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; text-align: justify; text-indent: 14.7pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Demikian seterusnya, sirkulasi
janin ini berlangsung ketika berada dalam uterus. Ketika janin dilahirkan
segera bayi menghisap udara dan menangis kuat, dengan demikian paru-parunya
berkembang.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"> </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: 21.3pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2)
Perubahan Sirkulasi Ekstrauterin<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 14.7pt;">
<span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">Setelah lahir darah
BBL harus melewati paru untuk mengambil oksigen dan mengadakan sirkulasi
melalui tubuh guna mengantarkan oksigen ke jaringan. </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-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 14.7pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 14.7pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">Untuk membuat sirkulasi yang baik, kehidupan diluar rahim
harus terjadi 2 perubahan besar :</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-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">a. </span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">P</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">enutupan foramen ovale pada atrium jantung</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-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">b. Perubahan duktus arteriousus antara paru-paru dan
aorta.</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: 21.3pt; text-align: justify; text-indent: 14.7pt;">
<span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">Perubahan
sirkulasi ini terjadi akibat perubahan tekanan pada seluruh sistem pembuluh.
Oksigen menyebabkan sistem pembuluh mengubah tekanan dengan cara mengurangi
/meningkatkan resistensinya, sehingga mengubah aliran darah.</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: 21.3pt; text-align: justify;">
<b><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Perbedaan sirkulasi darah fetus
dan bayi</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>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 21.3pt;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">A</span></b><b><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">. sirkulasi darah fetus</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l9 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Struktur tambahan pada sirkulasi fetus</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: 72.0pt; mso-add-space: auto; mso-list: l5 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Vena umbulicalis : membawa darah yang telah mengalami
deoksigenasi dari plasenta ke permukaan dalam hepar</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: 72.0pt; mso-add-space: auto; mso-list: l5 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Ductus venosus : meninggalkan vena umbilicalis sebelum
mencapai hepar dan mengalirkan sebagian besar darah baru yang mengalami
oksigenasi ke dalam vena cava inferior.</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: 72.0pt; mso-add-space: auto; mso-list: l5 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Foramen ovale : merupakan lubang yang memungkinkan darah
lewat atrium dextra ke dalam ventriculus sinistra</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: 72.0pt; mso-add-space: auto; mso-list: l5 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Ductus arteriosus : merupakan <i>bypass </i>yang
terbentang dari venrtriculuc dexter dan aorta desendens</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: 72.0pt; mso-add-space: auto; mso-list: l5 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Arteri hypogastrica : dua pembuluh darah yang
mengembalikan darah dari fetus ke plasenta. Pada feniculus umbulicalis, arteri
ini dikenal sebagai ateri umbilicalis. Di dalam tubuh fetus arteri tersebut
dikenal sebagai arteri hypogastica.</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: 72.0pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 35.45pt; text-align: justify; text-indent: 7.05pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2. </span><span lang="IT" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IT;">Sistem sirkulasi fetus</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 78.5pt; mso-add-space: auto; mso-list: l8 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="IT" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IT;">Vena umbulicalis : membawa darah yang kaya oksigen dari
plasenta ke permukaan dalam hepar. </span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Vena
hepatica meninggalkan hepar dan mengembalikan darah ke vena cava inferior</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: 78.5pt; mso-add-space: auto; mso-list: l8 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Ductus venosus : adalah cabang – cabang dari vena
umbilicalis dan mengalirkan sejumlah besar darah yang mengalami oksigenasi ke
dalam vena cava inferior</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: 78.5pt; mso-add-space: auto; mso-list: l8 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Vena cava inferior : telah mengalirkan darah yang telah
beredar dalam ekstremitas inferior dan badan fetus, menerima darah dari vena
hepatica dan ductus venosus dan membawanya ke atrium dextrum</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: 78.5pt; mso-add-space: auto; mso-list: l8 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Foramen ovale : memungkinkan lewatnya sebagian besar
darah yang mengalami oksigenasi dalam ventriculus dextra untuk menuju ke atrium
sinistra, dari sini darah melewati valvula mitralis ke ventriculuc sinister dan
kemudian melaui aorta masuk kedalam cabang ascendensnya untuk memasok darah
bagi kepala dan ekstremitas superior. Dengan demikian hepar, jantung dan
serebrum menerima darah baru yang mengalami oksigenasi</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: 78.5pt; mso-add-space: auto; mso-list: l8 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Vena cava superior : mengembalikan darah dari kepala dan
ekstremitas superior ke atrium dextrum. Darah ini bersama sisa aliran yang
dibawa oleh vena cava inferior melewati valvula tricuspidallis masuk ke dalam
venriculus dexter</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: 78.5pt; mso-add-space: auto; mso-list: l8 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Arteria pulmonalis : mengalirkan darah campuran ke paru -
paru yang nonfungsional, yanghanya memerlukan nutrien sedikit</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: 78.5pt; mso-add-space: auto; mso-list: l8 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">7)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Ductus arteriosus : mengalirkan sebagian besar darah dari
vena ventriculus dexter ke dalam aorta descendens untuk memasok darah bagi
abdomen, pelvis dan ekstremitas inferior</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: 78.5pt; mso-add-space: auto; mso-list: l8 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">8)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="IT" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IT;">Arteria hypogastrica : merupakan lanjutan dari arteria
illiaca interna, membawa darah kembali ke plasenta dengan mengandung leih
banyak oksigen dan nutrien yang dipasok dari peredaran darah maternal</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%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; text-align: justify; text-indent: 7.05pt;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">B</span></b><b><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">. Perubahan pada saat lahir</span></b><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-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 14.7pt;">
<span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">1). Penghentian
pasokan darah dari plasenta</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-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 14.7pt;">
<span lang="IT" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IT;">2). </span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Pengembangan dan pengisian udara pada paru-paru</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-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 14.7pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">3). Penutupan
foramen ovale</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-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 14.7pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">4). Fibrosis </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-bottom: .0001pt; margin-bottom: 0cm; margin-left: 43.05pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 14.7pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">a). Vena
umbilicalis</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-bottom: .0001pt; margin-bottom: 0cm; margin-left: 43.05pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 14.7pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">b). Ductus venosus</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-bottom: .0001pt; margin-bottom: 0cm; margin-left: 43.05pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 14.7pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">c). Arteriae
hypogastrica</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-bottom: .0001pt; margin-bottom: 0cm; margin-left: 43.05pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 14.7pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">d). Ductus
arteriosus</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: 57.75pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sirkulasi
pulmonari: vena umbilikus, duktus venosus, foramen ovale, dan duktus
arteriosus.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perbedaan sirkulasi fetus dan sirkulasi neonatal<o:p></o:p></span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; margin-left: -1.7pt; mso-border-alt: solid windowtext .5pt; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184; width: 624px;">
<tbody>
<tr>
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.5pt;" valign="top" width="34">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">No<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 126.35pt;" valign="top" width="168">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perbedaan<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 147.45pt;" valign="top" width="197">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sirkulasi Fetus<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 168.5pt;" valign="top" width="225">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sirkulasi Neonatal<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.5pt;" valign="top" width="34">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">1<o:p></o:p></span></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: 126.35pt;" valign="top" width="168">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sirkulasi pulmonal<o:p></o:p></span></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: 147.45pt;" valign="top" width="197">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Aktif, kurang berkembang<o:p></o:p></span></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: 168.5pt;" valign="top" width="225">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Aktif, perkembangan meningkat<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.5pt;" valign="top" width="34">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2<o:p></o:p></span></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: 126.35pt;" valign="top" width="168">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Foramen ovale<o:p></o:p></span></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: 147.45pt;" valign="top" width="197">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Terbuka<o:p></o:p></span></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: 168.5pt;" valign="top" width="225">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tertutup<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.5pt;" valign="top" width="34">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">3<o:p></o:p></span></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: 126.35pt;" valign="top" width="168">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Duktus arteriosus botali<o:p></o:p></span></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: 147.45pt;" valign="top" width="197">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Terbuka<o:p></o:p></span></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: 168.5pt;" valign="top" width="225">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tertutup<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.5pt;" valign="top" width="34">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">4<o:p></o:p></span></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: 126.35pt;" valign="top" width="168">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Duktus venosus arantii<o:p></o:p></span></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: 147.45pt;" valign="top" width="197">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Terbuka<o:p></o:p></span></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: 168.5pt;" valign="top" width="225">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tertutup<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.5pt;" valign="top" width="34">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">5<o:p></o:p></span></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: 126.35pt;" valign="top" width="168">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sirkulasi sistemik<o:p></o:p></span></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: 147.45pt;" valign="top" width="197">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Aktif engan resisten rendah<o:p></o:p></span></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: 168.5pt;" valign="top" width="225">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Aktif, dengan meningkatkan resistensi.<o:p></o:p></span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
<h2 style="line-height: 150%; margin-bottom: 12.0pt; margin-left: 21.3pt; margin-right: 0cm; margin-top: 10.0pt; text-indent: -21.3pt;">
<a href="" name="_Toc341694792"><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">2.4 </span></a><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> </span><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Termoregulasi dan Adaptasi Fisiologi
Sistem Metabolisme</span><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"><o:p></o:p></span></h2>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">A. Termoregulasi<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.5pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 13.5pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Bayi baru lahir
belum dapat mengatur suhu tubuhnya, sehingga akan mengalami “Stress Dingin”
atau Cold Stress terutama karena perubahan lingkungan dari dalam rahim ke dunia
luar yang jauh lebih dingin.</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-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.5pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 13.5pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Secara
fisiologis, tubuh bayi akan menggunakan timbunan lemak coklat (Brown Fat) untuk
menghasilkan panas. Namun cadangan lemak coklat ini akan habis dan bayi akan
mudah mengalami hipoglisemia, hipoksia dan asidosis. </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-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.5pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 13.5pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Untuk itu,
pencegahan kehilangan panas sangatlah diperlukan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">. </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Perubahan kondisi terjadi pada neonatus yang baru
lahir. Di dalam tubuh induknya, suhu tubuh fetus selalu terjaga, begitu lahir
maka hubungan dengan induk sudah terputus dan neonatus harus mempertahankan
suhu tubuhnya sendiri melalui aktifitas metabolismenya.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.5pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 13.5pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Semakin kecil
tubuh neonatus, semakin sedikit cadangan lemaknya. Semakin kecil tubuh neonatus
juga semakin tinggi rasio permukaan tubuh dengan massanya. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.5pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 13.5pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Suhu permukaan
kulit meningkat atau turun sejalan dengan perubahan suhu lingkungan. Sedangkan
suhu inti tubuh diatur o</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">l</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">eh hipotalamus. Namun pada pediatrik, pengaturan
tersebut masih belum matang dan belum efisien. Oleh sebab itu pada pediatrik
ada lapisan yang penting yang dapat membantu untuk mempertahankan suhu tubuhnya
serta mencegah kehilangan panas tubuh yaitu rambut, kulit dan lapisan lemak
bawah kulit. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 22.5pt; text-align: justify; text-indent: 13.5pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Ketiga
lapisan tersebut dapat berfungsi dengan baik dan efisien atau tidak bergantung
pada ketebalannya. Sayangnya sebagian besar pediatrik tidak mempunyai lapisan
yang tebal pada ketiga unsur ters</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">e</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">but. Transfer panas melalui lapisan pelindung tersebut
dengan lingkungan berlangsung dala</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">m</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"> dua tahap. Tahap pertama panas inti tubuh disalurkan
menuju kulit. Tahap kedua panas tubuh hilang melalui radiasi, konduksi,
konveksi atau evaporasi.</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: 21.3pt; text-align: justify;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">B. Adaptasi Fisiologi
Sistem Metabolisme<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.5pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 13.5pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk memfungsikan otak memerlukan glukosa dalam
jumlah tertentu. Dengan tindakan penjepitan tali pusat dengan klem pada saat
lahir seorang bayi harus mulai mempertahankan kadar glukosa darahnya sendiri.
Pada setiap baru lahir, glukosa darah akan turun dalam waktu cepat (1 sampai 2
jam).<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.5pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 13.5pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.5pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 13.5pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 22.5pt; text-align: justify; text-indent: -1.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Koreksi penurunan gula darah dapat
dilakukan dengan 3 cara :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 40.5pt; mso-add-space: auto; mso-list: l13 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Melalui
penggunaan ASI (bayi baru lahir sehat harus didorong untuk menyusu ASI secepat
mungkin setelah lahir).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 40.5pt; mso-add-space: auto; mso-list: l13 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Melalui
penggunaan cadangan glikogen (glikogenesis)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 40.5pt; mso-add-space: auto; mso-list: l13 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Melalui
pembuatan glukosa dari sumber lain terutama lemak (glukoneogenesis).<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 22.5pt; text-align: justify; text-indent: 13.5pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bayi baru lahir yang tidak dapat
mencerna makanan dalam jumlah yang cukup akan membuat glukosa dari glikogen
(glikogenolisis). Hal ini hanya terjadi jika bayi mempunyai persediaan glikogen
yang cukup. Seorang bayi yang sehat akan menyimpan glukosa sebagai glikogen,
terutama dalam hati, selama bulan-bulan terakhir kehidupan dalam rahim. Seorang
bayi yang mengalami hipotermia pada saat lahir yang mengakibatkan hipoksia akan
menggunakan persediaan glikogen dalam jam pertama kelahiran. Inilah sebabnya
mengapa sangat penting menjaga semua bayi dalam keadaan hangat. Perhatikan
bahwa keseimbangan glukosa tidak sepenuhnya tercapai hingga 3-4 jam
pertama pada bayi cukup bulan yang sehat. Jika semua persediaan digunakan pada
jam pertama maka otak bayi dalam keadaan beresiko. Bayi baru lahir kurang
bulan, lewat bulan, hambatan pertumbuhan dalam rahim dan distress janin
merupakan resiko utama, karena simpanan energi berkurang atau digunakan sebelum
lahir. <o:p></o:p></span></div>
<h3 style="line-height: 150%; margin-bottom: 12.0pt; margin-left: 2.0cm; margin-right: 0cm; margin-top: 10.0pt; tab-stops: 0cm; text-indent: -34.2pt;">
<a href="" name="_Toc341694793"><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">2.4.1
</span></a><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> </span><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Bayi Rentan Kehilangan Panas</span><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"><o:p></o:p></span></h3>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.0cm; text-align: justify; text-indent: 15.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pada dasarnya turunnya suhu tubuh ini
dapat terjadi akibat penurunan produksi panas, peningkatan panas yang hilang
atau gangguan pada pengatur suhu tubuh termoregulasi). Ahli kesehatan anak
menerangkan bahwa penurunan produksi panas dapat berhubungan dengan sistem endokrin,
seperti gangguan hormon tiroid atau <i>pituitary</i>. Peningkatan panas
yang hilang dapat terjadi akibat berpindahnya panas tubuh ke lingkungan
sekitar. Sedangkan gangguan termoregulasi dapat terjadi akibat gangguan di
hipotalamus yaitu suatu bagian otak yang Salah Satu fungsinya mengatur suhu
tubuh.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"><o:p></o:p></span></div>
<h3 style="line-height: 150%; margin-bottom: 12.0pt; margin-left: 22.5pt; margin-right: 0cm; margin-top: 10.0pt;">
<a href="" name="_Toc341694794"><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">2.4.2 </span></a><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> </span><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Mekanisme Kehilangan Panas Pada
Neonatus</span><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"><o:p></o:p></span></h3>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 15.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pengaturan suhu pada neonatus masih belum baik
selama beberapa saat. Karena hipotalamus bayi masih belum matur, dan bayi masih
rentan terhadap hipotermia, terutama jika terpa</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">par</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> dingin atau aliran udara dingin,
saat basah, sulit bergerak bebas, atau saat kekurangan nutrisi. Bayi memasuki
suasana yang jauh lebih dingin dari pada saat kelahiran, dengan suhu kamar
bersalin 21</span><sup><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">0</span></sup><sup><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">
</span></sup><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">C
yang sangat berbeda dengan suhu dalam kandungan, yaitu 37,7</span><sup><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">0</span></sup><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> C. Pada saat lahir,
faktor yang berperan dalam kehilangan panas pada bayi baru lahir meliputi area
permukaan tubuh bayi baru lahir, berbagai tingkat insulasi lemak subkutan, dan
derajat fleksi otot.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.0cm; text-align: justify; text-indent: 15.3pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Ini
menyebabkan pendinginan cepat pada bayi saat amnion menguap dari kulit. Setiap
milimeter penguapan tersebut memindahkan 500 kalori panas (Rutter 1992). Bayi
kehilangan panas melalui empat cara, yaitu:<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 67.5pt; mso-add-space: auto; mso-list: l7 level1 lfo1; text-align: justify; text-indent: -10.8pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold;"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold;">Konduksi</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 1.1pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Konduksi adalah
kehilangan panas melalui kontak langsung antara tubuh bayi dengan permukaan
yang dingin. </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: 72.0pt; text-align: justify; text-indent: 1.1pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Contoh:
Bayi yang diletakkan di atas meja, tempat tidur atau timbangan yang dingin akan
cepat mengalami kehilangan panas tubuh akibat proses konduksi.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 67.5pt; mso-add-space: auto; mso-list: l7 level1 lfo1; text-align: justify; text-indent: -10.8pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold;"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold;">Konveksi</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Konveksi adalah kehilangan panas yang terjadi pada
saat bayi terpapar dengan udara sekitar yang lebih dingin. </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-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Contoh: Bayi yang dilahirkan atau ditempatkan dalam
ruangan yang dingin akan cepat mengalami panas. Kehilangan panas juga dapat
terjadi jika ada tiupan kipas angin, aliran udara atau penyejuk ruangan.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt; text-align: justify; text-indent: 32.6pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Suhu udara
di kamar bersalin tidak boleh kurang dari 20<sup>0</sup> C dan sebaiknya tidak
berangin. Tidak boleh ada pintu dan jendela yang terbuka. Kipas angin dan AC
yang kuat harus cukup jauh dari area resusitasi. Troli resusitasi harus
mempunyai sisi untuk meminimalkan konveksi udara sekitar bayi.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 67.5pt; mso-add-space: auto; mso-list: l7 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold;">Evaporasi</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.5pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Evaporasi adalah</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">
</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">kehilangan panas akibat bayi
tidak segera dikeringkan. </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: 67.5pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Contoh: Kehilangan panas
terjadi karena meguapnya cairan ketuban pada permukaan tubuh setelah bayi lahir
karena tubuh bayi tidak segera dikeringkan. Hal yang sama dapat terjadi setelah
bayi dimandikan. Karena itu bayi harus dikeringkan seluruhnya, termasuk kepala
dan rambut, sesegera mungkin setelah dilahirkan. Lebih baik lagi menggunakan
handuk hangat untuk mencegah kehilangan panas secara konduksi.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 67.5pt; mso-add-space: auto; mso-list: l7 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">4)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold;">Radiasi</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.5pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Radiasi adalah kehilangan panas yang terjadi saat bayi
yang di</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">tempatkan dekat benda yang mempunyai tempratur tubuh
lebih rendah dari tempratur tubuh bayi. </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: 67.5pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Contoh: Bayi akan mengalami
kehilangan panas melalui cara ini meskipun benda yang lebih dingin tersebut
tidak bersentuhan langsung dengan tubuh bayi.</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-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.5pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Upaya
Mencegah Kehilangan Panas :<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.5pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">1.
Keringkan bayi secara seksama<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.5pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.
Selimuti bayi dengan selimut bersih, kering dan hangat<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.5pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">3.
Tutupi kepala bayi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.5pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">4.
Anjurkan ibu memeluk dan memberikan ASI<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.5pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">5.
Jangan segera menimbang atau memandikan bayi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.5pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">6.
Tempatkan bayi di lingkungan yang hangat<o:p></o:p></span></div>
<h2 style="line-height: 150%; margin-bottom: 12.0pt;">
<a href="" name="_Toc341694795"><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">2.5 </span></a><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> </span><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Perubahan Sistem Hematologi</span><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"><o:p></o:p></span></h2>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 14.7pt;">
<span style="background: white; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Aliran darah fetal bermula dari vena umbilikalis, akibat tahanan
pembuluh paru yang besar ( lebih tinggi dibandingkan tahanan vaskuler
sistemik=SWR) hanya 10% dari keluaran ventrikel kanan yang sampai paru,
sedangkan sisanya (90%) terjadi<i> shunting</i>
kanan ke kiri melalui duktus arteriosus Bottali.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 14.7pt;">
<span style="background: white; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pada waktu bayi lahir, terjadi pelepasan dari plasenta secara mendadak
(saat umbilical cord dipotong/dijepit), tekanan atrium kanan menjadi rendah,
tahanan pembuluh darah sistemik (SVR) naik dan pada saat yang sama paru-paru
mengembang, tahanan vaskuler paru menyebabkan penutupan foramen ovale (menutup
setelah berberapa minggu), aliran darah dari duktus arteriosus Bottali berbalik
dari kiri ke kanan. Kejadian ini tersebut <i>sirkulasi
transisi.</i> Penutupan duktus arteriosus secara fisiologis terjadi pada umur
bayi 10-15 jam yang disebabkan kontraksi otot polos pada akhir arteri
pulmonalis dan secara anatomis pada usia 2-3 minggu.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; text-align: justify; text-indent: 14.7pt;">
<span style="background: white; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pada neonatus, reaksi pembuluh darah masih sangat kurang
sehingga keadaan kehilangan darah, dehidrasi, dan kelebihan volume juga sangat
kurang untuk ditoleransi. Manajemen cairan pada neonatus harus dilakukan dengan
cermat dan teliti. Tekanan sistolik merupakan indikator yang baik untuk menilai
sirkulasi volume darah dan dipergunakan sebagai parameter yang adekuat terhadap
penggantian volume. Oteregulasi aliran darah otak pada bayi baru lahir tetap
dipelihara normal pada tekanan sistemik antara 60-130 mmHg. Frekuensi nadi bayi
rata-rata 120 kali/menit dengan tekanan darah sekitar 80/60 mmHg.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; text-align: justify; text-indent: 14.7pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; text-align: justify; text-indent: 14.7pt;">
<br /></div>
<h2 style="line-height: 150%; margin-bottom: 12.0pt; margin-left: 21.3pt; margin-right: 0cm; margin-top: 10.0pt; text-indent: -21.3pt;">
<a href="" name="_Toc341694796"><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">2.6 </span></a><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> </span><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Perubahan Sistem Gastrointestinal</span><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"><o:p></o:p></span></h2>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 12.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">1)
Perubahan Sistem Gastrointestinal Intrauterine<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 12.0pt; text-align: justify; text-indent: 14.7pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perkembangan dapat dilihat di atas 12
minggu di mana akan nyata pada pemeriksaan USG. Pada 26 minggu enzim sudah
terbentuk meskipun amilase baru nyata pada periode neonatal. Janin meminum air
ketuban dan akan tampak gerakan peristaltik usus. Protein dan cairan amnion
yang ditelan akan menghasilkan mekonium di dalam usus. Mekonium ini akan tetap
tersimpan sampai partus, kecuali pada kondisi hipoksia dan stres, akan tampak
cairan amnion bercampur mekonium. (</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Sarwono, Prawirohardjo., (2010</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">,</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">)</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> Hal 161 ).<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 12.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2)
Perubahan Sistem Gastrointestinal Ekstrauterin<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 21.3pt; margin-right: 0cm; margin-top: 12.0pt; text-align: justify; text-indent: 14.7pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sebelum
lahir, janin cukup bulan akan mulai menghisap dan menelan. Reflek gumoh dan
reflek batuk yang matang sudah terbentuk baik pada saat lahir.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 12.0pt; text-align: justify; text-indent: 14.7pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kemampuan bayi baru lahir cukup bulan
untuk menelan dan mencerna makanan (selain susu) masih terbatas. Hubungan
antara esofagus bawah dan lambung masih belum sempurna yang mengakibatkan
“gumoh” pada bayi baru lahir dan neonatus, kapasitas lambung masih terbatas
kurang dari 30 cc untuk bayi baru lahir cukup bulan. Kapasitas lambung ini akan
bertambah secara lambat bersamaan dengan tumbuhnya bayi baru lahir. Pengaturan
makanan yang sering oleh bayi sendiri penting contohnya memberi ASI on demand.<o:p></o:p></span></div>
<h2 style="line-height: 150%; margin-bottom: 12.0pt; margin-left: 21.3pt; margin-right: 0cm; margin-top: 10.0pt; text-indent: -21.3pt;">
<a href="" name="_Toc341694797"><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">2.7 </span></a><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> </span><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Perubahan Sistem </span><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">I</span><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">munitas</span><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"><o:p></o:p></span></h2>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">1)
Perubahan Sistem Imunitas Intrauterine<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 14.7pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pada kehamilan minggu ke-8 telah ada gelaja
terjadinya kekebalan dengan adanya limfosit-limfosit disekitar tempat timus
kelak. Dengan semakin tuanya usia kehamilan jumlah limfosit dalam darah perifer
meningkat dan mulai terbentuk pula folikel-folikel limfe. Jumlah
lomfosit-limfosit limfe yang terbanyak terdapat pada akhir kehamilan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">misalnya di limfa memperlihatkan
jaringan warna merah. </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 14.7pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tuanya kehamilan juga ditemukan sarang selimfoit
yang makin lama makin</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">besar</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">. </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penangkis humoral dibentuk oleh sel
limfoit, terdiri dari pasangan polipeptin simetrik. Gama-G ditemukan pada orang
dewasa, sedikit pada janin akhir kehamilan dan dibentuk pada bulan kedua
sesudah bayi lahir. Gama-Glabulin berasal dari ibu yang disalurkan melalui
palsenta dengan cara pinositosis disebut kekebalan pasif. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 14.7pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penyaluran gama-G imunoglobin dari ibu ke janin
tidak selalu menguntungkan bagi janin, pada Rh resus isoimunisasi. Gama-G
imunoglobin ibu melintasi plasenta dan merusak eritrosit janin mengasilkan eritroblastosis
retails. Janin mengandung unsur ayahnya dan tempat implantasi plasenta. Dikenal
sebagai allograft rejection. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; text-align: justify; text-indent: 14.7pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pembentukan benda penangkis ditemukan
pada kehamilan 5 bulan. Produksi gama-M imunoglobin meningkat setelah bayi
lahir. <br />
Kelemahan bayi baru lahir adalah hanya dilindungi oleh gama-G imunoglobin ibu
hingga terbatas kadarnya dan kurang gama-A imunoglobin.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2)
Perubahan Sistem Imunitas Ekstrauterin<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 14.7pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sistem imunitas bayi baru lahir masih belum matang,
sehingga menyebabkan neonatus rentan terhadap berbagai infeksi dan alergi.
Sistem imunitas yang matang akan memberikan kekebalan alami maupun yang di
dapat. Kekebalan alami terdiri dari struktur pertahanan tubuh yang mencegah
atau meminimalkan infeksi.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Berikut
beberapa contoh kekebalan alami:<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">a.
perlindungan oleh kulit membran mukosa<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">b.
fungsi saringan saluran napas<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">c.
pembentukan koloni mikroba oleh klit dan usus<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">d.
perlindungan kimia oleh lingkungan asam lambung<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 14.7pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kekebalan alami juga disediakan pada tingkat sel
yaitu oleh sel darah yang membantu BBL membunuh mikroorganisme asing. Tetapi
pada BBL se-sel darah ini masih belum matang, artinya BBL tersebut belum mampu
melokalisasi dan memerangi infeksi secara efisien.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 14.7pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kekebalan yang didapat akan muncul kemudian. BBL
dengan kekebalan pasif mengandung banyak virus dalam tubuh ibunya. Reaksi
antibodi keseluruhan terhadap antigen asing masih belum dapat dilakukan sampai
awal kehidupa anak. Salah satu tugas utama selama masa bayi dan balita adalah
pembentukan sistem kekebalan tubuh. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 14.7pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Defisiensi kekebalan alami bayi menyebabkan bayi
rentan sekali terjadi infeksi dan reaksi bayi terhadap infeksi masih lemah.
Oleh karena itu, pencegahan terhadap mikroba (seperti pada praktek persalinan
yang aman dan menyusui ASI dini terutama kolostrum) dan deteksi dini serta
pengobatan dini infeksi menjadi sangat penting.<o:p></o:p></span></div>
<h2 style="line-height: 150%; margin-bottom: 12.0pt;">
<a href="" name="_Toc341694798"><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">2.8 </span></a><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> </span><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Perubahan Sistem Ginjal</span><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"><o:p></o:p></span></h2>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">1)
Perubahan Sistem Ginjal Intrauterine<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 14.7pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pada 22 minggu akan tampak pembentukan korpuskel
ginjal di zona jukstaglomerularis yang berfungsi filtrasi. Ginjal terbentuk
sempurna pada minggu ke-36. Pada janin hanya 2 % dari curah jantung mengalir ke
ginjal, mengingat sebagian besar sisa metabolisme dialirkan ke plasenta.
Sementara itu, tubuli juga mampu filtrasi sebelum glomerulus berfungsi penuh.
Urin janin menyumbang cukup banyak pada volume cairan amnion. Bila terdapat
kondisi oligohidramnion itu merupakan pertanda penurunan fungsi ginjal atau
kelainan sirkulasi. (</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Sarwono,
Prawirohardjo., (2010</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">,</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">)</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> Hal 162 ).<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; text-align: justify; text-indent: 14.7pt;">
<span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR;">Janin muda
mengandung sekitar 90% air. Sistem urinasi mulai pada bulan pertama. </span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">Produksi urin pada janin dimulai antara masa gestasi 9
dan 11 minggu kehidupan intrauterin. </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: 21.3pt; text-align: justify; text-indent: 14.7pt;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.4pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Perubahan
Sistem Ginjal Ekstrauterin<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 39.4pt; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bayi
ginjalnya relatif banyak mengandung air dan natrium. Fungsi ginjal belum
sempurna.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; text-align: justify; text-indent: 14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Peranan
ginjal janin dalam menjaga homeostasis tubuh sampai saat ini masih
dipertanyakan, ditemukan adanya kemampuan ginjal fetus untuk memekatkan dan
mengencerkan urin, mengabsorbsi fosfat dan mengadakan transportasi zat organik.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; text-align: justify; text-indent: 14.7pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Fungsi
eksresi janin dilakukan melalui plasenta. Hal ini terbukti dengan ditemukannya
hasil pemeriksaan komposisi cairan tubuh fetus yang normal, termasuk angka
plasma kreatinin dan ureum pada neonatus saat lahir, meskipun terdapat agenesis
kedua ginjal.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; text-align: justify;">
<br /></div>
<h2 style="line-height: 150%; margin-bottom: 12.0pt;">
<a href="" name="_Toc341694799"><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">2.9 </span></a><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> </span><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Ikterus Neonatorum Fisiologis</span><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"><o:p></o:p></span></h2>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 14.7pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ikterus sendiri sebenarnya adalah perubahan warna
kuning akibat deposisi bilirubin berlebihan pada jaringan; misalkan yang
tersering terlihat adalah pada kulit dan konjungtiva mata.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 14.7pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sedangkan definisi ikterus neonatorum adalah keadaan
ikterus yang terjadi pada bayi baru lahir dengan keadaan meningginya kadar
bilirubun di dalam jaringan ekstravaskuler sehingga kulit, konjungtiva, mukosa
dan alat tubuh lainnya berwarna kucing.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 14.7pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ikterus juga disebut sebagai keadaan
hiperbilirubinemia (kadar bilirubin dalam darah lebih dari 12 mg/dl). Keadaan
hiperbilirubinemia merupakan salah satu kegawatan pada BBL karena bilirubin
bersifat toksik pada semua jaringan terutama otak yang menyebabkan penyakit
kern icterus (ensefalopati bilirubin) yang pada akhirnya dapat mengganggu
tumbuh kembang bayi.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 14.7pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 14.7pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 14.7pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 14.7pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ikterus
neonatorum dibedakan menjadi 2,</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">yaitu
:<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; mso-list: l6 level1 lfo2; text-align: justify; text-indent: -14.7pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Neonatorum
Fisiologis<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 20.7pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Neonatorum Fisiologis Adalah keadaan hiperbirirubin karena
faktor fisiologis merupakan gejala normal dan sering dialami bayi baru lahir.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ikterus
fisiologis adalah Ikterus yang memiliki karakteristik sebagai berikut (Hanifa,
1987):</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l1 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">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%;">Timbul pada hari ke-2 atau ke-3</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l1 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">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%;">Kadar Biluirubin Indirek setelah 2 x 24
jam tidak melewati 15 mg% pada neonatus cukup bulan dan 10 mg % pada kurang
bulan.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l1 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">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%;">Kecepatan peningkatan kadar Bilirubin
tak melebihi 5 mg % per hari</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l1 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">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%;">Kadar Bilirubin direk kurang dari 1 mg %</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l1 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">5.<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%;">Ikterus hilang pada 10 hari pertama</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l1 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Bayi
tampak biasa, minum baik dan berat badan naik biasa.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l1 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">7.<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%;">Tidak terbukti mempunyai hubungan dengan
keadan patologis tertentu</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penyebab ikterus neonatorum fisiologis
diantaranya adalah organ hati yang belum “matang” dalam memproses bilirubin,
kurang protein Y dan Z dan enzim glukoronyl tranferase yang belum cukup
jumlahnya. Meskipun merupakan gejala fisiologis, orang tua bayi harus tetap
waspada karena keadaan fisiologis ini sewaktu-waktu bisa berubah menjadi
patologis terutama pada keadaan ikterus yang disebabkan oleh karena penyakit atau
infeks</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; mso-list: l6 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Neonatorum
</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Patologis</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: 18.0pt; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Neonatorum
Patologis adalah suatu keadaan dimana kadar Bilirubin dalam darah mencapai
suatu nilai yang mempunyai potensi untuk menimbulkan Kern Ikterus kalau tidak
ditanggulangi dengan baik, atau mempunyai hubungan dengan keadaan yang
patologis. Brown menetapkan Hiperbilirubinemia bila kadar Bilirubin mencapai 12
mg% pada cukup bulan, dan 15 mg % pada bayi kurang bulan. Utelly menetapkan 10
mg% dan 15 mg%.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Karakteristik ikterus patologis
(Ngastiyah,1997 ) sebagai berikut :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l3 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">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%;">Ikterus terjadi dalam 24 jam pertama
kehidupan. Ikterus menetap sesudah bayi berumur 10 hari ( pada bayi cukup
bulan) dan lebih dari 14 hari pada bayi baru lahir BBLR.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l3 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">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%;">Konsentrasi bilirubin serum melebihi 10
mg % pada bayi kurang bulan (BBLR) dan 12,5 mg% pada bayi cukup bulan.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l3 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">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%;">Bilirubin direk lebih dari 1mg%.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l3 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">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%;">Peningkatan bilirubin 5 mg% atau lebih
dalam 24 jam.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l3 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">5.<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%;">Ikterus yang disertai proses hemolisis
(inkompatibilitas darah, defisiensi enzim G-6-PD, dan sepsis).</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<h1 align="center" style="line-height: 150%; text-align: center;">
<a href="" name="_Toc341694800"><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BAB III</span></a><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"><o:p></o:p></span></h1>
<h1 align="center" style="line-height: 150%; text-align: center;">
<a href="" name="_Toc341694801"><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PENUTUP</span></a><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"><o:p></o:p></span></h1>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<h2 style="line-height: 150%; margin-bottom: 12.0pt;">
<a href="" name="_Toc341694802"><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">3.1 </span></a><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> </span><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Kesimpulan</span><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></h2>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 14.7pt;">
<span 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;">Banyak perubahan yang akan dialami oleh bayi yang semula berada dalam
lingkungan interna (dalam kandungan Ibu) yang hangat dan segala kebutuhannya
terpenuhi (O2 dan nutrisi) ke lingkungan eksterna (diluar kandungan ibu) yang
dingin dan segala kebutuhannya memerlukan bantuan orang lain untuk memenuhinya.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Adapun
perubahan yang dialami oleh fetus dari intrauterine ke ekstrauterin antara lain
yaitu:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Perubahan
Pernafasan (Respirasi)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Perubahan
Sirkulasi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Perubahan
Termoregulasi dan Adaptasi Fisiologi Sistem Metabolisme yang meliputi : <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level2 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Pengaruh
hipotermi terhadap bayi baru lahir.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level2 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Mekanisme
kehilangan panas pada Neonatus.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Perubahan
Sistem Hematologi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5)<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%;">Perubahan
Sistem Gastrointestinal<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6)<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%;">Perubahan
Sistem Imun<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">7)<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%;">Perubahan
Sistem Ginjal<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; mso-list: l4 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">8)<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%;">Ikterus
Neonatorum Fisiologi<o:p></o:p></span></div>
<h2 style="line-height: 150%; margin-bottom: 12.0pt;">
<a href="" name="_Toc341694803"><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">3.2 </span></a><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> </span><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Saran</span><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"><o:p></o:p></span></h2>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 14.7pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Diharapkan mahasiswa
dapat memahami tentang Adaftasi Fisiologi Fetus dan bagian-bagiannya serta
dapat mengaplikasikan asuhan yang diberikan. Dalam penulisan makalah ini masih
banyak terdapat kekurangan oleh karena
itu Kami mohon saran yang membangun. Semoga makalah ini dapat bermanfaat bagi
kita semua.<o:p></o:p></span></div>
<h1 align="center" style="line-height: 150%; margin-bottom: 12.0pt; text-align: center;">
<a href="" name="_Toc341694804"><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">D</span></a><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">AFTAR PUSTAKA</span><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"><o:p></o:p></span></h1>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; mso-list: l11 level1 lfo5; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Sarwono, Prawirohardjo., (2010), Ilmu
Kebidanan. Jakarta: PT. Bina Pustaka
sarwono Prawirohardjo.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l11 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Departemen
Kesehatan Direktorat Jenderal Bina Kesehata Masyarakat, (2004), <i>Buku
Acuan Asuhan Persalinan Normal</i>, Jakarta: Departemen Kesehatan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l11 level1 lfo5; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Aprilia Nuruh Baety. 2011. Biologi
Reproduksi Kehamilan dan Persalinan. Yogjakarta: Graha Ilmu.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l11 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">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%;">Wulanda, Febri Ayu. 2012, Biologi Reproduksi,
Jakarta :Salemba Mediaka</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l11 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Varney,
Helen, (2009), <i>Buku Ajar Asuhan Kebidanan</i>, Jakrta: EGC<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l11 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">6.<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%;">Kusmiyati, Y. 2010. <i>Perawatan </i></span><a href="http://www.lusa.web.id/tag/ibu-hamil/" title="Ibu Hamil"><i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ibu
Hamil</span></i></a><i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">.</span></i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> Cetakan ke VI.
Yogyakarta: Fitramaya. Hlm: 55-57</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">.<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: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">7.<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%;">Mochtar, R. 1998. <i>Sinopsis </i></span><a href="http://www.lusa.web.id/category/obstetri/" title="Obstetri"><i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Obstetri</span></i></a><i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">:
</span></i><a href="http://www.lusa.web.id/category/obstetri/" title="Obstetri"><i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Obstetri</span></i></a><i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">
</span></i><a href="http://www.lusa.web.id/tag/fisiologi/" title="Fisiologi"><i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Fisiologi</span></i></a><i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">-</span></i><a href="http://www.lusa.web.id/category/obstetri/" title="Obstetri"><i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Obstetri</span></i></a><i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">
</span></i><a href="http://www.lusa.web.id/category/askeb-iv-patologi/" title="Patologi"><i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Patologi</span></i></a><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">. Edisi 2. Jakarta:
EGC. Hlm: 35-36</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l11 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">8.<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%;">Neil, W.R. 2001. <i>Panduan Lengkap Perawatan
</i></span><a href="http://www.lusa.web.id/category/askeb-i-kehamilan/" title="Kehamilan"><i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kehamilan</span></i></a><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">. Jakarta: Dian Rakyat.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l11 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">9.<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%;">Sulistyawati, A. 2009.<i> Asuhan </i></span><a href="http://www.lusa.web.id/" title="Kebidanan"><i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kebidanan</span></i></a><i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">
Pada Masa </span></i><a href="http://www.lusa.web.id/category/askeb-i-kehamilan/" title="Kehamilan"><i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kehamilan</span></i></a><i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">.</span></i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">
Jakarta: Salemba Medika</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l11 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">10.<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%;">Walsh,
Winda. 2007. <i>Buku Ajar </i></span><a href="http://www.lusa.web.id/" title="Kebidanan"><i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kebidanan</span></i></a><i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> Komunitas</span></i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">.
Jakarta: EGC. Hlm:</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">79-82</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Image, telegraph.co.uk</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; mso-list: l11 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">11.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">pustaka.unpad.ac.id/wp-content/.../endokrinologi_kehamilan.pdf</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">
</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">(Download Sabtu, 24-11-2012
pukul 18.00 )<o:p></o:p></span></div>
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Anonymoushttp://www.blogger.com/profile/09877824835430540158noreply@blogger.com0tag:blogger.com,1999:blog-8430991463257497357.post-29946813609906203572013-05-17T00:54:00.004-07:002013-05-17T00:54:45.148-07:00VAGINAL TOUCHER<br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgD7iYsW_mrCbKcGTE4Uo7nxCVF6iS6Y_PaFL4hanEE6dOmUBe2DKDTlCdjOSLj4cpCE_xkXu-qoVWqd08DIM39FZsTtXQ3tHlBphtH-vMhXz6xDerKt1tECGtfOWI-zIp-JInd6Z4Mln-c/s1600/download+(6).jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgD7iYsW_mrCbKcGTE4Uo7nxCVF6iS6Y_PaFL4hanEE6dOmUBe2DKDTlCdjOSLj4cpCE_xkXu-qoVWqd08DIM39FZsTtXQ3tHlBphtH-vMhXz6xDerKt1tECGtfOWI-zIp-JInd6Z4Mln-c/s1600/download+(6).jpg" /></a></div>
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<a href="" name="_Toc337331649"></a><a href="" name="_Toc327885502"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">KATA
PENGANTAR</span></a></h1>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Puji
syukur kepada Tuhan Yang Maha Esa yang telah memberikan karunia-Nya sehingga
kami dapat menyelesaikan makalah ini dengan baik. Makalah ini membahas tentang “PEMERIKSAAN DALAM
(VAGINAL TOUCHER)” agar mahasiswa dapat memahaminya.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penulis
mengucapkan terima kasih kepada dosen pengampu mata kuliah Askeb II Kebidanan
yang telah membimbing kami dalam penyusunan makalah ini. Kami menyadari bahwa
makalah ini masih belum sempurna, oleh karena itu kami mengharapkan kritik dan
saran dari semua pihak demi perbaikan pembuatan makalah selanjutnya. <o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Semoga
makalah ini dapat memberikan wawasan yang lebih luas kepada pembaca. Akhir
kata, kami mengucapkan terima kasih kepada semua pihak yang telah berperan
serta dalam penyusunan makalah ini. Semoga Tuhan Yang Maha Esa senantiasa
memberikan kelancaran dan kemudahan bagi kita semua. <o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%; text-align: right;">Yogyakarta,
Oktober 2012</span></div>
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<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: 12pt; line-height: 150%; text-indent: 36pt;"> </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%; text-indent: 36pt;">Penulis</span></div>
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<a href="" name="_Toc337331651"></a><a href="" name="_Toc327885504"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">BAB
I</span></a><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></h1>
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<a href="" name="_Toc337331652"></a><a href="" name="_Toc327885505"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">PENDAHULUAN</span></a><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></h1>
<h2 style="margin-left: 18.0pt; mso-list: l21 level2 lfo10; text-indent: -18.0pt;">
<a href="" name="_Toc337331653"></a><a href="" name="_Toc327885506"><!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; font-weight: normal; line-height: 115%;">1.1<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: 12pt; font-weight: normal; line-height: 115%;">Latar Belakang</span></a><span style="font-family: 'Times New Roman', serif; font-size: 12pt; font-weight: normal; line-height: 115%;"><o:p></o:p></span></h2>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Persalinan
adalah proses pengeluaran hasil konsepsi (janin dan uri) yang telah cukup bulan
atau dapat hidup di luar kandungan melalui jalan lahir dengan bantuan atau
tanpa bantuan (kekuatan sendiri).<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tingkat
kesejahteraan suatu bangsa ditentukan dengan seberapa jauh pelayanan di
masyarakat. Oleh karena itu, angka kematian tinggi rendahnya ditentukan oleh
pelayanan kesehatan yang memadai.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pada
saat memberikan asuhan kepada ibu bersalin, penolong harus selalu waspada
terhadap kemungkinan timbulnya masalah atau penyulit. Selama anamnesis dan
pemeriksaan fisik, tetap waspada terhadap indikasi-indikasi yang kemungkinan
akan timbul.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kematian
dan kesakitan ibu di Indonesia masih merupakan masalah yang belum dapat
terselesaikan hingga saat ini. Salah satu tindakan yang di lakukan oleh seorang
bidan dalam kala II adalah melakukan Vaginal Toucher (Periksa Dalam) dimana tindakan
ini sangat penting di lakukan untuk memantau keadaan ibu berserta janinnya.Serta
memastikan proses persalinan akan berlangsung aman dan lancar.<o:p></o:p></span></div>
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<a name='more'></a><br />
<h2 style="margin-left: 18.0pt; mso-list: l21 level2 lfo10; text-indent: -18.0pt;">
<a href="" name="_Toc337331654"></a><a href="" name="_Toc327885507"><!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; font-weight: normal; line-height: 115%;">1.2<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: 12pt; font-weight: normal; line-height: 115%;">Tujuan Penulisan</span></a><span style="font-family: 'Times New Roman', serif; font-size: 12pt; font-weight: normal; line-height: 115%;"><o:p></o:p></span></h2>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Bagi
penulis<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dapat
menambah wawasan ilmu pengetahuan dalam upaya meningkatkan mutu pelayanan
kesehatan.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Bagi
pembaca<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sebagai
bahan bacaan dan menambah pengetahuan tentang pelayanan kesehatan yang bermutu
dan sesuai dengan standard.<o:p></o:p></span></div>
<h1 align="center" style="text-align: center;">
<a href="" name="_Toc337331655"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">BAB
II</span></a><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></h1>
<h1 align="center" style="text-align: center;">
<a href="" name="_Toc337331656"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">ISI</span></a><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></h1>
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<a href="" name="_Toc337331657"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; font-weight: normal; line-height: 115%;">2.1 DEFINISI</span></a><span style="font-family: 'Times New Roman', serif; font-size: 12pt; font-weight: normal; line-height: 115%;"> VAGINAL TOUCHER<o:p></o:p></span></h2>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Memasukkan
tangan ke dalam jalan lahir ibu bersalin untuk memantau perkembangan proses
persalinan atau lazim disebut VT (vaginal toucher atau vaginal tousse atau
periksa dalam dan sejenisnya) bukanlah sesuatu yang mudah. Selain perlu
pengetahuan, keterampilan, pengalaman, tetapi juga butuh perasaan. Karena jari
pemeriksa masuk, maka jari itu tidak boleh dikeluarkan sebelum pemeriksaan
dalam selesai.<o:p></o:p></span></div>
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<h2>
<a href="" name="_Toc337331658"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; font-weight: normal; line-height: 115%;">2.2 TUJUAN V</span></a><span style="font-family: 'Times New Roman', serif; font-size: 12pt; font-weight: normal; line-height: 115%;">AGINAL
TOUCHER<o:p></o:p></span></h2>
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<ol start="1" style="margin-top: 0cm;" type="1">
<li class="MsoNormal" style="line-height: 150%; mso-list: l15 level1 lfo2; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk
menentukan apakah pasien sudah sungguh-sungguh in partu atau belum.<o:p></o:p></span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l15 level1 lfo2; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk
menentukan keadaan yang menjadi tolak ukur dari rencana pimpinan persalinan.<o:p></o:p></span></li>
</ol>
<div class="MsoNormal" style="margin-left: 36pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Misalnya:
<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Seorang
primigravida masuk dengan pembukaan 4cm, maka pembukaan lengkap diharapkan
sesudah 6 jam.<o:p></o:p></span></div>
<ol start="3" style="margin-top: 0cm;" type="1">
<li class="MsoNormal" style="line-height: 150%; mso-list: l15 level1 lfo2; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk
menentukan ramalan persalinan dengan lebih tepat.<o:p></o:p></span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l15 level1 lfo2; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pada
saat inpartu digunakan untuk menilai apakah kemajuan proses persalinan
sesuai dengan yang diharapkan.<o:p></o:p></span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l15 level1 lfo2; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sebagai
bagian dalam menegakkan diagnosa kehamilan muda.<o:p></o:p></span></li>
</ol>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
<br /></div>
<h2>
<a href="" name="_Toc337331659"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; font-weight: normal; line-height: 115%;">2.3 INDIKASI V</span></a><span style="font-family: 'Times New Roman', serif; font-size: 12pt; font-weight: normal; line-height: 115%;">AGINAL TOUCHER<o:p></o:p></span></h2>
<div class="MsoNormal">
<br /></div>
<ol start="1" style="margin-top: 0cm;" type="A">
<li class="MsoNormal" style="line-height: 150%; mso-list: l2 level1 lfo9; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold;">Indikasi</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> vaginal
toucher pada kasus kehamilan atau persalinan:<o:p></o:p></span></li>
</ol>
<div class="MsoNormal" style="margin-left: 54pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Ketuban
pecah sedangkan bagian depan masih tinggi.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kejadian
ini mungkin menyebabkan tali pusat menumbung yang harus secepat-cepatnya
didiagnosa, maka karena itu diperiksa dengan vaginal toucher (pemeriksaan
dalam).<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 54pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Kita
mengharapkan pembukaan lengkap.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pada
keadaan ini kita melakukan pemeriksaan dalam untuk mengetahui apakah persalinan
maju menurut rencana waktu dan kalau memang sudah terdapat pembukaan yang
lengkap, pimpinan persalinan berubah misalnya pasien diizinkan dan dipimpin
untuk mengejan.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l20 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Bila
ada indikasi untuk menyelesaikan persalinan misalnya: Karena ibu kurang baik
atau keadaan anak yang kurang baik. Untuk menentukan caranya menyelesaikan
persalinan perlu melakukan pemeriksaan dalam terlebih dahulu.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l20 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Pada
saat masuk kamar bersalin dilakukan untuk menentukan fase persalinan dan
diagnosa letak janin.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l20 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5.<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%;">Pada
saat ketuban pecah digunakan untuk menentukan ada tidaknya prolapsus bagian
kecil janin atau talipusat.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l20 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6.<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%;">Pada
primigravida dengan usia kehamilan lebih dari 37 minggu digunakan untuk
melakukan evaluasi kapasitas panggul (pelvimetri klinik) dan menentukan apakah
ada kelainan pada jalan lahir yang diperkirakan akan dapat mengganggu jalannya
proses persalinan pervaginam.<o:p></o:p></span></div>
<ol start="2" style="margin-top: 0cm;" type="A">
<li class="MsoNormal" style="line-height: 150%; mso-list: l2 level1 lfo9; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kontraindikasi
: Perdarahan, Hymen intake, Infeksi
vagina, Perdarahan, Plasenta previa, Ketuban pecah dini, Persalinan
preterm.<o:p></o:p></span></li>
</ol>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<h2>
<a href="" name="_Toc337331660"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; font-weight: normal; line-height: 115%;">2.4 TEKNIK MELAKUKAN V</span></a><span style="font-family: 'Times New Roman', serif; font-size: 12pt; font-weight: normal; line-height: 115%;">AGINAL TOUCHER<o:p></o:p></span></h2>
<div class="MsoNormal">
<br /></div>
<ol start="1" style="margin-top: 0cm;" type="A">
<li class="MsoNormal" style="line-height: 150%; mso-list: l24 level1 lfo5;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hal-hal
yang harus diperhatikan sebelum melakukan periksa dalam :<o:p></o:p></span></li>
</ol>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l7 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Cuci
tangan dengan sabun dan air bersih mengalir, kemudian keringkan dengan handuk
kering dan bersih.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l7 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Minta
ibu untuk berkemih dan mencuci area genitalia (jika ibu belum melakukannya)
dengan bersih.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l7 level1 lfo4; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Jelaskan pada ibu setiap langkah yang
akan dilakukan selama pemeriksaan.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l7 level1 lfo4; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Anjurkan ibu untuk rileks.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l7 level1 lfo4; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5.<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%;">Pastikan privasi ibu terjaga selama
pemeriksaan dilakukan.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt;">
<br /></div>
<ol start="2" style="margin-top: 0cm;" type="A">
<li class="MsoNormal" style="line-height: 150%; mso-list: l24 level1 lfo5;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Langkah-langkah
dalam melakukan pemeriksaan dalam :<o:p></o:p></span></li>
</ol>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l14 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Tutupi
badan ibu dengan selimut.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l14 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Minta
ibu berbaring terlentang dengan lutut ditekuk dan paha dibentangkan (mungkin
akan membantu jika ibu menempelkan kedua telapak kakinya satu sama lain).<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l14 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Gunakan
sarung tangan DTT atau steril saat melakukan pemeriksaan.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l14 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Gunakan
kasa atau gulungan kapas DTT yang dicelupkan ke air DTT/larutan antiseptic.
Basuh labia secara hati-hati, seka dari bagian depan ke belakang untuk
menghindarkan kontaminasi feses (tinja).<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l14 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5.<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%;">Periksa
genitalia eksterna, perhatikan apakah ada luka atau massa (benjolan) termasuk
kondilomata, varikositas vulva atau rectum, atau luka parut diperineum.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; text-align: justify;">
<br /></div>
<ol start="3" style="margin-top: 0cm;" type="A">
<li class="MsoNormal" style="line-height: 150%; mso-list: l24 level1 lfo5;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Melakukan
penilaian terhadap : <o:p></o:p></span></li>
</ol>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l11 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Cairan
vagina dan tentukan apakah ada bercak darah, perdarahan pervaginam atau
mekonium. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l11 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Jika
ada perdarahan pervaginam, jangan lakukan pemeriksaan dalam. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l11 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Bila
ketuban sudah pecah, lihat warna dan bau air ketuban. Jika terlihat pewarnaan
mekonium, nilai apakah kental atau encer dan periksa DJJ <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l11 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Jika
mekonium encer dan DJJ normal, teruskan memantau DJJ dengan seksama menurut
petunjuk pada partograf. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l11 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5.<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%;">Jika
ada tanda-tanda akan terjadi gawat janin, lakukan rujukan segera.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l11 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6.<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%;">Jika
mekonium kental, nilak DJJ dan rujuk segera.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l11 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">7.<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%;">Jika
tercium bau busuk, mungkin telah terjadi infeksi.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l11 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">8.<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%;">Dengan
hati-hati pilahkan labium majus dengan jari manis dan ibu jari(gunakan tangan
periksa).<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l11 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">9.<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%;">Masukkan
(hati-hati jari telunjuk yang diikuti oleh jari tengah.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l11 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">10.<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
mengeluarkan kedua jari tersebut sampai pemeriksaan selesai dilakukan.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l11 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">11.<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%;">Jika
selaput ketuban belum pecah, jangan melakukan tindakan amniotomi(merobeknya).
Alasannya amniotomi sebelum waktunya dapat meningkatkanresiko infeksi terhadap
ibu dan bayi serta gawat janin.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l11 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">12.<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%;">Nila
vagina. Luka parut di vagina mengindikasikan adanya riwayat robekan perineum
atau tindakan episiotomy sebelumnya.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">13.<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%;">Nilai
portio uteri : konsistensi (lunak, kaku) dan posisi.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l11 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">14.<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%;">Nilai
pembukaan dan penipisan serviks.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l11 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">15.<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%;">Pastikan
tali pusat dan atau bagian-bagian kecil (tangan atau kaki) tidak teraba pada
saat melakukan periksa dalam. Jika teraba maka ikuti langkah-langkah gawat
darurat dan segera rujuk.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l11 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">16.<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%;">Nilai
penurunan bagian terbawah janin dan tentukan apakah bagian tersebut telah masuk
ke dalam rongga panggul.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l11 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">17.<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%;">Jika
bagian terbawah adalah kepala, pastikan penunjuknya (Ubun-ubun kecil,ubun-ubun
besar atau frontanela magna) dan celah (sutura) digitalis untuk menilai derajat
penyusupan atau tumpang tindih tulang kepala dan apakah ukuran kepala janin
sesuai dengan ukuran jalan lahir.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l11 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">18.<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%;">Lakukan
penilaian penurunan kepala terhadap bidang Hodge. Jika bagian terbawah janin
adalah bokong, maka lakukan penilaian penurunan bokong sampai dengan SIAS.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l11 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">19.<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%;">Jika
pemeriksaan terbawah sudah lengkap, keluarkan kedua jari pemeriksaan
(hati-hati), celupkan sarung tangan kedalam larutan untuk
dekontaminasi,lapaskan kedua sarung tangan tadi secara terbalik dan rendam
dalam larutan dekontaminan selama 10 menit.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l11 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">20.<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%;">Cuci
kedua tangan dan segera keringkan dengan handuk yang bersih dan kering.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l11 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">21.<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%;">Bantu
ibu untuk mengambil posisi yang lebih nyaman.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l11 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">22.<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%;">Jelaskan
hasil-hasil pemeriksaan kepada ibu dan keluarganya.<o:p></o:p></span></div>
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<h2>
<a href="" name="_Toc337331661"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; font-weight: normal; line-height: 115%;">2.5 KOMPLIKASI</span></a><span style="font-family: 'Times New Roman', serif; font-size: 12pt; font-weight: normal; line-height: 115%;"><o:p></o:p></span></h2>
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<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bahaya
pemeriksaan dalam (Vaginal Toucher) :<o:p></o:p></span></div>
<ol start="1" style="margin-top: 0cm;" type="1">
<li class="MsoNormal" style="line-height: 150%; mso-list: l13 level1 lfo8; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dapat
menyebabkan perdarahan yang hebat.<o:p></o:p></span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l13 level1 lfo8; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Peningkatan
resiko terjadinya infeksi.<o:p></o:p></span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l13 level1 lfo8; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menimbulkan
his dan kemudian terjadilah partus prematurus.<o:p></o:p></span></li>
</ol>
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<h1 align="center" style="text-align: center;">
<a href="" name="_Toc337331662"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">BAB
III</span></a><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></h1>
<h1 align="center" style="text-align: center;">
<a href="" name="_Toc337331663"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">PENUTUP</span></a><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></h1>
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<h2>
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; font-weight: normal; line-height: 115%;">3.1 <a href="" name="_Toc337331664">KESIMPULAN</a><o:p></o:p></span></h2>
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<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kematian
dan kesakitan ibu di Indonesia masih merupakan masalah yang belum dapat
terselesaikan hingga saat ini. Salah satu tindakan yang di lakukan oleh seorang
bidan dalam kala II adalah melakukan Vaginal Toucher (Periksa Dalam) dimana
tindakan ini sangat penting di lakukan untuk memantau keadaan ibu berserta
janinnya.Serta memastikan proses persalinan akan berlangsung aman dan lancar.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Selain
itu jangan pernah mengabaikan kebersihan dalam melakukan pemeriksaan dalam,
apabila ada kesalahan akan berakibat terjadinya perdarahan yang hebat dan
resiko terjadinya infeksi.<o:p></o:p></span></div>
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<h1 align="center" style="text-align: center;">
<a href="" name="_Toc337331666"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">DAFTAR
PUSTAKA</span></a><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></h1>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bagian
Obstetri & Ginekologi, 1983, <i>Obstetri
Fisiologi, </i>Universitas Padjadjaran Bandung, ELEMAN, Bandung.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">JNPK-KR
dkk, 2008, <i>Asuhan Persalinan Normal (APN)</i>,
HSP, Jakarta.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sulistyawati
Ari, 2011, <i>Asuhan Kebidanan Pada Masa
Kehamilan,</i> Salemba Medika, Jakarta.<o:p></o:p></span></div>
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<br /></div>
<h1 align="center" style="text-align: center;">
<a href="" name="_Toc337331667"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">LAMPIRAN</span></a><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></h1>
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<b><span style="font-family: "Times New Roman","serif";">KASUS VAGINAL TOUCHER (7 LANGKAH
VARNEY)<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"; font-size: 12.0pt; line-height: 150%;">Ny.
Ayu umur 25 tahun GIP0A0 dengan alamat Krodan Yogyakarta, datang ke bidan Asri
pada tanggal 30 september 2012 pukul 16.00 WIB dengan keluhan telah merasakan
kontraksi sejak pukul 07.00 WIB. Pada pukul 12.00 WIB ibu mengatakan
mengeluarkan cairan dari jalan lahir.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bidan
melakukan anamnesa dan pemeriksaan fisik dengan hasil:<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">TD:
120/80, Nadi: 84x/menit, Respirasi: 20x/menit, Suhu: 36<sup>0</sup>C ml, DJJ
145x/menit, UK: 40 mgg, Pemeriksaan luar : TFU 36 cm, bagian teratas teraba
bokong, Puki, terbawah kepala sudah masuk panggul. Ibu mengatakan ingin
mengejan, setelah dilakukan VT Pembukaan servik 8 cm, Penurunan kepala teraba
2/5 bagian, preskep, terjadi penyusupan kepala tetapi masih dapat dipisahkan,
selaput ketuban (-), ketuban berwarna jernih, Urin: 150, Aseton: (-), Protein:
(-).<o:p></o:p></span></div>
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<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"> ASKEB </span></b></div>
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<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">ASUHAN
KEBIDANAN PADA IBU PERSALINAN NORMAL Ny.A G1P0A0<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: 12.0pt; line-height: 115%;">UMUR
KEHAMILAN 40 MINGGU <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: 12.0pt; line-height: 115%;">DI
BPM ASRI<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: 12.0pt; line-height: 115%;">KRODAN,YOGYAKARTA<o:p></o:p></span></div>
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<div class="MsoNormal">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">No. Registrasi :
8498<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Masuk RS/PKM/BPM Tanggal/Pukul : 30 september 2012 pukul 16.00 wib<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Dirawat di ruang :
Melati<o:p></o:p></span></div>
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<div class="MsoNormal" style="margin-left: 14.2pt; mso-list: l4 level1 lfo13; text-indent: -14.2pt;">
<a href="" name="_Toc326825461"></a><a href="" name="_Toc326825356"></a><a href="" name="_Toc326824989"><!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">I.<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: 115%; mso-bidi-font-style: italic; mso-bidi-font-weight: bold;">PENGKAJIAN DATA</span></a><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"> Tanggal/Pukul :30-9-2012/16.00
Oleh: Bidan Ny.Asri<o:p></o:p></span></div>
<ol start="1" style="margin-top: 0cm;" type="A">
<li class="MsoNormal"><a href="" name="_Toc326825462"></a><a href="" name="_Toc326825357"></a><a href="" name="_Toc326824990"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-bidi-font-weight: bold;">Biodata</span></a><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-bidi-font-weight: bold;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"> Ibu Suami<o:p></o:p></span></li>
</ol>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l0 level1 lfo12; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">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: 115%;">Nama : Ny.Ayu Tn.
Joni<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l0 level1 lfo12; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">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: 115%;">Umur : 25 tahun 30
tahun<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l0 level1 lfo12; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">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: 115%;">Agama : Islam Islam<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l0 level1 lfo12; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">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: 115%;">Suku/bangsa : Jawa/Indonesia Jawa/Indonesia<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l0 level1 lfo12; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">5.<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: 115%;">Pendidikan : SMA SI<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l0 level1 lfo12; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">6.<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: 115%;">Pekerjaan : Ibu Rumah Tangga PNS<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l0 level1 lfo12; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">7.<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: 115%;">Alamat : Krodan, Yogyakarta Krodan, Yogyakarta<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 54.0pt;">
<br /></div>
<ol start="2" style="margin-top: 0cm;" type="A">
<li class="MsoNormal" style="line-height: 150%; margin-bottom: 3.0pt; margin-top: 12.0pt; mso-list: l12 level1 lfo11; mso-outline-level: 3; page-break-after: avoid;"><a href="" name="_Toc326825463"></a><a href="" name="_Toc326825358"></a><a href="" name="_Toc326824991"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Data Subyektif</span></a><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"> <o:p></o:p></span></li>
</ol>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l10 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Alasan
datang dan keluhan utama<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 49.65pt; tab-stops: 21.3pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ibu mengatakan sudah merasakan
kenceng-kenceng teratur sejak jam 07.00 WIB, keluar lendir darah dan air
ketuban sejak pukul 12.00 WIB.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 49.65pt; tab-stops: 21.3pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 49.65pt; tab-stops: 21.3pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l10 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Riwayat
menstruasi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.0cm; text-align: justify; text-indent: -20.7pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> Menarche :
14 tahun Siklus : 28 hari<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> Lama : 6 hari Teratur : Ya<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> Sifat darah :
Cair Keluhan : Tidak ada<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l10 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Riwayat
perkawinan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">
Status perkawinan : Menikah syah Menikah
ke : 1<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> Lama : 1 tahun Usia menikah pertama kali
:25 thn.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l10 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Riwayat
obstetrik : G1P0A0<o:p></o:p></span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; mso-border-alt: solid windowtext .5pt; mso-border-insideh: .5pt solid windowtext; mso-border-insidev: .5pt solid windowtext; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-table-layout-alt: fixed; mso-yfti-tbllook: 1184; width: 640px;">
<tbody>
<tr>
<td rowspan="2" style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 40.85pt;" valign="top" width="54">
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 9.0pt; line-height: 150%;">Hamil ke<o:p></o:p></span></b></div>
</td>
<td colspan="7" style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 333.1pt;" valign="top" width="444">
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 9.0pt; line-height: 150%;">Persalinan<o:p></o:p></span></b></div>
</td>
<td colspan="2" style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 106.35pt;" valign="top" width="142">
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 9.0pt; line-height: 150%;">Nifas<o:p></o:p></span></b></div>
</td>
</tr>
<tr>
<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: 49.6pt;" valign="top" width="66">
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 9.0pt; line-height: 150%;">Tanggal<o:p></o:p></span></b></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: 2.0cm;" valign="top" width="76">
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 9.0pt; line-height: 150%;">Umur kehamilan<o:p></o:p></span></b></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: 2.0cm;" valign="top" width="76">
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 9.0pt; line-height: 150%;">Jenis persalinan<o:p></o:p></span></b></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: 49.65pt;" valign="top" width="66">
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 9.0pt; line-height: 150%;">Penolong<o:p></o:p></span></b></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: 63.75pt;" valign="top" width="85">
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 9.0pt; line-height: 150%;">Komplikasi<o:p></o:p></span></b></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: 21.3pt;" valign="top" width="28">
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 9.0pt; line-height: 150%;">Jk<o:p></o:p></span></b></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: 35.4pt;" valign="top" width="47">
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 9.0pt; line-height: 150%;">BB lahir<o:p></o:p></span></b></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: 42.55pt;" valign="top" width="57">
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 9.0pt; line-height: 150%;">Laktasi<o:p></o:p></span></b></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: 63.8pt;" valign="top" width="85">
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 9.0pt; line-height: 150%;">Komplikasi<o:p></o:p></span></b></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 40.85pt;" valign="top" width="54">
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">1.<o:p></o:p></span></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: 49.6pt;" valign="top" width="66">
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 9.0pt; line-height: 150%;">23-9-2011<o:p></o:p></span></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: 2.0cm;" valign="top" width="76">
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">40
mgg<o:p></o:p></span></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: 2.0cm;" valign="top" width="76">
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<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: 49.65pt;" valign="top" width="66">
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<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: 63.75pt;" valign="top" width="85">
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<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: 21.3pt;" valign="top" width="28">
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<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: 35.4pt;" valign="top" width="47">
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<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: 42.55pt;" valign="top" width="57">
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<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: 63.8pt;" valign="top" width="85">
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<br /></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 40.85pt;" valign="top" width="54">
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<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: 49.6pt;" valign="top" width="66">
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<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: 2.0cm;" valign="top" width="76">
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<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: 2.0cm;" valign="top" width="76">
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<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: 49.65pt;" valign="top" width="66">
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<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: 63.75pt;" valign="top" width="85">
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<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: 21.3pt;" valign="top" width="28">
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<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: 35.4pt;" valign="top" width="47">
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<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: 42.55pt;" valign="top" width="57">
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<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: 63.8pt;" valign="top" width="85">
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l10 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5.<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%;">Riwayat
kontrasepsi yang digunakan<o:p></o:p></span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; mso-border-alt: solid windowtext .5pt; mso-border-insideh: .5pt solid windowtext; mso-border-insidev: .5pt solid windowtext; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-table-layout-alt: fixed; mso-yfti-tbllook: 1184; width: 631px;">
<tbody>
<tr>
<td rowspan="2" style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.75pt;" valign="top" width="38">
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 9.0pt; line-height: 150%;">No<o:p></o:p></span></b></div>
</td>
<td rowspan="2" style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 125.5pt;" valign="top" width="167">
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 9.0pt; line-height: 150%;">Jenis kontrasepsi<o:p></o:p></span></b></div>
</td>
<td colspan="4" style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 155.95pt;" valign="top" width="208">
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 9.0pt; line-height: 150%;">Pasang<o:p></o:p></span></b></div>
</td>
<td colspan="4" style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 163.0pt;" valign="top" width="217">
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 9.0pt; line-height: 150%;">Lepas<o:p></o:p></span></b></div>
</td>
</tr>
<tr>
<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: 1.0cm;" valign="top" width="38">
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 9.0pt; line-height: 150%;">Tgl<o:p></o:p></span></b></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: 35.45pt;" valign="top" width="47">
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 9.0pt; line-height: 150%;">Oleh<o:p></o:p></span></b></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: 42.5pt;" valign="top" width="57">
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 9.0pt; line-height: 150%;">Tempat<o:p></o:p></span></b></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: 49.65pt;" valign="top" width="66">
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 9.0pt; line-height: 150%;">Keluhan<o:p></o:p></span></b></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: 1.0cm;" valign="top" width="38">
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 9.0pt; line-height: 150%;">Tgl<o:p></o:p></span></b></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: 35.4pt;" valign="top" width="47">
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 9.0pt; line-height: 150%;">Oleh<o:p></o:p></span></b></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: 42.55pt;" valign="top" width="57">
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 9.0pt; line-height: 150%;">Tempat<o:p></o:p></span></b></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: 2.0cm;" valign="top" width="76">
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 9.0pt; line-height: 150%;">Alasan<o:p></o:p></span></b></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.75pt;" valign="top" width="38">
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">1.<o:p></o:p></span></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: 125.5pt;" valign="top" width="167">
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ibu
mengatakan belum pernah menggunakan alat kontrasepsi apapun<o:p></o:p></span></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: 1.0cm;" valign="top" width="38">
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<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: 35.45pt;" valign="top" width="47">
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<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: 42.5pt;" valign="top" width="57">
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<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: 49.65pt;" valign="top" width="66">
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<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: 1.0cm;" valign="top" width="38">
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<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: 35.4pt;" valign="top" width="47">
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<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: 42.55pt;" valign="top" width="57">
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<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: 2.0cm;" valign="top" width="76">
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<br /></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.75pt;" valign="top" width="38">
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<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: 125.5pt;" valign="top" width="167">
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<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: 1.0cm;" valign="top" width="38">
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<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: 35.45pt;" valign="top" width="47">
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<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: 42.5pt;" valign="top" width="57">
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<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: 49.65pt;" valign="top" width="66">
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<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: 1.0cm;" valign="top" width="38">
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<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: 35.4pt;" valign="top" width="47">
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<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: 42.55pt;" valign="top" width="57">
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<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: 2.0cm;" valign="top" width="76">
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l10 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6.<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%;">Riwayat
Kehamilan Sekarang<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l3 level1 lfo24; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">a.
HPHT
: 23 Desember 2011<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l3 level1 lfo24; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">ANC
pertama umur kehamilan : 12 minggu<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l3 level1 lfo24; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<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%;">Kunjungan
ANC : Ibu mengatakan belum pernah melakukan ANC<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: -63.8pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> Trimester 1<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.8pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> Frekuensi :1 kali<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 78.0pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">
Keluhan : Mual (nause) dan
muntah (emesis)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">
Komplikasi : Tidak
ada<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 144.0pt; text-align: justify; text-indent: -72.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Terapi :Makan
sedikit tapi sering, duduk tegak setiap kali selesai makan dan hindari menggosok gigi setelah
makan.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">
Trimester II<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> Frekuensi : 1 kali<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">
Keluhan : Perut panas (Heart Burn)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">
Komplikasi : Tidak ada<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 5.0cm; text-align: justify; text-indent: -69.75pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Terapi :
Hindari minuman selain air putih saat makan, hindari berbaring setelah makan
dan makan segera setelah tidur, hindari makanan yang berlemak dan makanan yang
berbumbu merangsang.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">
Trimester III<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">
Frekuensi : 2 kali<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">
Keluhan : Hyperfentilasi (Sesak nafas)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">
Komplikasi : Tidak ada<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 144.0pt; text-align: justify; text-indent: -72.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Terapi :
Berdiri dan merentangkan lengan diatas kepala serta menarik nafas panjang.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l3 level1 lfo24; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d.<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
TT : 5 kali<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">TT
1 : tanggal Caten<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">
TT 2 :
tanggal 20 Januari 2012<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">
TT3 :
tanggal 10 Maret 2012<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">
TT4 : tanggal -<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">
TT5 : tanggal -<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l3 level1 lfo24; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">e.<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%;">Pergerakan
janin selama 24 jam (dalam sehari)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt; text-align: justify; text-indent: -34.9pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">
Ibu mengatakan sudah merasakan pergerakan janin.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l10 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">7.<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%;">Riwayat
kesehatan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l17 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Penyakit
yang pernah/ sedang diderita (menular,menurun,menahun)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ibu
mengatakan tidak pernah atau sedang menderita penyakit menular
(PMS,TBC),menurun (DM,Hipertensi,Asma),menahun (Jantung,Ginjal)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l17 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Penyakit
yang pernah /sedang diderita keluarga<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ibu
mengatakan baik dari pihak keluarga ibu maupun suami tidak ada yang
pernah/sedang menderita penyakit menular (PMS,TBC),menurun
(DM,Hipertensi,Asma),menahun (Jantung,Ginjal).<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l17 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<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%;">Riwayat
keturunan kembar<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ibu
mengatakan tidak mempunyai riwayat keturunan kembar.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l17 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d.<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%;">Riwayat
operasi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ibu
mengatakan tidak pernah di operasi.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l17 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">e.<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%;">Riwayat
alergi obat<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ibu
mengatakan tidak mempunyai riwayat
alergi obat.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l0 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">8.<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%;">Pola
pemenuhan kebutuhan <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sebelum
hamil Sesudah
hamil<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l6 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Nutrisi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Makan <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Frekuensi : 3 x/hari 2 x/hari<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jenis : Nasi,Sayur,Lauk Nasi,Sayur,Lauk<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Porsi : 1 piring 1/2
piring<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pantangan : Tidak ada Tidak ada<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Keluhan : Tidak ada Tidak ada<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Minum <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Frekuensi : 8x/hari 8x/hari<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jenis : Air putih Air
putih<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Porsi : 1 gelas 1 gelas<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pantangan : Tidak ada Tidak ada <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Keluhan : Tidak ada Tidak ada<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l6 level1 lfo16; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;"> Eliminasi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BAB <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Frekuensi : 1x/hari 1x/hari<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Warna : Kuning Kuning<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Konsistensi : Lunak Lunak<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Keluhan : Tidak ada Tidak ada<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BAK<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Frekuensi : 5x/hari 6x/hari<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Warna : Kuning Kuning<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Konsistensi : Cair Cair<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Keluhan : Tidak ada Tidak ada<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l6 level1 lfo16; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<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%;">Istirahat<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tidur
siang <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Lama : 1 jam x/menit 1
jam x/menit<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Keluhan : Tidak ada Tidak ada<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tidur
malam <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Lama : 8 jam x/menit 8 jam
x/menit<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Keluhan : Tidak ada Tidak ada<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l6 level1 lfo16; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d.<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%;">Personal Hygiene<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mandi : 3 x/hari 3 x/hari<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ganti
pakaian : 3 x/hari 3 x/hari<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gosok
gigi : 3 x/hari 3
x/hari<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Keramas : 3 x/hari 3 x/hari<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l6 level1 lfo16; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">e.<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%;">Pola seksualitas<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Frekuensi : 3 x/minggu 2 x/minggu<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Keluhan : Tidak ada Tidak ada<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l6 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">f.<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%;">Pola
aktivitas (terkait kegiatan fisik,olahraga)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ibu
mengatakan melakukan pekerjaan rumah tangga seperti memasak, menyapu,
mengepel,mencuci dan membereskan rumah.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l0 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">9.<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%;">Kebiasaan
yang mengganggu kesehatan (merokok,minum jamu,minuman beralkohol)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ibu
mengatakan tidak mempunyai kebiasaan yang mengganggu kesehatan seperti merokok,
minum jamu, minum minuman beralkohol.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l0 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">10.<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%;">Data
psikososial, spiritual, dan ekonomi (penerimaan ibu/suami/keluarga terhadap
kelahiran, dukungan keluarga, hubungan dengan suami/keluarga/tetangga,perawatan
bayi,kegiatan ibadah,kegiatan sosial, keadaan ekonomi keluarga.<o:p></o:p></span></div>
<ol start="1" style="margin-top: 0cm;" type="a">
<li class="MsoNormal" style="line-height: 150%; mso-list: l5 level2 lfo25; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ibu
mengatakan sangat senang dengan kehamilannya.<o:p></o:p></span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l5 level2 lfo25; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ibu
mengatakan suami dan keluarga sangat senang dengan kehamilannya.<o:p></o:p></span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l5 level2 lfo25; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ibu
mengatakan hubungannya dengan suami dan keluarga baik.<o:p></o:p></span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l5 level2 lfo25; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ibu
mengatakan akan merawat bayinya sendiri.<o:p></o:p></span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l5 level2 lfo25; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ibu
mengatakan selalu mengikuti kegiatan pkk di desa tempat tinggalnya<o:p></o:p></span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l5 level2 lfo25; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ibu
mengatakan selalu menjalankan sholat 5 waktu.<o:p></o:p></span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l5 level2 lfo25; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ibu
mengatakan suaminya sudah mempersiapkan biaya untuk persalinan.<o:p></o:p></span></li>
</ol>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l0 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">11.<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%;">Pengetahuan
ibu (tentang kehamilan, persalinan, nifas)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ibu
mengatakan laktasi yang baik adalah memberikan ASI saja tanpa bahan makanan
tambahan apapun sampai bayi berusia 6 bulan.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l0 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">12.<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%;">Lingkungan
yang berpengaruh (sekitar rumah dan hewan peliharaan)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ibu
mengatakan tidak ada hewan peliharaan di sekitar rumah.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<ol start="3" style="margin-top: 0cm;" type="A">
<li class="MsoNormal" style="line-height: 150%; margin-bottom: 3.0pt; margin-top: 12.0pt; mso-list: l12 level1 lfo11; mso-outline-level: 3; page-break-after: avoid;"><a href="" name="_Toc326825464"></a><a href="" name="_Toc326825359"></a><a href="" name="_Toc326824992"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Data Objektif</span></a><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></li>
</ol>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l23 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Pemeriksaan
umum<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Keadaan
umum : baik<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kesadaran :
Compos metis<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Status
emosional : Stabil<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tanda
vital<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tekanan
darah :120/80 mmHg Nadi :84 x/menit<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pernafasan : 20 x/menit Suhu : 36<sup>0</sup>C<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BB : 60 kg TB : 155 cm<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l23 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Pemeriksaan
Fisik<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 108.0pt; text-align: justify; text-indent: -54.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kepala :Mesochepal,
ukuran sedang, tidak ada benjolan atau massa, rambut bersih.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Wajah : Oval, tidak ada oedema, tidak ada
cloasma gravidarum.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mata :Simetris, tidak ada sekret,
konjungtiva merah muda, sklera tidak ikterik.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hidung :Tidak ada sekret, tidak ada polip<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 108.0pt; text-align: justify; text-indent: -54.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mulut :Bibir
lembab, tidak stomatitis, lidah bersih, gigi tidak ada caries tidak ada
pembesaran dan peradangan pada tonsil.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Telinga :Simetris tidak ada serumen.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 108.0pt; text-align: justify; text-indent: -54.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Leher :Tidak
ada pembesaran kelenjar tifoid, parotis, limfe, dan vena jugularis.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 108.0pt; text-align: justify; text-indent: -54.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dada :Simetris,
tidak ada wheezing dan ronchi tidak ada retraksi pada dinding dada.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 108.0pt; text-align: justify; text-indent: -54.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Payudara :Simetris,
aerola hyperpigmentasi, puting susu bersih dan
menonjol.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 108.0pt; text-align: justify; text-indent: -54.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Abdomen :Ada
pembesaran, belum ada bekas luka,sudah
ada striae.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Palpasi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Leopold
I : Pada fundus teraba bagian yang bulat
,lunak, tidak melenting.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 4.0cm; text-align: justify; text-indent: -59.4pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Leopold II: Di bagian puki teraba bagian
yang keras, datar, terasa ada tahanan, pada puka teraba tonjolan-tonjolan kecil
an tidak penuh.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 120.5pt; text-align: justify; text-indent: -66.5pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Leopold III: Di bagian bawah teraba
bagian yang bulat,keras, dan melenting.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Leopold
IV: Bagian terbawah janin sudah memasuki panggul (Divergen).<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pemeriksaan
TFU Mc. Donald : 36 cm<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Auskultasi
DJJ :
145 x/menit<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">TBJ : (36-11)x
155 = 3.875 gram<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 180.0pt; text-align: justify; text-indent: -126.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Genetalia luar :Tidak ada pembengkakan kelenjar bartholinin dan
sekret, tidak ada perdarahan dan oedema tidak ada haemoroid.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ekstremitas
Atas :Simetris, gerakan
aktif, tidak ada oedema.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 180.0pt; text-align: justify; text-indent: -126.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ekstremitas Bawah :Simetris, gerakan aktif, tidak ada oedema dan varises.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 180.0pt; text-align: justify; text-indent: -126.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pemeriksaan LILA :26 cm<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 180.0pt; text-indent: -126.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 180.0pt; text-indent: -126.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 180.0pt; text-indent: -126.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 177.2pt; text-align: justify; text-indent: -123.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pemeriksaan Dalam :Vagina uretra tenang, dinding vagina
licin porsio tipis,presbelkep, Pembukaan servik 8 cm, Penurunan kepala teraba
2/5 bagian, terjadi penyusupan kepala tetapi masih dapat dipisahkan, selaput
ketuban (-), ketuban berwarna jernih,STLD (+).<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l23 level1 lfo14; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Pemeriksaan Penunjang Tanggal/Pukul :30-9-2012/16.10.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PP
Test : (+)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">HB : 12 gr %<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Golongan
Darah : O<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 3.0pt; margin-left: 36.0pt; margin-right: 0cm; margin-top: 12.0pt; mso-list: l4 level1 lfo13; mso-outline-level: 2; page-break-after: avoid; text-indent: -36.0pt;">
<a href="" name="_Toc326825465"></a><a href="" name="_Toc326825360"></a><a href="" name="_Toc326824993"><!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">II.<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%; mso-bidi-font-style: italic; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">INTERPRETASI DATA</span></a><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"> <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l8 level1 lfo17; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Diagnosa kebidanan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Seorang
ibu Ny.A umur 25 tahun G1P0A0 AH0 umur kehamilan <sup> </sup>40 mmg Inpartu kala dua fase aktif. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Data
Dasar :<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">DS :Ibu mengatakan umurnya 25 tahun<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 108.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ibu
mengatakan ini kehamilan yang pertama <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 108.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">HPHT : 23 desember 2011<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> Ibu mengatakan belum pernah
melahirkan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> Ibu mengatakan tidak pernah
keguguran<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> Ibu mengatakan mengeluarkan
cairan <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> Ibu mengatakan telah
merasakan kontraksi.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">DO :Tekanan darah :120/80
mmHg PP Test (+)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 108.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> Pernafasan : 20 x/menit Ballotement
(+)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 90.0pt; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">
Suhu : 36<sup>0</sup>C HB :
12 gr %<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">
Nadi : 80 x/menit<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Masalah : Tidak
Ada <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">C.<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%;">Diagnosa
potensial : Tidak
Ada <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-indent: 18.0pt;">
<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-bottom: 3.0pt; margin-left: 36.0pt; margin-right: 0cm; margin-top: 12.0pt; mso-list: l4 level1 lfo13; mso-outline-level: 2; page-break-after: avoid; text-indent: -36.0pt;">
<a href="" name="_Toc326825466"></a><a href="" name="_Toc326825361"></a><a href="" name="_Toc326824994"><!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">III.<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%; mso-bidi-font-style: italic; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">IDENTIFIKASI DAN
ANTISIPASI DIAGNOSA POTENSIAL</span></a><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tidak
Ada<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 3.0pt; margin-left: 36.0pt; margin-right: 0cm; margin-top: 12.0pt; mso-list: l4 level1 lfo13; mso-outline-level: 2; page-break-after: avoid; text-indent: -36.0pt;">
<a href="" name="_Toc326825467"></a><a href="" name="_Toc326825362"></a><a href="" name="_Toc326824995"><!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">IV.<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%; mso-bidi-font-style: italic; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">TINDAKAN SEGERA</span></a><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l18 level1 lfo18; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Mandiri :
Tidak Ada<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l18 level1 lfo18; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Kalaborasi : Tidak Ada<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l18 level1 lfo18; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">C.<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%;">Merujuk :
Tidak Ada<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l4 level1 lfo13; text-indent: -36.0pt;">
<a href="" name="_Toc326825468"></a><a href="" name="_Toc326825363"></a><a href="" name="_Toc326824996"><!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">V.<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%; mso-bidi-font-style: italic; mso-bidi-font-weight: bold;">PERENCANAAN</span></a><b><i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> </span></i></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> Tanggal : 30 September 2012 , Pukul 16.30 WIB<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l16 level1 lfo23; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Beritahu
ibu hasil pemeriksaan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l16 level1 lfo23; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">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%;">Anjurkan ibu untuk mencoba posisi yang
nyaman selama persalinan dan kelahiran.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l16 level1 lfo23; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">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%;">Anjurkan ibu untuk mendapatkan asupan
makanan dan minum selama persalinan dan kelahiran bayinya.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l16 level1 lfo23; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">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%;">Anjurkan dan antarkan ibu berkemih
dikamar mandi.Jika ibu tidak dapat berjalan ke kamar mandi, berikan wadah
penampung urin.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l16 level1 lfo23; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">5.<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%;">Anjurkan teknik relaksasi pada ibu, dan
berikan rasa nyaman pada ibu.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l16 level1 lfo23; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">6.<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%;">Melakukan pemantauan kemajuan persalinan
menggunakan patograf.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l4 level1 lfo13; text-align: justify; text-indent: -36.0pt;">
<a href="" name="_Toc326825469"></a><a href="" name="_Toc326825364"></a><a href="" name="_Toc326824997"><!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">VI.<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%; mso-bidi-font-style: italic; mso-bidi-font-weight: bold;">PELAKSANAAN</span></a><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">
Tanggal : 30 September 2012 , Pukul 16.30 WIB<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l9 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">M</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">e</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">mbe</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">ritahu ibu hasil pemeriksaan</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: 54.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Memberitahu
ibu hasil pemeriksaan, keadaan ibu baik dengan Tekanan darah :120/80 mmHg, Pernafasan : 20 x/menit,
Suhu : 36<sup>0</sup>C, Nadi : 84 x/menit.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l9 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Menganjurkan
ibu untuk mencoba posisi yang nyaman selama persalinan dan kelahiran.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Misalnya:<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.45pt; mso-list: l19 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Posisi
merangkak <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt; tab-stops: 108.0pt 385.5pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Membantu penurunan kepala janin lebih
dalam ke panggul.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt; tab-stops: 108.0pt 385.5pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sangat cocok untuk persalinan dengan
rasa sakit pada punggung.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt; tab-stops: 108.0pt 385.5pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mempermudah janin dalam melakukan
rotasi.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt; tab-stops: 108.0pt 385.5pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Peregangan pada perinuim berkurang.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.45pt; mso-list: l19 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Posisi
berbaring miring ke kiri<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.45pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mengurangi
penekanan pada vena cava inferior.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.45pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Memberi
suasana rileks pada ibu.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.45pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mencegah
terjadinya laserasi.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.45pt; mso-list: l19 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<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%;">Posisi
jongkok atau berdiri<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.45pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mempermudah
penurunan kepala janin.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.45pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Memperkuat
dorongan meneran.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.45pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Meningkatkan
oksigenasi pada bayi.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.45pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Memperluas
panggul ( pada pintu bagian bawah )<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.45pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.45pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.45pt; mso-list: l19 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d.<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%;">Posisi
duduk atau setengah duduk<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.45pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Posisi
menolong persalinan lebih leluasa.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.45pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Nyaman
bagi ibu.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.45pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Memudahkan
penurunan kepala bayi.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l9 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Menganjurkan
ibu untuk mendapatkan asupan makanan dan minum selama persalinan dan kelahiran
bayinya.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Alasannya:
Makanan ringan dan cairan yang cukup selama persalinan akan memberikan lebih
banyak energi dan mencegah dehidrasi. Dehidrasi dapat memperlambat kontraksi
dan/ atau membuat kontraksi jadi tidak teraturdan kurang efektif.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l9 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Menganjurkan
dan antarkan ibu berkemih dikamar mandi.Jika ibu tidak dapat berjalan ke kamar
mandi, berikan wadah penampung urin.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l9 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5.<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%;">Menganjurkan
teknik relaksasi pada ibu, dan berikan rasa nyaman pada ibu.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Memberikan dukungan dan semangat pada ibu dan
keluarganya.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menentramkan
hati ibu selama kala II persalinan <o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Membantu
ibu untuk memilih posisi yang nyaman
saat meneran <o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menganjurkan
ibu untuk istirahat diantara kontraksi.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menganjurkan r</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">elaksasi
dengan nafas panjang apabila terjadi kontraksi</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6.<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%;">Memantau
kemajuan persalinan dengan menggunakan patograf.<o:p></o:p></span></div>
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<br /></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic; mso-bidi-font-weight: bold;">VII.<a href="" name="_Toc326825470"></a><a href="" name="_Toc326825365"></a><a href="" name="_Toc326824998">
EVALUASI</a></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> Tanggal : 30 September 2012 , Pukul 16.35 WIB<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Ibu
merasa lega setelah mengetahui hasil pemeriksaannya.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Ibu
dapat melakukan relaksasi dengan nafas panjang apabila terjadi kontraksi</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">.</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l22 level1 lfo19; tab-stops: 72.0pt 108.0pt 385.5pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Ibu
sering ke kamar mandi setiap 1 jam sekali</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">.</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IT" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IT; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="IT" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IT;">Ibu
merasa yakin dan percaya diri dalam menjalani proses persalinannya</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">.</span><span lang="IT" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IT;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l22 level1 lfo19; tab-stops: 72.0pt 108.0pt 385.5pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Ibu
dapat makan dan minum bila tidak ada kontraksi</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">.</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Kemajuan
persalinan dapat terlihat dengan adanya perubahan kontraksi yang semakin sering
dan kuat.<o:p></o:p></span></div>
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Anonymoushttp://www.blogger.com/profile/09877824835430540158noreply@blogger.com0tag:blogger.com,1999:blog-8430991463257497357.post-58266511667486921102013-05-17T00:43:00.001-07:002013-05-17T00:43:25.456-07:00MAKALAH KONTRASEPSI IUD <br />
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh9Qk8n3hnIXq9TWWpUgRm_Jw0gBitEgM72dUMxVWcOsOvuo4y9SH2CeD_2lEOoDuH-4wUKqhVQA7DG37hkhle4V4oKa8TO85TCeU9oBLFwv252qZWbc3ppfObwKJa2WMXiVZis4Wov3YQD/s1600/download.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh9Qk8n3hnIXq9TWWpUgRm_Jw0gBitEgM72dUMxVWcOsOvuo4y9SH2CeD_2lEOoDuH-4wUKqhVQA7DG37hkhle4V4oKa8TO85TCeU9oBLFwv252qZWbc3ppfObwKJa2WMXiVZis4Wov3YQD/s1600/download.jpg" /></a></div>
<h1 align="center" style="line-height: 150%; text-align: center;">
<a href="" name="_Toc352327437"><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;">KATA PENGANTAR</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;"><o:p></o:p></span></h1>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Puji syukur kepada Tuhan Yang Maha Esa yang telah memberikan
karunia-Nya sehingga kami dapat menyelesaikan makalah ini dengan baik. Makalah
ini membahas tentang “(INTRA UTERINE DEVICES = IUD)”.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Penulis mengucapkan terima kasih kepada dosen pengampu mata kuliah
Pelayanan KB yang telah membimbing kami dalam penyusunan makalah ini. Kami
menyadari bahwa makalah ini masih belum sempurna, oleh karena itu kami
mengharapkan kritik dan saran dari semua pihak demi perbaikan pembuatan makalah
selanjutnya. <o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Semoga makalah ini dapat memberikan wawasan
yang lebih luas kepada pembaca. Akhir kata, kami mengucapkan terima kasih
kepada semua pihak yang telah berperan serta dalam penyusunan makalah ini.
Semoga Tuhan Yang Maha Esa senantiasa memberikan kelancaran dan kemudahan bagi
kita semua. <o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Yogyakarta, Maret 2013<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">
Penulis<o:p></o:p></span></div>
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<br /></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;"><br /></span></div>
<h1 align="center" style="line-height: 150%; text-align: center;">
<a href="" name="_Toc352327439"><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BAB I</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></h1>
<h1 align="center" style="line-height: 150%; text-align: center;">
<a href="" name="_Toc352327440"><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PENDAHULUAN</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></h1>
<h2 style="line-height: 150%; margin-left: 18.0pt; mso-list: l4 level1 lfo1; text-indent: -18.0pt;">
<a href="" name="_Toc352327441"><!--[if !supportLists]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">1.1<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;">Latar Belakang</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;"><o:p></o:p></span></h2>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Paradigma baru program Keluarga Berencana Nasional
telah diubah visinya dari mewujudkan norma keluarga kecil bahagia sejahtera
(NKKBS) menjadi visi untuk mewujudkan”keluarga berkualitas tahun 2015”.
Keluarga yang berkualitas adalah yang sejahtera, sehat, maju, mandiri, memiliki
jumlah anak yang ideal, berwawasan kedepan, bertanggung jawab, harmonis dan
Bertakwa kepada Tuhan Yang Maha Esa (Saefuddin, 2003).<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> Berdasarkan visi dan misi tersebut,
program keluarga berencana nasional mempunyai kontribusi penting dalam upaya
meningkatkan kualitas penduduk. Dalam kontribusi tersebut Badan Koordinasi
Keluarga Berencana Nasional (BKKBN) telah mewujudkan keberhasilannya selain
berhasil menurunkan angka kelahiran dan pertumbuhan penduduk, juga terpenting
adalah keberhasilan mengubah sikap mental dasar perilaku masyarakat dalam upaya
membangun keluarga berkualitas.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sebagai salah satu bukti keberhasilan program
tersebut. Antara lain dapat diamati dari semakin meningkatnya angka pemakaian
kontrasepsi(prevalensi). Survey Demografi dan Kesehatan Indonesia (SDKI) 1997
memperlihatkan proporsi peserta KB yang terbanyak adalah suntik(21,1%),
pil(19,4%), AKDR(18,1%), Norplan(16%), Sterilisasi wanita(3%), Kondom(0,7%),
Sterilisasi pria(0,4%), dan sisanya merupakan peserta KB tradisonal yang
masing-masing menggunakan cara tradisional seperti pantang berkala maupun
senggama terputus.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dari data di atas dapat disimpulkan
bahwa AKDR / IUD berada diposisi ketiga. Sedangkan dalam program BKKBN
memberikan penekanan pada kontasepsi AKDR terutama adalah CuT380 A yang menjadi
primadona BKKBN. Namun begitu tidak semua klien berminat terhadap alat
kontrasepsi AKDR dikarenakan berbagai alasan yang berbeda-beda seperti takut
efek samping, takut proses pemasangan , dilarang oleh suami, dan kurang
mengetahui tentang KB AKDR. Maka dari itu penulis ingin mencoba membahas
makalah dengan judul “Kontrasepsi IUD “.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<a name='more'></a><br /><br />
<h2 style="line-height: 150%; margin-left: 18.0pt; mso-list: l4 level1 lfo1; text-indent: -18.0pt;">
<a href="" name="_Toc352327442"><!--[if !supportLists]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">2.1<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;">Tujuan</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;"><o:p></o:p></span></h2>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; mso-list: l1 level1 lfo2; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Tujuan Umum<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mengetahui
gambaran umum pelayanan kontrasepsi KB terutama AKDR atau IUD.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l1 level1 lfo2; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Tujuan Khusus<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l25 level1 lfo3; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Mengetahui
tentang pengertian AKDR<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l25 level1 lfo3; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Untuk
mengetahui tentang jenis-jenis AKDR<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l25 level1 lfo3; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Untuk
mengetahui tentang mekanisme kerja AKDR<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l25 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Untuk
mengetahui tentang indikasi dan kontraindikasi pemakaian AKDR<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l25 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5)<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%;">Untuk
mengetahui tentang keuntungan dan kerugian memakai metode kontrasepsi AKDR<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l25 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6)<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%;">Untuk
mengetahui tentang cara penanganan dari efek samping AKDR<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l25 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">7)<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%;">Untuk
mengetahui tentang hal-hal apa saja yang harus diketahui akseptor KB.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<h1 align="center" style="line-height: 150%; text-align: center;">
<a href="" name="_Toc352327443"><span style="color: windowtext; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">BAB II</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;"><o:p></o:p></span></h1>
<h1 align="center" style="line-height: 150%; text-align: center;">
<a href="" name="_Toc352327444"><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">TINJAUAN TEORI</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></h1>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">ALAT
KONTRASEPSI DALAM RAHIM (AKDR)<o:p></o:p></span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">(INTRA UTERINE DEVICES = IUD)<o:p></o:p></span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<br /></div>
<h2 style="line-height: 150%; margin-bottom: 12.0pt; margin-left: 21.3pt; margin-right: 0cm; margin-top: 10.0pt; mso-list: l1 level2 lfo2; text-indent: -21.3pt;">
<a href="" name="_Toc352327445"><!--[if !supportLists]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">2.1<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;">PENGERTIAN</span></a><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;"><o:p></o:p></span></h2>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo4; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Suatu
alat atau benda yang dimasukkan ke dalam rahim yang sangat efektif, reversibel
dan berjangka panjang, dapat dipakai oleh semua perempuan usia reproduktif
(Saefuddin, 2003)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo4; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">AKDR
adalah suatau usaha pencegahan kehamilan dengan menggulung secarik kertas,
diikat dengan benang lalu dimasukkan ke dalam rongga rahim (Prawirohardjo,
2005)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l6 level1 lfo4; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">AKDR
atau IUD atau Spiral adalah suatu benda kecil yang terbuat dari plastik yang
lentur, mempunyai lilitan tembaga atau juga mengandung hormon dan dimasukkan ke
dalam rahim melalui vagina dan mempunyai benang (BKKBN,2003)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto;">
<br /></div>
<h2 style="line-height: 150%; margin-bottom: 12.0pt; margin-left: 21.3pt; margin-right: 0cm; margin-top: 10.0pt; mso-list: l1 level2 lfo2; text-indent: -21.3pt;">
<a href="" name="_Toc352327446"><!--[if !supportLists]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">2.2<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;">JENIS-JENIS AKDR</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;"><o:p></o:p></span></h2>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l33 level1 lfo5; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">AKDR
Non-hormonal<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pada
saat ini AKDR telah memasuki generasi ke-4. Karena itu berpuluh-puluh macam
AKDR telah dikembangkan. Mulai dari genersi pertama yang terbuat dari benang
sutra dan logam sampai generasi plastik(polietilen) baik yang diambah obat
maupun tidak.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l34 level1 lfo6; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Menurut
bentuknya AKDR dibagi menjadi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo7; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Bentuk
terbuka (oven device)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Misalnya:
LippesLoop, CUT, Cu-7. Marguiles, Spring Coil, Multiload,Nova-T<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo7; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Bentuk
tertutup (closed device)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Misalnya:
Ota-Ring, Atigon, dan Graten Berg Ring.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l34 level1 lfo6; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Menurut
Tambahan atau Metal<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo8; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Medicated
IUD<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Misalnya:
Cu T 200, Cu T 220, Cu T 300, Cu T 380 A, Cu-7, Nova T, ML-Cu 375<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Un
Medicated IUD<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Misalnya:
Lippes Loop, Marguiles, Saf-T Coil, Antigon.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">IUD
yng banyak dipakai di Indonesia dewasa ini arijenis Un Medicated yaitu Lippes
Loop dan yang dari jenisMedicated Cu T, Cu-7, Multiload dan Nova-T.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pada
jenis Medicated IUD angka yang tertera dibelakang IUD menunjukkanluasnya kawat
halus tembaga yang ditambahkan, misalnya Cu T 220 berarti tembaga adalah 200mm2<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l33 level1 lfo5; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">IUD
yang mengandung hormonal<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo9; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Progestasert-T
= Alza T<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Panjang 36mm, lebar 32mm, dengan 2
lembar benang ekor warna hitam.Mengandung 38 mg progesteron dan barium sulfat,
melepaskan 65mcg progesteron per hari. Tabung insersinya berbentuk lengkung,
Daya kerja :18 bulan. Teknik insersi: plunging. (modified withdrawal)<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo9; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">LNG-20<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> Mengandung
46-60mg Levonorgestrel, dengan pelepasan 20mcg per hari, Sedang diteliti di
Finlandia. Angka kegagalan /kehamilan sangat rendah: ‹0,5 per 100 wanita per
tahun. Penghentian pemakaian oleh karena persoalan-persoalan perdarahan
ternyata lebih tinggi dibandingkan IUD lainnya, karena 25% mengalami amenore
atau perdarahan hait yan sangat sedikit.<o:p></o:p></span></div>
<h2 style="line-height: 150%; margin-bottom: 12.0pt; margin-left: 21.3pt; margin-right: 0cm; margin-top: 10.0pt; mso-list: l1 level2 lfo2; text-indent: -21.3pt;">
<a href="" name="_Toc352327447"><!--[if !supportLists]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">2.3<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;">MEKANISME KERJA</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;"><o:p></o:p></span></h2>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l40 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Mekanisme
kerja AKDR sampai saat ini belum diketahui secara pasti, ada yang berpendapat
bahwa AKDR sebagai benda asing yang menimbulkan reaksi radang setempat, dengan
sebutan lekorit yang dapat melarutkan blastosis atau seperma. Mekanisme kerja
AKDR yang dililiti kawat tembaga mungkin berlainan. Tembaga dalam konsentrasi
kecil yang dikeluarkan ke dalam rongga uterus juga menghambat khasiatanhidrase
karbon dan fosfatase alkali. AKDR yang mengeluarkanhormon juga menebalkan
lender sehingga menghalangi pasasi sperma (Prawirohardjo, 2005).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l40 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Sampai
sekarang mekanisme kerja AKDR belum diketahui dengan pasti, kini pendapat yang
terbanyak ialah bahwa AKDR dalam kavum uteri menimbulkan reaksi peradangan
endometrium yang disertai dengan sebutan leokosit yang dapat menghancurkan
blastokista atau sperma. Sifat-sifat dari cairan uterus mengalami perubahan –
perubahan pada pemakaian AKDR yang menyebabkan blastokista tidak dapat hidup
dalam uterus. Walaupun sebelumnya terjadi nidasi, penyelidik-penyelidik lain menemukan
sering adanya kontraksi uterus pada pemakaian AKDR yang dapat menghalangi
nidasi. Diduga ini disebabkanoleh meningkatnya kadar prostaglandindalam uterus
pada wanita (Wiknjoastro, 2005).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l40 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Sebagai
metode biasa (yang dipasang sebelum hubungan sexual terjadi) AKDR mengubah
transportasi tuba dalam rahim danmempengaruhi sel elur dan sperma sehingga
pembuahan tidak terjadi. Sebagai kontrasepsi darurat (dipasang setelah hubungan
sexual terjadi) dalam beberapa kasus mungkin memiliki mekanisme yang lebih mungkin
adalah dengan mencegah terjadinya implantasi atau penyerangan sel telur yang
telah dibuahi ke dalam dinding rahim<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l40 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Menurut
Saefuddin (2003), mekanisme kerja IUD adalah:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l24 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Menghambat
kemampuan sperma untuk masuk ke tuba falopi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l24 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Mempengaruhi
fertilisasi sebelum ovum mencapai kavum uteri<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l24 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<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%;">AKDR
bekerja terutama mencegah sperma dan ovum bertemu walaupun AKDR membuat sperma
sulit ke dalam alat reproduksi perempuan dan mengurangi kemampuan sperma untuk
fertilisasi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l24 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d.<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%;">Memungkinkan
untuk mencegah implantasi telur ke dalam uterus.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<h2 style="line-height: 150%; margin-bottom: 12.0pt; margin-left: 21.3pt; margin-right: 0cm; margin-top: 10.0pt; mso-list: l1 level2 lfo2; text-indent: -21.3pt;">
<a href="" name="_Toc352327448"><!--[if !supportLists]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">2.4<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;">EFEKTIVITAS IUD</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;"><o:p></o:p></span></h2>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; mso-list: l7 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Efektivitas
IUD dinyatakan dalam angka kontinuitas (continuition rate) yaitu beberapa lama
IUD tetap tinggal dalam uteri tanpa:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l32 level1 lfo13; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Ekspulsi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l32 level1 lfo13; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Terjadinya
kehamilan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l32 level1 lfo13; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<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%;">Pengangkatan/pengeluaran
karena alasa-alasan medis atau pribadi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l7 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Efektivitas
dari bermacam-macam IUD tegantung pada:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l0 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">IUD-nya:
ukuran, bentuk kandungannya<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l0 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Akseptor:
Umur, parietas, frekuensi senggama.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l0 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<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%;">Dari
faktor-faktor yang berhubungan dengan akseptor yaitu umur dan parietas
diketahui :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l30 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Makin
tua usia, makin rendah angka kehamilan, ekspulsi dan pengangkatan/pengeluaran
IUD<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l30 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Makin
muda usia, terutama pada nulligravida makin tinggi angka ekspulsi dan
pengangkatan /pengeluaran IUD.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<h2 style="line-height: 150%; margin-bottom: 12.0pt; margin-left: 21.3pt; margin-right: 0cm; margin-top: 10.0pt; mso-list: l1 level2 lfo2; text-indent: -21.3pt;">
<a href="" name="_Toc352327449"><!--[if !supportLists]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">2.5<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;">KEUNTUNGAN DAN KERUGIAN AKDR ATAU IUD</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;"><o:p></o:p></span></h2>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; mso-list: l19 level1 lfo16; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Keuntungan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l39 level1 lfo17; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Keuntungan
AKDR Non hormonal (Cu T 380A):<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l9 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Sebagai
kontrasepsi efektivitasnya tinggi. Sangat efektif 0,6-0,8 kehamilan per 100
perempuan dalam 1 tahun pertama(1kegagalan dalan 125-170 kehamilan)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l9 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">AKDR
dapat efektf segera setelah pemasangan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l9 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Metode
jangka panjang<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l9 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Sangat
efektif karena tidak perlu lagi mengingat-ingat<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l9 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5)<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%;">Tidak
mempengaruhi hubungan sexual<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l9 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6)<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%;">Meningkatkan
kenyamanan sexual karena tidak perlu takut untuk hamil<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l9 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">7)<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%;">Tidak
ada efek samping hormonal dengan Cu AKDR(Cu T-380A)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l9 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">8)<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%;">Tidak
mempengaruhi kualitas dan volume ASI<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l9 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">9)<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%;">Dapat
dipasang segera setelah melahirkan atau sesudah abortus<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l9 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">10)<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%;">Dapat
digunakan sampai menopause<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l9 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">11)<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%;">Tidak
ada interaksi dengan obat-obat.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l39 level1 lfo17; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Keuntungan
IUD hormonal adalah:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l37 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Mengurangi
volume darah haid dan mengurangi disminorrhoe<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l37 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Untuk
mencegah adhesi dinding-dinding uterus oleh synechiae(Asherman’s Syndrome)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l19 level1 lfo16; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Kerugian<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l2 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Kerugian
AKDR (Cu T-380A) Non hormonal:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l36 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Perubahan
siklus haid<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l36 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Haid
lebih lama dan banyak<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l36 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Perdarahan(spotting)
antarmenstruasi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l36 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Disaat
haid lebih sakit<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l36 level1 lfo21; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5)<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%;">Merasa
sakit dan kejang selama 3 sampai 5 hari setelah pemasangan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l36 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6)<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%;">Perforasi
dinding uterus(sangat jarang apabila pemasangan benar)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l36 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">7)<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%;">Tidak
mencegah IMS termasuk HIV/AIDS<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l36 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">8)<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%;">Tidak
baik digunaka pada perempuan dengan IMS atau perempuan yang sering berganti
pasangan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l36 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">9)<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%;">Klien
tidak dapat melepas AKDR oleh dirinya sendiri<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l36 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">10)<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%;">Tidak
mencegah terjadinya kehamilan ektopik karena fungsi AKDR untuk mencegah
kehamilan normal.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l2 level1 lfo20; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Kerugian
IUD hormonal:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l38 level1 lfo22; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Jauh
lebih mahal dari pada Cu IUD<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l38 level1 lfo22; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Harus
diganti setelah 18 bulan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l38 level1 lfo22; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Lebih
sering menimbulkan perdarahan mid-siklus dan perdarahan bercak(spotting)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l38 level1 lfo22; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Insidens
kehamilan ektopik lebih tinggi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l38 level1 lfo22; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5)<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%;">Efek
samping dan komplikasi IUD hormonal dibagi menjadi 2 kelompok yaitu:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l35 level1 lfo23; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Pada
saat insersi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 108.0pt; mso-add-space: auto; mso-list: l10 level1 lfo24; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Rasa
sakit atau nyeri<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 108.0pt; mso-add-space: auto; mso-list: l10 level1 lfo24; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Muntah,
keringat dingin<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 108.0pt; mso-add-space: auto; mso-list: l10 level1 lfo24; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c)<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%;">Perforasi
uterus<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l35 level1 lfo23; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Efek
samping dan komplikasi IUD dikemudian hari:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 108.0pt; mso-add-space: auto; mso-list: l5 level1 lfo25; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Rasa
sakit dan perdarahan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 108.0pt; mso-add-space: auto; mso-list: l5 level1 lfo25; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Infeksi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 108.0pt; mso-add-space: auto; mso-list: l5 level1 lfo25; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c)<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%;">Kehamilan
intra-uterine<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 108.0pt; mso-add-space: auto; mso-list: l5 level1 lfo25; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d)<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%;">Kehamilan
ektopik<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 108.0pt; mso-add-space: auto; mso-list: l5 level1 lfo25; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">e)<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%;">Ekspulsi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 108.0pt; mso-add-space: auto;">
<br /></div>
<h2 style="line-height: 150%; margin-bottom: 12.0pt; margin-left: 21.3pt; margin-right: 0cm; margin-top: 10.0pt; mso-list: l1 level2 lfo2; text-indent: -21.3pt;">
<a href="" name="_Toc352327450"><!--[if !supportLists]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">2.6<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;">INDIKASI PEMAKAIAN AKDR ATAU IUD</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;"><o:p></o:p></span></h2>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l12 level1 lfo27; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Yang
dapat menggunakan AKDR/IUD dan Progestasert<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 57.3pt; mso-add-space: auto; mso-list: l18 level1 lfo26; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Usia
reproduktif<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 57.3pt; mso-add-space: auto; mso-list: l18 level1 lfo26; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Keadan
nullipara<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 57.3pt; mso-add-space: auto; mso-list: l18 level1 lfo26; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<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%;">Menginginkan
menggunakan kontrasepsi jangka panjang<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 57.3pt; mso-add-space: auto; mso-list: l18 level1 lfo26; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d.<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%;">Menyusui
yang menginginkan menggunakan alat kontrasepsi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 57.3pt; mso-add-space: auto; mso-list: l18 level1 lfo26; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">e.<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%;">Setelah
melahirkan dan tidak menyusui bayinya<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 57.3pt; mso-add-space: auto; mso-list: l18 level1 lfo26; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">f.<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%;">Resiko
rendah dari IMS<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 57.3pt; mso-add-space: auto; mso-list: l18 level1 lfo26; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">g.<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%;">Tidak
menghendaki metode hormonal<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 57.3pt; mso-add-space: auto; mso-list: l18 level1 lfo26; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">h.<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%;">Tidak
menyukai mengingat-ingat minum pil setiap hari<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 57.3pt; mso-add-space: auto; mso-list: l18 level1 lfo26; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">i.<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%;">Perokok<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 57.3pt; mso-add-space: auto; mso-list: l18 level1 lfo26; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">j.<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%;">Sedang memakai antibiotika atau
antikejang<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 57.3pt; mso-add-space: auto; mso-list: l18 level1 lfo26; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">k.<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%;">Gemuk
ataupun yang kurus<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 57.3pt; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; mso-list: l18 level1 lfo26; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">l.<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%;">Sedang menyusui<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l12 level1 lfo27; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Begitu
juga ibu dalam keadaan seperti di bawah ini dapat menggunakan AKDR (Cu T-380A):<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 57.3pt; mso-add-space: auto; mso-list: l14 level1 lfo28; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Penderita
tumor jinak payudara<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 57.3pt; mso-add-space: auto; mso-list: l14 level1 lfo28; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Epilepsi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 57.3pt; mso-add-space: auto; mso-list: l14 level1 lfo28; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<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%;">Malaria<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 57.3pt; mso-add-space: auto; mso-list: l14 level1 lfo28; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d.<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%;">Tekanan
darah tinggi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 57.3pt; mso-add-space: auto; mso-list: l14 level1 lfo28; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">e.<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%;">Penyakit
tiroid<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 57.3pt; mso-add-space: auto; mso-list: l14 level1 lfo28; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">f.<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%;">Setelah
kehamilan ektopik<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 57.3pt; mso-add-space: auto; mso-list: l14 level1 lfo28; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">g.<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%;">Penderita
DM<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 57.3pt; mso-add-space: auto;">
<br /></div>
<h2 style="line-height: 150%; margin-bottom: 12.0pt; margin-left: 21.3pt; margin-right: 0cm; margin-top: 10.0pt; mso-list: l1 level2 lfo2; text-indent: -21.3pt;">
<a href="" name="_Toc352327451"><!--[if !supportLists]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">2.7<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;">KONTRAINDIKASI PEMAKAIAN AKDR</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;"><o:p></o:p></span></h2>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l23 level1 lfo29; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Sedang
hamil<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l23 level1 lfo29; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Perdarahan
vagina yang tidak diketaui<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l23 level1 lfo29; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Sedang
menderita infeksi genetalia<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l23 level1 lfo29; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Penyakit
trifoblas yang ganas<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l23 level1 lfo29; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5.<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%;">Diketahui
menderita TBC velvik<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l23 level1 lfo29; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6.<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%;">Kanker
alat genital<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l23 level1 lfo29; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">7.<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%;">Ukuran
rongga rahim kurang dari 5cm<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto;">
<br /></div>
<h2 style="line-height: 150%; margin-bottom: 12.0pt; margin-left: 21.3pt; margin-right: 0cm; margin-top: 10.0pt; mso-list: l1 level2 lfo2; text-indent: -21.3pt;">
<a href="" name="_Toc352327452"><!--[if !supportLists]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">2.8<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;"> CARA
PEMASANGAN AKDR/IUD</span></a><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;"><o:p></o:p></span></h2>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; mso-list: l8 level1 lfo30; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Persiapan alat yang digunakan dalam
pemasangan AKDR/IUD<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l16 level1 lfo31; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Bivale
speculum<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l16 level1 lfo31; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Tanekulum(penjepit
portio)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l16 level1 lfo31; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<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%;">Sounde
uterus(untuk mengukur kedalaman uterus)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l16 level1 lfo31; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d.<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%;">Forsep<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l16 level1 lfo31; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">e.<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%;">Gunting<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l16 level1 lfo31; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">f.<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%;">Bengkok
larutan antiseptic<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l16 level1 lfo31; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">g.<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%;">Sarungtangan
steril atau sarung tangan DTT<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l16 level1 lfo31; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">h.<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%;">Kasa
atau kapas<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l16 level1 lfo31; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">i.<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%;">Cairan DTT<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l16 level1 lfo31; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">j.<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%;">Sumber cahaya yang cukup untuk
penerangan servik<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l16 level1 lfo31; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">k.<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%;">AKDR(CuT-380A)
atau Progestasert-T yang masih belum rusak dan terbuka<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l16 level1 lfo31; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">l.<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%;">Aligator(penjepit AKDR)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo30; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Cara
pemasangan AKDR atau Progestasert-T<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pemasangan
AKDR sewaktu haid dan mengurangi rasa sakit dan memudahkan insersi melalui
servikalis.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l3 level1 lfo32; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Pemeriksaan
dalam dilakukan untuk menentukan bentuk, ukuran dan posisi uterus<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l3 level1 lfo32; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Singkirkan
kemungkinan kehamilan dan infeksi velvik<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo32; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c)<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%;">Servik
dibersihkan beberapa kali dengan larutan antiseptik<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Iinspekulum,
servik ditampilkan dan bibir depan servik dijepit dengan cunan servik, penjepit
dilakukan kira-kira 2cm dari osteum uteri externum, dengan cunan bergerigi
Saturday<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l3 level1 lfo32; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d)<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%;">Sambil
menarik servik dengan cunan servik, masukkanlah sounde uterus untuk menentukan
arah sumbukanalis dan uterus, panjang kavum uteri, dan posisi osteum uteri
internum. Tentukan arah ante atau retroversi uterus. Jika sounde masuk kurang
dari 5 cm atau kavumuteri terlalu sempit, insersi AKDR jangan dilakukan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l3 level1 lfo32; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">e)<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%;">Tabung
penyalur dengan AKDR di dalamnya dimasukkan melalui kanalis servikalis sesuai
dengan arah dan jarak yang didapat pada waktu pemasangan sounde. Kadang-kadang
terdapat tahanansebelum fundus uteri tercapai. Dalam hal demikian pemasangan
diulangi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l3 level1 lfo32; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">e)</span><!--[endif]--><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: 54.0pt; mso-add-space: auto; mso-list: l3 level1 lfo32; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">f)<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%;">AKDR
dilepaskan dalam kavum uteri dengan cara menarik keluar tabung penyalur atau
dapat pula dengan mendorong penyalur ke dalamkavumuteri, cara pertama agaknya
dapat mengurangi perforasi oleh AKDR<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l3 level1 lfo32; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">g)<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%;">Tabung
dan penyalur kemudian dikeluarkan, filamen AKDR ditinggalkan 2-3cm.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> 3. Cara pencabutan AKDR<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 42.55pt; mso-add-space: auto; mso-list: l28 level1 lfo33; text-indent: -14.2pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Mengeluarkan
AKDR lebih mudah jika dilakukan sewaktu haid<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 42.55pt; mso-add-space: auto; mso-list: l28 level1 lfo33; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Inspikulo
filamen ditarik perlahan-lahan,jangan sampai putus AKDR-nya akan ikut keluar
perlahan-lahan. Jika AKDR tidak ikut keluar dengan mudah, lakukan sounde
uterus, sehingga osteum uteri internum terbuka. Sounde diputus 900
perlahan-lahan. Selanjutnya AKDR dikeluarkan seperti di atas<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l28 level1 lfo33; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<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%;">Jika
filamen tak tampak atau putus, AKDR dapat dikeluarkan dengan mikro kuret.
Kadang-kadang diperlukan anastesi paraservikal untuk mengurangi rasa nyeri<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l28 level1 lfo33; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d.<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%;">Dilatasi
kanalis servikalis dapat dilakukan dengan dilator atau tabung laminaria<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l28 level1 lfo33; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">e.<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%;">AKDR
Lippes tidak perlu dikeluarkan seara berkala, jika posisinya baik, tidak ada
efek samping, dan pasien masih mau memakainya. AKDR tersebut dibiarkan saja
intra uteri. Hanya AKDR tembaga perlu dikeluarkan dan digant secara
periodik(2-3tahun), sedang Progestasert-T 1-2 tahun.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<h2 style="line-height: 150%; margin-bottom: 12.0pt; margin-left: 21.3pt; margin-right: 0cm; margin-top: 10.0pt; mso-list: l1 level2 lfo2; text-indent: -21.3pt;">
<a href="" name="_Toc352327453"><!--[if !supportLists]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">2.9<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;">PENANGANAN EFEK SAMPING AKDR(Cu T-380A)</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;"><o:p></o:p></span></h2>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo34; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Amenora<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Periksa
apakah sedang hamil, apabila tidak, jangan lepas AKDR, lakukan konseling dan
selidiki penyebab amenoreaapabila diketahui. Apabila hamil, jelaskan dan
sarankan untuk melepas AKDR bila talinya terlihat dan kehamilan kurang dari 13
minggu. Apabila benang tidak terlihat, atau kehamilan lebih dari 13 minggu,
AKDR jangan dilepas.Apabila klien sedang hamil dan ingin mempertahankan
kehamilannya tanpa melepas AKDR jelaskan ada resiko kemungkinan terjadinya
kegagalan kehamilan dan infeksi serta perkembangan kehamilanharus lebih diamati
dan diperhatikan<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo34; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Kejang<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pastikan
dan tegaskanlah adanya PRP dan penyebab ain dari kekejangan. Tanggulangi
penyebabnya apabila ditemuka. Apabila tidak ditemukan penyebabnya beri
analgesik untuk sedikt meringankan. Apabila klien menglami kejang yang berat,
lepaskan AKDR dan bantu klien menentukan metode kontrasepsi yang lain.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo34; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Perdarahan
pervaginam yang hebat dan tidak teratur<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pastikan
dan tegaskan adanya infeksi pelvik dan kehamilan ektopik. Apabila tidak ada
kelainan potologis, perdarahan berkelanjutan serta prdarahan hebat, lakukan
konseling dan pemantauan. Beri ibu profen(800mg, 3x sehari selama 1 minggu)
untuk mengurangi perdarahan dan berikan tablet besi(1 tablet setiap hari selama
1 sampai 3bulan).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo34; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Benang
yang hilang pastikan adanya kehamilan atau tidak. Tanyakan apakah AKDR
terlepas. Apabila tidak hamil dan AKDR tidak terlepas, berikan kondom, periksa
talinya di dalam saluran endoservik dan kavum uteri (apabila memungkinkan
adanya peralatan dan tenaga terlatih) setelah masa haid briutnya. Apabila tidak
ditemukan rujk ke dokter, lakukan x-ray atau pemeriksaan ultrasound. Apabila
tidak hamil dan AKDR yang hilang tidak ditemukan, pasanglah AKDR baru atau
bantulah klien menentukan metode lain.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo34; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5.<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%;">Adanya
pengeluaran cairan dari vagina atau dicurigai adanya PRP<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pastikan
pemeriksaan untuk IMS. Lepaskan AKDR apabila ditemukan menderita atau sangat
dicurigai menderita gonorhoe atau infeksi klamidal, lakukan pengobatan yang
memadai. Bila PRP, obati dan lepas AKDR sesudah 48 jam. ApabilaAKDR dikeluarkan
beri metode lain sampai masalahnya teratasi.<o:p></o:p></span></div>
<h2 style="line-height: 150%; margin-bottom: 12.0pt; margin-left: 21.3pt; margin-right: 0cm; margin-top: 10.0pt; mso-list: l1 level2 lfo2; text-indent: -21.3pt;">
<a href="" name="_Toc352327454"><!--[if !supportLists]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">2.10</span><!--[endif]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;"> KUNJUNGAN ULANG</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;"><o:p></o:p></span></h2>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l15 level1 lfo35; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">1
bulan pasca pemasangan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l15 level1 lfo35; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">3
bulan kemudian<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l15 level1 lfo35; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">setiap
6 bulanberikutnya<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l15 level1 lfo35; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">1
tahun sekali<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l15 level1 lfo35; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5.<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%;">bila
terlambat haid 1 minggu<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l15 level1 lfo35; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6.<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%;">perdarahan
banyak dan tidak teratur.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%;">
<br /></div>
<h2 style="line-height: 150%; margin-bottom: 12.0pt; margin-left: 21.3pt; margin-right: 0cm; margin-top: 10.0pt; mso-list: l1 level2 lfo2; text-indent: -21.3pt;">
<a href="" name="_Toc352327455"><!--[if !supportLists]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">2.11</span><!--[endif]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;">ANGKA KEGAGALAN
IUD</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;"><o:p></o:p></span></h2>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l20 level1 lfo36; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Belum
ada IUD yang 100% efektif<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l20 level1 lfo36; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Angka
kegagalan untuk:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l22 level1 lfo37; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">IUD
pada umumnya: 1-3 kehamilan per 100 wanita per tahun<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l22 level1 lfo37; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Lippes
Loop dan First Generation Cu IUD: 2 kehamilan per 100 wanita per tahun.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l22 level1 lfo37; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<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%;">Second
Generation Cu IUD <1 kehamilan per 100 wanita per tahun dan 1,4 kehamilan
per 100 wanita setelah 6 tahun pemakaian.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<h2 style="line-height: 150%; margin-bottom: 12.0pt; margin-left: 21.3pt; margin-right: 0cm; margin-top: 10.0pt; mso-list: l1 level2 lfo2; text-indent: -21.3pt;">
<a href="" name="_Toc352327456"><!--[if !supportLists]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">2.12</span><!--[endif]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;"> INFORMASI UMUM</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;"><o:p></o:p></span></h2>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l41 level1 lfo38; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">AKDR
bekerja langsung efektif segera setelah pemasangan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l41 level1 lfo38; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">AKDR
dapat keluar dari uterus secara spontan, khususnya selama beberapa bulan
pertama.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l41 level1 lfo38; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Kemungkinan
terjadi perdarahan (spotting) beberapa hari setelah pemasangan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l41 level1 lfo38; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Perdarahan
menstruasi biasanya akan lebih lama dan lebih banyak<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l41 level1 lfo38; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5.<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%;">AKDR
mungkin dilepas setiap saat atas kehendak klien<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<h1 align="center" style="line-height: 150%; text-align: center;">
<a href="" name="_Toc352327457"><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BAB III</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></h1>
<h1 align="center" style="line-height: 150%; text-align: center;">
<a href="" name="_Toc352327458"><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PENUTUP</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></h1>
<h2 style="line-height: 150%; margin-left: 21.3pt; mso-list: l6 level2 lfo4; text-indent: -21.3pt;">
<a href="" name="_Toc352327459"><!--[if !supportLists]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">3.1<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;">KESIMPULAN</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;"> <o:p></o:p></span></h2>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l17 level1 lfo39; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">AKDR
adalah suatau usaha pencegahan kehamilan dengan menggulung secarik kertas,
diikat dengan benang lalu dimasukkan ke dalam rongga rahim (Prawirohardjo,
2005)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l17 level1 lfo39; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Jenis-jenis
AKDR / IUD yaitu AKDR hormonal dan non hormonal<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l17 level1 lfo39; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Mekanisme
kerja IUD yaitu Menghambat kemampuan sperma untuk masuk ke tuba falopi,
Mempengaruhi fertilisasi sebelum ovum mencapai kavum uteri, dll.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l17 level1 lfo39; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Efektivitas
dari bermacam-macam IUD tegantung pada:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l21 level1 lfo40; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">IUD-nya:
ukuran, bentuk kandungannya<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l21 level1 lfo40; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Akseptor:
Umur, parietas, frekuensi senggama.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l21 level1 lfo40; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<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%;">Dari
faktor-faktor yang berhubungan dengan akseptor<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l17 level1 lfo39; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5.<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%;">Kerugian
AKDR (Cu T-380A) Non hormonal yaitu perubahan siklus haid, haid lebih lama.
Perdarahan (spotting) antar menstruasi. Disaat haid lebih sakit. Kerugian IUD
hormonal yaitu Jauh lebih mahal dari pada Cu IUD, harus diganti setelah 18
bulan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l17 level1 lfo39; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6.<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%;">Indikasi
pemakaian AKDR atau IUD yaitu Usia reproduktif, Keadan nullipara, Menginginkan
menggunakan kontrasepsi jangka panjang, Menyusui yang menginginkan menggunakan
alat kontrasepsi, Setelah melahirkan dan tidak menyusui bayinya, dll.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l17 level1 lfo39; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">7.<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%;">Kontraindikasi
pemakaian AKDR yaitu Sedang hamil, Perdarahan vagina yang tidak diketaui, Sedang
menderita infeksi genetalia, Penyakit trifoblas yang ganas, Diketahui menderita
TBC velvik<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l17 level1 lfo39; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">8.<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%;">AKDR
bekerja langsung efektif segera setelah pemasangan, AKDR dapat keluar dari
uterus secara spontan, khususnya selama beberapa bulan pertama, Kemungkinan
terjadi perdarahan (spotting) beberapa hari setelah pemasangan, Perdarahan
menstruasi biasanya akan lebih lama dan lebih banyak, AKDR mungkin dilepas
setiap saat atas kehendak klien.<o:p></o:p></span></div>
<h2 style="line-height: 150%; margin-left: 21.3pt; mso-list: l6 level2 lfo4; text-indent: -21.3pt;">
<a href="" name="_Toc352327460"><!--[if !supportLists]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">3.2<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;">SARAN</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;"> <o:p></o:p></span></h2>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l31 level1 lfo41; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Bagi
pengguna alat kontrasepsi AKDR<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pengguna
hendaknya mengetahui terlebih dahulu alat kontrasepsi yang akan di pakai dengan
cara bertanya hal yang ingin diketahui ke tenaga kesehatan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l31 level1 lfo41; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Bagi
tenaga kesehatan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 57.3pt; mso-add-space: auto; mso-list: l29 level1 lfo42; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Sebagai
tenaga kesehatan hendakna meningkatkan keterampilannya memasang AKDR yang baik
dan sesuai prosedur.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 57.3pt; mso-add-space: auto; mso-list: l29 level1 lfo42; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Sebelum
memasang AKDR pada klien jangan lupa untuk melakukan infomconsent pada klien.<o:p></o:p></span></div>
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<br /></div>
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<h1 align="center" style="line-height: 150%; text-align: center;">
<a href="" name="_Toc352327461"><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">DAFTAR PUSTAKA</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></h1>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Prawirohardjo, Sarwono.
2005. Ilmu Kebidanan. Jakarta: YBP-SP<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; text-indent: -1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hartanto
Hanafi. 2003. Keluarga Berencana dan Kontrasepsi. Jakarta: CV. Mulia Sari<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Prawirohardjo, Sarwono.
2003. Buku Panduan Praktis Pelayanan Kontrasepsi.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> Jakarta: YBP-SP<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Saefuddin,
Abdul Bari. 2006. Buku Panduan Praktis Pelayanan Kontrasepsi. Jakarta: Yayasan Bina Pustaka Sarwono
Prawirohardjo.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Riswindarto
</span><a href="http://pendidikan-dan-kesehatan.blogspot.com/2012/05/makalah-pelayanan-kb-iud.html"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">http://pendidikan-dan-kesehatan.blogspot.com/2012/05/makalah-pelayanan-kb-iud.html</span></a><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">
Diakses tanggal 28 Maret 2013 Pukul 14.00 WIB <o:p></o:p></span></div>
Anonymoushttp://www.blogger.com/profile/09877824835430540158noreply@blogger.com0tag:blogger.com,1999:blog-8430991463257497357.post-69033772432703501362013-05-17T00:36:00.001-07:002013-05-17T00:36:21.670-07:00MAKALAH GEMELI<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgZNpC5BRXKw1uw_A_bhKqF4L4d2o68O3jTxfzAEMTg8E8_zUAw6EvDEEzzQPSQ7goRSTaChEHB-InrgEwSI557DYbIfHcxQuR3n5I4DSpr2QS64cMf-GAVofzWaLFjTqNa-Hc_KUmtVzuX/s1600/images.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgZNpC5BRXKw1uw_A_bhKqF4L4d2o68O3jTxfzAEMTg8E8_zUAw6EvDEEzzQPSQ7goRSTaChEHB-InrgEwSI557DYbIfHcxQuR3n5I4DSpr2QS64cMf-GAVofzWaLFjTqNa-Hc_KUmtVzuX/s1600/images.jpg" /></a></div>
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<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><br /></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: 150%;">BAB
I<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: 150%;">PENDAHULUAN<o:p></o:p></span></b></div>
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<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; mso-list: l18 level1 lfo1; mso-text-indent-alt: -18.0pt; text-align: justify; text-indent: -36.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span>1.1<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Latar Belakang<b><o:p></o:p></b></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kehamilan kembar atau kehamilan multipel
ialah suatu kehamilan dengan dua janin atau lebih. Kehamilan tersebut selalu
menarik perhatian wanita itu sendiri, dokter dan masyarakat pada umumnya.
Kehamilan dan persalinan membawa risiko bagi janin. Bahaya bagi ibu tidak
sebegitu besar, tetapi wanita dengan kehamilan kembar memerlukan pengawasan dan
perhatian khusus bila di inginkan hasil yang memuaskan bagi ibu dan janin.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Insiden kehamilan kembar </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">berkisar
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">sekitar satu dalam setiap 80 kelahiran</span><span lang="EN-US" 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%; mso-ansi-language: IN;">dan kehamilan kembar tiga adalah 80 kalinya, yaitu dalam
setiap 6400 kelahiran karena meningkatnya penggunaan obat-obatan penyubur dan
prosedur fertilisasi secara in vitro. Kehamilan kembar khususnya kehamilan
kembar dua fraternal, dimana fertilisasi terjadi pada dua ovum</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">
c</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">enderung terdapat pada sebuah keluarga. Kehamilan kembar
ini diturunkan lewat kedua orang tua dengan </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">seringkali</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"> melewatkan satu generasi. Kehamilan kembar dua lebih
sering ditemukan pada seorang ibu yang usianya lebih dari 35 tahun.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><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: 150%;">Kehamilan kembar mempengaruhi ibu dan
janin, diantaranya adalah kebutuhan akan zat-zat ibu bertambah sehingga dapat
menyebabkan anemia dan defisiensi zat-zat lainnya, terhadap janin yaitu usia
kehamilan tambah singkat dengan bertambahnya jumlah janin pada kehamilan kembar
yaitu 25% pada gemelli, 50% pada triplet, 75% pada quadruplet, yang akan lahir
4 minggu sebelum cukup bulan. Jadi kemungkinan terjadinya bayi premature akan
tinggi.<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: 150%;">Terkait dengan hal tersebut, maka kami
merasa tertarik untuk menyusun makalah ini guna memberikan pengetahuan yang
lebih luas tentang kehamilan kembar.<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: 150%;"></span></div>
<a name='more'></a><br />
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l18 level1 lfo1; mso-text-indent-alt: -18.0pt; text-align: justify; text-indent: -36.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span>1.2<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tujuan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l16 level1 lfo2; mso-text-indent-alt: -18.0pt; text-align: justify; text-indent: -72.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span>1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk mengetahui dan
memahami tentang defenisi gemeli<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l16 level1 lfo2; mso-text-indent-alt: -18.0pt; text-align: justify; text-indent: -72.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span>2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk mengetahui dan
memahami tentang jenis-jenis gemeli<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l16 level1 lfo2; mso-text-indent-alt: -18.0pt; text-align: justify; text-indent: -72.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span>3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk mengetahui dan
memahami tentang etiologi gemeli<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l16 level1 lfo2; mso-text-indent-alt: -18.0pt; text-align: justify; text-indent: -72.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span>4.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk mengetahui dan
memahami tentang patofisiologi gemeli<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l16 level1 lfo2; mso-text-indent-alt: -18.0pt; text-align: justify; text-indent: -72.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span>5.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk mengetahui dan
memahami tentang tanda dan gejala gemeli<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l16 level1 lfo2; mso-text-indent-alt: -18.0pt; text-align: justify; text-indent: -72.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span>6.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk mengetahui dan
memahami tentang pertumbuhan janin kembar<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l16 level1 lfo2; mso-text-indent-alt: -18.0pt; text-align: justify; text-indent: -72.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span>7.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk mengetahui dan
memahami tentang letak pada presentasi janin<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l16 level1 lfo2; mso-text-indent-alt: -18.0pt; text-align: justify; text-indent: -72.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span>8.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk mengetahui dan
memahami tentang diagnosis gemeli<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l16 level1 lfo2; mso-text-indent-alt: -18.0pt; text-align: justify; text-indent: -72.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span>9.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk mengetahui dan
memahami tentang pengaruh gemeli<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l16 level1 lfo2; mso-text-indent-alt: -18.0pt; text-align: justify; text-indent: -72.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span>10.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk mengetahui dan
memahami tentang komplikasi gemeli<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l16 level1 lfo2; mso-text-indent-alt: -18.0pt; text-align: justify; text-indent: -72.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span>11.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk mengetahui dan
memahami tentang penatalaksanaan kehamilan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo2; mso-text-indent-alt: -18.0pt; text-align: justify; text-indent: -72.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span>12.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk mengetahui dan
memahami tentang indikasi persalianan secara SC<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l18 level1 lfo1; mso-text-indent-alt: -18.0pt; text-align: justify; text-indent: -36.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span>1.3<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Rumusan Masalah<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: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span>1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Apa defenisi gemeli?<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l8 level1 lfo3; mso-text-indent-alt: -18.0pt; text-align: justify; text-indent: -72.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span>2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Apa jenis-jenis gemeli?<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l8 level1 lfo3; mso-text-indent-alt: -18.0pt; text-align: justify; text-indent: -72.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span>3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Apa etiologi gemeli?<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: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span>4.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Apa patofisiologi
gemeli?<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l8 level1 lfo3; mso-text-indent-alt: -18.0pt; text-align: justify; text-indent: -72.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span>5.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Apa tanda dan gejala
gemeli?<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l8 level1 lfo3; mso-text-indent-alt: -18.0pt; text-align: justify; text-indent: -72.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span>6.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bagaimana pertumbuhan
janin kembar?<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: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span>7.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bagaimana letak pada
presentasi janin?<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l8 level1 lfo3; mso-text-indent-alt: -18.0pt; text-align: justify; text-indent: -72.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span>8.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Apa diagnosis gemeli?<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l8 level1 lfo3; mso-text-indent-alt: -18.0pt; text-align: justify; text-indent: -72.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span>9.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Apa pengaruh gemeli?<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l8 level1 lfo3; mso-text-indent-alt: -18.0pt; text-align: justify; text-indent: -72.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span>10.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Apa komplikasi gemeli?<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l8 level1 lfo3; mso-text-indent-alt: -18.0pt; text-align: justify; text-indent: -72.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span>11.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bagaimana
penatalaksanaan kehamilan?<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: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span>12.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Apa indikasi
persalianan secara SC?<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BAB
II<o:p></o:p></span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PEMBAHASAN<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; mso-list: l6 level1 lfo6; mso-text-indent-alt: -18.0pt; text-align: justify; text-indent: -36.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span>2.1<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Defenisi<b><o:p></o:p></b></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kehamilan kembar atau kehamilan multipel
ialah suatu kehamilan dengan dua janin atau lebih. Kehamilan multipel dapat
berupa kehamilan ganda atau gemelli (2 janin), triplet ( 3 janin ), kuadruplet
( 4 janin ), quintiplet ( 5 janin ) dan seterusnya dengan frekuensi kejadian
yang semakin jarang sesuai dengan hukum Hellin. Hukum Hellin menyatakan bahwa
perbandingan antara kehamilan ganda dan tunggal adalah 1: 89, untuk triplet 1 :
892, untuk kuadruplet 1 : 893, dan seterusnya. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kemungkinan suatu kehamilan kembar dapat
di ketahui sejak usia kehamilan 5 minggu dengan melihat sejumlah kantung
gestasidi dalam kavum uteri. Diagnosis definitive kehamilan kembar baru boleh
ditegakkan bila terlihat lebih dari satu mudigah yang menujukkan aktivitas
denyut jantung. </span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">Morbiditas dan
mortalitas mengalami peningkatan yang nyata pada kehamilan dengan janin ganda,
oleh karena itu perlu dipertimbangkan kehamilan kembar sebagai kehamilan dengan
komplikasi. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l6 level1 lfo6; mso-text-indent-alt: -18.0pt; text-align: justify; text-indent: -36.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span>2.2<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jenis Kehamilan Kembar<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo4; mso-text-indent-alt: -18.0pt; text-align: justify; text-indent: -72.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span>1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kembar Monozigotik. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Monozigotik
atau identik muncul dari suatu ovum tunggal yang dibuahi yang kemudian membagi
menjadi dua struktur yang sama, masing-masing dengan potensi untuk berkembang
menjadi suatu individu yang terpisah. </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Karena berasal dari satu ovum, hamil
kembar ini mempunyai ci</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">ri-ciri yaitu j</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">enis kelamin sama</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">, wajah mirip, golongan darah sama,
cap tangan dan kaki sama.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Hasil
akhir dari proses pengembaran monozigotik tergantung pada kapan pembelahan
terjadi, dengan uraian sebagai berikut:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Apabila pembelahan terjadi 72 jam
pertama setelah pembuahan, maka 2 embrio, 2amnion serta 2 chorion akan terjadi
dan kehamilan diamnionik dan di chorionik. Kemungkinan terdapat dua plasenta
yang berbeda atau suatu plasenta tunggal yang menyatu.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Apabila pembelahan terjadi antara
hari ke-4 dan ke-8 maka 2 embrio akan terjadi, masing-masing dalam kantong yang
terpisah atau 2 amnion, dengan chorion bersama, dengan demikian menimbulkan
kehamilan kembar diamnionik, monochorionik.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Apabila terjadi sekitar 8-13 hari
setelah pembuahan dimana amnion telah terbentuk, maka pembelahan akan
menimbulkan 2 embrio dengan kantong amnion bersama, atau kehamilan kembar monoamnionik,
monochorionik.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Apabila pembuahan terjadi setelah
hari ke-13, yaitu setelah lempeng embrionik terbentuk, maka pembelahannya tidak
lengkap dan terbentuk kembar yang menyatu atau kembar siam.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo4; mso-text-indent-alt: -18.0pt; text-align: justify; text-indent: -72.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span>2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kembar Dizigot. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Dizigotik
atau fraternal yaitu kembar yang ditimbulkan dari dua ovum yang terpisah.
Kembar dizigotik terjadi dua kali lebih sering daripada kembar monozigotik dan
insidennya dipengaruhi oleh sejumlah faktor antara lain yaitu ras, riwayat
keluarga, usia maternal, paritas, nutrisi dan terapi infertilitas.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Sebagian besar kehamilan kembar</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">dizigotik </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">mempunyai ciri-</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">ciri </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">yaitu jenis kelamin mungkin berbeda,
golongan darah mungkin berbeda, cap kaki dan tangan tidak sama, dan dalam
bentuk 2 plasenta, 2 chorion, dan 2 amnion.<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: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span>2.3<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Etiologi<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: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">Faktor Ras</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">Pada kawasan afrika frekuensi
terjadinya kehamilan ganda sangat tinggi, Knox dan Morley (1960) dalam suatu
survey pada salah satu masyarakat pedesaan di Nigeria mendapatkan bahwa
kehamilan kembar terjadi sekali pada setiap 20 kelahiran, kehamilan pada orang
timur tidak sering terjadi.<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: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">Faktor
Keturunan</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><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: 150%; mso-fareast-font-family: "Times New Roman";">Sebagai penentu kehamilan kembar genotip ibu jauh lebih
penting dari genotip ayah. Wanita yang bukan kembar tapi mempunyai suami kembar
dizigot, melahirkan bayi kembar dengan frekuensi 1 per 116 kehamilan.<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: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">Faktor Umur dan
Paritas</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">Untuk peningkatan usia sampai 40 tahun
atau paritas 7, frekuensi kehamilan kembar akan meningkat. Kehamilan kembar
dapat terjadi kurang dari 1 per 3 pada wanita 20 tahun tanpa riwayat kelahiran
kembar, bila dibandingkan dengan wanita yang berusia diantara 35-40 tahun
dengan 4 anak atau lebih.<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: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">Faktor Nutrisi</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">Nylander (1971) mengatakan bahwa
peningkatan kehamilan kembar berkaitan dengan status nutrisi yang direpleksikan
dengan berat badan ibu yang lebih tinggi dan berbadan besar mempunyai resiko hamil
kembar 25-30% dibandingkan dengan ibu yang lebih pendek dan berbadan kecil.<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: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">Faktor Terapi
Infertilitas</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">Induksi ovulasi dengan menggunakan FSH
plus chorionik gonadotropin atau chlomiphene citrat menghasilkan ovulasi ganda.
Faktor resiko untuk kehamilan ganda setelah ovarium distimulasi dengan hMG
(therapy human menopause gonadotropin) berpengaruh terhadap peningkatan jumlah
estradiol dan injeksi chorionic gonadotropin pada saat bersamaan akan
berpengaruh terhadap karakteristik sperma, meningkatkan konsentrasi dan
mortilitas sperma.<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: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Faktor Assited Reproductive
Technology (ART)<o:p></o:p></span></div>
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<span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">Teknik ART didesain untuk meningkatkan
kemungkinan kehamilan, dan juga meningkatkan kemungkinan kehamilan kembar.
Pasien pada kasus ini, pembuahan dilakukan melalui tehnik fertilisasi in vitro
dengan melakukan seleksi terhadap ovum yang benar-benar berkualitas baik, dan
dua dari empat embrio yang ditransfer kedalam uterus.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";"><span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span>2.4<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">Patofisiologi<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: 150%; mso-fareast-font-family: "Times New Roman";">Pada
kehamilan kembar distensi uterus berlebihan, sehingga melewati batas toleransi
dan seringkali terjadi putus prematurus. Lama kehamilan kembar dua rata-rata
260 hari, triplet 246 hari dan kuadruplet 235 hari. Berat lahir rata-rata
kehamilan kembar ± 2500gram, triplet 1800gram, kuadriplet 1400gram. Penentuan
zigositas janin dapat ditentukan dengan melihat plasenta dan selaput ketuban
pada saat melahirkan. Bila terdapat satu amnion yang tidak dipisahkan dengan
korion maka bayi tesebut adalah monozigotik. Bila selaput amnion dipisahkan
oleh korion, maka janin tersebut bisa monozigotik tetapi lebih sering
dizigotik.<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: 150%; mso-fareast-font-family: "Times New Roman";">Pada kehamilan kembar dizigotik
hampir selalu berjenis kelamin berbeda. Kembar dempet atau kembar siam terjadi
bila hambatan pembelahan setelah diskus embrionik dan sakus amnion terbentuk,
bagian tubuh yang dimiliki bersama dapat.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Secara umum, derajat dari perubahan
fisiologis maternal lebih besar pada kehamilan kembar dibanding dengan
kehamilan tunggal. Pada trimester 1 sering mengalami nausea dan muntah yang
melebihi yang dikarateristikan kehamilan-kehamilan tunggal. Perluasan volume
darah maternal normal adalah 500 ml lebih besar pada kehamilan kembar, dan
rata-rata kehilangan darah dengan persalinan vagina adalah 935 ml, atau hampir
500 ml lebih banyak dibanding dengan persalinan dari janin tunggal.<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: 150%; mso-fareast-font-family: "Times New Roman";">Massa
sel darah merah meningkat juga, namun secara proporsional lebih sedikit pada
kehamilan-kehamilan kembar dua dibanding pada kehamilan tunggal, yang
menimbulkan” anemia fisiologis” yang lebih nyata. Kadar haemoglobin kehamilan
kembar dua rata-rata sebesar 10 g/dl dari 20 minggu ke depan. Sebagaimana
diperbandingkan dengan kehamilan tunggal, cardiac output meningkat sebagai
akibat dari peningkatan denyut jantung serta peningkatan stroke volume. Ukuran
uterus yang lebih besar dengan janin banyak meningkatkan perubahan anatomis
yang terjadi selama kehamilan. Uterus dan isinya dapat mencapai volume 10 L
atau lebih dan berat lebih dari 20 pon. Khusus dengan kembar dua monozygot,
dapat terjadi akumulasi yang cepat dari jumlah cairan amnionik yang nyata
sekali berlebihan, yaitu hidramnion akut.<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: 150%; mso-fareast-font-family: "Times New Roman";">Dalam keadaan ini mudah terjadi
kompresi yang cukup besar serta pemindahan banyak visera abdominal selain juga
paru dengan peninggian diaphragma. Ukuran dan berat dari uterus yang sangat
besar dapat menghalangi keberadaan wanita untuk lebih sekedar duduk.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pada kehamilan kembar yang dengan
komplikasi hidramnion, fungsi ginjal maternal dapat mengalami komplikasi yang
serius, besar kemungkinannya sebagai akibat dari uropati obstruktif. Kadar
kreatinin plasma serta urin output maternal dengan segera kembali ke normal
setelah persalinan. Dalam kasus hidramnion berat, amniosintesis terapeutik
dapat dilakukan untuk memberikan perbaikan bagi ibu dan diharapkan untuk
memungkinkan kehamilan dilanjutkan.<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: 150%; mso-fareast-font-family: "Times New Roman";">Berbagai
macam stress kehamilan serta kemungkinan-kemungkinan dari komplikasi-komplikasi
maternal yang serius hampir tanpa kecuali akan lebih besar pada kehamilan
kembar.<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: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span>2.5<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Tanda dan Gejala<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: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Uterus
atau perut ibu hamil lebih cepat membesar melebihi pembesaran rahim yang sesuai
untuk kehamilan pada umumnya</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">.<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: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kebutuhan ibu akan zat-zat makanan
pada kehamilan kembar bertambah sehingga dapat menyebabkan kenaikan berat badan
lebih cepat.<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: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Merasakan
gerakan bayi dibanyak tempat pada perut ibu hamil.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level2 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Keluhan
sesak nafas, mual dan muntah lebih berat dirasakan daripada kehamilan
dengan bayi tunggal.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level2 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Keluhan
kehamilan lebih berat.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo6; mso-text-indent-alt: -18.0pt; text-align: justify; text-indent: -36.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span>2.6<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pertumbuhan Janin Kembar<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l43 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Berat
badan satu janin kehamilan kembar rata-rata 1000 gram lebih ringan dari janin
tunggal.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l43 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Berat
badan baru lahir biasanya pada kembar dua di bawah 2500 gram, triplet di bawah
2000 gram, kuadriplet di bawah 1500 gram, dan quintiplet di bawah 1000 gram.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l43 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Berat
badan masing-masing janin dari kehamilan kembar tidak sama, umumnya berselisih
antara 50 sampai 1000 gram, dan karena pembagian sirkulasi darah tidak sama,
maka sa;ah satu janin kurang tumbuh dari janin yang lainnya.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l43 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pada
kehamilan ganda monozigotik pembuluh darah janin yang satu beranastomosis
dengan janin yang lain, maka segera setelah salah satu bayi lahir tali pusat
harus diikat untuk menghindari perdarahan. Oleh sebab itu, salah satu janin
dapat terganggu pertumbuhannya dan menjadi monstrum, seperti akardiakus dan
kelainan lainnya. Dapat terjadi sindroma transfuse fetal pada janin yang
mendapat darah lebih banyak terjadi hidramnion, polisitemia, oedema, dan
pertumbuhan yang baik. Sedangkan janin kedua terlihat kecil, anemis, dehidrasi,
oligohidrami, dan mikrokardia karena kurang mendapat darah.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l43 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pada
kehamilan kembar dizigotik dapat terjadi kematian pada salah satu janin dan
janin yang lain tumbuh sampai cukup bulan. Janin yang meninggal dapat
diresorbsi (pada kehamilan muda) dan pada kehamilan yang agak tua janin menjadi
pipih yang disebut fetus papyraseus atau kompresus.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo6; mso-text-indent-alt: -18.0pt; text-align: justify; text-indent: -36.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span>2.7<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Letak pada Presentasi Janin<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pada
kehamilan kembar sering terjadi kesalahan presentasi dan posisi kedua janin.
Begitu pula letak janin kedua, dapat berubah setelah janin pertama lahir,
misalnya dari letak lintang dapat berubah menjadi letak sungsang atau letak
kepala. Berbagai kombinasi letak, presentasi dan posisi bisa terjadi, yang
paling sering dijumpai adalah:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kedua
janin dalam letak membujur, presentasi kepala (44-47%)</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Letak
membujur, presentasi kepala bokong (37-38%)</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Keduanya
presentasi bokong (8-10%)</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Letak
lintang dan presentasi kepala (5-5,3%)</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Letak
lintang dan presentasi bokong (1,5-2%)</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dua-duanya
letak lintang (0,2-0,6%)</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">7.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Letak
dan presentasi “69” adalah letak yang berbahaya, karena dapat terjadi
kunci-mengunci (interlocking)</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo6; mso-text-indent-alt: -18.0pt; text-align: justify; text-indent: -36.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span>2.8<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Diagnosis<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; mso-list: l29 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Anamnesa.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; mso-list: l0 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pernah hamil kembar atau ada riwayat
keturunan kembar.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; mso-list: l0 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Gerakan janin lebih banyak dirasakan
ibu hamil.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; mso-list: l0 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Uterus terasa lebih berat.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; mso-list: l0 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Riwayat terapi klomifen atau
gonadotropin hipofise.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; mso-list: l0 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Penambahan berat badan ibu yang
mencolok dan tidak ada oedem maupun obesitas.<o:p></o:p></span></div>
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<br /></div>
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<br /></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Inspeksi dan palpasi.<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: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pada pemeriksaan pertama dan ulangan
ada kesan uterus lebih besar dan lebih cepat tumbuhnya dari biasa.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; mso-list: l1 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Banyak bagian kecil teraba.<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: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Teraba 3 bagian besar janin. <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: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Teraba 2 balotemen.<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: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">TFU > usia kehamilan perlu
dicurigai:<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: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Hamil kembar<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: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kandung kemih yang penuh<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: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Lupa hari pertama haid terakhir
(HPHT)<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: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Hidramnion<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: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Hamil dengan mioma uteri<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: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Mola hidatidosa<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: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">7)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Janin dengan makrosomia<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: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Auskultasi<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: 150%; mso-fareast-font-family: "Times New Roman";">Terdengar 2 denyut jantung janin pada 2 tempat yang berbeda
dengan perbedaan kecepatan sedikitnya 10 denyut permenit atau lebih bila
dihitung bersamaan terdapat selisih 10 sama jelasnya.<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: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">VT<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: 150%; mso-fareast-font-family: "Times New Roman";">Kemungkinan teraba kepala dalam rongga panggul, di atas
shympisis masih teraba bagian besar janin.<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: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Rontgen foto abdomen (bila perlu).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Tampak 2 kerangka janin, lebih jelas pada usia kehamilan
> 7 bulan.<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: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Ultrasonografi.<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: 150%; mso-fareast-font-family: "Times New Roman";">Bila tampak 2 janin atau dua jantung yang berdenyut yang telah
dapat dideteksi pada triwulan I sejak usia 6-7 minggu.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 9.0pt; mso-add-space: auto; mso-list: l29 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">7.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Elektrokardiogram total<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: 150%; mso-fareast-font-family: "Times New Roman";">Terdapat
gambaran dua EKG yang berbeda dari kedua janin.<o:p></o:p></span></div>
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<br /></div>
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<br /></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">8.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Reaksi kehamilan <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: 150%; mso-fareast-font-family: "Times New Roman";">Karena ada kehamilan kembar umumnya plasenta besar atau ada
2 plasenta, maka produksi HCG akan tinggi, jadi titrasi reaksi kehamilan bisa
positif, kadang-kadang sampai 1/200. Hal ini dapat dikacaukan dengan mola hid<span style="letter-spacing: -.1pt;">atidosa. Kadangkala diagnosa baru diketahui
setelah bayi pertama lahir, uterus masih besar dan ternyata ada satu janin lagi
dalam rahim. Kehamilan kembar sering terjadi bersamaan dengan hidramnion dan
toksemia gravidarum.</span> <o:p></o:p></span></div>
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<br /></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span>2.9<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pengaruh Kehamilan Kembar<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: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Terhadap Ibu<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: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kebutuhan
akan zat-zat bertambah sehingga dapat menyebabkan anemia dan defisiensi zat-zat
lainnya.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l44 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kemungkinan
terjadinya hidramnion bertambah 10 kali lebih besar.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l44 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Frekuensi
pre-eklamsi eklamsi lebih sering.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l44 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Karena
uterus yang besar ibu mengeluh sesak napas, sering miksi, serta terjadi edema
dan varises pada tungkai dan vulva.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l44 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dapat
terjadi inersia uteri, perdarahan post partum, dan solusio plasenta setelah
anak pertama lahir.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l33 level1 lfo13; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Terhadap Janin<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l42 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Usia
kehamilan tambah singkat dengan bertambahnya jumlah janin pada kehamilan kembar
yaitu 25% pada gemeli, 50% pada triplet, 75% pada quadruplet akan lahir 4
minggu sebelum cukup bulan. Jadi kemungkinan terjadinya beyi premature akan
tinggi.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l42 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bila
sesudah bayi pertama lahir terjadi solusio plasenta, maka angka kematian bayi
kedua tinggi.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l42 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sering
terjadi kesalahan letak janin, yang juga akan mempertinggi angka kematian
janin.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l33 level1 lfo13; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pengaruh pada Persalinan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Terjadi inersia uteri
primer-sekunder.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> Persalinan memanjang, kelainan letak janin
sehingga memerlukan tindakan operasi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Terjadi ketuban pecah saat belum
inpartu, permukaan kecil.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Terjadi prolapsus tali pusat.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> Persalinan sulit sampai interlooking.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">f.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> Terjadi solutio plasenta.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo6; mso-text-indent-alt: -18.0pt; text-align: justify; text-indent: -36.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.10<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Komplikasi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l38 level2 lfo19; mso-text-indent-alt: -18.0pt; text-align: justify; text-indent: -72.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span>1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pada Ibu<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Resiko terjadinya abortus lebih
meningkat.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Angka kejadian sc meningkat.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Anemia ibu hamil karena kebutuhan
nutrisi meningkat<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Frekuensi terjadinya hipertensi
kehamilan, preeklamsia, dan eklamsia meningkat.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Perdarahan antepartum karena
solution plasenta meningkat.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">f.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Perdarahan postpartum karena atonia
uteri meningkat akibat overdistensi uterus.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l38 level2 lfo19; mso-text-indent-alt: -18.0pt; text-align: justify; text-indent: -72.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span>2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pada Janin<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Persalinan preterm (UK <37
minggu).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hidramnion</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Malpresentasi</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ketuban
pecah dini</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Prolapsus
funikuli</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">f.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pertumbuhan
janin terhambat</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">g.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kelainan
kongenital </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">h.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Morbiditas
dan mortalitas perinatal meningkat </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">i.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kembar siam</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">j.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Asfiksia</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">k.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Interloking</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">l.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Retensi janin kedua</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo6; mso-text-indent-alt: -18.0pt; text-align: justify; text-indent: -36.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.11<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Penatalaksanaan Kehamilan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level2 lfo22; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Sebelum Hamil<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Resiko hamil kembar pada wanita dengan pemicuan ovulasi
20%-40% diberitahukan saat konseling. Kejadian hamil kembar pada bayi tabung
sangat tergantung pada jumlah embrio yang ditransfer ke dalam rahim. untuk
mengurangi resiko hamil kembar sebaiknya jumlah embrio yang ditransfer
dikurangi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level2 lfo22; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Waktu Hamil<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l41 level1 lfo23; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">ANC lebih sering, setiap 1 minggu setelah
usia kehamilan 20 minggu.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l41 level1 lfo23; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Fe dan asam folat diberikan mulai
trimester 1. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l41 level1 lfo23; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kadar Hb diperiksa setiap 3 bulan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l41 level1 lfo23; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Apabila besar kemungkinan persalinan
preterm dianjurkan untuk banyak istirahat sejak usia kehamilan 28 minggu.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l41 level1 lfo23; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Hindari koitus dalam 3 bulan terakhir.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l41 level1 lfo23; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">f.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Diagnosis dini dapat menghindari
komplikasi yang sering timbul, adanya kelainan kongenital dan kembar siam dpat
ditegakkan pada usia kehamilan 19-20 minggu.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level2 lfo22; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Waktu Partus atau Persalinan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo24; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Persalinan harus dilakukan di rumah
sakit.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo24; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Induksi persalianan apabila ada
hipertensi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo24; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Sebaiknya dipasang infus saat partus
dimulai.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo24; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pemantaun dengan CTG pada persalinan
pervaginam.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo24; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kalau tidak mungkin dilakukan terus
menerus, maka ada yang menganjurkan untuk melakukan SC.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo24; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">f.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Berikan antibiotik, ampisillin 2g/iv
per 6 jam apabila ada persalinan preterm.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo24; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">g.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Induksi persalinan dengan tetesan
pitosin bukan kontraindikasi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo24; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">h.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pada kembar 3, dianjurkan dilakukan
SC untuk mengurangi asfiksia dan kematian perinatal.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo24; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">i.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Tali pusat dijepit dengan cermat, kemungkinan peredaran
darah kedua anak bersatu, anak kedua dapat mengalami perdarahan dari tali pusat
anak pertama.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo24; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">j.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Apabila his lama tidak muncul, pasang infus oksitosin.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo24; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">k.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Setelah anak petama lahir, cek DJJ
anak kedua. Jika meningkat kemungkinan solusio plasenta atau tali pusat
menumbung.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo24; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">l.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Jika anak kedua letak memanjang lakukan versi luar,
amniotomi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo24; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">m.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Jika anak kedua belum lahir ½ jam
setelah anak pertama lahir maka lahirkan dengan persalinan bauatan (forsep atau
versi ekstraksi).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo24; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">n.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Segera setelah anak kedua lahir,
berikan 10 IU oksitosin IM, perhatikan fundus. Setelah plasenta lahir, berikan
metil ergometrin dan bila perlu infus 10 IU oksitosin dalam 500 cc dextrose.<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: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.12<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Indikasi Persalianan secara SC<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: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Indikasi SC Absolut<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: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kembar monoamniotik.<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: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kembar siam (conjoined twins).<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: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Bayi pertama dalam presentasi bokong
kaki.<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: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Letak plasenta yang tidak nomal
seperti plasenta previa.<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: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Lebih dari 2 janin.<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: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Indikasi SC Relatif<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: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Janin pertama dalam presentasi
bokong.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo27; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Satu atau kedua janin tidak terjamin
kesejahteraannya.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo27; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Diskordansi janin dengan lingkar
perut lebih dari 20%, khususnya bila janin pertama lebih kecil.<o:p></o:p></span></div>
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<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">ASKEB<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%;">ASUHAN
KEBIDANAN IBU HAMIL PATOLOGIS<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%;">PADA
NY. E UMUR 24 TH G<sub>1</sub>P<sub>0</sub>A<sub>0</sub> UK 37 MINGGU DENGAN
KEHAMILAN KEMBAR<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%;">DI
BPM EKA RAHAYU SLEMAN YOGYAKARTA<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">No. Register :
79989<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: 115%;">Masuk RS/PKM/BPM Tanggal/Pukul : BPM 24 Maret 2013/ 09.00 WIB<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: 115%;">Dirawat di ruang :
Di ruang periksa<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: 12.0pt; mso-fareast-font-family: "Times New Roman";">I.<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">PENGKAJIAN DATA, Tanggal/Pukul: 24 -3-
2013/09.00 WIB Oleh : Bidan <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: 12.0pt; mso-fareast-font-family: "Times New Roman";">A.<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Biodata
Ibu </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN;"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;"> Suami <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin: 0cm 0cm 0.0001pt 49.5pt; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Nama :
Ny. E Tn. N<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin: 0cm 0cm 0.0001pt 49.5pt; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Umur :
24 tahun 27 tahun<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin: 0cm 0cm 0.0001pt 49.5pt; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Agama :
Islam Islam<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin: 0cm 0cm 0.0001pt 49.5pt; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Suku/bangsa: Jawa/ Indonesia Jawa/
Indonesia<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin: 0cm 0cm 0.0001pt 49.5pt; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">5.<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Pendidikan :
S-1Ekonomi </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN;"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;"> S-1Ekonomi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="margin: 0cm 0cm 0.0001pt 49.5pt; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">6.<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Pekerjaan : PNS </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN;"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN;">Wiraswasta</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 49.5pt; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">7.<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Alamat</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN;"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">:Jl. Batu Benawa
RT.74 </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN;"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Jl.
Batu Benawa RT.74<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.5pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 18.0pt 49.65pt 63.8pt 134.7pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"> No.48 Sleman No.48 Sleman<o:p></o:p></span></div>
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<br /></div>
<div class="MsoListParagraphCxSpFirst" style="margin: 0cm 0cm 0.0001pt 31.5pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">B.<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Data
Subjektif <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: 12.0pt; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Alasan
datang/dirawat<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: 115%;">Ibu
mengatakan ingin memeriksakan kehamilannya.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 49.5pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Keluhan
utama <o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.5pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Ibu
mengatakan pinggangnya sedikit nyeri<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="margin: 0cm 0cm 0.0001pt 49.5pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Riwayat
menstruasi <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 10.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 39.3pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Menarche : 12 tahun Siklus : 28 hari<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: 115%;">Lama : 7 hari Teratur :
Teratur<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: 115%;">Sifat darah : Cair Keluhan : Tidak ada<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: 12.0pt; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Riwayat
perkawinan <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: 115%;">Status perkawinan : Sah Menikah
ke : 1<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 10.2pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Lama : 1 tahun Usia menikah pertama kali : 22 tahun<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>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin: 0cm 0cm 0.0001pt 49.5pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">5.<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Riwayat
obstetrik : G 1 P0 A0 AH 0<o:p></o:p></span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: 5.4pt; mso-border-alt: solid black .5pt; mso-border-insideh: .5pt solid black; mso-border-insidev: .5pt solid black; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184; width: 561px;">
<tbody>
<tr>
<td rowspan="2" style="border: solid black 1.0pt; mso-border-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.55pt;" valign="top" width="57">
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; tab-stops: center 234.0pt right 468.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif";">Hamil<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; tab-stops: center 234.0pt right 468.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif";">Ke<o:p></o:p></span></div>
</td>
<td colspan="7" style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 292.75pt;" valign="top" width="390">
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; tab-stops: center 234.0pt right 468.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif";">Persalinan<o:p></o:p></span></div>
</td>
<td colspan="2" style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 85.1pt;" valign="top" width="113">
<div class="MsoListParagraphCxSpLast" style="margin-left: 0cm; mso-add-space: auto; tab-stops: center 234.0pt right 468.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif";">Nifas<o:p></o:p></span></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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 40.25pt;" valign="top" width="54">
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; tab-stops: center 234.0pt right 468.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif";">tanggal<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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 52.5pt;" valign="top" width="70">
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; tab-stops: center 234.0pt right 468.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif";">Umur kehamilan<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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 51.9pt;" valign="top" width="69">
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; tab-stops: center 234.0pt right 468.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif";">Jenis persalinan<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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 48.05pt;" valign="top" width="64">
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; tab-stops: center 234.0pt right 468.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif";">penolong<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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 50.8pt;" valign="top" width="68">
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; tab-stops: center 234.0pt right 468.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif";">komplikasi<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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 21.95pt;" valign="top" width="29">
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; tab-stops: center 234.0pt right 468.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif";">JK<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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.3pt;" valign="top" width="36">
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; tab-stops: center 234.0pt right 468.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif";">BB lahir<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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 34.3pt;" valign="top" width="46">
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; tab-stops: center 234.0pt right 468.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif";">laktasi<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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 50.8pt;" valign="top" width="68">
<div class="MsoListParagraphCxSpLast" style="margin-left: 0cm; mso-add-space: auto; tab-stops: center 234.0pt right 468.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif";">komplikasi<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-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.55pt;" valign="top" width="57">
<div class="MsoListParagraphCxSpFirst" style="margin-left: 0cm; mso-add-space: auto; tab-stops: center 234.0pt right 468.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif";">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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 40.25pt;" valign="top" width="54">
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; tab-stops: center 234.0pt right 468.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif";">-<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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 52.5pt;" valign="top" width="70">
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; tab-stops: center 234.0pt right 468.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif";">-<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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 51.9pt;" valign="top" width="69">
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; tab-stops: center 234.0pt right 468.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif";">-<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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 48.05pt;" valign="top" width="64">
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; tab-stops: center 234.0pt right 468.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif";">-<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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 50.8pt;" valign="top" width="68">
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; tab-stops: center 234.0pt right 468.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif";">-<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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 21.95pt;" valign="top" width="29">
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; tab-stops: center 234.0pt right 468.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif";">-<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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.3pt;" valign="top" width="36">
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; tab-stops: center 234.0pt right 468.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif";">-<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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 34.3pt;" valign="top" width="46">
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; tab-stops: center 234.0pt right 468.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif";">-<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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 50.8pt;" valign="top" width="68">
<div class="MsoListParagraphCxSpLast" style="margin-left: 0cm; mso-add-space: auto; tab-stops: center 234.0pt right 468.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif";">-<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-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.55pt;" valign="top" width="57">
<div class="MsoListParagraphCxSpFirst" style="margin-left: 0cm; mso-add-space: auto; tab-stops: center 234.0pt right 468.0pt; text-align: justify;">
<br /></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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 40.25pt;" valign="top" width="54">
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; tab-stops: center 234.0pt right 468.0pt; text-align: justify;">
<br /></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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 52.5pt;" valign="top" width="70">
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; tab-stops: center 234.0pt right 468.0pt; text-align: justify;">
<br /></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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 51.9pt;" valign="top" width="69">
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; tab-stops: center 234.0pt right 468.0pt; text-align: justify;">
<br /></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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 48.05pt;" valign="top" width="64">
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; tab-stops: center 234.0pt right 468.0pt; text-align: justify;">
<br /></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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 50.8pt;" valign="top" width="68">
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; tab-stops: center 234.0pt right 468.0pt; text-align: justify;">
<br /></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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 21.95pt;" valign="top" width="29">
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; tab-stops: center 234.0pt right 468.0pt; text-align: justify;">
<br /></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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.3pt;" valign="top" width="36">
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; tab-stops: center 234.0pt right 468.0pt; text-align: justify;">
<br /></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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 34.3pt;" valign="top" width="46">
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; tab-stops: center 234.0pt right 468.0pt; text-align: justify;">
<br /></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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 50.8pt;" valign="top" width="68">
<div class="MsoListParagraphCxSpLast" style="margin-left: 0cm; mso-add-space: auto; tab-stops: center 234.0pt right 468.0pt; text-align: justify;">
<br /></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.55pt;" valign="top" width="57">
<div class="MsoListParagraphCxSpFirst" style="margin-left: 0cm; mso-add-space: auto; tab-stops: center 234.0pt right 468.0pt; text-align: justify;">
<br /></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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 40.25pt;" valign="top" width="54">
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; tab-stops: center 234.0pt right 468.0pt; text-align: justify;">
<br /></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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 52.5pt;" valign="top" width="70">
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; tab-stops: center 234.0pt right 468.0pt; text-align: justify;">
<br /></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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 51.9pt;" valign="top" width="69">
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; tab-stops: center 234.0pt right 468.0pt; text-align: justify;">
<br /></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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 48.05pt;" valign="top" width="64">
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; tab-stops: center 234.0pt right 468.0pt; text-align: justify;">
<br /></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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 50.8pt;" valign="top" width="68">
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; tab-stops: center 234.0pt right 468.0pt; text-align: justify;">
<br /></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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 21.95pt;" valign="top" width="29">
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; tab-stops: center 234.0pt right 468.0pt; text-align: justify;">
<br /></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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.3pt;" valign="top" width="36">
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; tab-stops: center 234.0pt right 468.0pt; text-align: justify;">
<br /></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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 34.3pt;" valign="top" width="46">
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; tab-stops: center 234.0pt right 468.0pt; text-align: justify;">
<br /></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-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 50.8pt;" valign="top" width="68">
<div class="MsoListParagraphCxSpLast" style="margin-left: 0cm; mso-add-space: auto; tab-stops: center 234.0pt right 468.0pt; text-align: justify;">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin: 0cm 0cm 0.0001pt 49.5pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">6.<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Riwayat
kontrasepsi yang di gunakan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: -26.0pt; mso-border-alt: solid black .5pt; mso-border-insideh: .5pt solid black; mso-border-insidev: .5pt solid black; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-table-layout-alt: fixed; mso-yfti-tbllook: 1184; width: 652px;">
<tbody>
<tr style="height: 16.9pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td rowspan="2" style="border: solid black 1.0pt; height: 16.9pt; mso-border-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 31.55pt;" valign="top" width="42">
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; tab-stops: center 234.0pt right 468.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">No<o:p></o:p></span></div>
</td>
<td rowspan="2" style="border-left: none; border: solid black 1.0pt; height: 16.9pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 66.9pt;" valign="top" width="89">
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; tab-stops: center 234.0pt right 468.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Jenis
kontrasepsi<o:p></o:p></span></div>
</td>
<td colspan="4" style="border-left: none; border: solid black 1.0pt; height: 16.9pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 201.5pt;" valign="top" width="269">
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; tab-stops: center 234.0pt right 468.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Pasang<o:p></o:p></span></div>
</td>
<td colspan="4" style="border-left: none; border: solid black 1.0pt; height: 16.9pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 188.75pt;" valign="top" width="252">
<div class="MsoListParagraphCxSpLast" style="margin-left: 0cm; mso-add-space: auto; tab-stops: center 234.0pt right 468.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">lepas<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 16.9pt; mso-yfti-irow: 1;">
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 16.9pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 54.2pt;" valign="top" width="72">
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; tab-stops: center 234.0pt right 468.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Tanggal<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; height: 16.9pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 39.4pt;" valign="top" width="53">
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; tab-stops: center 234.0pt right 468.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">oleh<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; height: 16.9pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 52.7pt;" valign="top" width="70">
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; tab-stops: center 234.0pt right 468.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Tempat<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; height: 16.9pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 55.2pt;" valign="top" width="74">
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; tab-stops: center 234.0pt right 468.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Keluhan<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; height: 16.9pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 47.35pt;" valign="top" width="63">
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; tab-stops: center 234.0pt right 468.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">tanggal<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; height: 16.9pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 39.5pt;" valign="top" width="53">
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; tab-stops: center 234.0pt right 468.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">oleh<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; height: 16.9pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 47.4pt;" valign="top" width="63">
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; tab-stops: center 234.0pt right 468.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">tempat<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; height: 16.9pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 54.5pt;" valign="top" width="73">
<div class="MsoListParagraphCxSpLast" style="margin-left: 0cm; mso-add-space: auto; tab-stops: center 234.0pt right 468.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">keluhan<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 16.9pt; mso-yfti-irow: 2;">
<td style="border-top: none; border: solid black 1.0pt; height: 16.9pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 31.55pt;" valign="top" width="42">
<div class="MsoListParagraphCxSpFirst" style="margin-left: 0cm; mso-add-space: auto; tab-stops: center 234.0pt right 468.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">-<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; height: 16.9pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 66.9pt;" valign="top" width="89">
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; tab-stops: center 234.0pt right 468.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;">B</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">ELUM<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; height: 16.9pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 54.2pt;" valign="top" width="72">
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; tab-stops: center 234.0pt right 468.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">-<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; height: 16.9pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 39.4pt;" valign="top" width="53">
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; tab-stops: center 234.0pt right 468.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">-<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; height: 16.9pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 52.7pt;" valign="top" width="70">
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; tab-stops: center 234.0pt right 468.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">-<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; height: 16.9pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 55.2pt;" valign="top" width="74">
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; tab-stops: center 234.0pt right 468.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">-<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; height: 16.9pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 47.35pt;" valign="top" width="63">
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; tab-stops: center 234.0pt right 468.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">-<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; height: 16.9pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 39.5pt;" valign="top" width="53">
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; tab-stops: center 234.0pt right 468.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">-<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; height: 16.9pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 47.4pt;" valign="top" width="63">
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; tab-stops: center 234.0pt right 468.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">-<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; height: 16.9pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 54.5pt;" valign="top" width="73">
<div class="MsoListParagraphCxSpLast" style="margin-left: 0cm; mso-add-space: auto; tab-stops: center 234.0pt right 468.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">-<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 17.9pt; mso-yfti-irow: 3;">
<td style="border-top: none; border: solid black 1.0pt; height: 17.9pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 31.55pt;" valign="top" width="42">
<div class="MsoListParagraphCxSpFirst" style="margin-left: 0cm; mso-add-space: auto; tab-stops: center 234.0pt right 468.0pt; text-align: justify;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 17.9pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 66.9pt;" valign="top" width="89">
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; tab-stops: center 234.0pt right 468.0pt; text-align: justify;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 17.9pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 54.2pt;" valign="top" width="72">
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; tab-stops: center 234.0pt right 468.0pt; text-align: justify;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 17.9pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 39.4pt;" valign="top" width="53">
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; tab-stops: center 234.0pt right 468.0pt; text-align: justify;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 17.9pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 52.7pt;" valign="top" width="70">
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; tab-stops: center 234.0pt right 468.0pt; text-align: justify;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 17.9pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 55.2pt;" valign="top" width="74">
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; tab-stops: center 234.0pt right 468.0pt; text-align: justify;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 17.9pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 47.35pt;" valign="top" width="63">
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; tab-stops: center 234.0pt right 468.0pt; text-align: justify;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 17.9pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 39.5pt;" valign="top" width="53">
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; tab-stops: center 234.0pt right 468.0pt; text-align: justify;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 17.9pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 47.4pt;" valign="top" width="63">
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; tab-stops: center 234.0pt right 468.0pt; text-align: justify;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 17.9pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 54.5pt;" valign="top" width="73">
<div class="MsoListParagraphCxSpLast" style="margin-left: 0cm; mso-add-space: auto; tab-stops: center 234.0pt right 468.0pt; text-align: justify;">
<br /></div>
</td>
</tr>
<tr style="height: 17.9pt; mso-yfti-irow: 4; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid black 1.0pt; height: 17.9pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 31.55pt;" valign="top" width="42">
<div class="MsoListParagraphCxSpFirst" style="margin-left: 0cm; mso-add-space: auto; tab-stops: center 234.0pt right 468.0pt; text-align: justify;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 17.9pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 66.9pt;" valign="top" width="89">
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; tab-stops: center 234.0pt right 468.0pt; text-align: justify;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 17.9pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 54.2pt;" valign="top" width="72">
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; tab-stops: center 234.0pt right 468.0pt; text-align: justify;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 17.9pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 39.4pt;" valign="top" width="53">
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; tab-stops: center 234.0pt right 468.0pt; text-align: justify;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 17.9pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 52.7pt;" valign="top" width="70">
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; tab-stops: center 234.0pt right 468.0pt; text-align: justify;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 17.9pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 55.2pt;" valign="top" width="74">
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; tab-stops: center 234.0pt right 468.0pt; text-align: justify;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 17.9pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 47.35pt;" valign="top" width="63">
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; tab-stops: center 234.0pt right 468.0pt; text-align: justify;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 17.9pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 39.5pt;" valign="top" width="53">
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; tab-stops: center 234.0pt right 468.0pt; text-align: justify;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 17.9pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 47.4pt;" valign="top" width="63">
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; tab-stops: center 234.0pt right 468.0pt; text-align: justify;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 17.9pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 54.5pt;" valign="top" width="73">
<div class="MsoListParagraphCxSpLast" style="margin-left: 0cm; mso-add-space: auto; tab-stops: center 234.0pt right 468.0pt; text-align: justify;">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="margin: 0cm 0cm 0.0001pt 49.5pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">7.<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Riwayat
kehamilan sekarang <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin: 0cm 0cm 0.0001pt 67.5pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">HPM
: 4 Juli 2012 HPL 11 April 2013<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin: 0cm 0cm 0.0001pt 67.5pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">ANC
pertama umur kehamilan : 8 Minggu <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin: 0cm 0cm 0.0001pt 67.5pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Kunjungan
ANC<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 14.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Trimester 1<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 14.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Frekuensi :
2 kali<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 14.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Keluhan :
mual-mual, pusing<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 14.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Komplikasi :
tidak ada<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 14.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Terapi :
Asam folat 1x1 pagi, Vitamin B6 1x1<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 14.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Trimester 2<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 14.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Frekuensi :
2 kali<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: 115%;">Keluhan
: tidak ada<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: 115%;">Komplikasi :
tidak ada<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: 115%;">Terapi :
Sf 1x1, Kalk 1x1 <o:p></o:p></span></div>
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<br /></div>
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<br /></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Trimester 3<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: 115%;">Frekuensi :
3 kali<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: 115%;">Keluhan :
nyeri pinggang<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: 115%;">Komplikasi :
tidak ada<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: 115%;">Terapi :
Sf 1x1, Kalk 1x1<o:p></o:p></span></div>
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<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin: 0cm 0cm 0.0001pt 67.5pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Imunisasi
TT : 3 kali<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: 115%;">TT 1 : SD <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: 115%;">TT 2 : TT caten<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: 115%;">TT 3 : tanggal 4
September 2012<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: 115%;">TT 4 : tanggal belum
dilakukan<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: 115%;">TT 5 : tanggal belum
dilakukan<o:p></o:p></span></div>
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<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin: 0cm 0cm 0.0001pt 67.5pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">e.<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Pergerakan
janin selama 24 jam ( dalam sehari )<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: 115%;">Ibu mengatakan gerakan
janin lebih dari 10 kali dalam sehari<o:p></o:p></span></div>
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<br /></div>
<div class="MsoListParagraphCxSpFirst" style="margin: 0cm 0cm 0.0001pt 49.5pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">8.<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Riwayat
kesehatan<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: 12.0pt; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Penyakit
yang pernah/sedang diderita ( menular, menurun, menahun).<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: 115%;">Ibu mengatakan tidak pernah/ tidak
sedang menderita penyakit menular ( hepatitis, TBC, HIV ), menurun ( asma,
DM,hipertensi ) dan menahun ( ginjal, paru-paru,DM ).<o:p></o:p></span></div>
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<br /></div>
<div class="MsoListParagraphCxSpFirst" style="margin: 0cm 0cm 0.0001pt 67.5pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Penyakit
yang pernah/sedang diderita keluarga ( menular, menurun, menahun).<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: 115%;">Ibu mengatakan didalam keluarga tidak
pernah/ tidak sedang menderita penyakit menular ( hepatitis, TBC, HIV ),
menurun ( asma, DM,hipertensi ) dan menahun ( ginjal, paru-paru,DM ).<o:p></o:p></span></div>
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<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin: 0cm 0cm 0.0001pt 67.5pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Riwayat
keturunan kembar.<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: 115%;">Ibu mengatakan bahwa mempunyai riwayat
keturunan dari keluarga suaminya.<o:p></o:p></span></div>
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<br /></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Riwayat
operasi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 14.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Ibu mengatakan tidak
ada riwayat operasi sesar.<o:p></o:p></span></div>
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<br /></div>
<div class="MsoListParagraphCxSpFirst" style="margin: 0cm 0cm 0.0001pt 67.5pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">e.<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Riwayat
alergi obat<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: 115%;">Ibu mengatakan tidak
mempunyai alergi obat apapun.<o:p></o:p></span></div>
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<br /></div>
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<br /></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 49.5pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">9.<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Pola
pemenuhan kebutuhan<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: 115%;">Sebelum
hamil Saat hamil<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: 12.0pt; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Nutrisi
<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: 115%;">Makan <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: 115%;">Frekuensi : 3 x/hari 4-5 x/hari<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: 115%;">Jenis : nasi, sayur, lauk nasi, sayur, lauk<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: 115%;">Porsi : 1 piring 1
piring<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: 115%;">Pantangan :
tidak ada tidak
ada<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: 115%;">Keluhan : tidak ada tidak
ada<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: 115%;">Minum <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: 115%;">Frekuensi : 7 x/hari 8 x/hari<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: 115%;">Jenis : air putih air
putih<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: 115%;">Porsi : 1 gelas 1
gelas<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: 115%;">Pantangan :
tidak ada tidak
ada<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: 115%;">Keluhan : tidak ada tidak
ada<o:p></o:p></span></div>
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<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin: 0cm 0cm 0.0001pt 57.3pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Eliminasi<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: 115%;">BAB <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: 115%;">Frekuensi : 1x/hari 1x/hari<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: 115%;">Warna : kuning kuning<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: 115%;">Konsistensi : lembek lembek<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: 115%;">Keluhan : tidak ada tidak
ada<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: 115%;">BAK <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: 115%;">Frekuensi : 3x/hari 12x/hari<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: 115%;">Warna :
kunging jernih kuning
jernih<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: 115%;">Konsistensi : cair cair<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: 115%;">Keluhan :
tidak ada tidak
ada<o:p></o:p></span></div>
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<br /></div>
<div class="MsoListParagraphCxSpFirst" style="margin: 0cm 0cm 0.0001pt 57.3pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Istirahat
<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: 115%;">Tidur siang <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: 115%;">Lama :
1 jam/hari 30
menit/hari<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: 115%;">Keluhan :
tidak ada tidak
ada<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: 115%;">Tidur malam<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: 115%;">Lama :
8 jam/hari 7
jam/hari<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: 115%;">Keluhan :
tidak ada tidak
ada<o:p></o:p></span></div>
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<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 57.3pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Personal
hygiene<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 57.3pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Mandi : 2x/hari 2x/hari<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: 115%;">Ganti pakaian : 2x/hari 2x/hari<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: 115%;">Gosok gigi : 3x/hari 3x/hari<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: 115%;">Keramas : 3x/minggu 3x/minggu<o:p></o:p></span></div>
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<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 57.3pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">e.<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Pola
seksualitas<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 57.3pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Frekuensi : 3x/minggu 1x/minggu<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 57.3pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Keluhan : tidak ada tidak
ada<o:p></o:p></span></div>
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<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 57.3pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">f.<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Pola
aktivitas ( terkait kegiatan fisik, olahraga )<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 57.3pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Ibu mengatakan sehari – hari
bekerja sebagai guru, ibu mengatakan jarang berolahraga.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 57.3pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 49.5pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">10.<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Kebiasaan
yang mengganggu kesehatan ( merokok, minum jamu, minuman beralkohol ).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 49.5pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Ibu mengatkan tidak pernah merokok,
tidak pernah minum jamu-jamuan, dan minum minuman beralkohol.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 39.3pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 49.5pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">11.<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Data
psikososial, spiritual dan ekonomi ( penerimaan ibu/suami/keluarga terhadap
kelahiran, dukungan keluarga, hubungan dengan suami/keluarga/tetangga,
perawatan bayi, kegiatan ibadah,
kegiatan sosial, keadaan ekonomi keluarga<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 49.5pt; mso-add-space: auto; tab-stops: 304.8pt; text-align: justify; text-indent: -10.2pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"> Ibu mengatakan suami senang dengan
kehamilannya.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 39.3pt; mso-add-space: auto; text-align: justify; text-indent: 10.2pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Ibu mengatakan
keluarga senang dengan kehamilannya.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 39.3pt; mso-add-space: auto; text-align: justify; text-indent: 10.2pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Ibu mengatakan
suami dan keluarga menerima kehamilannya.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 39.3pt; mso-add-space: auto; text-align: justify; text-indent: 10.2pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Ibu mengatakan
hubungannya dengan suami/keluarga/tetengga baik.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 39.3pt; mso-add-space: auto; text-align: justify; text-indent: 10.2pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Ibu mengatakan
sudah mengetahui tentang perawatan bayi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 39.3pt; mso-add-space: auto; text-align: justify; text-indent: 10.2pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Ibu mengatakan
rajin beribadah.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 39.3pt; mso-add-space: auto; text-align: justify; text-indent: 10.2pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Ibu mengatakan
mengikuti kegiatan sosial di sekitaran rumahnya.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 39.3pt; mso-add-space: auto; text-align: justify; text-indent: 10.2pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Ibu mengatakan
keadaan ekonominya cukup.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 39.3pt; mso-add-space: auto; text-align: justify; text-indent: 10.2pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 49.5pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">12.<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Pengetahuan
ibu ( tentang kehamilan, persalinan, nifas )<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 49.5pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Ibu mengatakan sudah mengetahui
tentang kehamilannya (usia kehamilannya, perubahan fisik yang terjadi)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 49.5pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Ibu mengatakan sudah mengetahui
tentang persalinan (Persiapan persalinan, tanda – tanda persalinan ).<br />
Ibu mengatakan sudah mengetahui tentang masa nifas ( Tanda bahaya nifas).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 49.5pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">13.<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Lingkungan
yang berpengaruh ( sekitar rumah dan hewan peliharaan )<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 39.3pt; mso-add-space: auto; text-align: justify; text-indent: 10.2pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Ibu mengatakan
sekitaran rumah bersih dan nyaman<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 39.3pt; mso-add-space: auto; text-align: justify; text-indent: 10.2pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Ibu mengatakan
tidak mempunyai hewan peliharaan <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 39.3pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 39.3pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 39.3pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 39.3pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin: 0cm 0cm 0.0001pt 31.5pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">C.<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Data
Objektif<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin: 0cm 0cm 0.0001pt 49.5pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Pemeriksaan
umum <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 10.2pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Keadaan umum : Baik<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 10.2pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Kesadaran : Composmetis<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: 115%;">Status emosional : Stabil<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 10.2pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Tanda vital <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 10.2pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Tekanan darah : 110/80 mmhg Nadi :
88x/menit<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 10.2pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Pernafasan : 24 x/menit Suhu : 36,5ᵒc<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 10.2pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">BB : 55 kg TB : 158 cm<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="margin: 0cm 0cm 0.0001pt 49.5pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Pemeriksaan
fisik<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: -58.8pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Kepala : Mesosepal, tidak berketombe, rambut
tidak rontok, tidak <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: -.3pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"> ada nyeri.<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: 115%;">Wajah :
Tidak ada cloasma gravidarum, tidak odema.<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: 115%;">Mata : Simetris, tidak ada tanda-tanda
infeksi, konjungtiva <o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"> merah muda.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 10.2pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Hidung : Simetris, tidak ada tand- tanda
infeksi, tidak ada scret<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: 115%;">Mulut : Bersih, tidak sariawan,tidak ada
tanda-tanda infeksi.<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: 115%;">Telinga : simetris, tidak ada tanda – tanda
infeksi, tidak ada <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: 115%;">
seruman, pendengaran baik.<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: 115%;">Leher :
Tidak ada pembesaran tiroid, paratiroid, parotis,kelenjar <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: 115%;"> limfe, vena jugularis<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: 115%;">Dada : Simetris, tidak ada retraksi
dinding dada,<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: 115%;">Payudar : Simetris, areola mamae hiperpigmentasi,
putting susu<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: 115%;">
menonjol<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: 115%;"> Abdomen :
Pembesaran perut melebar, tidak ada bekas luka, bekas </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">operasi,
terdapat linie nigra.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;"><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: 115%;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Palpasi
: <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: 12.0pt; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Leopold
I : meraba
bagian fundus uteri teraba bagian bundar, lunak, dan tidak melenting (bokong).
Fundus uteri teraba 1 jari dibawah prossesus xyphoideus..<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: 12.0pt; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Leopold
II : meraba
bagian kiri atas perut ibu teraba keras, bulat, dan melenting (kepala),
sedangkan bagian kanan ibu teraba keras, memanjang, dan datar (punggung kanan).<o:p></o:p></span></div>
<div class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 162pt; text-align: justify; text-indent: -90pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">3)<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Leopold
III : meraba
bagian bawah janin ibu, teraba bundar, keras, dan melenting (presentasi
kepala).<o:p></o:p></span></div>
<div class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 162pt; text-align: justify; text-indent: -90pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">4)<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Leopold
IV : meraba
bagian bawah perut ibu diatas simfisis pubis dengan menyatukan kedua telapak
tangan, jari-jari tangan tidak dapat disatukan (divergen) kepala sudah masuk
panggul<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: 115%;">Auskultasi
: Terdengar 2 denyut jantung janin pada 2 tempat yang berbeda yaitu terdengar
jelas dan teratur dibagian kanan bawah perut ibu dengan jumlah 136 kali/menit
dan dibagian kiri atas perut ibu dengan jumlah 140 kali/menit.<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: 115%;">Osborn
test : Tidak dilakukan<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: 115%;">Pemeriksaan
Mc. Donald<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: 115%;">TFU : 39 cm, TBJ = 4340
gram.<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: 115%;">Auskultasi
Djj : kanan perut ibu : 136x/menit<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.5pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"> Kiri perut ibu : 140 x/menit<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: 115%;">Ekstremitas <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: 115%;">Atas : Gerakan akti, jari –
jari lengkap, tidak odem, LILA 26 cm<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: 115%;">Bawah
: Gerakan aktif, tidak odema, jari
lengkap, reflex patella<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.5pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"> ( positif ).<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: 115%;">Genetalia
luar : Tidak ada pembesaran bartolini, tidak varises.<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: 115%;">Pemeriksaan
panggul ( bila perlu ) : Tidak dilakukan<o:p></o:p></span></div>
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<br /></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 49.5pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Pemeriksaan
penunjang Tgl: 24 Maret 2013 pukul : 09.10 WIB<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: 115%; mso-fareast-font-family: "Times New Roman";">Pemeriksaan Hb (
11,5 gr/dL )<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: 115%; mso-fareast-font-family: "Times New Roman";">Protein urine ( Negatif )<o:p></o:p></span></div>
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<br /></div>
<div class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 49.5pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Data
penunjang <o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 49.5pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Usg : janin ganda<o:p></o:p></span></div>
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<br /></div>
<div class="MsoListParagraphCxSpFirst" style="margin-bottom: 0.0001pt; text-align: justify; text-indent: -36pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span>II.<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">INTERPPRETASI DATA<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin: 0cm 0cm 0.0001pt 45pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">A.<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Diagnosa
kebidanan<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: 115%;">Seorang Ny. A umur 24 tahun G1P0A0 umur
kehamilan 37 minggu janin ganda, hidup intra uterine, presentasi ganda, sudah
masuk panggul.<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: 115%;">Data dasar :<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: 115%;">Ds
: <o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Ibu
mengatakan berumur 24 tahun<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: 115%;">Ibu
mengatakan ini adalah kehamilan pertamanya<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Ibu
mengatakan tidak pernah abortus<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: 115%;">Ibu
mengatakan HPHT 4 Juli 2012<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Ibu
mengatakan pinggangnya sedikit nyeri.<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: 115%;">Do
: <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: 115%;">Keadaan
umum : Baik<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: 115%;">Kesadaran : Composmetis<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: 115%;">Status
emosional : Stabil<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: 115%;">Tanda
vital <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: 115%;">Tekanan
darah : 120/80 mmhg Nadi : 88x/menit<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: 115%;">Pernafasan : 22 x/menit Suhu : 36,5<sup>0</sup>C<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: 115%;">BB : 55 kg TB : 158 cm<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: 115%;"> Abdomen :
Pembesaran perut melebar, tidak ada bekas luka, bekas operasi, terdapat linie
nigra.<o:p></o:p></span></div>
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<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 18.0pt 36.0pt 54.0pt 153.0pt 162.0pt; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"> Palpasi : <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: 12.0pt; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Leopold
I : meraba bagian fundus uteri teraba bagian bundar, lunak, dan tidak
melenting (bokong). Fundus uteri teraba 1 jari dibawah prossesus xyphoideus.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 72pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Leopold
II : meraba bagian kiri atas perut ibu teraba keras, bulat, dan
melenting (kepala), sedangkan bagian kanan ibu teraba keras, memanjang, dan
datar (punggung kanan).<o:p></o:p></span></div>
<div class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 72pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">3)<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Leopold
III : meraba bagian bawah janin ibu, teraba bundar, keras, dan melenting
(presentasi kepala).<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: 12.0pt; mso-fareast-font-family: "Times New Roman";">4)<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Leopold
IV : meraba bagian bawah perut ibu diatas simfisis pubis dengan
menyatukan kedua telapak tangan, jari-jari tangan tidak dapat disatukan
(divergen) kepala sudah masuk panggul<o:p></o:p></span></div>
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<br /></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Auskultasi
: Terdengar 2 denyut jantung janin pada 2 tempat yang berbeda yaitu terdengar
jelas dan teratur dibagian kanan bawah perut ibu dengan jumlah 136 kali/menit
dan dibagian kiri atas perut ibu dengan jumlah 140 kali/menit.<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: 115%;">Osborn
test : Tidak dilakukan<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: 115%;">Pemeriksaan
Mc. Donald<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: 115%;">TFU : 39 cm, TBJ = 4340
gram.<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: 115%;">Auskultasi
Djj : kanan perut ibu : 136x/menit<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: 115%;"> Kiri perut ibu :
140 x/menit</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;"><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: 12.0pt; mso-fareast-font-family: "Times New Roman";">B.<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Masalah
<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">Tidak
ada<o:p></o:p></span></div>
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<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: 0.0001pt; text-align: justify; text-indent: -36pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span>III.<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">IDENTIFIKASI DAN ANTISIPASI DIAGNOSA
POTENSIAL<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: 115%; mso-fareast-font-family: "Times New Roman";">Persalinan Prematur dan Preeklamsia<o:p></o:p></span></div>
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<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: 0.0001pt; text-align: justify; text-indent: -36pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span>IV.<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">TINDAKAN SEGERA<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: 12.0pt; mso-fareast-font-family: "Times New Roman";">A.<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Mandiri<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: 115%; mso-fareast-font-family: "Times New Roman";">Pemeriksaan
antenatal</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin: 0cm 0cm 0.0001pt 54pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">B.<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Kolaborasi<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: 115%;">Kolaborasi dengan dokter obsgin untuk USG<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: 12.0pt; mso-fareast-font-family: "Times New Roman";">C.<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Merujuk<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Tidak ada</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;"><o:p></o:p></span></div>
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<br /></div>
<div class="MsoListParagraphCxSpFirst" style="margin-bottom: 0.0001pt; text-align: justify; text-indent: -36pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span>V.<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">PERENCANAAN Tanggal 24 maret 2013
Pukul: 09. 15 WIB<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: 12.0pt; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Jelaskan
kepada ibu dan keluraga tentang hasil pemeriksaan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin: 0cm 0cm 0.0001pt 54pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Jelaskan
kepada ibu tentang nutrisi ibu hamil TM III<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin: 0cm 0cm 0.0001pt 54pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Jelaskan
kepada ibu tentang ketidaknyamanan ibu hamil<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin: 0cm 0cm 0.0001pt 54pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Berikan
dorongan moril kepada ibu<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin: 0cm 0cm 0.0001pt 54pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">5.<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Sarankan
ibu untuk pergi ke dokter kandungan untuk melakukan pemeriksaan USG. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin: 0cm 0cm 0.0001pt 54pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">6.<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Jelaskan
kepada ibu tanda bahaya pada kehamilan kembar.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin: 0cm 0cm 0.0001pt 54pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">7.<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Menjelaskan
kepada ibu bahwa kehamilan kembar dapat terjadi pada ibu yang baru pertama kali
hamil.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin: 0cm 0cm 0.0001pt 54pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">8.<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Sarankan
kepada ibu untuk mempersiapkan persalinan dan untuk bersalin di RS.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin: 0cm 0cm 0.0001pt 54pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">9.<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Jelaskan
kepada ibu tentang personal hygine<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin: 0cm 0cm 0.0001pt 54pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">10.<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Berikan
ibu obat Sf 200mg 1x1, Kalk 500mg 1x1<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: 12.0pt; mso-fareast-font-family: "Times New Roman";">11.<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Sarankan
pada ibu untuk melakukan kunjungan ulang 1 minggu lagi<o:p></o:p></span></div>
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<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: 0.0001pt; text-align: justify; text-indent: -36pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span>VI.<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">PELAKSANAAN Tanggal : 24 maret 2013 Pukul:
09.30 WIB<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: 12.0pt; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Menjelaskan kepada ibu dan keluraga
tentang hasil pemeriksaan, yaitu <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: 115%;">Keadaan umum : Baik Kesadaran : Composmetis<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: 115%;">Status emosional : Stabil<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: 115%;">Tanda vital <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: 115%;">Tekanan
darah</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"> : 120/80 mmhg Nadi : 88x/menit<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: 115%;">Pernafasan : 22 x/menit Suhu : 36,5<sup>0</sup>C<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: 115%;">BB : 55 kg TB : 158 cm<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: 115%;">Abdomen : Pembesaran perut melebar, tidak ada
bekas luka, bekas operasi, terdapat linie nigra.<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: 115%;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN;"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Palpasi : <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: 12.0pt; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Leopold
I : meraba bagian fundus uteri teraba bagian bundar, lunak, dan tidak
melenting (bokong). Fundus uteri teraba 1 jari dibawah prossesus xyphoideus.<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: 12.0pt; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Leopold
II : meraba bagian kiri atas perut ibu teraba keras, bulat, dan
melenting (kepala), sedangkan bagian kanan ibu teraba keras, memanjang, dan
datar (punggung kanan).<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: 12.0pt; mso-fareast-font-family: "Times New Roman";">3)<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Leopold
III : meraba bagian bawah janin ibu, teraba bundar, keras, dan melenting
(presentasi kepala).<o:p></o:p></span></div>
<div class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 72pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">4)<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Leopold
IV : meraba bagian bawah perut ibu diatas simfisis pubis dengan
menyatukan kedua telapak tangan, jari-jari tangan tidak dapat disatukan
(divergen) kepala sudah masuk panggul<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: 115%;">Auskultasi
: Terdengar 2 denyut jantung janin pada 2 tempat yang berbeda yaitu terdengar
jelas dan teratur dibagian kanan bawah perut ibu dengan jumlah 136 kali/menit
dan dibagian kiri atas perut ibu dengan jumlah 140 kali/menit.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Osborn test : Tidak dilakukan<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: 115%;">Pemeriksaan Mc. Donald<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: 115%;">TFU : 39 cm, TBJ = 4340
gram.<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: 115%;">Auskultasi
Djj : kanan perut ibu : 136x/menit<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: 115%;"> Kiri perut ibu : 140 x/menit<o:p></o:p></span></div>
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<br /></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Menjelaskan kepada ibu tentang nutrisi ibu
hamil yaitu pada trimester III ibu lebih banyak mengkonsumsi makanan yang
mengandung zat besi, seperti hati ayam, sayuran hijau, bayam.<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: 12.0pt; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Menjelaskan kepada ibu tentang
ketidaknyamanan TM III yaitu <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: 115%;">Sesak
nafas, ketidaknyamanan ini merupakan ketidaknyamanan fisiologis ibu hamil
karena disebkan oleh penekanan diagfragma oleh rahim yang menyebabkan sesak
nafas<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: 12.0pt; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Memberikan dorongan moril kepada ibu
agar tidak perlu takut dan cemas dalam menghadapi kehamilan dan persalinannya.<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: 12.0pt; mso-fareast-font-family: "Times New Roman";">5.<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Menyarankan ibu untuk pergi ke dokter
kandungan untuk melakukan pemeriksaan USG. <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: 12.0pt; mso-fareast-font-family: "Times New Roman";">6.<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Menjelaskan kepada ibu bahwa kehamilan
kembar dapat terjadi pada ibu yang baru pertama kali hamil. Oleh karena itu ibu
tidak perlu khawatir meskipun ibu tidak memiliki penjelasan tersebut, sehingga
ibu tidak perlu bingung lagi terhadap kehamilan kembar yang dialaminya.<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: 12.0pt; mso-fareast-font-family: "Times New Roman";">7.<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Menjelaskan kepada ibu tanda bahaya pada
kehamilan kembar, yaitu inersia uteri, perdarahan post partum, solusio plasenta
setelah anak pertama lahir, </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">persalinan
preterm (UK <37 minggu), h</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">idramnion, malpresentasi, ketuban pecah
dini, prolapsus funikuli, pertumbuhan janin terhambat, kelainan kongenital <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: 12.0pt; mso-fareast-font-family: "Times New Roman";">8.<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Menyarankan kepada ibu untuk
mempersiapkan persalinan dan untuk bersalin di RS.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-bottom: 0.0001pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">9.<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Menjelaskan kepada ibu tentang personal
hygine yaitu menganjurkan ibu untuk membersihkan alat kelaminnya dari depan ke
belakang, mengganti celana dalam minimal 3 kali sehari agar tidak lembab<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: 12.0pt; mso-fareast-font-family: "Times New Roman";">10.<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Memberikan ibu obat Sf 200mg 1x1, Kalk
500mg 1x1 dan diminum nenggunakan air putih atau air jeruk.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="margin-bottom: 0.0001pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">11.<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Menyarankan pada ibu untuk melakukan
kunjungan ulang 1 minggu lagi pada tanggal 1 april 2013 dengan membawa hasil
pemeriksaan.<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: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span>VII.<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">EVALUASI Tanggal
:24 maret 2013 Pukul: 09.50 WIB<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: 12.0pt; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Ibu
dan keluraga sudah mengerti tentang hasil pemeriksaan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin: 0cm 0cm 0.0001pt 54pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Ibu
sudah mengerti tentang nutrisi ibu hamil TM III dan akaan melaksanakannya.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin: 0cm 0cm 0.0001pt 54pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Ibu
sudah mengerti tentang ketidaknyamanan ibu hamil.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin: 0cm 0cm 0.0001pt 54pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Ibu
merasa lebih tenang setelah diberikan dorongan moril kepada ibu<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin: 0cm 0cm 0.0001pt 54pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">5.<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Ibu
bersedia untuk pergi ke dokter kandungan untuk melakukan pemeriksaan USG. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin: 0cm 0cm 0.0001pt 54pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">6.<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Ibu
sudah mengerti tentang tanda bahaya pada kehamilan kembar dn akan waspada.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin: 0cm 0cm 0.0001pt 54pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">7.<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Ibu
mengerti bahwa kehamilan kembar dapat terjadi pada ibu yang baru pertama kali
hamil.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin: 0cm 0cm 0.0001pt 54pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">8.<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Ibu
bersedia untuk mempersiapkan persalinan dan untuk bersalin di RS.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin: 0cm 0cm 0.0001pt 54pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">9.<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Ibu
sudah mengerti cara melakukan personal hygine<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin: 0cm 0cm 0.0001pt 54pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">10.<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Ibu
sudah diberikan obat Sf 200mg 1x1, Kalk 500mg 1x1<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="margin: 0cm 0cm 0.0001pt 54pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">11.<span style="font-family: 'Times New Roman'; font-size: 7pt;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Ibu
bersedia untuk melakukan kunjungan ulang 1 minggu lagi pada tanggal 1 april
2013 dan menbawa hasil pemeriksaan.<o:p></o:p></span></div>
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<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BAB
III<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: 150%;">PENUTUP<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span>3.1<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kesimpulan<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: 150%;">Kehamilan
kembar atau kehamilan multipel ialah suatu kehamilan dengan dua janin atau
lebih. Ada 2 jenis kehamilan kembar yaitu kehamilan kembar monozigotik dan
kembar dizigot. Ada beberapa faktor penyebab kehamila kembar yaitu faktor ras,
keturunan, umur dan paritas, nutrisi, faktor terapi infertilitas, dan </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Assited Reproductive Technology
(ART). Diagnosis yang dapat dilakukan yaitu melakukan anamnesa, inspeksi dan
palpasi, auskultasi, VT, rontgen foto abdomen, USG, EKG total, dan reaksi
kehamilan. Penatalaksanaan kehamilan dapat dilakukan pada saat sebelum hamil,
waktu hamil, dan waktu partus atau persalinan.<o:p></o:p></span></div>
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<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; mso-list: l30 level1 lfo28; mso-text-indent-alt: -18.0pt; text-align: justify; text-indent: -36.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span>3.2<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Saran<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l21 level2 lfo29; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bidan
sebagai petugas kesehatan sebaiknya dapat memberikan pelayanan antenatal yang
berkualitas agar dapat menegakkan diagnosa secara dini tentang adanya kehamilan
kembar atau ganda. Dengan demikian, penanganan terhadap kehamilan kembar dapat
dilakukan sesuai dengan prosedur yang ada.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l21 level2 lfo29; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dalam
menghadapi kehamilan kembar harus dilakukan pengawasan yang lebih intensif
karena kehamilan kembar dapat memberikan resiko yang lebih tinggi terhadap bayi
dan ibu.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l21 level2 lfo29; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Ibu hamil kembar wajib memeriksakan
kehamilannya kepada tenaga kesehatan sedini mungkin dan secara teratur.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l21 level2 lfo29; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> Ibu hamil kembar benar – benar tahu tentang
kondisi kehamilannya.</span><span lang="EN-US" 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: 72.0pt; mso-add-space: auto; mso-list: l21 level2 lfo29; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Ibu hamil tahu tentang tanda dan
gejala kehamilan kembar sehingga dapat menjaga kehamilan tetap sehat.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
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<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">DAFTAR PUSTAKA<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: 150%;">Dewi,
Yusmiati. 2007. Operasi Caesar. Jakarta: EDSA Mahkota.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Martius,
Gerhard. 1997. Bedah Kebidanan. Jakarta: EGC.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mochtar,
Rustam. 1998. Sinopsis Obstetri Jilid I. Obstetri Fisiologi, Obstetri Patologi.
Jakarta: EGC.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Oxorn,
Harry. 1996. Ilmu Kebidanan Patologi dan Fisiologi Persalinan. Yogyakarta:
Yayasan Essentia Medica.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Prawirohardjo,
Sarwono. 2002. Buku Acuan Nasional Pelayanan Kesehatan Maternal dan Neonatal.
Jakarta: Yayasan Bina Pustaka Sarwono Prawirohardjo.<o:p></o:p></span></div>
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Anonymoushttp://www.blogger.com/profile/09877824835430540158noreply@blogger.com1tag:blogger.com,1999:blog-8430991463257497357.post-44963874342354723312013-05-17T00:29:00.003-07:002013-05-17T00:29:03.602-07:00Makalah IUFD<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgxmFEhx0WClfpcf1S0XhOk9GtGZVbIYkElvTPKXuDkUFkVt-ngEQOivThqivC4RwmDwr7__Z_YO-zFrYJzwQ5Aa_qAaXs7P5vZd-aUt56WdW79hj5ZngA42fW4ZpUgoLI0K1xaAdG9bF8h/s1600/images+(14).jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgxmFEhx0WClfpcf1S0XhOk9GtGZVbIYkElvTPKXuDkUFkVt-ngEQOivThqivC4RwmDwr7__Z_YO-zFrYJzwQ5Aa_qAaXs7P5vZd-aUt56WdW79hj5ZngA42fW4ZpUgoLI0K1xaAdG9bF8h/s1600/images+(14).jpg" /></a></div>
<h1 align="center" style="line-height: 150%; text-align: center;">
<a href="" name="_Toc354060918" style="line-height: 150%;"><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">KATA PENGANTAR</span></a></h1>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Puji syukur kepada Tuhan Yang Maha Esa yang
telah memberikan karunia-Nya sehingga kami dapat menyelesaikan makalah ini
dengan baik. Makalah ini membahas tentang “Intra Uterine Fetal Death (IUFD) ”.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Penulis mengucapkan terima kasih kepada dosen
pengampu mata kuliah Asuhan Kebidanan IV yang telah membimbing kami dalam
penyusunan makalah ini. Kami menyadari bahwa makalah ini masih belum sempurna,
oleh karena itu kami mengharapkan kritik dan saran dari semua pihak demi
perbaikan pembuatan makalah selanjutnya. <o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Semoga makalah ini dapat memberikan wawasan
yang lebih luas kepada pembaca. Akhir kata, kami mengucapkan terima kasih
kepada semua pihak yang telah berperan serta dalam penyusunan makalah ini.
Semoga Tuhan Yang Maha Esa senantiasa memberikan kelancaran dan kemudahan bagi
kita semua. <o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Yogyakarta, April 2013<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">
Penulis<o:p></o:p></span></div>
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<a href="" name="_Toc354321123"><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BAB I</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></h1>
<h1 align="center" style="line-height: 150%; margin-bottom: 12.0pt; text-align: center;">
<a href="" name="_Toc354321124"><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PENDAHULUAN</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></h1>
<h2 style="line-height: 150%; margin-left: 18.0pt; mso-list: l36 level1 lfo23; text-indent: -18.0pt;">
<a href="" name="_Toc354321125"><!--[if !supportLists]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">1.1<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;">Latar Belakang</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;"> <o:p></o:p></span></h2>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kehamilan merupakan suatu kejadian yang selalu
ditunggu-tunggu oleh pasangan suami-istri. Saat ini, pada umumnya seorang ibu
sudah mengerti bagaimana seharusnya ia lebih menjaga kondisi tubuh demi
kelancaran kehamilan dan perkembangan janin dalam kandungannya. Meskipun
demikian, hal-hal yang dapat mengganggu proses kehamilan masih saja tidak dapat
dihindari. Salah satunya adalah kematian janin dalam rahim.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ada banyak faktor yang dapat menyebabkan kematian
janin dalam rahim. Di Negara maju dengan sistem kesehatan yang telah mapan,
kematian akibat kelainnan congenital merupakan kasus yang menonjol, sedangkan
dinegara yang sedang berkembang ada banyak factor penyebab yang menonjol
seperti infeksi, asuhan antenatal yang tidak prima, status ekonomi yang rendah,
dan masih banyak lagi yang lainnya.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Defenisi kematian janin menurut World
Health Organization (WHO) dan American College of Obtetricians and
Gynecologists telah merekomendasikan bahwa kematian janin adalah kematian pada
usia kehamilan 22 minggu atau lebih dan berat janin 500 gram atau lebih.
Sedangkan menurut WHO Expert Committee on the Prevention of Perinatal Morbidity
and Mortality ( 19709 ) menganjurkan agar dalam perhitungan statistik yang
dianamakan kematian janin ialah kematian janin yang pada waktu lahir berat
badannya di atas 1000 gram.<o:p></o:p></span></div>
<span style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: IN; 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: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin; mso-hansi-theme-font: minor-latin;"><br clear="all" style="mso-special-character: line-break; page-break-before: always;" />
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<a name='more'></a><br />
<h2 style="line-height: 150%; margin-left: 18.0pt; mso-list: l9 level2 lfo24; text-indent: -18.0pt;">
<a href="" name="_Toc354321126"><!--[if !supportLists]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">1.2<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;">Rumusan Masalah</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;"> <o:p></o:p></span></h2>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> Berdasarkan
uraian dari latar belakang di atas, maka kami mendapat beberapa permasalahan
yang akan kami uraikan antara lain sebagai berikut :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; mso-list: l26 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Apakah
definisi dari IUFD?<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l26 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Bagaimana
klasifikasi IUFD?<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l26 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<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%;">Bagaimana
etiologi IUFD?<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l26 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d.<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%;">Bagaimana
manifestasi klinis IUFD?<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l26 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">e.<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%;">Apa
saja factor resiko IUFD?<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l26 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">f.<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%;">Bagaimana
patofisiologi IUFD?<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l26 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">g.<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%;">Bagaimana
penekakkan diagnosis IUFD?<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l26 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">h.<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%;">Bagaimana
penatalaksanaan IUFD?<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; text-align: justify;">
<br /></div>
<h2 style="line-height: 150%; margin-left: 18.0pt; mso-list: l9 level2 lfo24; text-indent: -18.0pt;">
<a href="" name="_Toc354321127"><!--[if !supportLists]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">1.3<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;">Tujuan</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;"><o:p></o:p></span></h2>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%; mso-bidi-font-weight: bold;">Tujuan Umum</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: 36.0pt; text-align: justify; text-indent: 20.7pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Adapun tujuan umum dibuatnya makalah ini
adalah untuk dapat memaparkan dan menjelaskan intra uterin fetal deat.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%; mso-bidi-font-weight: bold;">Tujuan Khusus</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: 36.0pt; text-align: justify; text-indent: 20.7pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Setelah kami paparkan tujuan umum kami membuat
makalah ini juga mempunyai tujuan khusus yang hendak kami capai adalah untuk
mengetahui dan memahami serta kami dapat mengimplementasikan ilmu
kesehatan. Untuk pengetahuan kami dan untuk dipergunakan sebagaimana mestinya.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; text-align: justify;">
<br /></div>
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<br /></div>
<h1 align="center" style="line-height: 150%; text-align: center;">
<a href="" name="_Toc354321128"><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BAB II</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></h1>
<h1 align="center" style="line-height: 150%; margin-bottom: 12.0pt; text-align: center;">
<a href="" name="_Toc354321129"><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">ISI</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></h1>
<h2 style="line-height: 150%; margin-left: 18.0pt; mso-list: l36 level1 lfo23; text-indent: -18.0pt;">
<a href="" name="_Toc354321130"><!--[if !supportLists]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">2.1<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;">DEFINISI</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;"><o:p></o:p></span></h2>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kematian janin dalam kandungan disebut Intra Uterin
Fetal Death (IUFD), yakni kematian yang terjadi saat usia kehamilan lebih dari
20 minggu atau pada trimester kedua dan atau yang beratnya 500 gram. Jika
terjadi pada trimester pertama disebut keguguran atau abortus.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ada juga pendapat lain yang mengatakan
kematian janin dalam kehamilan adalah kematian janin dalam kehamilan sebelum
proses persalinan berlangsung pada usia kehamilan 28 minggu ke atas atau berat
janin 1000 gram ke atas.<o:p></o:p></span></div>
<h2 style="line-height: 150%; margin-left: 18.0pt; mso-list: l35 level2 lfo25; text-indent: -18.0pt;">
<a href="" name="_Toc354321131"><!--[if !supportLists]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">2.2<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;">KLASIFIKASI</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;"><o:p></o:p></span></h2>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kematian
janin dapat dibagi menjadi 4 golongan, yaitu: <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; mso-list: l39 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Golongan
I: kematian sebelum massa kehamilan mencapai 20 minggu penuh<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l39 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Golongan
II: kematian sesudah ibu hamil 20-28 minggu <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l39 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Golongan
III: kematian sesudah masa kehamilan >28 minggu (late fetal death)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; mso-list: l39 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Golongan
IV: kematian yang tidak dapat digolongkan pada ketiga golongan di atas.<o:p></o:p></span></div>
<h2 style="line-height: 150%; margin-left: 18.0pt; mso-list: l35 level2 lfo25; text-indent: -18.0pt;">
<a href="" name="_Toc354321132"><!--[if !supportLists]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">2.3<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;">ETIOLOGI</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;"><o:p></o:p></span></h2>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; mso-list: l28 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Fetal,
penyebab 25-40%<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l12 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Anomali/malformasi
kongenital mayor : Neural tube defek, hidrops, hidrosefalus, kelainan jantung
congenital<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l12 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Kelainan
kromosom termasuk penyakit bawaan. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kematian
janin akibat kelainan genetik biasanya baru terdeteksi saat kematian sudah
terjadi, melalui otopsi bayi. Jarang dilakukan pemeriksaan kromosom saat janin
masih dalam kandungan. Selain biayanya mahal, juga sangat berisiko. Karena
harus mengambil air ketuban dari plasenta janin sehingga berisiko besar janin
terinfeksi, bahkan lahir prematur.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l12 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Kelainan
kongenital (bawaan) bayi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Yang
bisa mengakibatkan kematian janin adalah hidrops fetalis, yakni akumulasi
cairan dalam tubuh janin. Jika akumulasi cairan terjadi dalam rongga dada bisa
menyebabkan hambatan nafas bayi. Kerja jantung menjadi sangat berat akibat dari
banyaknya cairan dalam jantung sehingga tubuh bayi mengalami pembengkakan atau
terjadi kelainan pada paru-parunya.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Janin
yang hiperaktif<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gerakan janin yang berlebihan -apalagi hanya pada
satu arah saja- bisa mengakibatkan tali pusat yang menghubungkan ibu dengan
janin terpelintir. Akibatnya, pembuluh darah yang mengalirkan suplai oksigen
maupun nutrisi melalui plasenta ke janin akan tersumbat. Tak hanya itu, tidak
menutup kemungkinan tali pusat tersebut bisa membentuk tali simpul yang
mengakibatkan janin menjadi sulit bergerak. Hingga saat ini kondisi tali pusat
terpelintir atau tersimpul tidak bisa terdeteksi. Sehingga, perlu diwaspadai
bilamana ada gejala yang tidak biasa saat hamil. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l12 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5)<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%;">Infeksi
janin oleh bakteri dan virus<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l28 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Placental,
penyebab 25-35%<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 54.0pt; mso-add-space: auto; mso-list: l13 level1 lfo6; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">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: 115%;">Abruption,
</span> <span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Solusio plasenta<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l13 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Kerusakan
tali pusat<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l13 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Infark
plasenta<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l13 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Infeksi
plasenta dan selaput ketuban<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l13 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5)<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%;">Intrapartum
asphyxia<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l13 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6)<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%;">Plasenta
Previa <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l13 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">7)<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%;">Twin
to twin transfusion S<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l13 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">8)<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%;">Chrioamnionitis
<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l13 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">9)<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%;">Perdarahan
janin ke ibu<o:p></o:p></span></div>
<span style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: IN; 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: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin; mso-hansi-theme-font: minor-latin;"><br clear="all" style="mso-special-character: line-break; page-break-before: always;" />
</span>
<div class="MsoNormal">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; mso-list: l28 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Maternal,
penyebab 5-10%<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l5 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Antiphospholipid
antibody<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l5 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">DM<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l5 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Hipertensi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l5 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Trauma<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l5 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5)<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%;">Abnormal
labor<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l5 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6)<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%;">Sepsis<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l5 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">7)<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%;">Acidosis/
Hypoxia<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l5 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">8)<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%;">Ruptur
uterus<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l5 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">9)<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%;">Postterm
pregnancy<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l5 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">10)<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%;">Obat-obat<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l5 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">11)<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%;">Thrombophilia
<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l5 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">12)<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%;">Cyanotic
heart disease<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l5 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">13)<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%;">Epilepsy<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l5 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">14)<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%;">Anemia
berat<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">15)<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%;">Kehamilan
lewat waktu (postterm)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kehamilan lebih dari 42 minggu. Jika
kehamilan telah lewat waktu, plasenta akan mengalami penuaan sehingga fungsinya
akan berkurang. Janin akan kekurangan asupan nutrisi dan oksigen. Cairan
ketuban bisa berubah menjadi sangat kental dan hijau, akibatnya cairan dapat
terhisap masuk ke dalam paru-paru janin. Hal ini bisa dievaluasi melalui USG
dengan color doppler sehingga bisa dilihat arus arteri umbilikalis jantung ke
janin. Jika demikian, maka kehamilan harus segera dihentikan dengan cara
diinduksi. Itulah perlunya taksiran kehamilan pada awal kehamilan dan akhir
kehamilan melalui USG.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; mso-list: l28 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Sekitar
10 % kematian janin tetap tidak dapat dijelaskan.Kesulitan dalam memperkirakan
kausa kematian janin tampaknya paling besar pada janin preterm.<o:p></o:p></span></div>
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-language: AR-SA; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;"><br clear="all" style="mso-special-character: line-break; page-break-before: always;" />
</span>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<h2 style="line-height: 150%; margin-left: 18.0pt; mso-list: l35 level2 lfo25; text-indent: -18.0pt;">
<a href="" name="_Toc354321133"><!--[if !supportLists]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">2.4<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;">MANISFESTASI
KLINIK</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;"> <o:p></o:p></span></h2>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; mso-list: l4 level1 lfo8; tab-stops: 119.75pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">DJJ
tidak terdengar <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l4 level1 lfo8; tab-stops: 119.75pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Uterus
tidak membesar, fundus uteri turun <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l4 level1 lfo8; tab-stops: 119.75pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Pergerakan
anak tidak teraba lagi oleh pemeriksa <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l4 level1 lfo8; tab-stops: 119.75pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Palpasi
anak menjadi tidak jelas <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l4 level1 lfo8; tab-stops: 119.75pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5)<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%;">Reaksi
biologis menjadi negatif setelah anak mati kurang lebih 10 hari.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; mso-list: l4 level1 lfo8; tab-stops: 119.75pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6)<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%;">Bila
janin yang mati tertahan 5 minggu atau lebih, kemungkinan Hypofibrinogenemia
25%.<o:p></o:p></span></div>
<h2 style="line-height: 150%; margin-left: 18.0pt; mso-list: l35 level2 lfo25; text-indent: -18.0pt;">
<a href="" name="_Toc354321134"><!--[if !supportLists]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">2.5<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;">FAKTOR RESIKO</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;"><o:p></o:p></span></h2>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; mso-list: l41 level1 lfo9; tab-stops: 119.75pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Status
sosial ekonomi rendah <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l41 level1 lfo9; tab-stops: 119.75pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Tingkat
pendidikan ibu yang rendah <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l41 level1 lfo9; tab-stops: 119.75pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Usia
ibu >30 tahun atau <20 tahun <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l41 level1 lfo9; tab-stops: 119.75pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Partias
pertama dan partias kelima atau lebih <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l41 level1 lfo9; tab-stops: 119.75pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5)<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%;">Kehamilan
tanpa pengawasan antenatal <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l41 level1 lfo9; tab-stops: 119.75pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6)<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%;">Kehamilan
tanpa riwayat pengawasan kesehatan ibu yang inadekuat <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; mso-list: l41 level1 lfo9; tab-stops: 119.75pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">7)<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%;">Riwayat
kehamilan dengan komplikasi medik atau obstetrik<o:p></o:p></span></div>
<h2 style="line-height: 150%; margin-left: 18.0pt; mso-list: l35 level2 lfo25; text-indent: -18.0pt;">
<a href="" name="_Toc354321135"><!--[if !supportLists]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">2.6<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;">PATOFISIOLOGI</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;"><o:p></o:p></span></h2>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; mso-list: l27 level1 lfo26; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Patologi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bila
janin mati dalam kehamilan yang telah lanjut terjadilah perubahan- perubahan
sebagai berikut :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l37 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Rigor
mostis (tegang mati) <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Berlangsung 2,5 jam
setelah mati, kemudian lemas kembali. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l37 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Stadium
maserasi I <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Timbul lepuh-lepuh pada
kulit, mula-mula terisi cairan jernih tapi kemudian menjadi merah. Stadium ini
berlangsung 48 jam setelah mati. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l37 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Stadium
maserasi II <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Lepuh-lepuh pecah dan
mewarnai air ketuban menjadi merah coklat, stadium ini berlangsung 48 jam
setelah anak mati. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l37 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Stadium
maserasi III <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 2.0cm; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Terjadi kira-kira 3 minggu setelah anak mati. Badan
janin sangat lemas, hubungan antara tulang-tulang sangat longgar dan terdapat
oedem dibawah kulit.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto; text-align: justify; text-indent: 20.7pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kematian janin
dapat terjadi akibat gangguan pertumbuhan janin, gawat janin atau kelainan
bawaan atau akibat infeksi yang tidak terdiagnosis sebelumnya sehingga tidak
diobati.<o:p></o:p></span></div>
<h2 style="line-height: 150%; margin-left: 18.0pt; mso-list: l35 level2 lfo25; text-indent: -18.0pt;">
<a href="" name="_Toc354321136"><!--[if !supportLists]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">2.7<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;">PENEGAKAN
DIAGNOSIS</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;"><o:p></o:p></span></h2>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; mso-list: l42 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Anamnesis<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l20 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Ibu
tidak merasakan gerakan janin dalam beberapa hari atau gerakan janin sangat
berkurang.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l20 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Ibu
merasakan perutnya tidak bertambah besar, bahkan bertambah kecil atau kehamilan
tidak seperti biasanya.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l20 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c)<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%;">Ibu
belakangan ini merasa perutnya sering menjadi keras dan merasakan sakit seperti
mau melahirkan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l20 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d)<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%;">Penurunan
berat badan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 54.0pt; margin-right: 0cm; margin-top: 12.0pt; mso-add-space: auto; mso-list: l20 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">e)<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%;">Perubahan
pada payudara atau nafsu makan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l42 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Pemeriksaan
Fisik<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo13; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Inspeksi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l0 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<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%;">tidak kelhiatan gerakan-gerakan janin,
yang biasanya dapat terlihat terutama pada ibu yang kurus<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l0 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<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%;">Penurunan atau terhentinya peningkatan
bobot berat badan ibu<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l0 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<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%;">Terhentinya perubahan payudara<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l25 level1 lfo13; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Palpasi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l7 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<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%;">Tinggi fundus uteri lebih rendah dari
seharusnya tua kehamilan ; tdak teraba gerakan- gerakan janin<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l7 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<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%;">Dengan palpasi yang teliti dapat
dirasakan adanya krepitasi pada tulang kepala janin.<o:p></o:p></span></div>
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-language: AR-SA; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;"><br clear="all" style="mso-special-character: line-break; page-break-before: always;" />
</span>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l25 level1 lfo13; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c)<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%;">Auskultasi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l11 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<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%;">baik memakai stetoskop monoral maupun
doptone tidak akan terdengan denyut jantung janin<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l25 level1 lfo13; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d)<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%;">Pemeriksaan
Lab<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l11 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<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%;">reaksi biologis negative setelah 10 hari
janin mati<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l11 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<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%;">hipofibrinogenemia setelah 4-5 minggu
janin mati<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l25 level1 lfo13; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">e)<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%;">Pemeriksaan
Tambahan<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<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%;">Ultrasound: - gerak anak tidak ada<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<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%;">denyut jantung anak tidak ada<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<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%;">tampak bekuan darah pada ruang jantung
janin<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<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%;">X-Ray :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l16 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Spalding¡’s
sign (+) : tulang-tulang tengkorak janin saling tumpah tindih, pencairan otak
dapat menyebabkan overlapping tulang tengkorak.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l16 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Nanjouk¡’s
sign (+) : tulang punggung janin sangat melengkung<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<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%;">Robert¡’s
sign (+) : tampak gelembung-gelembung gas pada pembuluh darah besar. Tanda ini
ditemui setelah janin mati paling kurang 12 jam<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d.<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%;">Adanya
akumulasi gas dalam jantung dan pembuluh darah besar janin<o:p></o:p></span></div>
<h2 style="line-height: 150%; margin-left: 18.0pt; mso-list: l35 level2 lfo25; text-indent: -18.0pt;">
<a href="" name="_Toc354321137"><!--[if !supportLists]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">2.8<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;">PENATALAKSANAAN</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;"> <o:p></o:p></span></h2>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; mso-list: l14 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Bila
disangka telah terjadi kematian janin dalam rahim tidak usah terburu-buru
bertindak, sebaiknya diobservasi dulu dalam 2-3 minggu untuk mencari kepastian
diagnosis.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l14 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Biasanya
selama masih menunggu ini 70-90 % akan terjadi persalinan yang spontan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l14 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Jika
pemeriksaan Radiologik tersedia, konfirmasi kematian janin setelah 5 hari.
Tanda-tandanya berupa overlapping tulang tengkorak, hiperfleksi columna
vertebralis, gelembung udara didalam jantung dan edema scalp. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l14 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">USG
merupakan sarana penunjang diagnostik yang baik untuk memastikan kematian janin
dimana gambarannya menunjukkan janin tanpa tanda kehidupan, tidak ada denyut
jantung janin, ukuran kepala janin dan cairan ketuban berkurang. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l14 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5)<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%;">Dukungan
mental emosional perlu diberikan kepada pasien. Sebaiknya pasien selalu
didampingi oleh orang terdekatnya. Yakinkan bahwa kemungkinan besar dapat lahir
pervaginam. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l14 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6)<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%;"> Pilihan cara persalinan dapat secara aktif
dengan induksi maupun ekspektatif, perlu dibicarakan dengan pasien dan
keluarganya sebelum keputusan diambil. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l14 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">7)<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%;">Bila
pilihan penanganan adalah ekspektatif maka tunggu persalinan spontan hingga 2
minggu dan yakinkan bahwa 90 % persalinan spontan akan terjadi tanpa komplikasi
<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l14 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">8)<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%;">Jika
trombosit dalam 2 minggu menurun tanpa persalinan spontan, lakukan penanganan
aktif.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l14 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">9)<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%;">Jika
penanganan aktif akan dilakukan, nilai servik yaitu <o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<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%;">Jika servik matang,lakukan induksi
persalinan dengan oksitosin atau prostaglandin.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l17 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<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%;">Jika serviks belum matang, lakukan
pematangan serviks dengan prostaglandin atau kateter foley, dengan catatan
jangan lakukan amniotomi karena berisiko infeksi <o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<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%;">Persalinan dengan seksio sesarea
merupakan alternatif terakhir<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l14 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">10)<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%;">Jika
persalinan spontan tidak terjadi dalam 2 minggu, trombosit menurun dan serviks
belum matang, matangkan serviks dengan misoprostol: <o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<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%;">Tempatkan mesoprostol 25 mcg dipuncak
vagina, dapat diulang sesudah 6 jam <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l33 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<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%;">Jika tidak ada respon sesudah 2x25 mcg
misoprostol, naikkan dosis menjadi 50mcg setiap 6 jam. Jangan berikan lebih
dari 50 mcg setiap kali dan jangan melebihi 4 dosis. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l14 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">11)<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%;">Jika
ada tanda infeksi, berikan antibiotika untuk metritis. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l14 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">12)<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%;">Jika
tes pembekuan sederhana lebih dari 7 menit atau bekuan mudah pecah, waspada
koagulopati <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l14 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">13)<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%;"> Berikan kesempatan kepada ibu dan keluarganya
untuk melihat dan melakukan kegiatan ritual bagi janin yang meninggal tersebut.
<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l14 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">14)<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%;">Pemeriksaan
patologi plasenta adalah untuk mengungkapkan adanya patologi plasenta dan
infeksi <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l14 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">15)<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%;">Bila
setelah 3 minggu kematian janin dalam kandungan atau 1 minggu setelah
diagnosis. Partus belum mulai maka wanita harus dirawat agar dapat dilakukan
induksi persalinan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; mso-list: l14 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">16)<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%;">Induksi
partus dapat dimulai dengan pemberian esterogen untuk mengurangi efek
progesteron atau langsung dengan pemberian oksitosin drip dengan atau tanpa
amniotomi<o:p></o:p></span></div>
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-language: AR-SA; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;"><br clear="all" style="mso-special-character: line-break; page-break-before: always;" />
</span>
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<h1 style="line-height: 150%;">
<a href="" name="_Toc354321138"><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">ASKEB<o:p></o:p></span></a></h1>
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<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">ASUHAN
KEBIDANAN PADA IBU HAMIL PATOLOGI<o:p></o:p></span></b></div>
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<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Ny.
P Umur 24 tahun G<sub>1</sub> P<sub>0</sub> A<sub>0 </sub>Ah<sub>0 </sub>UK 26<sup>+5</sup>
Minggu dengan IUFD<o:p></o:p></span></b></div>
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<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Di
RB Kasih Bunda<o:p></o:p></span></b></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="ES-MX" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES-MX; mso-fareast-font-family: "Times New Roman";">No. Register : </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1206683<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="ES-MX" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES-MX; mso-fareast-font-family: "Times New Roman";">Masuk RS
tanggal / </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">pukul</span><span lang="ES-MX" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES-MX; mso-fareast-font-family: "Times New Roman";"> :
</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Senin, 5
Maret 2012</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> / 16.00 WIB<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="ES-MX" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES-MX; mso-fareast-font-family: "Times New Roman";">Dirawatdiruang : </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Bersalin<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 7.1pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo33; mso-text-indent-alt: -7.1pt; text-indent: -7.1pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">I.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES-MX; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">PENGKAJIAN </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">DATA </span><span lang="ES-MX" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES-MX; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Tanggal :</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Senin, 5 Maret 2012</span><span lang="ES-MX" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES-MX; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">, </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Pukul</span><span lang="ES-MX" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES-MX; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"> :</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">16.00</span><span lang="ES-MX" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES-MX; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">WIB, Oleh
: </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Bidan <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo34; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">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%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Biodata<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";"> </span><span lang="ES-MX" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES-MX; mso-fareast-font-family: "Times New Roman";">Ibu </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="ES-MX" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES-MX; mso-fareast-font-family: "Times New Roman";">Suami<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l34 level1 lfo35; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES-MX; mso-fareast-font-family: "Times New Roman";">Nama :
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Ny. P Tn.
Y<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l34 level1 lfo35; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES-MX; mso-fareast-font-family: "Times New Roman";">Umur :
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">24 th</span><span lang="ES-MX" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES-MX; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> 27
th<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l34 level1 lfo35; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES-MX; mso-fareast-font-family: "Times New Roman";">Agama : </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Islam Islam</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l34 level1 lfo35; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Suku/Bangsa : </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Jawa / Indonesia Jawa / Indonesia<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l34 level1 lfo35; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">Pendidikan : </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">SMA SMA<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l34 level1 lfo35; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">Pekerjaan : </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Buruh pabrik Satpam<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l34 level1 lfo35; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">7.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">Alamat :
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Jl. Raya Tajem Gg. Panji No. 05 </span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Jl. Raya Tajem Gg. Panji No. 05<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l34 level1 lfo35; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">8.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">No. Telp : </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">0818414000 -<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo34; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">B.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">D</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">ata Subjektif </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo36; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Alasan </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">datang</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Ibu
mengatakan hamil 7 bulan dan ingin memeriksakan kehamilan. <o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo36; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Keluhan utama<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Ibu
mengatakan sudah 3 hari yang lalu tanggal 2 Maret 2012 gerakan janin tidak
dirasakan lagi.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo36; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Riwayat menstruasi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-indent: 36.0pt;">
<span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">Menarche : </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">13</span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">tahun Siklus :</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">28
</span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">hari <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-indent: 36.0pt;">
<span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">Lama : </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6</span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";"> hari </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">Teratur :</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">teratur<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-indent: 36.0pt;">
<span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">Sifat darah : </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">cair </span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Keluhan </span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">: </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">tidak
ada<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo36; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Riwayat pernikahan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-indent: 36.0pt;">
<span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">Status
pernikahan : </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">sah </span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">Menikah ke : </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-indent: 36.0pt;">
<span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">Lama </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">: </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1</span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";"> tahun Usia
menikah pertama kali :</span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">23</span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">Tahun<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm;">
<span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo36; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Riwayat obstetrik</span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">: </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">G<sub>1</sub> P<sub>0</sub> A<sub>0 </sub>Ah<sub>0</sub></span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: 5.4pt; mso-border-alt: solid windowtext .5pt; mso-border-insideh: .5pt solid windowtext; mso-border-insidev: .5pt solid windowtext; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-table-layout-alt: fixed; mso-yfti-tbllook: 480; width: 627px;">
<tbody>
<tr>
<td rowspan="2" style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 36.0pt;" width="48">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -2.55pt; margin-right: -3.6pt; margin-top: 0cm; text-align: center;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Hamil ke-<o:p></o:p></span></div>
</td>
<td colspan="7" style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 331.65pt;" width="442">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Persalinan<o:p></o:p></span></div>
</td>
<td colspan="2" style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.6pt;" width="137">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Nifas<o:p></o:p></span></div>
</td>
</tr>
<tr>
<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: 52.35pt;" width="70">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Tanggal<o:p></o:p></span></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: 45.0pt;" width="60">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Umur khamiln<o:p></o:p></span></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: 49.05pt;" width="65">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 0cm; margin-right: -3.75pt; margin-top: 0cm; text-align: center;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Jns prsalinan<o:p></o:p></span></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: 51.3pt;" width="68">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Penolong<o:p></o:p></span></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: 59.85pt;" width="80">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">kompl</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">ikasi<o:p></o:p></span></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: 28.5pt;" width="38">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">JK<o:p></o:p></span></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: 45.6pt;" width="61">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">BB Lahir<o:p></o:p></span></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: 45.0pt;" width="60">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Laktasi<o:p></o:p></span></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: 57.6pt;" width="77">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Komplikasi<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 36.0pt;" valign="top" width="48">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1<o:p></o:p></span></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: 52.35pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Hamil ini<o:p></o:p></span></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: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<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: 49.05pt;" valign="top" width="65">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<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: 51.3pt;" valign="top" width="68">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<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: 59.85pt;" valign="top" width="80">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<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: 28.5pt;" valign="top" width="38">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<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: 45.6pt;" valign="top" width="61">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<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: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<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: 57.6pt;" valign="top" width="77">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<br /></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 36.0pt;" valign="top" width="48">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<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: 52.35pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<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: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<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: 49.05pt;" valign="top" width="65">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<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: 51.3pt;" valign="top" width="68">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<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: 59.85pt;" valign="top" width="80">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<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: 28.5pt;" valign="top" width="38">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<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: 45.6pt;" valign="top" width="61">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<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: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<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: 57.6pt;" valign="top" width="77">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<br /></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 36.0pt;" valign="top" width="48">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<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: 52.35pt;" valign="top" width="70">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<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: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<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: 49.05pt;" valign="top" width="65">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<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: 51.3pt;" valign="top" width="68">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<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: 59.85pt;" valign="top" width="80">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<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: 28.5pt;" valign="top" width="38">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<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: 45.6pt;" valign="top" width="61">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<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: 45.0pt;" valign="top" width="60">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<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: 57.6pt;" valign="top" width="77">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormalCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo36; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Riwayat kontrasepsi yang digunakan<o:p></o:p></span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: 5.4pt; mso-border-alt: solid windowtext .5pt; mso-border-insideh: .5pt solid windowtext; mso-border-insidev: .5pt solid windowtext; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 480; width: 624px;">
<tbody>
<tr>
<td rowspan="2" style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.5pt;" valign="top" width="38">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">No.<o:p></o:p></span></div>
</td>
<td rowspan="2" style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 92.15pt;" valign="top" width="123">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Jenis</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Kontrasepsi<o:p></o:p></span></div>
</td>
<td colspan="4" style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 160.65pt;" valign="top" width="214">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Pasang<o:p></o:p></span></div>
</td>
<td colspan="4" style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 186.5pt;" valign="top" width="249">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Lepas<o:p></o:p></span></div>
</td>
</tr>
<tr>
<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: 27.5pt;" valign="top" width="37">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Tgl<o:p></o:p></span></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: 34.15pt;" valign="top" width="46">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Oleh<o:p></o:p></span></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: 47.5pt;" valign="top" width="63">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Tempat<o:p></o:p></span></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: 51.5pt;" valign="top" width="69">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Keluhan<o:p></o:p></span></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: 30.5pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Tgl.<o:p></o:p></span></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: 34.15pt;" valign="top" width="46">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Oleh<o:p></o:p></span></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: 47.5pt;" valign="top" width="63">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Tempat<o:p></o:p></span></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: 74.35pt;" valign="top" width="99">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Alasan<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td colspan="10" style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 467.8pt;" valign="top" width="624">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Ibu mengatakan belum pernah menggunakan alat kontrasepsi
apapun<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.5pt;" valign="top" width="38">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<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: 92.15pt;" valign="top" width="123">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<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: 27.5pt;" valign="top" width="37">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<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: 34.15pt;" valign="top" width="46">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<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: 47.5pt;" valign="top" width="63">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<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: 51.5pt;" valign="top" width="69">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<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: 30.5pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<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: 34.15pt;" valign="top" width="46">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<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: 47.5pt;" valign="top" width="63">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<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: 74.35pt;" valign="top" width="99">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormalCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo36; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">7.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Riwayat kehamilan sekarang<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l38 level1 lfo37; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">HPHT</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">: </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">30
Agustus 2011</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";"> HPL : </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6 Juni 2012<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l38 level1 lfo37; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">ANC pertama umur kehamilan : </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">12</span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";"> minggu<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l38 level1 lfo37; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Kunjungan ANC</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Trimester I <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-indent: 36.0pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";"> Frekuensi </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">:</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1 kali<o:p></o:p></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-indent: 36.0pt;">
<span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";"> Keluhan </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">:</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Muntah<o:p></o:p></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-indent: 36.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> Komplikasi : Tidak ada<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-indent: 36.0pt;">
<span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";"> Terapi
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">:</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> B6, B12<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-indent: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-indent: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-indent: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-indent: 38.7pt;">
<span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">Trimester II</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 20.7pt; margin-right: 0cm; margin-top: 0cm; text-indent: 36.0pt;">
<span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">Frekuensi</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";"> :</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1
kali<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 20.7pt; margin-right: 0cm; margin-top: 0cm; text-indent: 36.0pt;">
<span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">Keluhan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">:</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">tidak ada<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 20.7pt; margin-right: 0cm; margin-top: 0cm; text-indent: 36.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Komplikasi
:tidak ada<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 112.5pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 57.0pt; text-indent: -117.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">Terapi : </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">kalsium, vica natal<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">Trimester III<o:p></o:p></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">Frekuensi</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">:</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-indent: 36.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">Keluhan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">:</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> Komplikasi:-<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-indent: 36.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">Terapi :</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l38 level1 lfo37; tab-stops: 72.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">Imunisasi TT</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 72.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">TT 1 : SD <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 72.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">TT 2 : TT caten<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 72.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">TT 3 : tanggal 4 September 2011<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 72.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">TT 4 : tanggal belum dilakukan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 72.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">TT 5 : tanggal belum dilakukan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l38 level1 lfo37; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">Pergerakan janin selama 12 jam(dalam
sehari)</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Ibu mengatakan sudah tidak dapat merasakan pergerakan
janinnya sejak tanggal 2 Maret 2011.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo36; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">8.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Riwayat kesehatan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo38; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Penyakit yang pernah /sedang diderita
(menular, menurun dan menahun)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: list 19.95pt; text-align: justify;">
<span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Ibu mengatakan tidak
pernah atau sedang menderita penyakit menular seperti (HIV,TBC ,Hepatitis) menurun
seperti (DM, Asma, Hipertensi) menahun seperti (Paru–paru , jantung, ginjal.)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo38; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Penyakit yang pernah /sedang diderita
keluarga (menular, menurun dan menahun)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Ibu mengatakan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
keluarga</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";"> tidak pernah
atau sedang menderita penyakit menular seperti (HIV,TBC ,Hepatitis) menurun
seperti (DM, Asma, Hipertensi) menahun seperti (Paru–paru , jantung, ginjal.)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo38; mso-outline-level: 1; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Riwayat</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">keturunan</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">kembar<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-outline-level: 1; text-align: justify;">
<span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Ibu mengatakan di
dalam keluarganya tidak memiliki keturunan kembar.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo38; mso-outline-level: 1; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Riwayat</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">operasi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-outline-level: 1; text-align: justify;">
<span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Ibu mengatakan tidak
pernah menjalani operasi apapun.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo38; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Riwayat</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">alergi</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">obat<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 50.25pt; tab-stops: list 90.0pt; text-align: justify; text-indent: -14.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"> </span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Ibu mengatakan tidak memiliki
riwayat alergi obat.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo36; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">9.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Pola</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">pemenuhan</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">kebutuhan</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">S</span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">ebelum hamil </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> S</span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">aat
hamil</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo39; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%; mso-fareast-font-family: "Times New Roman";">Nutrisi
<o:p></o:p></span></div>
<div class="MsoNormalCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: list 34.2pt;">
<span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">Makan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: list 34.2pt;">
<span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">Frekuensi : 2 x/hari </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">3 x/hari</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: list 34.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Jenis : Nasi,Lauk,Sayur Nasi,Lauk,Sayur,buah<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: list 34.2pt;">
<span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">Porsi :
1 piring 1
piring<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: list 72.0pt left 99.75pt;">
<span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">Pantangan : Tidak ada Tidak
ada <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: list 72.0pt left 99.75pt;">
<span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">Keluhan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";"> : Tidak ada Tidak
ada </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: list 34.2pt;">
<span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">Minum <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: list 34.2pt;">
<span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">Frekuensi : 6 x/hari, 7-8x/hari</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: list 34.2pt;">
<span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">Porsi :
1 gelas 1
gelas<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: list 34.2pt left 99.75pt;">
<span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">Jenis :
air putih,teh air
putih,susu</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">,teh<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: list 34.2pt left 99.75pt;">
<span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">Pantangan : Tidak ada Tidak
ada<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: list 34.2pt left 99.75pt;">
<span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">Keluhan :
Tidak ada Tidak
ada<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: list 34.2pt left 99.75pt;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo39; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">Pola eliminasi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 45.0pt; text-align: justify;">
<span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">BAB<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 45.0pt; text-align: justify;">
<span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">Frekuensi :1 x/hari 1
x/hari <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 45.0pt; text-align: justify;">
<span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">Konsistesi : Lunak Lunak <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 45.0pt; text-align: justify;">
<span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">Warna : khas feses khas feses <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 45.0pt; text-align: justify;">
<span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">Keluhan : Tidak ada Tidak
ada</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 45.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 45.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 45.0pt; text-align: justify;">
<span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">BAK<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 45.0pt; text-align: justify;">
<span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">Frekuensi : 4 x/hari 5-6
x/hari<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 45.0pt; text-align: justify;">
<span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">Konsistesi : cair cair<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 45.0pt; text-align: justify;">
<span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">Warna : khas urine khas urine<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; tab-stops: 45.0pt; text-align: justify;">
<span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">Keluhan : Tidak ada Tidak
ada<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo39; tab-stops: 19.95pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">Pola istirahat<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm;">
<span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">Tidur </span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">siang<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm;">
<span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">Lama :
1 jam/hari 1
jam/hari <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm;">
<span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">Keluhan : Tidak ada Tidak
ada<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm;">
<span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">Tidur malam<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-indent: 18.0pt;">
<span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">Lama :
6 jam/hari 7 jam/hari <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-indent: 18.0pt;">
<span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">Keluhan : Tidak ada Tidak
ada<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo39; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">Personal
hygiene<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Mandi </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">: 2 x/hari 3
x/hari <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Ganti pakaian: 3 x/hari 3 x/hari<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Gosok gig</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">i </span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">: 3 x/hari 3 x/hari<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Keramas </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">: 3 x/minggu 3
x/minggu<o:p></o:p></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l31 level1 lfo32; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Pola
seksualitas<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Frekuensi : 3 x/minggu 2
x/minggu <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Keluhan :
Tidak ada Tidak
ada<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l31 level1 lfo32; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">f.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Pola aktivitas
(terkait kegiatan fisik, olah raga)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Ibu
mengatakan bekerja sebagai buruh pabrik dan mengurus rumah tangga seperti
mencuci,memasak,menyapu.<o:p></o:p></span></div>
<div class="MsoNormalCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo36; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">10.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kebiasaan yang
mengganggu kesehatan ( merokok, minum jamu, minuman beralkohol ).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto;">
<span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Ibu mengatkan tidak
pernah merokok, tidak pernah minum jamu-jamuan, dan minum minuman beralkohol.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; mso-list: l2 level1 lfo36; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">11.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Data
psikososial, spiritual dan ekonomi ( penerimaan ibu/suami/keluarga terhadap
kelahiran, dukungan keluarga, hubungan dengan suami/keluarga/tetangga,
perawatan bayi, kegiatan ibadah,
kegiatan sosial, keadaan ekonomi keluarga<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Ibu mengatakan </span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">suami, </span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">keluarga senang dengan kehamilannya.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Ibu mengatakan suami
dan keluarga menerima kehamilannya.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Ibu mengatakan
hubungannya dengan suami/keluarga/tetengga baik.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Ibu mengatakan sudah
mengetahui tentang perawatan bayi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Ibu mengatakan </span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">rutin melaksanakan sholat 5 waktu<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Ibu mengatakan
mengikuti kegiatan sosial di sekitaran rumahnya.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Ibu mengatakan keadaan
ekonominya cukup.</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-top: 12.0pt; mso-add-space: auto; text-align: justify;">
<span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Ibu mengatakan merasa
khawatir dengan keadaan bayi dan dirinya<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-top: 12.0pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo36; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">12.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Pengetahuan
ibu ( tentang kehamilan,persalinan,dan </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">nifas</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">)<o:p></o:p></span></div>
<div class="MsoNormalCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Ibu
mengatakan sudah tahu tanda bahaya kehamilan<o:p></o:p></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Ibu
mengatakan sudah lupa mengenai tanda-tanda persalinan<o:p></o:p></span></div>
<div class="MsoNormalCxSpLast" style="line-height: 150%; margin-left: 36.0pt; mso-add-space: auto;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Ibu
mengatakan belum mengetahui tentang laktasi </span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo36; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">13.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Lingkungan
yang berpengaruh ( sekitarrumahdanhewanpeliharaan)<o:p></o:p></span></div>
<div class="MsoNormalCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Ibu
mengatakan lingkungan rumah bersih dan tidak memelihara hewan peliharaan</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">.<o:p></o:p></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Lingkungan
sekitar rumah ibu adalah rumah penduduk</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 19.95pt;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo34; mso-outline-level: 1; tab-stops: 19.95pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">C.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">DATA OBYEKTIF<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo40; mso-outline-level: 1; tab-stops: 19.95pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Pemeriksaan umum<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 19.95pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Keadaan umum : </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Cemas
</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";"> <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 19.95pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Kesadaran : </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Composmentis<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 19.95pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Status
emosional : </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Stabil<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 19.95pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Tanda vital
sign </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: list 36.0pt; text-align: justify;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">Tekanan darah</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";"> : </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">110/</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">8</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">0
</span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">mmHg Nadi : </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">84
</span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">x/menit<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: list 36.0pt; text-align: justify;">
<span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";"> Pernapasan </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">: </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">22 </span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">x/menit </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">Suhu :
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">36,5 <sup>0</sup>C<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Berat badan </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">: </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">49</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">kg </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Tinggi badan :</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">158</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";"> cm</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo40; tab-stops: 19.95pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Pemeriksaan fisik<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 19.95pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Kepala</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";"> :
Mesochepal, tidak ada benjolan, kulit kepala bersih<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 19.95pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 19.95pt list 36.0pt; text-align: justify;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";"> Rambut</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">: Hitam, lurus, tidak berketombe<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 19.95pt; margin-right: 0cm; margin-top: 0cm; tab-stops: list 19.95pt; text-align: justify;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";"> Muka</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";"> :
Bulat, tidak oedem, tidak ada cloasma gravidarum<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -35.45pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";"> Mata </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">: Simetris, konjungtiva merah muda,
sklera putih, bersih</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.0cm; margin-right: 0cm; margin-top: 0cm; tab-stops: list 19.95pt; text-align: justify; text-indent: -4.0cm;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Hidung</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">:Tidak ada polip,bersih, tidak ada sekret, tidak ada
pernafasan cuping hidung<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; tab-stops: list 19.95pt; text-align: justify;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";"> Mulut </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">: Tidak ada stomatitis, tidak ada gigi
berlubang, bibir tidak kering<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: list 19.95pt left 72.0pt 108.0pt; text-align: justify;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Telinga</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">: Simetris, tidak ada serumen<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: list 19.95pt; text-align: justify;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Leher </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">: Tidak ada pembesaran kelenjar
parotis, tiroid, vena jugularis<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 19.95pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 19.95pt; text-align: justify; text-indent: -19.95pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Dada </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">: Simetris, tidak ada retraksi dinding
dada<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.0cm; margin-right: 0cm; margin-top: 0cm; tab-stops: 19.95pt; text-align: justify; text-indent: -4.0cm;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Payudara</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">:Bentuk simetris, puting susu menonjol,
tidak ada massa atau benjolan,aerola hiperpigmentasi <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 35.45pt; tab-stops: 19.95pt; text-align: justify; text-indent: -35.45pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Abdomen :
Tidak ada bekas operasi, tampak tegang, terdapat linea nigra</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -36.55pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Palpasi
Leopold<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -78.15pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Leopold I :</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">TFU 2 jari di atas pusat (20cm)
teraba bulat, keras, melenting kepala.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.0cm; margin-right: 0cm; margin-top: 0cm; tab-stops: 42.75pt; text-indent: -77.95pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Leopold II</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">:Teraba keras memanjang datar seperti papan di sebelah
kiri </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">perut ibu
punggung</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">. </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Teraba bagian kecil</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-kecil</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"> di sebelah kanan perut ibu
ekstermitas</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"> Leopold III : Teraba bulat, keras </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">tidak melenting bokong.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"> Leopold IV : Konvergen</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 22.5pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Osborn test : Tidak di lakuakan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 22.5pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pemeriksaan
Mc. Donald <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 22.5pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">TFU</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">: 20 cm, TBJ : (20-12) x
155 = 1240 gram</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 22.5pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Auskultasi</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 22.5pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">DJJ : (-)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 22.5pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Ekstremitas atas</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">: Simetris, gerakan ri lengkap, tidak oedem, LILA : 25,5
cm</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 22.5pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Ekstremitas </span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">bawah</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">: Simetris,
gerakan aktif, jumlah jari lengkap, tidak oedem, reflek
patela (+)</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.5pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Genetalia luar : Bersih, tidak ada pengeluaran, tidak ada peradangan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.5pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -22.5pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";"> Pemeriksaan panggul (bila perlu)</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">: Tidak
dilakukan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 19.95pt; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo40; mso-outline-level: 1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Pemeriksaan Penunjang Tanggal : 5 </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">M</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">aret 2012 </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">,
Pukul: </span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">16.15 WIB <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 19.95pt; text-align: justify;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";"> USG
: DJJ (-), gerakan janin (-), uterus mengecil<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo40; tab-stops: 19.95pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Data Penunjang<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 19.95pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 19.95pt; text-align: justify;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";"> Tidak ada</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 19.95pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 19.95pt; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo33; mso-text-indent-alt: -18.0pt; tab-stops: 19.95pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">II.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">INTERPRETASI DATA<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo41; tab-stops: 19.95pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">A.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Diagnosa Kebidanan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 19.95pt; tab-stops: 19.95pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Seorang ibu Ny. P umur 24 tahun UK 26<sup>+5</sup></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
minggu </span><sup><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";"> </span></sup><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">G<sub>1</sub>P<sub>0</sub>A<sub>0</sub>Ah<sub>0</sub> hidup,
mati, letbok, intrauterine, inpartu kala 1 fase aktif dengan IUFD.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 19.95pt; tab-stops: 19.95pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Data Dasar :<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 19.95pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";"> DS : Ibu
mengatakan ini hamil yang pertama<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 19.95pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";"> Ibu mengatakan berumur
24 tahun<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 19.95pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";"> Ibu mengatakan HPHT 30 Agustus 2011<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; tab-stops: 31.5pt; text-indent: -36.0pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";"> Ibu mengatakan hamil 7 bulan dan
sudah 3 hari yang lalu gerakan janinnya tidak dirasakan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 19.95pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">DO : Keadaan umum</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">: </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Cemas
</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";"> <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 36.0pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Kesadaran </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">: </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Composmentis</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 36.0pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Tanda vital
sign </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: list 36.0pt; text-align: justify;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">Tekanan darah : </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">110/</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">8</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">0
</span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">mmHg Nadi : </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">84
</span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">x/menit<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: list 36.0pt; text-align: justify;">
<span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";"> Pernapasan : </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">22 </span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">x/menit </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">Suhu :
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">36,5 <sup>0</sup>C<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 36.0pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Berat badan : </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">49</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">kg </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Tinggi badan :</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">158</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";"> cm<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 36.0pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">TBJ : 1240 gram</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">,
</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">DJJ (-)</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> Lila :</span> <span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">25,5 cm<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Leopod I : Kepala<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Leopod II : Puki Punggung , Puka Ekstremitas <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Leopod III : Bokong<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Leopod IV : Konvergen <o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo41; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">B.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Masalah</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 19.95pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"> </span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Ibu merasa cemas</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 19.95pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 19.95pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"> Data dasar :<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: 19.95pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"> </span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Tidak ada</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo33; mso-text-indent-alt: -18.0pt; tab-stops: 19.95pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">III.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">IDENTIFIKASI DIAGNOSA/MASALAH
POTENSIAL<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo42; tab-stops: 19.95pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%; mso-fareast-font-family: "Times New Roman";">Potensial terjadi infeksi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo42; tab-stops: 19.95pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%; mso-fareast-font-family: "Times New Roman";">Potensial terjadi kuagulasi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 19.95pt;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo33; mso-text-indent-alt: -18.0pt; tab-stops: 19.95pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">IV.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">ANTISIPASI TINDAKAN SEGERA<o:p></o:p></span></div>
<div class="MsoNormalCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 37.95pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l32 level1 lfo28; tab-stops: 19.95pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">A.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Mandiri <o:p></o:p></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 37.95pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 19.95pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pemeriksaan Antenatal <o:p></o:p></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 37.95pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l32 level1 lfo28; tab-stops: 19.95pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">B.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Kolaborasi<o:p></o:p></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 37.95pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 19.95pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Dengan Dr. SpOG
untuk melahirkan janin yang telah mati<o:p></o:p></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 37.95pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l32 level1 lfo28; tab-stops: 19.95pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">C.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Merujuk<o:p></o:p></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 37.95pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 19.95pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Tidak ada<o:p></o:p></span></div>
<div class="MsoNormalCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 19.95pt;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; mso-list: l15 level1 lfo33; mso-text-indent-alt: -18.0pt; tab-stops: 19.95pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">V.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">PERENCANAAN</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> Tanggal : 5 Maret
2012, Pukul : 16.25 WIB, Oleh :Bidan </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormalCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo29; tab-stops: 19.95pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Beritahu hasil pemeriksaan pada ibu dan
keluarga</span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo29; tab-stops: 19.95pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Berikan motivasi pada ibu dan keluarga</span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo29; tab-stops: 19.95pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Beritahu keluarga tentang tindakan yang
akan di laku</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">ka</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">n</span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo29; tab-stops: 19.95pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Berikan Informed</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Choice</span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo29; tab-stops: 19.95pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Berikan Informed Consent</span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo29; tab-stops: 19.95pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Lakukan tindakan</span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo29; tab-stops: 19.95pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">7.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Lakukan evaluasi keadaan ibu</span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 19.95pt;">
<br /></div>
<span lang="FI" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: FI; 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: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin; mso-hansi-theme-font: minor-latin;"><br clear="all" style="mso-special-character: line-break; page-break-before: always;" />
</span>
<div class="MsoNormal">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; mso-list: l15 level1 lfo33; mso-text-indent-alt: -18.0pt; tab-stops: 19.95pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">VI.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">PELAKSANAAN </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Tanggal : 5 </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">M</span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">aret 2012</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">, </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Pukul</span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"> :16.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">30</span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"> WIB, Oleh :</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Bidan </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormalCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l40 level1 lfo30; tab-stops: 19.95pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES-MX; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Me</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">mberitahu</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";"> pada ibu</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
dan keluarga</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";"> mengenai hasil
pemeriksaan, supaya ibu mengetahui akan keadaannya, yaitu bahwa janin dalam
kandungan ibu telah meninggal yang ditandai dengan tidak adanya gerakan janin
yang dirasakan oleh ibu dan tidak tedengarnya DJJ saat pemeriksaan berlangsung</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">,
</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">TD: 110/80
mmhg, N : 84 x/menit, S:36,5 <sup>0</sup>C R : 22 x/menit</span><span lang="ES-MX" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES-MX; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormalCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l40 level1 lfo30; tab-stops: 19.95pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES-MX; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Memberikan motivasi </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">dan
dukungan mental kepada ibu dan keluarga agar ibu dan keluarga sabar dan dapat
menerima keadaan yang terjadi. Memberi dukungan dan pendampingan pada ibu untuk
tetap tabah dan menyerahkan segalanya pada yang lebih berkuasa, yaitu Tuhan.
Ibu mengatakan sudah dapat menerima kematian bayinya dan mengatakan ikhlas atas
hal tersebut.</span><span lang="ES-MX" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES-MX; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; mso-list: l40 level1 lfo30; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Memberitahu ibu dan keluarga tentang
tindakan yang akan dilakukan agar janin sesegera mungkin dilahirkan yaitu bidan
berkolaborasi dengan Dr. obgin yang nantinya ibu akan dilakukan pemberian
misoprostol 100 mg intravaginal, yang dapat diulangi 1 kali 6 jam sesudah
pemberian pertama.<o:p></o:p></span></div>
<div class="MsoNormalCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l40 level1 lfo30; tab-stops: 19.95pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES-MX; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Memberikan Informed</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Choice kepada
ibu dan keluarga dapat segera mengambil keputusan untuk segera melahirkan janin
supaya tidak menggangu kesehatan i</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">bu</span><span lang="ES-MX" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES-MX; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l40 level1 lfo30; tab-stops: 19.95pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES-MX; mso-fareast-font-family: "Times New Roman";">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Memberikan Informed Consent kepada ibu
dan keluarga untuk menandatangani keputusan yang sudah di ambil</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">.</span><span lang="ES-MX" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES-MX; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormalCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l40 level1 lfo30; tab-stops: 19.95pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES-MX; mso-fareast-font-family: "Times New Roman";">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Melakukan tindakan dari keputusan yang
sudah di ambil</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">:</span><span lang="ES-MX" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES-MX; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l8 level1 lfo43; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%; mso-fareast-font-family: "Times New Roman";">Misoprostol
100 mg intravaginal, yang dapat diulangi 1 kali 6 jam sesudah pemberian
pertama.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l8 level1 lfo43; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%; mso-fareast-font-family: "Times New Roman";">Pemasangan
batang laminaria selama 12 jam.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l8 level1 lfo43; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<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%; mso-fareast-font-family: "Times New Roman";">Pemberian
tetes oksitosin 5 IU dalam dekstrose 5% mulai 20 tetes per menit sampai
maksimal 60 tetes per menit.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l8 level1 lfo43; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d.<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%; mso-fareast-font-family: "Times New Roman";">Kuretasi
tajam<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Catatan: dilakukakan histerotomi
bila upaya melairkan pervaginam dianggap tidak berhasil atau atas indikasi ibu,
dengan sepengetahuan konsulen.<o:p></o:p></span></div>
<div class="MsoNormalCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l40 level1 lfo30; tab-stops: 19.95pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">7.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES-MX; mso-fareast-font-family: "Times New Roman";">Melaku</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">ka</span><span lang="ES-MX" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES-MX; mso-fareast-font-family: "Times New Roman";">n </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">observasi
</span><span lang="ES-MX" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES-MX; mso-fareast-font-family: "Times New Roman";"> keadaan ibu meliputi tanda-tanda vital</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">.<o:p></o:p></span></div>
<span style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: IN; 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: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin; mso-hansi-theme-font: minor-latin;"><br clear="all" style="mso-special-character: line-break; page-break-before: always;" />
</span>
<div class="MsoNormal">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; mso-list: l15 level1 lfo33; mso-text-indent-alt: -18.0pt; tab-stops: 19.95pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES-MX; mso-fareast-font-family: "Times New Roman";">VII.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES-MX; mso-fareast-font-family: "Times New Roman";">EVALUASI Tanggal : 5 </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Maret</span><span lang="ES-MX" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES-MX; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"> 2012</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">, </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES-MX; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Pukul</span><span lang="ES-MX" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES-MX; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">: </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">17.00</span><span lang="ES-MX" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES-MX; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"> WIB</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">, Oleh:
Bidan </span><span lang="ES-MX" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES-MX; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormalCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo31; tab-stops: 19.95pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES-MX; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES-MX; mso-fareast-font-family: "Times New Roman";">Ibu dan keluarga sudah mengerti
dengan hasil pemeriksaanya</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">.</span><span lang="ES-MX" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES-MX; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo31; tab-stops: 19.95pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES-MX; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES-MX; mso-fareast-font-family: "Times New Roman";">Ibu dan keluarga sudah diberikan
motivasi ditandai ibu dan keluarga tidak cemas dan menerima tindakan yang akan
dilakuak</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a</span><span lang="ES-MX" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES-MX; mso-fareast-font-family: "Times New Roman";">n</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">.</span><span lang="ES-MX" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES-MX; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo31; tab-stops: 19.95pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES-MX; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES-MX; mso-fareast-font-family: "Times New Roman";">Ibu dan keluarga sudah mengerti
tindakan yang akan dilakukan<o:p></o:p></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo31; tab-stops: 19.95pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES-MX; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES-MX; mso-fareast-font-family: "Times New Roman";">Ibu dan keluarga sudah diberikan Informed</span><span lang="ES-MX" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="ES-MX" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES-MX; mso-fareast-font-family: "Times New Roman";">Choice dan
sudah mengambil keputusan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">.</span><span lang="ES-MX" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES-MX; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo31; tab-stops: 19.95pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES-MX; mso-fareast-font-family: "Times New Roman";">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES-MX; mso-fareast-font-family: "Times New Roman";">Ibu dan keluarga sudah diberikan Informed
Consent dan setuju atas tindakan yang diambil</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">.</span><span lang="ES-MX" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES-MX; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo31; tab-stops: 19.95pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES-MX; mso-fareast-font-family: "Times New Roman";">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES-MX; mso-fareast-font-family: "Times New Roman";">Tindakan sudah dilaku</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">k</span><span lang="ES-MX" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES-MX; mso-fareast-font-family: "Times New Roman";">an</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">.</span><span lang="ES-MX" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES-MX; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo31; tab-stops: 19.95pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES-MX; mso-fareast-font-family: "Times New Roman";">7.<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%; mso-fareast-font-family: "Times New Roman";">Ibu
sudah di observasi keadaan ibu sudah membaik.</span><span lang="ES-MX" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES-MX; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<span lang="ES-MX" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: ES-MX; 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: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin; mso-hansi-theme-font: minor-latin;"><br clear="all" style="mso-special-character: line-break; page-break-before: always;" />
</span>
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<h1 align="center" style="line-height: 150%; text-align: center;">
<span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BAB III</span><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></h1>
<h1 align="center" style="line-height: 150%; text-align: center;">
<a href="" name="_Toc354321139"><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PENUTUP</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></h1>
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<br /></div>
<h2 style="line-height: 150%; margin-bottom: 12.0pt; margin-left: 18.0pt; margin-right: 0cm; margin-top: 10.0pt; mso-list: l36 level1 lfo23; text-indent: -18.0pt;">
<a href="" name="_Toc354321140"><!--[if !supportLists]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">3.1<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;">KESIMPULAN</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;"> <o:p></o:p></span></h2>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; text-align: justify; text-indent: 14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Intra
Uterin Fetal Death (IUFD), yakni kematian yang terjadi saat usia kehamilan
lebih dari 20 minggu atau pada trimester kedua dan atau yang beratnya 500 gram.
pendapat lain yang mengatakan kematian janin dalam kehamilan adalah kematian
janin dalam kehamilan sebelum proses persalinan berlangsung pada usia kehamilan
28 minggu ke atas atau berat janin 1000 gram ke atas.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; text-align: justify; text-indent: 14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penyebab
dari kematian janin intra uterine yang tidak dapat diketahui sekitar 25-60%,
insiden meningkat seiring dengan peningkatan usia kehamilan. Pada beberapa
kasus yang penyebabnya teridentifikasi dengan jelas, dapat dibedakan
berdasarkan penyebab dari faktor janin, maternal dan patologi dari plasenta.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; text-align: justify; text-indent: 14.15pt;">
<br /></div>
<h2 style="line-height: 150%; margin-left: 18.0pt; mso-list: l18 level2 lfo27; text-indent: -18.0pt;">
<a href="" name="_Toc354321141"><!--[if !supportLists]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">3.2<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;">SARAN</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-weight: bold;"><o:p></o:p></span></h2>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Mahasiswa<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mahasiswa
diharapkan lebih mendalami kembali teori
persalinan dan IUFD sehingga dapat
memberikan asuhan kebidanan yang tepat dan efektif sesuai dengan teori yang
ada. Dengan praktik kebidanan ini mahasiswa dapat menggali dan mendapatkan
pengalaman hendaknya lebih aktif selama berada di lahan praktek.<o:p></o:p></span></div>
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<br /></div>
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-language: AR-SA; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;"><br clear="all" style="mso-special-character: line-break; page-break-before: always;" />
</span>
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<br /></div>
<h1 align="center" style="line-height: 150%; margin-bottom: 12.0pt; text-align: center;">
<a href="" name="_Toc354321142"><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">DAFTAR PUSTAKA</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></h1>
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<div class="MsoNormal">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Cunningham, Gary, dkk.2006. Obstetri William ed.21.
Jakarta.EGC<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Mochtar, Rustam.1998, Sinopsis Obstetri. Jakarta.EGC<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"; font-size: 12.0pt; line-height: 115%;">Prawiroharjo,
Sarwono.2003.IlmuKebidanan.Jakarta.Yayasan Bina Pustaka Sarwono Prawiroharjo.<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Varney, Helen Dkk.2007, Buku Ajar Asuhan Kebidanan
ed.4 vo1. Jakarta.EGC<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Nendra-nanda </span><a href="http://nendria-nanda.blogspot.com/2012/05/asuhan-kebidanan-pada-nyr-g1-p0000.html"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">http://nendria-nanda.blogspot.com/2012/05/asuhan-kebidanan-pada-nyr-g1-p0000.html</span></a><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">
DI Akses pada tanggal 21 April 2013, Pukul 15.00 WIB <o:p></o:p></span></div>
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Anonymoushttp://www.blogger.com/profile/09877824835430540158noreply@blogger.com0tag:blogger.com,1999:blog-8430991463257497357.post-61382430097631755362013-05-08T20:17:00.001-07:002013-05-08T20:23:04.350-07:00MAKALAH PERITONITIS<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjDgBFV-olhyphenhyphenl5lbUecKw9E_TXsl-84BSdPYcHTfq0kfm7FcqfXXvoOXv5SkBaNFBc8b5TkVlpDA5AAvJ3gZFVUjO58PXoQyA_ghKo1w891a6EsVvvPi20eKeOeMXDkOicvijqK6DfzK7o2/s1600/download.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjDgBFV-olhyphenhyphenl5lbUecKw9E_TXsl-84BSdPYcHTfq0kfm7FcqfXXvoOXv5SkBaNFBc8b5TkVlpDA5AAvJ3gZFVUjO58PXoQyA_ghKo1w891a6EsVvvPi20eKeOeMXDkOicvijqK6DfzK7o2/s1600/download.jpg" /></a></div>
<h1 align="center" style="line-height: 150%; text-align: center;">
<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc351961554"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><br /></span></a></h1>
<h1 align="center" style="line-height: 150%; text-align: center;">
<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc352314873"></a><a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc351961554"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">KATA
PENGANTAR</span></a><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></h1>
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<br /></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Puji
syukur kepada Tuhan Yang Maha Esa yang telah memberikan karunia-Nya sehingga
kami dapat menyelesaikan makalah ini dengan baik. Makalah ini membahas tentang
“PERITONITIS”.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penulis
mengucapkan terima kasih kepada dosen pengampu mata kuliah Asuhan Kebidanan IV
yang telah membimbing kami dalam penyusunan makalah ini. Kami menyadari bahwa
makalah ini masih belum sempurna, oleh karena itu kami mengharapkan kritik dan
saran dari semua pihak demi perbaikan pembuatan makalah selanjutnya. <o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Semoga
makalah ini dapat memberikan wawasan yang lebih luas kepada pembaca. Akhir
kata, kami mengucapkan terima kasih kepada semua pihak yang telah berperan
serta dalam penyusunan makalah ini. Semoga Tuhan Yang Maha Esa senantiasa
memberikan kelancaran dan kemudahan bagi kita semua.</span><br />
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><br /></span>
<div style="text-align: center;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%; text-align: right; text-indent: 1cm;">Yogyakarta,
Maret 2013</span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%; text-align: right;">Penulis</span></div>
</div>
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<!--[if supportFields]><b><span
style='font-family:"Times New Roman","serif";mso-no-proof:yes'><span
style='mso-element:field-end'></span></span></b><![endif]--><a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc352314875"><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BAB
I</span></b></a><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></b></div>
<h1 align="center" style="line-height: 150%; text-align: center;">
<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc352314876"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PENDAHULUAN</span></a></h1>
<h2 style="line-height: 150%; margin-left: 18.0pt; mso-list: l3 level1 lfo9; text-indent: -18.0pt;">
<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc352314877"><!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; font-weight: normal; line-height: 150%;">1.1<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: 12pt; font-weight: normal; line-height: 150%;">Latar Belakang</span></a><span style="font-family: 'Times New Roman', serif; font-size: 12pt; font-weight: normal; line-height: 150%;"><o:p></o:p></span></h2>
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<span 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;">Gawat abdomen menggambarkan keadaan klinik akibat
kegawatan di rongga perut yang biasanya timbul mendadak dengan
nyeri sebagai keluhan utama. Keadaan ini memerlukan penanggulangan segera
yang sering berupa tindakan bedah, misalnya pada perforasi, perdarahan intra
abdomen, infeksi, obstruksi dan strangulasi jalan cerna dapat menyebabkan
perforasi yang mengakibatkan kontaminasi rongga perut oleh isi saluran
cerna sehingga terjadilah peritonitis.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 14.7pt;">
<span 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;">Peradangan peritoneum merupakan komplikasi berbahaya
yang sering terjadi akibat penyebaran infeksi dari organ-organ
abdomen (misalnya apendisitis, salpingitis, perforasi ulkus
gastroduodenal), ruptura saluran cerna, komplikasi post operasi, iritasi
kimiawi, ataudari luka tembus abdomen.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 14.7pt;">
<span 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 keadaan normal, peritoneum resisten terhadap
infeksi bakteri (secara inokulasi kecil-kecilan); kontaminasi yang terus
menerus, bakteri yang virulen, resistensi yang menurun, dan adanya
benda asing atau enzim pencerna aktif, merupakan faktor-faktor yangmemudahkan
terjadinya peritonitis.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 14.7pt;">
<span 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;">Keputusan untuk melakukan tindakan bedah harus segera
diambil karena setiap keterlambatan akan menimbulkan penyakit yang berakibat
meningkatkan morbiditas dan mortalitas. Ketepatan diagnosis dan
penanggulangannya tergantung dari kemampuan melakukan analisis pada data
anamnesis, pemeriksaan fisik dan pemeriksaan peritonitis.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 14.7pt;">
<span 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;">Peritonitis selain disebabkan oleh kelainan di
dalam abdomen yang berupa inflamasi dan penyulitnya, juga oleh
ileus obstruktif, iskemia dan perdarahan. Sebagian kelainan
disebabkan oleh cedera langsung atau tidak langsung yang
mengakibatkan perforasi saluran cerna atau perdarahan.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 14.7pt;">
<span 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></div>
<a name='more'></a><br />
<br />
<h2 style="line-height: 150%; margin-left: 18.0pt; mso-list: l3 level1 lfo9; text-indent: -18.0pt;">
<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc352314878"><!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; font-weight: normal; line-height: 150%;">1.2<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: 12pt; font-weight: normal; line-height: 150%;">Tujuan</span></a><span style="font-family: 'Times New Roman', serif; font-size: 12pt; font-weight: normal; line-height: 150%;"> <o:p></o:p></span></h2>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.4pt; margin-right: 0cm; margin-top: 0cm; mso-list: l1 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Bagi
penulis<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 39.4pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dapat
menambah wawasan ilmu pengetahuan dalam upaya meningkatkan mutu pelayanan
kesehatan.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.4pt; margin-right: 0cm; margin-top: 0cm; mso-list: l1 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Bagi
pembaca<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.4pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sebagai
bahan bacaan dan menambah pengetahuan tentang pelayanan kesehatan yang bermutu
dan sesuai dengan standard.</span><br />
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><br /></span></div>
<h1 align="center" style="line-height: 150%; text-align: center;">
<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc352314879"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">BAB II</span></a><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"><o:p></o:p></span></h1>
<h1 align="center" style="line-height: 150%; text-align: center;">
<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc352314880"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">ISI</span></a><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"><o:p></o:p></span></h1>
<div align="center" class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center; text-indent: 36.0pt;">
<br /></div>
<h2 style="line-height: 150%; margin-left: 21.3pt; mso-list: l6 level2 lfo10; text-indent: -21.3pt;">
<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc352314881"><!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; font-weight: normal; line-height: 150%;">2.1<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: 12pt; font-weight: normal; line-height: 150%;">PENGERTIAN</span></a><span style="font-family: 'Times New Roman', serif; font-size: 12pt; font-weight: normal; line-height: 150%;"> <o:p></o:p></span></h2>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 14.7pt;">
<span 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;">Peritonitis adalah inflamasi peritoneum- lapisan
membrane serosa rongga abdomen dan meliputi visera merupakan penyulit berbahaya
yang dapat terjadi dalam bentuk akut maupun kronis atau kumpulan tanda dan
gejala, diantaranya nyeri tekan dan nyeri lepas pada palpasi, defans muscular,
dan tanda-tanda umum inflamasi.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 14.7pt;">
<span 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;">Peritonitis merupakan sebuah proses peradangan pada
membrane serosa yang melingkupi kavitas abdomen dan organ yang terletak di
dalamnya. Peritonitis sering disebabkan oleh infeksi peradangan lingkungan
sekitar melalui perforasi usus seperti rupture appendiks atau divertikulum
karena awalnya peritonitis merupakan lingkungan yang steril. Selain itu juga
dapat diakibatkan oleh materi kimia yang irritan seperti asam lambung dari
perforasi ulkus atau empedu dari perforasi kantung empedu atau laserasi hepar.
Pada wanita sangat dimungkinkan peritonitis terlokalisasi pada rongga pelvis
dari infeksi tuba falopi atau rupturnya kista ovari. Kasus peritonitis akut
yang tidak tertangani dapat berakibat fatal.<o:p></o:p></span></div>
<h2 style="line-height: 150%; margin-left: 21.3pt; mso-list: l6 level2 lfo10; text-indent: -21.3pt;">
<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc352314882"><!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; font-weight: normal; line-height: 150%;">2.2<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: 12pt; font-weight: normal; line-height: 150%;">ETIOLOGI</span></a><span style="font-family: 'Times New Roman', serif; font-size: 12pt; font-weight: normal; line-height: 150%;"><o:p></o:p></span></h2>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 14.7pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bentuk peritonitis yang paling
sering ialah Spontaneous Bacterial Peritonitis (SBP) dan peritonitis sekunder.
SBP terjadi bukan karena infeksi intra abdomen, tetapi biasanya terjadi pada
pasien yang asites terjadi kontaminasi hingga kerongga peritoneal sehingga menjadi
translokasi bakteri munuju dinding perut atau pembuluh limfe mesenterium,
kadang terjadi penyebaran hematogen jika terjadi bakterimia dan akibat penyakit
hati yang kronik. Semakin rendah kadar protein cairan asites, semakin tinggi
risiko terjadinya peritonitis dan abses. Ini terjadi karena ikatan opsonisasi
yang rendah antar molekul komponen asites pathogen yang paling sering
menyebabkan infeksi adalah bakteri gram negative E. Coli 40%, Klebsiella
pneumoniae 7%, spesies Pseudomonas, Proteus dan gram lainnya 20% dan bakteri
gram positif yaitu Streptococcus pnemuminae 15%, jenis Streptococcus lain
15%,dan golongan Staphylococcus 3%, selain itu juga terdapat anaerob dan
infeksi campur bakteri. <o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 14.7pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Peritonitis sekunder yang paling
sering terjadi disebabkan oleh perforasi atau nekrosis (infeksi transmural)
organ-organ dalam dengan inokulasi bakteri rongga peritoneal terutama
disebabkan bakteri gram positif yang berasal dari saluran cerna bagian atas.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-left: 21.3pt; text-align: justify; text-indent: 14.7pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> Peritonitis tersier terjadi karena infeksi
peritoneal berulang setelah mendapatkan terapi SBP atau peritonitis sekunder
yang adekuat, bukan berasal dari kelainan organ, pada pasien peritonisis
tersier biasanya timbul abses atau flagmon dengan atau tanpa fistula. Selain
itu juga terdapat peritonitis TB, peritonitis steril atau kimiawi terjadi
karena iritasi bahan-bahan kimia, misalnya cairan empedu, barium, dan substansi
kimia lain atau proses inflamasi transmural dari organ-organ dalam (Misalnya
penyakit Crohn).<o:p></o:p></span></div>
<h2 style="line-height: 150%; margin-left: 21.3pt; mso-list: l6 level2 lfo10; text-indent: -21.3pt;">
<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc352314883"><!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; font-weight: normal; line-height: 150%;">2.3<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: 12pt; font-weight: normal; line-height: 150%;">PATOFISIOLOGI</span></a><span style="font-family: 'Times New Roman', serif; font-size: 12pt; font-weight: normal; line-height: 150%;"><o:p></o:p></span></h2>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Reaksi awal peritoneum terhadap
invasi oleh bakteri adalah keluarnya eksudat fibrinosa. Kantong-kantong
nanah (abses) terbentuk di antara perlekatan fibrinosa, yang menempel
menjadi satu dengan permukaan sekitarnya sehingga membatasi infeksi. Perlekatan
biasanya menghilang bila infeksi menghilang, tetapi dapat menetap sebagai
pita-pita fibrosa, yang kelak dapat mengakibatkan obstuksi usus.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-left: 21.3pt; text-align: justify; text-indent: 14.7pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Peradangan menimbulkan
akumulasi cairan karena kapiler dan membran mengalami kebocoran. Jika
defisit cairan tidak dikoreksi secara cepat dan agresif, maka dapat menimbulkan
kematian sel. Pelepasan berbagai mediator, seperti misalnya interleukin,
dapat memulai respon hiperinflamatorius, sehingga membawa
ke perkembangan selanjutnya dari kegagalan banyak organ. Karena tubuh
mencoba untuk mengkompensasi dengan cara retensi cairan dan elektrolit
oleh ginjal, produk buangan juga ikut menumpuk. Takikardi awalnya meningkatkan
curah jantung, tapi ini segera gagal begitu terjadi hipovolemia.<o:p></o:p></span></div>
<h2 style="line-height: 150%; margin-left: 21.3pt; mso-list: l6 level2 lfo10; text-indent: -21.3pt;">
<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc352314884"><!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; font-weight: normal; line-height: 150%;">2.4<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: 12pt; font-weight: normal; line-height: 150%;">KLASIFIKASI</span></a><span style="font-family: 'Times New Roman', serif; font-size: 12pt; font-weight: normal; line-height: 150%;"><o:p></o:p></span></h2>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Berdasarkan patogenesis peritonitis dapat
diklasifikasikan sebagai berikut:<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-left: 21.3pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">A. Peritonitis Bakterial Primer<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Merupakan
peritonitis akibat kontaminasi bakterial secara hematogen pada cavum peritoneum
dan tidak ditemukan fokus infeksi dalam abdomen. Penyebabnya bersifat
monomikrobial, biasanya E. Coli, Sreptococus atau Pneumococus. Peritonitis
bakterial primer dibagi menjadi dua, yaitu:<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Spesifik : misalnya Tuberculosis.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Non
spesifik: misalnya pneumonia non tuberculosis an Tonsilitis.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Faktor resiko yang berperan pada peritonitis ini
adalah adanya malnutrisi, keganasan intra abdomen, imunosupresi dan
splenektomi.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: .55pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kelompok resiko tinggi adalah
pasien dengan sindrom nefrotik, gagal ginjal kronik, lupus eritematosus
sistemik, dan sirosis hepatis dengan asites.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">B. Peritonitis Bakterial Akut Sekunder (Supurativa)<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 13.65pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Peritonitis yang mengikuti suatu
infeksi akut atau perforasi tractusi gastrointestinal atau tractus urinarius.
Pada umumnya organisme tunggal tidak akan menyebabkan peritonitis yang fatal.
Sinergisme dari multipel organisme dapat memperberat terjadinya infeksi ini.
Bakteri anaerob, khususnya spesies Bacteroides, dapat memperbesar pengaruh
bakteri aerob dalam menimbulkan infeksi.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-left: 35.45pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Selain itu luas dan lama kontaminasi
suatu bakteri juga dapat memperberat suatu peritonitis. Kuman dapat berasal
dari:<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l2 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<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%;">Luka/trauma
penetrasi, yang membawa kuman dari luar masuk ke dalam cavum peritoneal.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l2 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<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%;">Perforasi
organ-organ dalam perut, contohnya peritonitis yang disebabkan oleh bahan kimia,
perforasi usus sehingga feces keluar dari usus.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-left: 54.0pt; mso-list: l2 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<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%;">Komplikasi
dari proses inflamasi organ-organ intra abdominal, misalnya appendisitis.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">C.
Peritonitis tersier, misalnya:<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Peritonitis yang disebabkan oleh jamur<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Peritonitis yang sumber kumannya tidak
dapat ditemukan. Merupakan peritonitis yang disebabkan oleh iritan langsung,
seperti misalnya empedu, getah lambung,
getah pankreas, dan urine.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">D.
Peritonitis Bentuk lain dari peritonitis:<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Aseptik/steril
peritonitis<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Granulomatous
peritonitis<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<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%;">Hiperlipidemik
peritonitis<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d.<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%;">Talkum
peritonitis<o:p></o:p></span></div>
<h2 style="line-height: 150%; margin-left: 21.3pt; mso-list: l6 level2 lfo10; text-indent: -21.3pt;">
<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc352314885"><!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; font-weight: normal; line-height: 150%;">2.5<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; font-weight: normal; line-height: 150%;">TANDA</span></a><span style="font-family: 'Times New Roman', serif; font-size: 12pt; font-weight: normal; line-height: 150%;"> DAN GEJALA</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; font-weight: normal; line-height: 150%;"><o:p></o:p></span></h2>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tanda-tanda peritonitis relative
sama dengan infeksi berat yaitu demam tinggi atau pasien yang sepsis bisa
menjadi hipotermia, tatikardi, dehidrasi hingga menjadi hipotensi. Nyeri
abdomen yang hebat biasanya memiliki punctum maximum ditempat
tertentu sebagai sumber infeksi. Dinding perut akan terasa tegang
karena mekanisme antisipasi penderita secara tidak sadar
untuk menghindari palpasinya yang menyakinkan atau tegang karena iritasi peritoneum.
<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-left: 21.3pt; text-align: justify; text-indent: 14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pada wanita dilakukan
pemeriksaan vagina bimanual untuk membedakan nyeri akibat pelvic
inflammatoru disease. Pemeriksaan-pemeriksaan klinis ini bisa jadi positif
palsu pada penderita dalam keadaan imunosupresi (misalnya
diabetes berat, penggunaan steroid, pasca transplantasi, atau
HIV), penderita dengan penurunan kesadaran (misalnya trauma
cranial, ensefalopati toksik, syok sepsis, atau penggunaan
analgesic), penderita dengan paraplegia dan penderita geriatric.<o:p></o:p></span></div>
<h2 style="line-height: 150%; margin-left: 21.3pt; mso-list: l6 level2 lfo10; text-indent: -21.3pt;">
<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc352314886"><!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; font-weight: normal; line-height: 150%;">2.6<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; font-weight: normal; line-height: 150%;">KOMPLIKASI</span></a><span style="font-family: 'Times New Roman', serif; font-size: 12pt; font-weight: normal; line-height: 150%;"><o:p></o:p></span></h2>
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<!--[if !supportLists]--><span 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;">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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Eviserasi Luka (penonjolan keluar organ yang ada dalam
rongga abdomen)<o:p></o:p></span></div>
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<!--[if !supportLists]--><span 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;">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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pembentukan abses<o:p></o:p></span></div>
<h2 style="line-height: 150%; margin-left: 21.3pt; mso-list: l6 level2 lfo10; text-indent: -21.3pt;">
<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc352314887"><!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; font-weight: normal; line-height: 150%;">2.7<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; font-weight: normal; line-height: 150%;">PENATALAKSANAAN</span></a><span style="font-family: 'Times New Roman', serif; font-size: 12pt; font-weight: normal; line-height: 150%;"> MEDIS</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; font-weight: normal; line-height: 150%;"><o:p></o:p></span></h2>
<div class="MsoNormal" style="background: #FAFEFB; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-list: l7 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span 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;">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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bila peritonitis meluas dan pembedahan
dikontraindikasikan karena syok dan kegagalan sirkulasi, maka cairan oral
dihindari dan diberikan cairan vena untuk mengganti elektrolit dan kehilangan
protein. Biasanya selang usus dimasukkan melalui hidung ke dalam usus untuk
mengurangi tekanan dalam usus.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: #FAFEFB; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-list: l7 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span 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;">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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bila infeksi mulai reda dan kondisi pasien membaik,
drainase bedah dan perbaikan dapat diupayakan.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: #FAFEFB; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-list: l7 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span 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;">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%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pembedahan mungkin dilakukan untuk mencegah
peritonitis, seperti apendiktomi. Bila perforasi tidak dicegah, intervensi
pembedahan mayor adalah insisi dan drainase terhadap abses.<o:p></o:p></span></div>
<h2 style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 12.0pt; mso-list: l6 level2 lfo10; text-indent: -21.3pt;">
<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc352314888"><!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; font-weight: normal; line-height: 150%;">2.8<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; font-weight: normal; line-height: 150%;">PENGOBATAN</span></a><span style="font-family: 'Times New Roman', serif; font-size: 12pt; font-weight: normal; line-height: 150%;"> <o:p></o:p></span></h2>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Prinsip umum terapi pada peritonitis adalah :<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Penggantian
cairan dan elektrolit yang hilang yang dilakukan secara intravena.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-list: l5 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Terapi
antibiotika memegang peranan yang sangat penting dalam pengobatan infeksi
nifas.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Karena pemeriksaan-pemeriksaan ini memerlukan waktu,
maka pengobatan perlu dimulai tanpa menunggu hasilnya. Dalam hal ini dapat
diberikan penicillin dalam dosis tinggi atau antibiotika dengan spectrum luas,
seperti ampicillin dan lain-lain.<o:p></o:p></span></div>
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<br /></div>
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<br /></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-left: 39.3pt; mso-list: l5 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c)<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%;">Terapi
analgesik diberikan untuk mengatasi nyeri.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 13.65pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Antiemetik dapat diberikan sebagai
terapi untuk mual dan muntah. Intubasi usus dan pengisapan membantu dalam
menghilangkan distensi abdomen dan meningkatkan fungsi usus. Cairan dalam
rongga abdomen dapat menyebabkan tekanan yang membatasi ekspansi paru dan
menyebabkan distress pernapasan.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> Terapi
oksigen dengan kanula nasal atau masker akan meningkatkan oksigenasi secara
adekuat, tetapi kadang-kadang intubasi jalan napas dan bantuan ventilasi
diperlukan.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tindakan bedah mencakup mengangkat materi terinfeksi
dan memperbaiki penyebab.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 13.65pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tindakan pembedahan diarahkan
kepada eksisi terutama bila terdapat apendisitis, reseksi dengan atau tanpa
anastomosis (usus), memperbaiki pada ulkus peptikum yang mengalami perforasi
atau divertikulitis dan drainase pada abses. Pada peradangan pankreas
(pankreatitis akut) atau penyakit radang
panggul pada wanita, pembedahan darurat
biasanya tidak dilakukan. Diberikan antibiotik yang tepat, bila perlu beberapa
macam antibiotik diberikan bersamaan.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 13.65pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Disamping pengobatan dengan
antibiotika, tindakan-tindakan untuk mempertinggi daya tahan badan tetap perlu
dilakukan. Perawatan baik sangat penting, makanan yang mengandung zat-zat yang
diperlukan hendaknya diberikan dengan cara yang cocok dengan keadaan penderita,
dan bila perlu transfusi darah dilakukan.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-left: 36.0pt; text-align: justify; text-indent: 13.65pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pada sellulitis pelvika
dan pelvioperitonitis perlu diamati dengan seksama apakah terjadi abses atau
tidak. Jika terjadi abses, abses harus dibuka dengan menjaga supaya nanah tidak
masuk kedalam rongga peritoneum dan pembuluh darah yang agak besar tidak sampai
dilukai.<o:p></o:p></span></div>
<h1 align="center" style="line-height: 150%; text-align: center;">
<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc352314889"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BAB III</span></a><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></h1>
<h1 align="center" style="line-height: 150%; text-align: center;">
<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc352314890"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PENUTUP</span></a><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></h1>
<div class="MsoNormal">
<br /></div>
<h2 style="line-height: 150%; margin-left: 21.3pt; mso-list: l7 level2 lfo6; text-indent: -21.3pt;">
<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc352314891"><!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; font-weight: normal; line-height: 150%;">3.1<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: 12pt; font-weight: normal; line-height: 150%;">KESIMPULAN</span></a><span style="font-family: 'Times New Roman', serif; font-size: 12pt; font-weight: normal; line-height: 150%;"> <o:p></o:p></span></h2>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Peritonitis adalah peradangan pada
peritonium yang merupakan pembungkus visera dalam rongga perut. Peritoneum
adalah selaput tipis dan jernih yang membungkus organ perut dan dinding perut
sebelah dalam. Peritonitis yang terlokalisir hanya dalam rongga pelvis disebut
pelvioperitonitis.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penyebab peritonitis antara lain :
penyebaran infeksi dari organ perut yang terinfeksi, penyakit radang panggul
pada wanita yang masih aktif melakukan kegiatan seksual.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Prinsip umum terapi pada peritonitis adalah :<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Penggantian
cairan dan elektrolit yang hilang yang dilakukan secara intravena.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Terapi
antibiotika memegang peranan yang sangat penting dalam pengobatan infeksi
nifas.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c)<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%;">Terapi
analgesik diberikan untuk mengatasi nyeri.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d)<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%;">Tindakan
bedah mencakup mengangkat materi terinfeksi dan memperbaiki penyebab.<o:p></o:p></span></div>
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<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc352314892"><!--[if !supportLists]--><span style="font-family: 'Times New Roman', serif; font-size: 12pt; font-weight: normal; line-height: 150%;">3.2<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: 12pt; font-weight: normal; line-height: 150%;">SARAN</span></a><span style="font-family: 'Times New Roman', serif; font-size: 12pt; font-weight: normal; line-height: 150%;"> <o:p></o:p></span></h2>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Diharapkan mahasiswa
dapat memahami mengenai peritonitis bagian-bagiannya serta dapat
mengaplikasikan asuhan yang diberikan. Dalam penulisan makalah ini masih banyak
terdapat kekurangan oleh karena itu Kami
mohon saran yang membangun. Semoga makalah ini dapat bermanfaat bagi penulis
khususnya dan pembaca pada umumnya.<o:p></o:p></span></div>
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<a href="https://www.blogger.com/blogger.g?blogID=8430991463257497357" name="_Toc352314893"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">DAFTAR PUSTAKA</span></a><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></h1>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Hidayat, A.Aziz Alimul dan
Musrifatul Uliyah. 2004. Buku Saku Praktikum Kebutuhan Dasar Manusia. Jakarta;
EGC<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Santosa, Budi 2005. Panduan
diagnosa keperawatan Nanda. Prima
Medika.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Wim de Jong. 2005. Buku Ajar Ilmu
Bedah. EGC. Jakarta<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"><a href="http://www.scribd.com/doc/101947192/Peritonitis">http://www.scribd.com/doc/101947192/Peritonitis</a>
Diakses tanggal 27 Maret 2013 Pukul 08.00 WIB<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">( <a href="http://.medicastore.askep_peritonitis/10/Oktober:2007.html">http://.medicastore.askep_peritonitis//10/Oktober:2007.html</a>)
Diakses tanggal 29 Maret 2013 Pukul 17.00 WIB<o:p></o:p></span></div>
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Anonymoushttp://www.blogger.com/profile/09877824835430540158noreply@blogger.com1tag:blogger.com,1999:blog-8430991463257497357.post-85005152660574778042013-05-08T20:01:00.003-07:002013-05-08T20:24:47.999-07:00ASKEB NEONATUS (SEBORRHEA)<br />
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<a href="http://sani-sanpig.blogspot.com/2013/05/makalah-asuhan-kebidanan-neonatus.html"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEirbUTfz-Dogpw_3DVw1mEf96W7V8jSSkpt7FYNPwwX_ekU_SU0wY3ioSxi_4I8BXgn5pTZp-x-F36lRCU4gqhSeWA-5R6Y5FzOT47pyo_8mBnUmP-9lWV4tykv6gBi3qstSLqX8gCwS7Sf/s1600/download+(4).jpg" /></a></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">KATA PENGANTAR</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;"><o:p></o:p></span></h1>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Puji syukur kepada Tuhan Yang Maha Esa yang telah memberikan karunia-Nya sehingga kami dapat menyelesaikan makalah ini dengan baik. Makalah ini membahas tentang “<a href="http://sani-sanpig.blogspot.com/2013/05/makalah-asuhan-kebidanan-neonatus.html">SEBORRHEA</a>”.<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Penulis mengucapkan terima kasih kepada dosen pengampu mata kuliah Asuhan Kebidanan Neonatus, Bayi dan Balita yang telah membimbing kami dalam penyusunan makalah ini. Kami menyadari bahwa makalah ini masih belum sempurna, oleh karena itu kami mengharapkan kritik dan saran dari semua pihak demi perbaikan pembuatan makalah selanjutnya.<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Semoga makalah ini dapat memberikan wawasan yang lebih luas kepada pembaca. Akhir kata, kami mengucapkan terima kasih kepada semua pihak yang telah berperan serta dalam penyusunan makalah ini. Semoga Tuhan Yang Maha Esa senantiasa memberikan kelancaran dan kemudahan bagi kita semua.</span><br />
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Yogyakarta, April 2013</span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;"> Penulis</span><br />
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<span style="color: black;"><b><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">BAB I</span></b><b><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;"><o:p></o:p></span></b></span></div>
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<b><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">PENDAHULUAN</span></b><b><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;"><o:p></o:p></span></b></div>
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<span style="color: black;"><a href="http://sani-sanpig.blogspot.com/2013/05/askeb-neonatus-seborrhea.html" name="_Toc354061077" style="text-decoration: none;"></a><span style="font-family: 'Times New Roman', serif; font-size: 12pt; font-weight: normal; line-height: 24px;">1.1<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; font-weight: normal; line-height: 24px;">Latar Belakang</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; font-weight: normal; line-height: 24px;"><o:p></o:p></span></span></h2>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Kata “dermatitis” berarti adanya inflamasi pada kulit. Ekzema merupakan bentuk khusus dari dermatitis. Beberapa ahli menggunakan kata ekzema untuk menjelaskan inflamasi yang dicetuskan dari dalam pada kulit. Prevalensi dari semua bentuk ekzema adalah 4,66%, termasuk dermatitis atopik 0,69%, eczema numular 0,17%, dan dermatitis seboroik 2,32% yang menyerang 2% hingga 5% dari penduduk.<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Seborrhea biasa disebut dengan Dermatitis seboroik (DS) atau Seborrheic eczema merupakan penyakit yang umum, kronik, dan merupakan inflamasi superfisial dari kulit, ditandai oleh pruritus, berminyak, bercak merah dengan berbagai ukuran dan bentuk yang menutup daerah inflamasi pada kulit kepala, muka, dan telinga. Daerah lain yang jarang terkena, seperti daerah presternal dada. Beberapa tahun ini telah didapatkan data bahwa sekurang–kurangnya 50% pasien HIV terkena dematitis seboroik. Ketombe berhubungan juga dermatitis seboroik, tetapi tidak separah dermatitis seboroik. Ada juga yang menganggap dermatitis seboroik sama dengan ketombe.<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">DS adalah dermatosis papuloskuamosa kronik yang biasanya mudah ditemukan pada tempat-tempat seboroik. Penyakit ini dapat menyerang anak-anak paling sering pada usia di bawah 6 bulan maupun dewasa. DS dikaitkan dengan peningkatan produksi sebum pada kulit kepala dan folikel sebasea terutama pada daerah wajah dan badan. Jamur Pityrosporum ovale kemungkinan merupakan faktor penyebab.<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Banyak percobaan telah dilakukan untuk menghubungkan penyakit ini dengan mikroorganisme tersebut yang juga merupakan flora normal kulit manusia. Pertumbuhan P. Ovale yang berlebihan dapat mengakibatkan reaksi inflamasi, baik akibat produk metaboliknya yang masuk ke dalam epidermis maupun karena jamur itu sendiri melalui aktivasi sel limfosit T dan sel Langerhans. Akan tetapi, faktor genetik dan lingkungan diperkirakan juga dapat mempengaruhi onset dan derajat penyakit.<o:p></o:p></span></div>
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<span style="color: black;"><a href="http://sani-sanpig.blogspot.com/2013/05/askeb-neonatus-seborrhea.html" name="_Toc354061078" style="text-decoration: none;"></a><a href="http://sani-sanpig.blogspot.com/2013/05/askeb-neonatus-seborrhea.html" name="_Toc354060923" style="text-decoration: none;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; font-weight: normal; line-height: 24px;">1.2<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; font-weight: normal; line-height: 24px;">Rumusan Masalah</span></a><span style="font-family: 'Times New Roman', serif; font-size: 12pt; font-weight: normal; line-height: 24px;"><o:p></o:p></span></span></h2>
<ol start="1" style="background-color: white; font-family: Trebuchet, 'Trebuchet MS', Arial, sans-serif; font-size: 13px; line-height: 21.390625px; margin-top: 0cm;" type="1">
<li class="MsoNormal" style="background-image: url(https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjSFTGIkz2ulvzJnXTTbbfBRRwMalNtf2x2IBKQnkfpRxz-OM65uPnP__luvFWzzQHxmIDgyBRioi-wmVSq-M4h_DjHPXZfeLaodxe82fsPerIUtSl9_elZTeJaROaQ_UA7zi9mSK421zep/s1600/list.png); background-position: 0% 0.3em; background-repeat: no-repeat no-repeat; line-height: 19px; list-style: none; margin: 0px 0px 0cm; padding: 0px 0px 0.6em 17px; vertical-align: top;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Apa yang dimaksud dengan seborrhea atau dermatitis seboroik?<o:p></o:p></span></li>
<li class="MsoNormal" style="background-image: url(https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjSFTGIkz2ulvzJnXTTbbfBRRwMalNtf2x2IBKQnkfpRxz-OM65uPnP__luvFWzzQHxmIDgyBRioi-wmVSq-M4h_DjHPXZfeLaodxe82fsPerIUtSl9_elZTeJaROaQ_UA7zi9mSK421zep/s1600/list.png); background-position: 0% 0.3em; background-repeat: no-repeat no-repeat; line-height: 19px; list-style: none; margin: 0px 0px 0cm; padding: 0px 0px 0.6em 17px; vertical-align: top;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Jelaskan tentang epidemiologi seborrhea?<o:p></o:p></span></li>
<li class="MsoNormal" style="background-image: url(https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjSFTGIkz2ulvzJnXTTbbfBRRwMalNtf2x2IBKQnkfpRxz-OM65uPnP__luvFWzzQHxmIDgyBRioi-wmVSq-M4h_DjHPXZfeLaodxe82fsPerIUtSl9_elZTeJaROaQ_UA7zi9mSK421zep/s1600/list.png); background-position: 0% 0.3em; background-repeat: no-repeat no-repeat; line-height: 19px; list-style: none; margin: 0px 0px 0cm; padding: 0px 0px 0.6em 17px; vertical-align: top;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Jelaskan tentang etiopatogenesis seborrhea?<o:p></o:p></span></li>
<li class="MsoNormal" style="background-image: url(https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjSFTGIkz2ulvzJnXTTbbfBRRwMalNtf2x2IBKQnkfpRxz-OM65uPnP__luvFWzzQHxmIDgyBRioi-wmVSq-M4h_DjHPXZfeLaodxe82fsPerIUtSl9_elZTeJaROaQ_UA7zi9mSK421zep/s1600/list.png); background-position: 0% 0.3em; background-repeat: no-repeat no-repeat; line-height: 19px; list-style: none; margin: 0px 0px 0cm; padding: 0px 0px 0.6em 17px; vertical-align: top;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Jelaskan tentang patogenesis seborrhea?<o:p></o:p></span></li>
<li class="MsoNormal" style="background-image: url(https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjSFTGIkz2ulvzJnXTTbbfBRRwMalNtf2x2IBKQnkfpRxz-OM65uPnP__luvFWzzQHxmIDgyBRioi-wmVSq-M4h_DjHPXZfeLaodxe82fsPerIUtSl9_elZTeJaROaQ_UA7zi9mSK421zep/s1600/list.png); background-position: 0% 0.3em; background-repeat: no-repeat no-repeat; line-height: 19px; list-style: none; margin: 0px 0px 0cm; padding: 0px 0px 0.6em 17px; vertical-align: top;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Bagaimana gambaran klinik dari seborrhea?<o:p></o:p></span></li>
<li class="MsoNormal" style="background-image: url(https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjSFTGIkz2ulvzJnXTTbbfBRRwMalNtf2x2IBKQnkfpRxz-OM65uPnP__luvFWzzQHxmIDgyBRioi-wmVSq-M4h_DjHPXZfeLaodxe82fsPerIUtSl9_elZTeJaROaQ_UA7zi9mSK421zep/s1600/list.png); background-position: 0% 0.3em; background-repeat: no-repeat no-repeat; line-height: 19px; list-style: none; margin: 0px 0px 0cm; padding: 0px 0px 0.6em 17px; vertical-align: top;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Pemeriksaan penunjang apa sajakah yang dapat dilakukan untuk mengetahui seborrhea?<o:p></o:p></span></li>
<li class="MsoNormal" style="background-image: url(https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjSFTGIkz2ulvzJnXTTbbfBRRwMalNtf2x2IBKQnkfpRxz-OM65uPnP__luvFWzzQHxmIDgyBRioi-wmVSq-M4h_DjHPXZfeLaodxe82fsPerIUtSl9_elZTeJaROaQ_UA7zi9mSK421zep/s1600/list.png); background-position: 0% 0.3em; background-repeat: no-repeat no-repeat; line-height: 19px; list-style: none; margin: 0px 0px 0cm; padding: 0px 0px 0.6em 17px; vertical-align: top;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Penyakit-penyakit apa saja yang dapat menjadi diagnosis banding dari seborrhea?<o:p></o:p></span></li>
<li class="MsoNormal" style="background-image: url(https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjSFTGIkz2ulvzJnXTTbbfBRRwMalNtf2x2IBKQnkfpRxz-OM65uPnP__luvFWzzQHxmIDgyBRioi-wmVSq-M4h_DjHPXZfeLaodxe82fsPerIUtSl9_elZTeJaROaQ_UA7zi9mSK421zep/s1600/list.png); background-position: 0% 0.3em; background-repeat: no-repeat no-repeat; line-height: 19px; list-style: none; margin: 0px 0px 0cm; padding: 0px 0px 0.6em 17px; vertical-align: top;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Jelaskan tentang penegakkan diagnosis dari seborrhea?<o:p></o:p></span></li>
<li class="MsoNormal" style="background-image: url(https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjSFTGIkz2ulvzJnXTTbbfBRRwMalNtf2x2IBKQnkfpRxz-OM65uPnP__luvFWzzQHxmIDgyBRioi-wmVSq-M4h_DjHPXZfeLaodxe82fsPerIUtSl9_elZTeJaROaQ_UA7zi9mSK421zep/s1600/list.png); background-position: 0% 0.3em; background-repeat: no-repeat no-repeat; line-height: 19px; list-style: none; margin: 0px 0px 0cm; padding: 0px 0px 0.6em 17px; vertical-align: top;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Jelaskan penatalaksanaan untuk seborrhea?<o:p></o:p></span></li>
<li class="MsoNormal" style="background-image: url(https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjSFTGIkz2ulvzJnXTTbbfBRRwMalNtf2x2IBKQnkfpRxz-OM65uPnP__luvFWzzQHxmIDgyBRioi-wmVSq-M4h_DjHPXZfeLaodxe82fsPerIUtSl9_elZTeJaROaQ_UA7zi9mSK421zep/s1600/list.png); background-position: 0% 0.3em; background-repeat: no-repeat no-repeat; line-height: 19px; list-style: none; margin: 0px 0px 0cm; padding: 0px 0px 0.6em 17px; vertical-align: top;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Terapi apa saja yang dilakukan untuk seborrhea?<o:p></o:p></span></li>
<li class="MsoNormal" style="background-image: url(https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjSFTGIkz2ulvzJnXTTbbfBRRwMalNtf2x2IBKQnkfpRxz-OM65uPnP__luvFWzzQHxmIDgyBRioi-wmVSq-M4h_DjHPXZfeLaodxe82fsPerIUtSl9_elZTeJaROaQ_UA7zi9mSK421zep/s1600/list.png); background-position: 0% 0.3em; background-repeat: no-repeat no-repeat; line-height: 19px; list-style: none; margin: 0px 0px 0cm; padding: 0px 0px 0.6em 17px; vertical-align: top;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Bagaimana kiat mengatasi seborrhea?<o:p></o:p></span></li>
<li class="MsoNormal" style="background-image: url(https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjSFTGIkz2ulvzJnXTTbbfBRRwMalNtf2x2IBKQnkfpRxz-OM65uPnP__luvFWzzQHxmIDgyBRioi-wmVSq-M4h_DjHPXZfeLaodxe82fsPerIUtSl9_elZTeJaROaQ_UA7zi9mSK421zep/s1600/list.png); background-position: 0% 0.3em; background-repeat: no-repeat no-repeat; line-height: 19px; list-style: none; margin: 0px 0px 0cm; padding: 0px 0px 0.6em 17px; vertical-align: top;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Bagaimana cara mencegah terjadinya seborrhea?<o:p></o:p></span></li>
<li class="MsoNormal" style="background-image: url(https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjSFTGIkz2ulvzJnXTTbbfBRRwMalNtf2x2IBKQnkfpRxz-OM65uPnP__luvFWzzQHxmIDgyBRioi-wmVSq-M4h_DjHPXZfeLaodxe82fsPerIUtSl9_elZTeJaROaQ_UA7zi9mSK421zep/s1600/list.png); background-position: 0% 0.3em; background-repeat: no-repeat no-repeat; line-height: 19px; list-style: none; margin: 0px; padding: 0px 0px 0.6em 17px; vertical-align: top;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Jelaskan tentang pragnosis dari seborrhea?<o:p></o:p></span></li>
</ol>
<div class="MsoNormal" style="background-color: white; font-family: Trebuchet, 'Trebuchet MS', Arial, sans-serif; font-size: 13px; line-height: 19px; margin-left: 36pt;">
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<h2 style="background-color: white; font-family: Trebuchet, 'Trebuchet MS', Arial, sans-serif; line-height: 30px; margin-left: 18pt; text-indent: -18pt;">
<span style="color: black;"><a href="http://sani-sanpig.blogspot.com/2013/05/askeb-neonatus-seborrhea.html" name="_Toc354061079" style="text-decoration: none;"></a><a href="http://sani-sanpig.blogspot.com/2013/05/askeb-neonatus-seborrhea.html" name="_Toc354060924" style="text-decoration: none;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; font-weight: normal; line-height: 24px;">1.3<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; font-weight: normal; line-height: 24px;">Tujuan</span></a><span style="font-family: 'Times New Roman', serif; font-size: 12pt; font-weight: normal; line-height: 24px;"><o:p></o:p></span></span></h2>
<ol start="1" style="background-color: white; font-family: Trebuchet, 'Trebuchet MS', Arial, sans-serif; font-size: 13px; line-height: 21.390625px; margin-top: 0cm;" type="1">
<li class="MsoNormal" style="background-image: url(https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjSFTGIkz2ulvzJnXTTbbfBRRwMalNtf2x2IBKQnkfpRxz-OM65uPnP__luvFWzzQHxmIDgyBRioi-wmVSq-M4h_DjHPXZfeLaodxe82fsPerIUtSl9_elZTeJaROaQ_UA7zi9mSK421zep/s1600/list.png); background-position: 0% 0.3em; background-repeat: no-repeat no-repeat; line-height: 19px; list-style: none; margin: 0px 0px 0cm; padding: 0px 0px 0.6em 17px; vertical-align: top;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Untuk mengetahui definisi dari seborrhea atau dermatitis seboroik.<o:p></o:p></span></li>
<li class="MsoNormal" style="background-image: url(https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjSFTGIkz2ulvzJnXTTbbfBRRwMalNtf2x2IBKQnkfpRxz-OM65uPnP__luvFWzzQHxmIDgyBRioi-wmVSq-M4h_DjHPXZfeLaodxe82fsPerIUtSl9_elZTeJaROaQ_UA7zi9mSK421zep/s1600/list.png); background-position: 0% 0.3em; background-repeat: no-repeat no-repeat; line-height: 19px; list-style: none; margin: 0px 0px 0cm; padding: 0px 0px 0.6em 17px; vertical-align: top;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Untuk mengetahui tentang epidemiologi seborrhea.<o:p></o:p></span></li>
<li class="MsoNormal" style="background-image: url(https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjSFTGIkz2ulvzJnXTTbbfBRRwMalNtf2x2IBKQnkfpRxz-OM65uPnP__luvFWzzQHxmIDgyBRioi-wmVSq-M4h_DjHPXZfeLaodxe82fsPerIUtSl9_elZTeJaROaQ_UA7zi9mSK421zep/s1600/list.png); background-position: 0% 0.3em; background-repeat: no-repeat no-repeat; line-height: 19px; list-style: none; margin: 0px 0px 0cm; padding: 0px 0px 0.6em 17px; vertical-align: top;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Untuk mengetahui tentang etiopatogenesis dari seborrhea.<o:p></o:p></span></li>
<li class="MsoNormal" style="background-image: url(https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjSFTGIkz2ulvzJnXTTbbfBRRwMalNtf2x2IBKQnkfpRxz-OM65uPnP__luvFWzzQHxmIDgyBRioi-wmVSq-M4h_DjHPXZfeLaodxe82fsPerIUtSl9_elZTeJaROaQ_UA7zi9mSK421zep/s1600/list.png); background-position: 0% 0.3em; background-repeat: no-repeat no-repeat; line-height: 19px; list-style: none; margin: 0px 0px 0cm; padding: 0px 0px 0.6em 17px; vertical-align: top;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Untuk mengetahui patogenesis seborrhea.<o:p></o:p></span></li>
<li class="MsoNormal" style="background-image: url(https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjSFTGIkz2ulvzJnXTTbbfBRRwMalNtf2x2IBKQnkfpRxz-OM65uPnP__luvFWzzQHxmIDgyBRioi-wmVSq-M4h_DjHPXZfeLaodxe82fsPerIUtSl9_elZTeJaROaQ_UA7zi9mSK421zep/s1600/list.png); background-position: 0% 0.3em; background-repeat: no-repeat no-repeat; line-height: 19px; list-style: none; margin: 0px 0px 0cm; padding: 0px 0px 0.6em 17px; vertical-align: top;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Untuk mengetahui gambaran klinik dari seborrhea.<o:p></o:p></span></li>
<li class="MsoNormal" style="background-image: url(https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjSFTGIkz2ulvzJnXTTbbfBRRwMalNtf2x2IBKQnkfpRxz-OM65uPnP__luvFWzzQHxmIDgyBRioi-wmVSq-M4h_DjHPXZfeLaodxe82fsPerIUtSl9_elZTeJaROaQ_UA7zi9mSK421zep/s1600/list.png); background-position: 0% 0.3em; background-repeat: no-repeat no-repeat; line-height: 19px; list-style: none; margin: 0px 0px 0cm; padding: 0px 0px 0.6em 17px; vertical-align: top;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Untuk mengetahui pemeriksaan penunjang yang dapat dilakukan untuk mengetahui seborrhea.<o:p></o:p></span></li>
<li class="MsoNormal" style="background-image: url(https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjSFTGIkz2ulvzJnXTTbbfBRRwMalNtf2x2IBKQnkfpRxz-OM65uPnP__luvFWzzQHxmIDgyBRioi-wmVSq-M4h_DjHPXZfeLaodxe82fsPerIUtSl9_elZTeJaROaQ_UA7zi9mSK421zep/s1600/list.png); background-position: 0% 0.3em; background-repeat: no-repeat no-repeat; line-height: 19px; list-style: none; margin: 0px 0px 0cm; padding: 0px 0px 0.6em 17px; vertical-align: top;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Untuk mengetahui penyakit-penyakit apa saja yang dapat menjadi diagnosis banding dari seborrhea.<o:p></o:p></span></li>
<li class="MsoNormal" style="background-image: url(https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjSFTGIkz2ulvzJnXTTbbfBRRwMalNtf2x2IBKQnkfpRxz-OM65uPnP__luvFWzzQHxmIDgyBRioi-wmVSq-M4h_DjHPXZfeLaodxe82fsPerIUtSl9_elZTeJaROaQ_UA7zi9mSK421zep/s1600/list.png); background-position: 0% 0.3em; background-repeat: no-repeat no-repeat; line-height: 19px; list-style: none; margin: 0px 0px 0cm; padding: 0px 0px 0.6em 17px; vertical-align: top;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Untuk mengetahui tentang penegakkan diagnosis dari seborrhea.<o:p></o:p></span></li>
<li class="MsoNormal" style="background-image: url(https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjSFTGIkz2ulvzJnXTTbbfBRRwMalNtf2x2IBKQnkfpRxz-OM65uPnP__luvFWzzQHxmIDgyBRioi-wmVSq-M4h_DjHPXZfeLaodxe82fsPerIUtSl9_elZTeJaROaQ_UA7zi9mSK421zep/s1600/list.png); background-position: 0% 0.3em; background-repeat: no-repeat no-repeat; line-height: 19px; list-style: none; margin: 0px 0px 0cm; padding: 0px 0px 0.6em 17px; vertical-align: top;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Untuk mengetahui penatalaksanaan untuk seborrhea.<o:p></o:p></span></li>
<li class="MsoNormal" style="background-image: url(https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjSFTGIkz2ulvzJnXTTbbfBRRwMalNtf2x2IBKQnkfpRxz-OM65uPnP__luvFWzzQHxmIDgyBRioi-wmVSq-M4h_DjHPXZfeLaodxe82fsPerIUtSl9_elZTeJaROaQ_UA7zi9mSK421zep/s1600/list.png); background-position: 0% 0.3em; background-repeat: no-repeat no-repeat; line-height: 19px; list-style: none; margin: 0px 0px 0cm; padding: 0px 0px 0.6em 17px; vertical-align: top;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Untuk mengetahui terapi yang dilakukan untuk seborrhea.<o:p></o:p></span></li>
<li class="MsoNormal" style="background-image: url(https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjSFTGIkz2ulvzJnXTTbbfBRRwMalNtf2x2IBKQnkfpRxz-OM65uPnP__luvFWzzQHxmIDgyBRioi-wmVSq-M4h_DjHPXZfeLaodxe82fsPerIUtSl9_elZTeJaROaQ_UA7zi9mSK421zep/s1600/list.png); background-position: 0% 0.3em; background-repeat: no-repeat no-repeat; line-height: 19px; list-style: none; margin: 0px 0px 0cm; padding: 0px 0px 0.6em 17px; vertical-align: top;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Untuk mengetahui kiat mengatasi seborrhea.<o:p></o:p></span></li>
<li class="MsoNormal" style="background-image: url(https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjSFTGIkz2ulvzJnXTTbbfBRRwMalNtf2x2IBKQnkfpRxz-OM65uPnP__luvFWzzQHxmIDgyBRioi-wmVSq-M4h_DjHPXZfeLaodxe82fsPerIUtSl9_elZTeJaROaQ_UA7zi9mSK421zep/s1600/list.png); background-position: 0% 0.3em; background-repeat: no-repeat no-repeat; line-height: 19px; list-style: none; margin: 0px 0px 0cm; padding: 0px 0px 0.6em 17px; vertical-align: top;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Untuk mengetahui cara mencegah terjadinya seborrhea.<o:p></o:p></span></li>
<li class="MsoNormal" style="background-image: url(https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjSFTGIkz2ulvzJnXTTbbfBRRwMalNtf2x2IBKQnkfpRxz-OM65uPnP__luvFWzzQHxmIDgyBRioi-wmVSq-M4h_DjHPXZfeLaodxe82fsPerIUtSl9_elZTeJaROaQ_UA7zi9mSK421zep/s1600/list.png); background-position: 0% 0.3em; background-repeat: no-repeat no-repeat; line-height: 19px; list-style: none; margin: 0px; padding: 0px 0px 0.6em 17px; vertical-align: top;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Untuk mengetahui tentang pragnosis dari seborrhea.<o:p></o:p></span></li>
</ol>
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<b style="background-color: white; font-family: Trebuchet, 'Trebuchet MS', Arial, sans-serif; font-size: 13px; line-height: 21.390625px;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 18px;"><br clear="all" style="page-break-before: always;" /></span></b><span style="background-color: white; font-family: Trebuchet, 'Trebuchet MS', Arial, sans-serif; font-size: 13px; line-height: 21.390625px;"></span>
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<h1 align="center" style="background-color: white; font-family: Trebuchet, 'Trebuchet MS', Arial, sans-serif; line-height: 21.390625px; text-align: center;">
<span style="color: black;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 18px; text-decoration: none;">BAB II</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 18px;"><o:p></o:p></span></span></h1>
<h1 align="center" style="background-color: white; font-family: Trebuchet, 'Trebuchet MS', Arial, sans-serif; line-height: 21.390625px; text-align: center;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 18px;"> ISI</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 18px;"><o:p></o:p></span></h1>
<h2 align="center" style="background-color: white; font-family: Trebuchet, 'Trebuchet MS', Arial, sans-serif; line-height: 30px; text-align: center;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;"> </span></h2>
<h2 style="background-color: white; font-family: Trebuchet, 'Trebuchet MS', Arial, sans-serif; line-height: 30px; margin-left: 18pt; text-indent: -18pt;">
<span style="color: black;"><a href="http://sani-sanpig.blogspot.com/2013/05/askeb-neonatus-seborrhea.html" name="_Toc354061081" style="text-decoration: none;"></a><a href="http://sani-sanpig.blogspot.com/2013/05/askeb-neonatus-seborrhea.html" name="_Toc354060927" style="text-decoration: none;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; font-weight: normal; line-height: 24px;">2.1<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; font-weight: normal; line-height: 24px;">PENGERTIAN SEBORRHEA</span></a><span style="font-family: 'Times New Roman', serif; font-size: 12pt; font-weight: normal; line-height: 24px;"><o:p></o:p></span></span></h2>
<div class="MsoNormal" style="background-color: white; font-family: Trebuchet, 'Trebuchet MS', Arial, sans-serif; font-size: 13px; line-height: 19px; margin: 0cm 0cm 0cm 21.3pt; text-align: justify; text-indent: 14.7pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Seborrhea disebut pula dengan Dermatitis seboroik yaitu kelainan kulit berupa peradangan superfisial dengan papuloskuamosa yang kronik dengan tempat predileksi di daerah-daerah seboroik yakni daerah yang kaya akan kelenjar sebasea, seperti pada kulit kepala, alis, kelopak mata, naso labial, bibir, telinga, dada, axilla, umbilikus, selangkangan dan glutea. Pada dermatitis seboroik didapatkan kelainan kulit yang berupa eritem, edema, serta skuama yang kering atau berminyak dan berwarna kuning kecoklatan dalam berbagai ukuran disertai adanya krusta.<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Istilah dermatitis seboroik (DS) dipakai untuk segolongan kelainan kulit yang didasari oleh factor konstitusi dan bertempat predileksi di tempat-tempat seboroik. Dermatitis seboroik (DS) adalah penyakit kulit dengan peradangan superfisialis kronis, dengan predileksi pada area seboroik, yang remisi dan eksaserbasi.<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Area seboroik yaitu bagian badan yang banyak kelenjar sebasea (kalenjar lemak) yaitu: kepala (“Scalp”, telinga, saluran telinga, belakang telinga, leher), muka (alis mata, kelopak mata, glabella, lipatan nasolabial, bibir, kumis, pipi, hidung, janggut/ dagu), badan atas ( daerah presternum, daerah interskapula, areolae mammae) dan pelipatan-pelipatan (ketiak, pelipatan bawah mammae, umbilicus, pelipatan paha, daerah anogenital dan pelipatan pantat).<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Dermatitis seboroik adalah peradangan kulit pada daerah yang banyak mengandung kelenjar sebasea. Dermatitis seboroik merupakan kelainan kulit inflamasi di mana telah terbukti adanya peran kolonisasi jamur Malassezia pada kulit yang terkena.<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Dermatitis seboroik merupakan kelainan kulit yang berlangsung kronik dan kambuhan. Dermatitis seboroik ditandai dengan kemerahan, gatal, dan kulit bersisik, paling sering mengenai kulit kepala (ketombe), tetapi juga dapat mengenai kulit pada bagian tubuh lainnya seperti wajah, dada, lipatan lutut, lengan dan lipat paha.<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Dermatitis seborrheic umumnya hanya terjadi pada bayi karena hal ini terkait dengan hormon androgen milik ibunya yang masih tersisa di dalam tubuhnya. "Itulah kenapa, lewat dari masa bayi, masalah ini akan menghilang seiring dengan berkurangnya kadar hormon androgen. Namun, tidak semua bayi akan mengalami dermatitis seborrheic. Jadi hanya bayi tertentu saja, terutama yang mengalami atopik, yakni kecenderungan untuk bereaksi menyimpang terhadap bahan-bahan yang bersifat umum. Bila reaksi menyimpang itu terjadi di kulit kepala, maka akan timbul dermatitis seborrheic bahkan eksim. Bila dermatitis seborrheic ini tidak ditangani secara tepat, mungkin saja akan berlanjut menjadi infeksi. Biasanya disertai proses inflamasi atau peradangan di dalam kulitnya. Ditandai dengan sisik yang berada di atas kulit yang kemerahan.<o:p></o:p></span></div>
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<span style="color: black;"><a href="http://sani-sanpig.blogspot.com/2013/05/askeb-neonatus-seborrhea.html" name="_Toc354061082" style="text-decoration: none;"></a><a href="http://sani-sanpig.blogspot.com/2013/05/askeb-neonatus-seborrhea.html" name="_Toc354060928" style="text-decoration: none;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; font-weight: normal; line-height: 24px;">2.2<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; font-weight: normal; line-height: 24px;">EPIDEMIOLOGI SEBORRHEA</span></a><span style="font-family: 'Times New Roman', serif; font-size: 12pt; font-weight: normal; line-height: 24px;"><o:p></o:p></span></span></h2>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Dermatitis seboroik bisa ditemukan pada seluruh ras, dan lebih banyak terjadi pada pria dibandingkan wanita. Hal ini mungkin disebabkan karena adanya aktifitas kelenjar sebasea yang diatur oleh hormon androgen.<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Dermatitis seboroik menyerang 2% - 5% populasi. Dermatitis seboroik dapat menyerang bayi pada tiga bulan pertama kehidupan dan pada dewasa pada umur 30 hingga 60 tahun. Insiden memuncak pada umur 18–40 tahun. DS lebih sering terjadi pada pria daripada wanita. Berdasarkan pada suatu survey pada 1.116 anak–anak, dari perbandingan usia dan jenis kelamin, didapatkan prevalensi dermatitis seboroik menyerang 10% anak laki–laki dan 9,5% pada anak perempuan. Prevalensi semakin berkurang pada setahun berikutnya dan sedikit menurun apabila umur lebih dari 4 tahun. Kebanyakan pasien (72%) terserang minimal atau dermatitis seboroik ringan.<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Pada penderita AIDS (Acquired Immunodeficiency Syndrome), dapat terlihat pada hampir 35% pasien Terdapat peningkatan insiden pada penyakit Parkinson, paralisis fasial, pityriasis versicolor, cedera spinal, depresi dan yang menerima terapi psoralen ditambah ultraviolet A (PUVA). Juga beberapa obat–obatan neuroleptik mungkin merupakan faktor, kejadian ini sering terjadi tetapi masih belum dibuktikan. Kondisi kronik lebih sering terjadi dan sering lebih parah pada musim dingin yang lembab dibandingkan pada musim panas.<o:p></o:p></span></div>
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<span style="color: black;"><a href="http://sani-sanpig.blogspot.com/2013/05/askeb-neonatus-seborrhea.html" name="_Toc354061083" style="text-decoration: none;"></a><a href="http://sani-sanpig.blogspot.com/2013/05/askeb-neonatus-seborrhea.html" name="_Toc354060929" style="text-decoration: none;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; font-weight: normal; line-height: 24px;">2.3<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; font-weight: normal; line-height: 24px;">ETIOPATOGENESIS SEBORRHEA</span></a><span style="font-family: 'Times New Roman', serif; font-size: 12pt; font-weight: normal; line-height: 24px;"><o:p></o:p></span></span></h2>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Etiologi dari penyakit ini belum terpecahkan. Faktor predisposisinya adalah kelainan konstitusi berupa status seboroik (seborrhoic state) yang rupanya diturunkan, bagaimana caranya belum dipastikan. Ini merupakan dermatitis yang menyerang daerah–daerah yang mengandung banyak glandula sebasea, bagaimanapun bukti terbaru menyebutkan bahwa hipersekresi dari sebum tidak nampak pada pasien yang terkena dermatitis seboroik apabila dibandingkan dengan kelompok sehat. Pengaruh hormonal seharusnya dipertimbangkan mengingat penyakit ini jarang terlihat sebelum puberitas. Ada bukti yang menyebutkan bahwa terjadi status hiperproliferasi, tetapi penyebabnya belum diketahui.<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Dermatitis seboroik berhubungan erat dengan keaktivan glandula sebasea. Glandula tersebut aktif pada bayi yang baru lahir, kemudian menjadi tidak aktif selama 8-12 tahun akibat stimulasi hormon androgen dari ibu berhenti. Dermatitis seboroik pada bayi terjadi pada umur bulan-bulan pertama, kemudian jarang pada usia sebelum akil baligh dan insidennya mencapai puncaknya pada umur 18-40 tahun, kadang-kadang pada umur tua. Dermatitis seboroik lebih sering terjadi pada pria daripada wanita.<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Meskipun kematangan kelenjar sebasea rupanya merupakan faktor timbulnya dermatitis seboroik, tetapi tidak ada hubungan langsung secara kuantitatif antara keaktifan kelenjar tersebut dengan suseptibilitas untuk memperoleh dermatitis seboroik. Dermatitis seboroik dapat diakibatkan oleh proliferasi epidermis yang meningkat seperti pada psoriasis. Pada orang yang telah mempunyai faktor predisposisi, timbulnya dermatitis seboroik dapat disebabkan oleh faktor kelelahan, stres emosional, infeksi, atau defisiensi imun.<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Penelitian–penelitian melaporkan adanya suatu jamur lipofilik, pleomorfik, Malasssezia ovalis (Pityrosporum ovale), pada beberapa pasien dengan lesi pada kulit kepala. P. ovale dapat didapatkan pada kulit kepala yang normal. Ragi dari genus ini menonjol dan dapat ditemukan pada daerah seboroik pada tubuh yang kaya akan lipid sebasea, misalnya kepala dan punggung. Pertumbuhan P. ovale yang berlebihan dapat mengakibatkan reaksi inflamasi, baik akibat produk metabolitnya yang masuk ke dalam epidermis maupun karena sel jamur itu sendiri melalui aktivasi sel limfosit T dan sel Langerhans. Hubungan yang erat terlihat karena kemampuan untuk mengisolasi Malassezia pada pasien dengan DS dan terapinya yang berefek bagus dengan pemberian anti jamur.<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Bagaimanapun, beberapa faktor (misalnya tingkat hormon, infeksi jamur, defisit nutrisi, dan faktor neurogenik) berhubungan dengan keadaan ini. Adanya masalah hormonal mungkin dapat menjelaskan mengapa keadaan ini muncul pada bayi, hilang secara spontan, dan muncul kembali setelah pubertas. Pada bayi dijumpai hormon transplasenta meninggi beberapa bulan setelah lahir dan penyakitnya akan membaik bila kadar hormon ini menurun. Juga didapati bahwa perbandingan komposisi lipid di kulit berubah. Jumlah kolesterol, trigliserida, parafin meningkat dan kadar sequelen, asam lemak bebas dan wax ester menurun. Keadaan ini diperparah dengan peningkatan keringat. Stres emosional memberikan pengaruh yang jelek pada masa pengobatan. Obat–obat neuroleptik seperti haloperidol dapat mencetuskan dermatitis seboroik serta faktor iklim. Lesi seperti DS dapat nampak pada pasien defesiensi nutrisi, contohnya defesiensi besi, defesiensi niasin, dan pada penyakit Parkinson. DS juga terjadi pada defesiensi pyridoxine.<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Berikut ini beberapa hal yang berpotensial menyebabkan dermatitis seboroik yaitu:<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Aktivitas kelenjar sebum yang berlebihan<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Infeksi Pityrosporum ovale<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Infeksi oleh Candida atau Staphylococcus<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Hipersensitif terhadap bakeri ataupun antigen epidermal<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Kelainan neurotransmiter (mis : pada penyakit parkinson)<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Respon emosional terhadap stres atau kelelahan<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">7.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Proliferasi epidermal yang menyimpang<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">8.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Diet yang abnormal<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">9.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Obat-obatan (arsen, emas, metildopa, simetidin, dan neuroleptik)<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">10.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Faktor lingkungan (temperatur dan kelembaban)<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">11.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Imunodefisiensi<o:p></o:p></span></div>
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<span style="color: black;"><a href="http://sani-sanpig.blogspot.com/2013/05/askeb-neonatus-seborrhea.html" name="_Toc354061084" style="text-decoration: none;"></a><a href="http://sani-sanpig.blogspot.com/2013/05/askeb-neonatus-seborrhea.html" name="_Toc354060930" style="text-decoration: none;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; font-weight: normal; line-height: 24px;">2.4<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; font-weight: normal; line-height: 24px;">PATOGENESIS SEBORRHEA</span></a><span style="font-family: 'Times New Roman', serif; font-size: 12pt; font-weight: normal; line-height: 24px;"><o:p></o:p></span></span></h2>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Walaupun banyak teori yang disebutkan, tetapi penyebab pasti dari dermatitis seboroik belum diketahui secara pasti.<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Dermatitis seboroik dihubungkan dengan adanya kulit yang tampak berminyak (seboroik oleosa), walaupun peningkatan produksi sebum tidak selalu didapatkan pada beberapa pasien. Pada anak-anak, produksi sebum dan dermatitis seboroik saling berhubungan. Pada pemeriksaan histologik, kelenjar sebasea berukuran besar. Selain itu didapatkan juga perubahan komposisi lipid pada permukaan kulit yang menunjukkan adanya peninggian kadar kolesterol, trigliserida dan parafin, yang disertai penurunan kadar squalene, asam lemak bebas dan wax ester.<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Dermatitis seboroik yang disebabkan oleh Pityrosporum ovale berkaitan dengan reaksi imun tubuh terhadap sel jamur di permukaan kulit maupun produk-produk metabolitnya di dalam epidermis. Reaksi peradangan yang timbul melalui perantaraan sel langerhans dan aktivasi limfosit T. Bila Pityrosporum ovale telah berkontak dengan serum, maka akan dapat mengaktifkan sistem komplemen melalui jalur aktivasi langsung maupun alternatif. Pada anak, selain Pityrosporum ovale, sering pula ditemukan Candida albicanspada lesi-lesi kulit.<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Peningkatan proliferasi epidermal pada dermatitis seboroik, menjelaskan mengapa penyakit ini cukup responsif pada terapi dengan sitostatik. Selain itu, dermatitis seboroik sering berkaitan dengan kelainan-kelainan neurologik seperti penyakit parkinson pasca ensefalitis, epilepsi, trauma supraorbital, paralisis nervus fasialis, polimielits, siringomielia, dan kuadriplegia. Kelainan pada sistem neurologik menyebabkan abnormalitas pada neurotransmitter dan bermanifestasi sebagai gangguan fungsi kelenjar sebum.Hal ini berdasarkan fakta, bahwa beberapa obat yang dapat menginduksi parkinson ternyata juga dapat menginduksi dermatitis seboroik, sementara pemberian L-dopa selain memperbaiki kondisi parkinson, juga lesi kulit dengan dermatitis seboroik.<o:p></o:p></span></div>
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<span style="color: black;"><a href="http://sani-sanpig.blogspot.com/2013/05/askeb-neonatus-seborrhea.html" name="_Toc354061085" style="text-decoration: none;"></a><a href="http://sani-sanpig.blogspot.com/2013/05/askeb-neonatus-seborrhea.html" name="_Toc354060931" style="text-decoration: none;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; font-weight: normal; line-height: 24px;">2.5<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; font-weight: normal; line-height: 24px;">GAMBARAN KLINIK</span></a><span style="font-family: 'Times New Roman', serif; font-size: 12pt; font-weight: normal; line-height: 24px;"><o:p></o:p></span></span></h2>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Dermatitis seboroik adalah suatu penyakit dengan gambaran berbagai variasi klinis. Secara garis besar gejala klinis DS bisa terjadi pada bayi dan orang dewasa. Pada bayi ada 3 bentuk, yaitu cradle cap, glabrous (daerah lipatan dan tengkuk) dan generalisata (penyakit Leiner) yang terbagi menjadi familial dan non-familial. Sedangkan pada orang dewasa, berdasarkan daerah lesinya DS terjadi pada kulit kepala (pitiriasis sika dan inflamasi), wajah (blefaritis marginal, konjungtivitis, pada daerah lipatan nasolabial, area jenggot, dahi, alis), daerah fleksura (aksilla, infra mamma, umbilicus, intergluteal, paha), badan (petaloid, pitiriasiform) dan generalisata (eritroderma, eritroderma eksoliatif). Distribusinya biasanya bilateral dan simetris berupa bercak ataupun plakat dengan batas yang tidak jelas, eritema ringan dan sedang, skuama berminyak dan kekuningan.<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Lesi di kulit kepala dapat bermanifestasi menjadi dua tipe:<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Pityriasis sicca : tipe yang kering,biasanya berawal dari bercak yang kecil yang kemudian meluas ke seluruh kulit kepala berupa deskuamasi kering, dan dengan membentuk skuama halus (ketombe).<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Pytiriasis steatoides: tipe yang basah, ditandai oleh skuama yang berminyak disertai eritema dan akumulasi krusta yang tebal. Pada tipe yang berat dapat disertai dengan erupsi psoriasiformis, eksudat, krusta yang kotor serta bau yang busuk. Rambut pada tempat tersebut mempunyai kecenderungan rontok, mulai di bagian verteks dan frontal. Penderita akan mengeluh rasa gatal yang hebat.<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Pada anak sering dimulai dengan skuama eritem yang non eksematous pada kulit kepala (cradle cap) atau di daerah selangkangan yang bermanifestasi sebagai skuama kering atau bercak bulat/oval berbatas tegas dengan ukuran bermacam-macam yang ditutupi oleh krusta berminyak berwarna coklat kekuningan. Dimana di daerah frontal dan parietal tanpa disertai kemerahan. Cradle Cap ini biasanya muncul dalam 3 sampai 4 minggu setelah kelahiran, dan dapat meluas disertai eritema ke daerah wajah, dada, selangkangan dan daerah-daerah flexural. Meskipun dermatitis seboroik pada anak memiliki ciri yang mirip dengan dermatitis seboroik pada orang dewasa tapi jarang dengan lesi folikular.<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Di daerah supra orbital, skuama berlapis tampak di alis dengan dasar yang eritema dan gatal. Dapat terjadi marginal blepharitis bila sudut dari kelopak mata menjadi eritem dan granular. Skuama halus berwarna merah muda kekuningan sering menutupi kelopak mata.<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Lesi di bibir jarang ditemukan, tapi bila ada akan bermanifestasi sebagai Cheilitis Eksfoliativa dimana bibir tampak menjadi kering, kemerahan, berskuama dan pecah-pecah.<o:p></o:p></span></div>
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<span style="color: black;"><a href="http://sani-sanpig.blogspot.com/2013/05/askeb-neonatus-seborrhea.html" name="_Toc354061086" style="text-decoration: none;"></a><a href="http://sani-sanpig.blogspot.com/2013/05/askeb-neonatus-seborrhea.html" name="_Toc354060932" style="text-decoration: none;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; font-weight: normal; line-height: 24px;">2.6<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; font-weight: normal; line-height: 24px;">PEMERIKSAAN PENUNJANG</span></a><span style="font-family: 'Times New Roman', serif; font-size: 12pt; font-weight: normal; line-height: 24px;"><o:p></o:p></span></span></h2>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Pemeriksaan yang dapat dilakukan pada pasien dermatitis seboroik adalah pemeriksaan histopatologi walaupun gambarannya kadang juga ditemukan pada penyakit lain, seperti pada dermatitis atopik atau psoriasis.Gambaran histopatologi tergantung dari stadium penyakit.<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Gambaran histopatologis dermatitis seboroik tidak spesifik berupa hiperkeratosis, akantosis, fokal spongiosis dan parakeratosis. Dibedakan dengan psoriasis yang memiliki akantosis yang regular, rete ridges yang tipis, eksositosis, parakeratosis dan tidak dijumpai spongiosis. Neutrofil dapat dijumpai pada kedua jenis penyakit.<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Secara umum terbagi atas tiga tingkat : akut, sub akut dan kronik. Pada akut dan sub akut, terdapat sedikit infiltrat perivaskuler berupa limfosit dan histiosit, ada spongiosis dan hiperplasia psoriasiformis. Dapat pula ditemukan folikel yang tersumbat oleh proses ortokeratosis dan parakeratosis ataupun oleh krusta-skuama yang mengandung neutropil yang menutupi ostium folikularis.<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Pada bagian epidermis. Dijumpai parakeratosis dan akantosis. Pada korium, dijumpai pembuluh darah melebar dan sebukan perivaskuler. Pada DS akut dan subakut, epidermisnya ekonthoik, terdapat infiltrat limfosit dan histiosit dalam jumlah sedikit pada perivaskuler superfisial, spongiosis ringan hingga sedang, hiperplasia psoriasiform ringan, ortokeratosis dan parakeratosis yang menyumbat folikuler, serta adanya skuama dan krusta yang mengandung netrofil pada ostium folikuler. Gambaran ini merupakan gambaran yang khas. Pada dermis bagian atas, dijumpai sebukan ringan limfohistiosit perivaskular. Pada DS kronik, terjadi dilatasi kapiler dan vena pada pleksus superfisial selain dari gambaran yang telah disebutkan di atas yang hampir sama dengan gambaran psoriasis. 2-4.<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Pemeriksaan penunjang lainnya yang dapat dilakukan antara lain:<o:p></o:p></span></div>
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<li class="MsoNormal" style="line-height: 19px; list-style: none; margin: 0px 0px 0cm; padding: 0px 0px 0.6em 17px; text-align: justify; vertical-align: top;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Kultur jamur dan kerokan kulit amat bermanfaat untuk menyingkirkan tinea kapitis maupun infeksi yang disebabkan kuman lainnya.<o:p></o:p></span></li>
<li class="MsoNormal" style="line-height: 19px; list-style: none; margin: 0px 0px 0cm; padding: 0px 0px 0.6em 17px; text-align: justify; vertical-align: top;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Pemeriksaan serologis untuk menyingkirkan dermatitis atopik.<o:p></o:p></span></li>
<li class="MsoNormal" style="line-height: 19px; list-style: none; margin: 0px; padding: 0px 0px 0.6em 17px; text-align: justify; vertical-align: top;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Pemeriksaan komposisi lemak pada permukaan kulit dimana memiliki karakteristik yang khas yakni menigkatnya kadar kolesterol, trigliserida dan parafin disertai penurunan kadar squalene, asam lemak bebas dan wax ester.<o:p></o:p></span></li>
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<span style="color: black;"><a href="http://sani-sanpig.blogspot.com/2013/05/askeb-neonatus-seborrhea.html" name="_Toc354061087" style="text-decoration: none;"></a><a href="http://sani-sanpig.blogspot.com/2013/05/askeb-neonatus-seborrhea.html" name="_Toc354060933" style="text-decoration: none;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; font-weight: normal; line-height: 24px;">2.7<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; font-weight: normal; line-height: 24px;">DIAGNOSIS BANDING</span></a><span style="font-family: 'Times New Roman', serif; font-size: 12pt; font-weight: normal; line-height: 24px;"><o:p></o:p></span></span></h2>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Diagnosis banding dermatitis seboroik tergantung pada lokasi dari kelainan dan umur dari pasien. Pada anak, diferensial diagnosisnya adalah dermatitis atopik, tinea kapitis dan psoriasis.<o:p></o:p></span></div>
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<li class="MsoNormal" style="background-image: url(https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjSFTGIkz2ulvzJnXTTbbfBRRwMalNtf2x2IBKQnkfpRxz-OM65uPnP__luvFWzzQHxmIDgyBRioi-wmVSq-M4h_DjHPXZfeLaodxe82fsPerIUtSl9_elZTeJaROaQ_UA7zi9mSK421zep/s1600/list.png); background-position: 0% 0.3em; background-repeat: no-repeat no-repeat; line-height: 19px; list-style: none; margin: 0px 0px 0cm; padding: 0px 0px 0.6em 17px; vertical-align: top;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Psoriasis Vulgaris<o:p></o:p></span></li>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Psoriasis vulgaris meskipun jarang pada bayi, memiliki ciri yang mirip dengan dermatitis seboroik. Bedanya terdapat skuama yang tebal, kasar, dan berlapis-lapis, disertai tanda tetesan lilin, Kobner dan Auspitz. Tempat predileksinya juga berbeda, psoriasis sering terdapat di ekstremitas bagian ekstensor terutama siku, lutut, kuku dan daerah lumbosakral. Jika psoriasis mengenai scalp, maka sukar dibedakan dengan DS. Perbedaannya ialah skuamanya lebih tebal dan putih, seperti mika. Psoriasis inversa yang mengenai daerah fleksor juga dapat menyerupai DS. Selain itu, pada pemeriksan histopatologis terdapat papilomatosis.<o:p></o:p></span></div>
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<li class="MsoNormal" style="background-image: url(https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjSFTGIkz2ulvzJnXTTbbfBRRwMalNtf2x2IBKQnkfpRxz-OM65uPnP__luvFWzzQHxmIDgyBRioi-wmVSq-M4h_DjHPXZfeLaodxe82fsPerIUtSl9_elZTeJaROaQ_UA7zi9mSK421zep/s1600/list.png); background-position: 0% 0.3em; background-repeat: no-repeat no-repeat; line-height: 19px; list-style: none; margin: 0px 0px 0cm; padding: 0px 0px 0.6em 17px; vertical-align: top;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Pitiriasis Rosea<o:p></o:p></span></li>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Pitiriasis rosea ialah penyakit kulit yang belum diketahui penyebabnya, dimulai dengan lesi inisial berbentuk eritema dan skuama halus. Lesi awal berupa herald patch, umumnya di badan, soliter, bentuk oval dan terdiri atas eritema serta skuama halus dan tidak berminyak di pinggir. Lesi berikutnya lebih khas yang dapat dibedakan dengan DS, yaitu lesi yang menyerupai pohon cemara terbalik. Tempat predileksinya juga berbeda, lebih sering pada badan, lengan atas bagian proksimal dan paha atas, jarang pada kulit kepala.<o:p></o:p></span></div>
<ol start="3" style="background-color: white; font-family: Trebuchet, 'Trebuchet MS', Arial, sans-serif; font-size: 13px; line-height: 21.390625px; margin-top: 0cm;" type="1">
<li class="MsoNormal" style="background-image: url(https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjSFTGIkz2ulvzJnXTTbbfBRRwMalNtf2x2IBKQnkfpRxz-OM65uPnP__luvFWzzQHxmIDgyBRioi-wmVSq-M4h_DjHPXZfeLaodxe82fsPerIUtSl9_elZTeJaROaQ_UA7zi9mSK421zep/s1600/list.png); background-position: 0% 0.3em; background-repeat: no-repeat no-repeat; line-height: 19px; list-style: none; margin: 0px 0px 0cm; padding: 0px 0px 0.6em 17px; vertical-align: top;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Tinea kapitis<o:p></o:p></span></li>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Tinea kapitis adalah kelainan pada kulit dan rambut kepala yang disebabkan oleh spesies dermatofit dan biasanya menyerang anak–anak. Kelainan pada tinea kapitis dapat ditandai dengan lesi bersisik, kemerahan, alopesia dan kadang-kadang terjadi gambaran klinis yang lebih berat, yaitu kerion. Bercak-bercak seboroik pada kulit kepala yang berambut kadang-kadang membingungkan. Biasanya lesi DS pada kulit kepala lebih merata dan mempunyai lesi kulit yang simetris distribusinya. Pada tinea kapitis dan tinea kruris, eritema lebih menonjol di pinggir dan pinggirannya lebih aktif dibandingkan di tengahnya. Pada pemeriksaan didapatkan KOH positif dimana terlihat hifa yang bersekat, bercabang, serta spora. Untuk menyingkirkan tinea kapitis dapat dilakukan pemeriksaan kerokan kulit pada kultur jamur.<o:p></o:p></span></div>
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<li class="MsoNormal" style="background-image: url(https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjSFTGIkz2ulvzJnXTTbbfBRRwMalNtf2x2IBKQnkfpRxz-OM65uPnP__luvFWzzQHxmIDgyBRioi-wmVSq-M4h_DjHPXZfeLaodxe82fsPerIUtSl9_elZTeJaROaQ_UA7zi9mSK421zep/s1600/list.png); background-position: 0% 0.3em; background-repeat: no-repeat no-repeat; line-height: 19px; list-style: none; margin: 0px 0px 0cm; padding: 0px 0px 0.6em 17px; vertical-align: top;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Liken Simpleks Kronikus<o:p></o:p></span></li>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Liken simpleks kronikus adalah peradangan kulit kronis yang gatal, sirkumskrip ditandai dengan kulit tebal dan garis kulit tampak lebih menonjol (likenfikasi). Tidak biasa terjadi pada anak tetapi pada usia ke atas, berbeda dengan DS yang sering juga terjadi pada bayi dan anak-anak. Timbul sebagai lesi tunggal pada daerah kulit kepala bagian posterior atau sekitar telinga.Tempat predileksi di kulit kepala dan tengkuk, sehingga kadang sukar dibedakan dengan DS. Yang membedakannya ialah adanya likensifikasi pada penyakit ini.<o:p></o:p></span></div>
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<li class="MsoNormal" style="background-image: url(https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjSFTGIkz2ulvzJnXTTbbfBRRwMalNtf2x2IBKQnkfpRxz-OM65uPnP__luvFWzzQHxmIDgyBRioi-wmVSq-M4h_DjHPXZfeLaodxe82fsPerIUtSl9_elZTeJaROaQ_UA7zi9mSK421zep/s1600/list.png); background-position: 0% 0.3em; background-repeat: no-repeat no-repeat; line-height: 19px; list-style: none; margin: 0px 0px 0cm; padding: 0px 0px 0.6em 17px; vertical-align: top;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Dermatitis Atopik <o:p></o:p></span></li>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Dermatitis Atopik adalah keadaan peradangan kulit kronis dan residif, disertai gatal. Biasanya terjadi pada bayi atau anak-anak. Skuama kering dan difus, berbeda dengan DS yang skuamanya berminyak dan kekuningan. Selain itu, pada dermatitis atopik dapat terjadi likenfikasi.<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Ciri khas yang paling berguna sebagai pembeda dermatitis seboroik dari dermatitis atopik adalah adanya lesi yang makin meningkat jumlahnya di daerah dahi dan dagu pada tahap awal, dan di axilla pada tahap lebih lanjut. Selain itu dermatitis seboroik biasanya hilang spontan dalam usia 6-12 bulan. Tes-tes dengan bahan-bahan allergen dan pemeriksaan kadar IgE merupakan tanda khas dermatitis atopik.<o:p></o:p></span></div>
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<li class="MsoNormal" style="background-image: url(https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjSFTGIkz2ulvzJnXTTbbfBRRwMalNtf2x2IBKQnkfpRxz-OM65uPnP__luvFWzzQHxmIDgyBRioi-wmVSq-M4h_DjHPXZfeLaodxe82fsPerIUtSl9_elZTeJaROaQ_UA7zi9mSK421zep/s1600/list.png); background-position: 0% 0.3em; background-repeat: no-repeat no-repeat; line-height: 19px; list-style: none; margin: 0px 0px 0cm; padding: 0px 0px 0.6em 17px; vertical-align: top;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Systemic Lupus Erythematosus<o:p></o:p></span></li>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">SLE adalah penyakit yang basanya bersifat akut, multisistemik dan menyerang jaringan konektif dan vaskular. SLE sulit dibedakan dengan DS, oleh karena pada SLE juga dapat dijumpai skuama. Yang dapat membedakan ialah lesi SLE berbentuk seperti kupu-kupu, tersering di area molar dan nasal dengan sedikit edema, eritema dan atrofi. Terdapat gejala demam, malaise, serta tes antibodi-antinuklear (+).<o:p></o:p></span></div>
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<li class="MsoNormal" style="background-image: url(https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjSFTGIkz2ulvzJnXTTbbfBRRwMalNtf2x2IBKQnkfpRxz-OM65uPnP__luvFWzzQHxmIDgyBRioi-wmVSq-M4h_DjHPXZfeLaodxe82fsPerIUtSl9_elZTeJaROaQ_UA7zi9mSK421zep/s1600/list.png); background-position: 0% 0.3em; background-repeat: no-repeat no-repeat; line-height: 19px; list-style: none; margin: 0px 0px 0cm; padding: 0px 0px 0.6em 17px; vertical-align: top;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Rosasea<o:p></o:p></span></li>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Rosasea adalah penyakit kulit kronis pada derah sentral wajah (yang menonjol/ cembung). Gambaran histopatologi terdapat daerah ektasia vaskular, edema dermis dan diorganisasi jaringan konektif dermis. Ditandai dengan kemerahan pada kulit dan talangiektasis, disertai episode peradangan yang memunculkan erupsi, papul, pustul dan edema.<o:p></o:p></span></div>
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<li class="MsoNormal" style="background-image: url(https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjSFTGIkz2ulvzJnXTTbbfBRRwMalNtf2x2IBKQnkfpRxz-OM65uPnP__luvFWzzQHxmIDgyBRioi-wmVSq-M4h_DjHPXZfeLaodxe82fsPerIUtSl9_elZTeJaROaQ_UA7zi9mSK421zep/s1600/list.png); background-position: 0% 0.3em; background-repeat: no-repeat no-repeat; line-height: 19px; list-style: none; margin: 0px 0px 0cm; padding: 0px 0px 0.6em 17px; vertical-align: top;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Kandidosis<o:p></o:p></span></li>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Kandidiasis adalah penyakit jamur yang disebabkan oleh spesies Candida, biasanya oleh Candida albicans.<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Kandidosis kadang sulit dibedakan dengan DS jika mengenai lipatan paha dan perianal. Lesi dapat berupa bercak yang berbatas tegas, bersisik dan basah. Perbedaannya ialah pada kandidiasis terdapat eritema berwarna merah cerah berbatas tegas dengan satelit-satelit di sekitarnya. Predileksinya juga bukan pada daerah-daerah yang berminyak, tetapi lebih sering pada daerah yang lembab. Selain itu, pada pemeriksaan dengan larutan KOH 10 %, terlihat sel ragi, blastospora atau hifa semu.<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Beberapa penyakit kulit lainnya sebagai diferensial diagnosis dari dermatitis seboroik pada anak:<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Dermatitis kontak iritan<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Dermatitis diaper iritan<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Kandidosis<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Dermatitis kontak alergi<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Dermatofita<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">f.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Pedikulosis kapitis</span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">2.8<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">PENCEGAHAN DIAGNOSIS<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Diagnosis dapat ditegakkan berdasarkan anamnesis, pemeriksaan fisis, riwayat penyakit, gambaran klinis maupun hasil dari pemeriksaan penunjang. Dari riwayat didapatkan bahwa dermatitis ini terjadi pada bayi terutama yang berusia 1 bulan, tampak sebagai peradangan yang mengenai kulit kepala dan lipatan-lipatan intertriginosa yang disertai skuama berminyak dan krusta. Daerah-daerah lain seperti seperti bagian tengah wajah, dada dan leher juga dapat terkena. Pada kasus yang berat sering didapatkan bercak-bercak kemerahan berlapis dan tidak gatal di wajah, badan dan tungkai.<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Penegakan diagnosis lainnya dapat dilakukan berdasarkan:<o:p></o:p></span></div>
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<li class="MsoNormal" style="background-image: url(https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjSFTGIkz2ulvzJnXTTbbfBRRwMalNtf2x2IBKQnkfpRxz-OM65uPnP__luvFWzzQHxmIDgyBRioi-wmVSq-M4h_DjHPXZfeLaodxe82fsPerIUtSl9_elZTeJaROaQ_UA7zi9mSK421zep/s1600/list.png); background-position: 0% 0.3em; background-repeat: no-repeat no-repeat; line-height: 19px; list-style: none; margin: 0px 0px 0cm; padding: 0px 0px 0.6em 17px; text-align: justify; vertical-align: top;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Karakteristik skuamanya khas. Kulit kepala di daerah frontal dan parietal akan ditutupi dengan krusta yang berminyak, tebal dan sering dengan fissura ( crusta lactea / milk crust, cradle cap ). Rambut tidak rontok dan peradangan jarang. Dalam perjalanannya, kemerahan semakin meningkat dan daerah dengan skuama akan membentuk bercak eritem yang jelas dan diatasnya dilapisi skuama berminyak. Dapat terjadi perluasan hingga ke frontal melampaui daerah yang berambut. Lipatan retroaurikular, daun telinga dan leher juga sangat mungkin terkena. Otitis eksterna, dermatitis intertriginosa maupun infeksi-infeksi oportunistik dari C. albicans, S. aureus, dan bakteri-bakteri lainnya, sering muncul bersama-sama dengan dermatitis seboroik.<o:p></o:p></span></li>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;"> Pada berbagai gejala dari gambaran klinis yang ditemukan pada dermatitis seboroik juga dapat dijumpai pada dermatitis atopik atau psoriasis, sehingga diagnosis sangat sulit untuk ditegakkan oleh karena baik gambaran klinis maupun gambaran histologi dapat serupa. Oleh sebab itu, perlu ketelitian untuk membedakan DS dengan penyakit lain sebagai diferensial diagnosis. Psoriasis misalnya yang juga dapat ditemukan pada kulit kepala, kadang disamakan dengan DS, yang membedakan ialah adanya plak yang mengalami penebalan pada liken simpleks.<o:p></o:p></span></div>
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<li class="MsoNormal" style="background-image: url(https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjSFTGIkz2ulvzJnXTTbbfBRRwMalNtf2x2IBKQnkfpRxz-OM65uPnP__luvFWzzQHxmIDgyBRioi-wmVSq-M4h_DjHPXZfeLaodxe82fsPerIUtSl9_elZTeJaROaQ_UA7zi9mSK421zep/s1600/list.png); background-position: 0% 0.3em; background-repeat: no-repeat no-repeat; line-height: 19px; list-style: none; margin: 0px 0px 0cm; padding: 0px 0px 0.6em 17px; vertical-align: top;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Pemeriksaan histopatologi: gambaran dermatitis kronis, spongiosis lebih jelas. Pada epidermis dapat ditemukan parakeratosis fokal dengan abses Munro. Pada dermis terdapat pelebaran ujung pembuluh darah di puncak stratum papilaris disertai sebukan sel-sel neutrofil dan monosit.<o:p></o:p></span></li>
<li class="MsoNormal" style="background-image: url(https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjSFTGIkz2ulvzJnXTTbbfBRRwMalNtf2x2IBKQnkfpRxz-OM65uPnP__luvFWzzQHxmIDgyBRioi-wmVSq-M4h_DjHPXZfeLaodxe82fsPerIUtSl9_elZTeJaROaQ_UA7zi9mSK421zep/s1600/list.png); background-position: 0% 0.3em; background-repeat: no-repeat no-repeat; line-height: 19px; list-style: none; margin: 0px 0px 0cm; padding: 0px 0px 0.6em 17px; vertical-align: top;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Pemeriksaan KOH 10-20 %: negatif, tidak ada hifa atau blastokonidia.<o:p></o:p></span></li>
<li class="MsoNormal" style="background-image: url(https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjSFTGIkz2ulvzJnXTTbbfBRRwMalNtf2x2IBKQnkfpRxz-OM65uPnP__luvFWzzQHxmIDgyBRioi-wmVSq-M4h_DjHPXZfeLaodxe82fsPerIUtSl9_elZTeJaROaQ_UA7zi9mSK421zep/s1600/list.png); background-position: 0% 0.3em; background-repeat: no-repeat no-repeat; line-height: 19px; list-style: none; margin: 0px; padding: 0px 0px 0.6em 17px; vertical-align: top;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Pemeriksaan lampu Wood: fluoresen negatif (warna violet).<o:p></o:p></span></li>
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<span style="color: black;"><a href="http://sani-sanpig.blogspot.com/2013/05/askeb-neonatus-seborrhea.html" name="_Toc354061088" style="text-decoration: none;"></a><a href="http://sani-sanpig.blogspot.com/2013/05/askeb-neonatus-seborrhea.html" name="_Toc354060934" style="text-decoration: none;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; font-weight: normal; line-height: 24px;">2.9<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; font-weight: normal; line-height: 24px;">PENATALAKSANAAN SEBORRHEA</span></a><span style="font-family: 'Times New Roman', serif; font-size: 12pt; font-weight: normal; line-height: 24px;"><o:p></o:p></span></span></h2>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Penatalaksanaan seborrhea tergantung kepada usia penderita:<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">1. Anak-anak<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Untuk ruam bersisik tebal di kulit kepala, bisa dioleskan minyak mineral yang mengandung asam salisilat secara perlahan dengan menggunakan sikat gigi yang lembut pada malam hari. Selama sisik masih ada, kulit kepala juga dicuci dengan sampo setiap hari setelah sisiknya menghilang cukup dicuci 2 kali/minggu.<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">2. Bayi<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Kulit kepala dicuci dengan sampo bayi yang lembut dan diolesi dengan krim hydrocortisone. Selama ada sisik, kulit kepala dicuci setiap hari dengan sampo yang lembut; setelah sisik menghilang cukup dicuci 2 kali/minggu. Kini banyak sediaan krim, lotion, dan shampoo di pasaran untuk membasmi ketombe. Produk-produk yang digunakan untuk mengatasi ketombe biasanya mengandung asam salisilat, coal tar, zinc pyrithione, selenium sulfida dan belerang. Walaupun sebagian digolongkan sebagai obat yang dijual bebas dan sebagian digolongkan sebagai kosmetik, produk-produk tersebut hanya dapat mengatasi gejala-gejala dari ketombe, tetapi tidak mengatasi penyebab ketombe.<o:p></o:p></span></div>
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<span style="color: black;"><a href="http://sani-sanpig.blogspot.com/2013/05/askeb-neonatus-seborrhea.html" name="_Toc354061089" style="text-decoration: none;"></a><a href="http://sani-sanpig.blogspot.com/2013/05/askeb-neonatus-seborrhea.html" name="_Toc354060935" style="text-decoration: none;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; font-weight: normal; line-height: 24px;">2.10<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; font-weight: normal; line-height: 24px;">TERAPI SEBORRHEA</span></a><span style="font-family: 'Times New Roman', serif; font-size: 12pt; font-weight: normal; line-height: 24px;"><o:p></o:p></span></span></h2>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Secara umum, terapi bertujuan untuk menghilangkan sisik dengan keratolitik dan sampo, menghambat pertumbuhan jamur dengan pengobatan anti jamur, mengendalikan infeksi sekunder dan mengurangi eritema dan gatal dengan steroid topikal. Pasien harus diberitahu bahwa penyakit ini berlangsung kronik dan sering kambuh. Harus dihindari faktor pencetus, seperti stres emosional, makanan berlemak, dan sebagainya.<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Terapi dermatitis seboroik dapat meliputi:<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Umum<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Secara umum, terapi bertujuan untuk menghilangkan sisik dengan keratolitik dan sampo, menghambat pertumbuhan jamur dengan pengobatan anti jamur, mengendalikan infeksi sekunder dan mengurangi eritema dan gatal dengan steroid topikal. Pasien harus diberitahu bahwa penyakit ini berlangsung kronik dan sering kambuh. Harus dihindari faktor pencetus, seperti stres emosional, makanan berlemak, dan sebagainya. Perawatan rambut, dicuci dan dibersihkan dengan shampo.<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Khusus<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">a) Sistemik<o:p></o:p></span></div>
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<span style="font-family: Symbol; font-size: 12pt; line-height: 24px;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Antihistamin H1 sebagai penenang dan anti gatal.<o:p></o:p></span></div>
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<span style="font-family: Symbol; font-size: 12pt; line-height: 24px;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Vitamin B kompleks.<o:p></o:p></span></div>
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<span style="font-family: Symbol; font-size: 12pt; line-height: 24px;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Kortikosteroid oral dapat menurunkan insiden dermatitis seboroik. Misalnya Prednison 20-30 mg sehari untuk bentuk berat. Jika telah ada perbaikan, dosis diturunkan perlahan-lahan.<o:p></o:p></span></div>
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<span style="font-family: Symbol; font-size: 12pt; line-height: 24px;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Antibiotik seperti penisilin, eritromisin pada infeksi sekunder (dermatitis seboroik).<o:p></o:p></span></div>
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<span style="font-family: Symbol; font-size: 12pt; line-height: 24px;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Preparat azol akhir-akhir ini sangat berpengaruh terhadap P. Ovale, juga dapat mempengaruhi berat ringannya dermatitis seboroik. Misalnya Ketokonazol 200 mg per hari.<o:p></o:p></span></div>
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<span style="font-family: Symbol; font-size: 12pt; line-height: 24px;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Isotretinoin dapat digunakan pada kasus yang rekalsitran. Efeknya mengurangi aktivitas kelenjar sebasea. Ukuran kelenjar tersebut dapat dikurangi sampai 90%, akibatnya terjadi pengurangan produksi sebum. Dosisnya 0,1-0,3 mg per kg berat badan per hari, perbaikan tampak setelah 4 minggu. Sesudah itu diberikan dosis pemeliharaan 5-10 mg per hari selama beberapa tahun yang ternyata efektif untuk mengontrol penyakitnya.<o:p></o:p></span></div>
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<span style="font-family: Symbol; font-size: 12pt; line-height: 24px;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Narrow band UVB (TL-01) yang cukup aman dan efektif. Setelah pemberian terapi 3 x seminggu selama 8 minggu, sebagian besar penderita mengalami perbaikan.<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">b) Topikal<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Pengobatan topikal dapat mengontrol dermatitis seboroik dan dandruffkronik pada stadium awal. Terapi yang dapat digunakan, contohnya fluocinolone, topikal steroid solution. Pada orang dewasa dengan DS dalam keadaan tertentu menggunakan steroid topikal satu atau dua kali seminggu, disamping penggunaan sampo yang mengandung sulfur atau asam salisil dan selenium sulfide 2%, 2 – 3 kali seminggu selama 5 – 10 menit. Atau dapat diberikan sampo yang mengandung sulfur, asam salisil, zing pirition 1 – 2 %. Steroid topikal potensi rendah dapat efektif mengobati DS pada bayi dan dewasa pada daerah fleksura maupun DS recalcitrant persistent pada dewasa. Topikal golongan azol dapat dikombinasikan dengan regimen desonide (satu dosis per hari selama dua minggu) untuk terapi pada wajah. Dapat juga diberikan salap yang mengandung asam salisil 2%, sulfur 4% dan ter 2%. Pada bayi dapat diberikan asam salisil 3% - 5% dalam minyak mineral. 2,4-5,10,17<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">c) Obat Alternatif<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Terapi alami saat ini menjadi semakin populer. Tea tree oil (Melaleuca oil) adalah minyak esensial yang berasal dari Australia. Terapi ini dapat efektif bila digunakan setip hari dalam bentuk sampo 5 %.<o:p></o:p></span></div>
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<span style="color: black;"><a href="http://sani-sanpig.blogspot.com/2013/05/askeb-neonatus-seborrhea.html" name="_Toc354061090" style="text-decoration: none;"></a><a href="http://sani-sanpig.blogspot.com/2013/05/askeb-neonatus-seborrhea.html" name="_Toc354060936" style="text-decoration: none;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; font-weight: normal; line-height: 24px;">2.11<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; font-weight: normal; line-height: 24px;">KIAT MENGATASI SEBORRHEA</span></a><span style="font-family: 'Times New Roman', serif; font-size: 12pt; font-weight: normal; line-height: 24px;"><o:p></o:p></span></span></h2>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Bila dermatitis seborrheic maupun infeksi ringworm sudah dalam kondisi yang parah, segeralah minta bantuan ahli untuk mengatasinya. Pengobatan-pengobatan yang dilakukan oleh dokter kulit misalnya, sangat diperlukan untuk penanganan yang efektif. Namun, meskipun pertolongan ahli sangat diperlukan, ada beberapa langkah yang bisa kita lakukan sendiri untuk penyembuhan yang lebih maksimal:<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Umumnya anak yang berbakat atopik di kepala akan mengalami "ketombean" yang lebih parah kalau cuaca sedang panas. Soalnya di saat seperti ini aktivitas kelenjar androgennya akan meningkat. Usahakan meminimalisir suasana tidak nyaman tersebut, misalnya dengan memakai payung bila keluar rumah, menghindari ruangan yang pengap, menghindari baju yang tebal, dan sebagainya. Sangat baik bila kita bisa menyediakan ruangan ber-AC untuk anak.<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Sebaiknya, jangan mengangkat sisik di kepala anak sebelum ada perintah dokter. Dikhawatirkan akan terjadi infeksi. Mungkin saja alat yang digunakan tidak steril. Bila infeksi terjadi, maka bisa lebih berbahaya. Dokter akan memberikan obat bila sisik di kepala anak terlihat banyak dan harus diangkat. Selain itu, terutama pada bayi, obat tersebut biasanya dicampur dengan minyak agar mudah mengenai kulit kepala.<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Penggunaan sampo bisa saja dilakukan karena sampo merupakan produk yang dibuat khusus untuk membersihkan kulit kepala dari kotoran. Namun hati-hati, gunakan sampo yang betul-betul diperuntukkan bagi anak, bukan untuk orang dewasa. Sampo untuk orang dewasa umumnya mengandung bahan sulfaktan, bahan pewangi, pengawet, dan sebagainya yang bisa mengiritasi kulit dan mata. Sedangkan sampo bayi sengaja tidak mendapat tambahan bahan-bahan yang bakal membahayakannya. Sampo tersebut harus lembut karena fungsi kelenjar kulit pada bayi dan anak belum bekerja secara sempurna.<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Penggunaan sampo untuk membersihkan kulit kepala memang sangat efektif. Namun tidak semua bayi dan anak betul-betul membutuhkannya. Bila tanpa sampo tak ada kelainan yang muncul, lebih baik gunakan air bersih saja ketika menyuci kepalanya. Frekuensi yang dianjurkan untuk pemakaian sampo adalah seminggu dua kali atau tiga kali. Namun, umumnya sampo bayi sangat lembut, sehingga tidak masalah bila dipakai setiap hari.<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Banyak anak yang aktif di luar rumah sehingga banyak mengeluarkan keringat dan membuat kepalanya bau. Bila ingin menggunakan sampo setiap hari, pilih sampo jenis mild.<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Untuk ketombe yang disebabkan jamur, kita bisa menanganinya dengan mengontrol populasi jamur. Kita bisa mencuci rambut anak setiap hari dan pijatlah kulit kepala dengan sampo secara perlahan karena akan menghilangkan jamur lewat serpihan kulit yang lepas.<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">7.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Pada kasus karena infeksi ringworm, pengobatan tidak selalu harus dilakukan oleh dokter. Kita bisa menggunakan obat antijamur yang bisa didapat di apotek. Carilah produk-produk yang mengandung 2% clotrimezol. Pada beberapa anak yang sensitif dengan produk krim, oleskan sedikit saja. Namun jika terjadi ruam, cobalah konsultasikan pada dokter untuk mendapatkan alternatif pengobatan yang lain.<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">8.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Biasakan untuk selalu mencuci tangan sesudah menyentuh kulit kepala anak yang terkena infeksi. Hal ini dilakukan untuk menghindari penularan lebih lanjut.<o:p></o:p></span></div>
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<span style="color: black;"><a href="http://sani-sanpig.blogspot.com/2013/05/askeb-neonatus-seborrhea.html" name="_Toc354061091" style="text-decoration: none;"></a><a href="http://sani-sanpig.blogspot.com/2013/05/askeb-neonatus-seborrhea.html" name="_Toc354060937" style="text-decoration: none;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; font-weight: normal; line-height: 24px;">2.12<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; font-weight: normal; line-height: 24px;">PENCEGAHAN SEBORRHEA</span></a><span style="font-family: 'Times New Roman', serif; font-size: 12pt; font-weight: normal; line-height: 24px;"><o:p></o:p></span></span></h2>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;"> Pencegahan dapat dilakukan dengan cara sebagai berikut:<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Hindari rangsangan gesek, lebih berhati-hati menggunakan sabun dan handuk<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Hindari sabun yang beraroma<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Gunakan sabun yang tinggi kadar minyaknya<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Hindari makanan pemicu radang gatal, batasi makanan berprotein tinggi<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Mandi dengan air hangat cenderung dingin jangan air panas<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Hindari gosokan alkohol pada kulit yang meradang<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">7.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Hindari kontak langsung dengan bahan/senyawa penyebab alergi, bila bisa ditemukan<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">8.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Menggunakan krim pelembab (moisturiser). Krim pelembab dapat digunakan sesering mungkin<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">9.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Menggunakan moisturiser atau bath oil untuk mandi<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">10.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Menghindari faktor-faktor di lingkungan yang memicu atau memperparah eksema, misalnya:<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">a. Mainan, air liur, atau makanan di sekitar mulut<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">b. Bahan seperti wol aau pelapis cat seat<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">c. Detergen, sabun, bubble bath, antiseptik<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">d. Kontak dengan bulu hewan<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">11.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Mengatasi gatal. Garukan akan memperparah eksema dan berisiko menyebabkan infeksi.<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Beberapa cara untuk mengatasi gatal dan garukan:<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Mengalihkan perhatian anak saat ia mengaruk<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Menghindari kondisi yang terlalu hangat untuk anak<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Menggunakan krim pelembab (yang ditaruh di kulkas sebelumnya) sebelum tidur<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Memakaikan sarung tangan pada anak saat tidur<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Jika perlu, berikan obat yang diresepkan dokter untuk mengurangi gatal di malam hari<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">f.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Selalu memotong pendek kuku anak<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">g.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Jika gatal sangat berat, kompres dingin dan teknik balut basah dapat digunakan untuk membantu anak tidur.<o:p></o:p></span></div>
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<span style="color: black;"><a href="http://sani-sanpig.blogspot.com/2013/05/askeb-neonatus-seborrhea.html" name="_Toc354061092" style="text-decoration: none;"></a><a href="http://sani-sanpig.blogspot.com/2013/05/askeb-neonatus-seborrhea.html" name="_Toc354060938" style="text-decoration: none;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; font-weight: normal; line-height: 24px;">2.13<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; font-weight: normal; line-height: 24px;">PRAGNOSIS SEBORRHEA</span></a><span style="font-family: 'Times New Roman', serif; font-size: 12pt; font-weight: normal; line-height: 24px;"><o:p></o:p></span></span></h2>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Dermatitis seboroik pada anak memiliki prognosis yang baik. Dapat sembuh sendiri secara spontan dalam 6 hingga 12 bulan dan mungkin dapat timbul kembali saat memasuki usia pubertas. Meskipun demikian, bila terkena dermatitis seboroik pada saat kanak-kanak , bukan berarti memiliki indikasi akan terkena dermatitis seboroik tipe dewasa suatu saat nanti.<o:p></o:p></span></div>
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<span style="color: black;"><a href="http://sani-sanpig.blogspot.com/2013/05/askeb-neonatus-seborrhea.html" name="_Toc354061093" style="text-decoration: none;"></a><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 18px;">BAB III</span><a href="http://sani-sanpig.blogspot.com/2013/05/askeb-neonatus-seborrhea.html" name="_Toc354060940" style="text-decoration: none;"></a><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 18px;"><o:p></o:p></span></span></h1>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 18px;">PENUTUP</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 18px;"><o:p></o:p></span></h1>
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<span style="color: black;"><a href="http://sani-sanpig.blogspot.com/2013/05/askeb-neonatus-seborrhea.html" name="_Toc354061094" style="text-decoration: none;"></a><a href="http://sani-sanpig.blogspot.com/2013/05/askeb-neonatus-seborrhea.html" name="_Toc354060941" style="text-decoration: none;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; font-weight: normal; line-height: 24px;">3.1<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; font-weight: normal; line-height: 24px;">KESIMPULAN</span></a><span style="font-family: 'Times New Roman', serif; font-size: 12pt; font-weight: normal; line-height: 24px;"><o:p></o:p></span></span></h2>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Seborrhea adalah suatu peradangan pada kulit bagian atas, yang menyebabkan timbulnya sisik pada kulit kepala, wajah dan kadang pada bagian tubuh lainnya. Dermatitis seboreik sering ditemukan sebagai penyakit keturunan dalam suatu keluarga. Salah satu penyebab ketombe adalah Pitysporum ovale ( P. Ovale ). Biasanya timbul secara bertahap, menyebabkan sisik kering atau berminyak di kulit kepala (ketombe), kadang disertai gatal-gatal tetapi tanpa kerontokan rambut.<o:p></o:p></span></div>
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<span style="color: black;"><a href="http://sani-sanpig.blogspot.com/2013/05/askeb-neonatus-seborrhea.html" name="_Toc354061095" style="text-decoration: none;"></a><a href="http://sani-sanpig.blogspot.com/2013/05/askeb-neonatus-seborrhea.html" name="_Toc354060942" style="text-decoration: none;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; font-weight: normal; line-height: 24px;">3.2<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; font-weight: normal; line-height: 24px;">SARAN</span></a><span style="font-family: 'Times New Roman', serif; font-size: 12pt; font-weight: normal; line-height: 24px;"><o:p></o:p></span></span></h2>
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<li class="MsoNormal" style="background-image: url(https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjSFTGIkz2ulvzJnXTTbbfBRRwMalNtf2x2IBKQnkfpRxz-OM65uPnP__luvFWzzQHxmIDgyBRioi-wmVSq-M4h_DjHPXZfeLaodxe82fsPerIUtSl9_elZTeJaROaQ_UA7zi9mSK421zep/s1600/list.png); background-position: 0% 0.3em; background-repeat: no-repeat no-repeat; line-height: 19px; list-style: none; margin: 0px 0px 0cm; padding: 0px 0px 0.6em 17px; text-align: justify; vertical-align: top;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Saran Untuk Tenaga Kesehatan<o:p></o:p></span></li>
</ol>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Penyusun berharap hendaknya kita sebagai tenaga kesehatan lebih memahami tentang macam-macam masalah sering terjadi pada neonatus, bayi dan balita terutama Seborrhea. Serta bagaiman tindakan kita untuk mengatasinya.<o:p></o:p></span></div>
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<li class="MsoNormal" style="background-image: url(https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjSFTGIkz2ulvzJnXTTbbfBRRwMalNtf2x2IBKQnkfpRxz-OM65uPnP__luvFWzzQHxmIDgyBRioi-wmVSq-M4h_DjHPXZfeLaodxe82fsPerIUtSl9_elZTeJaROaQ_UA7zi9mSK421zep/s1600/list.png); background-position: 0% 0.3em; background-repeat: no-repeat no-repeat; line-height: 19px; list-style: none; margin: 0px 0px 0cm; padding: 0px 0px 0.6em 17px; text-align: justify; vertical-align: top;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Saran Untuk Mahasiswa<o:p></o:p></span></li>
</ol>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Penyusun berharap agar mahasiswa prodi DIII Kebidanan lebih mengetahui tentang masalah yang serimg terjadi pada neonatus, bayi dan balita. Serta dapat menerapkan saat praktek di lapangan<o:p></o:p></span></div>
<b style="background-color: white; font-family: Trebuchet, 'Trebuchet MS', Arial, sans-serif; font-size: 13px; line-height: 21.390625px;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;"><br clear="all" style="page-break-before: always;" /></span></b><span style="background-color: white; font-family: Trebuchet, 'Trebuchet MS', Arial, sans-serif; font-size: 13px; line-height: 21.390625px;"></span>
<br />
<h1 align="center" style="background-color: white; font-family: Trebuchet, 'Trebuchet MS', Arial, sans-serif; line-height: 40px; text-align: center;">
<span style="color: black;"><a href="http://sani-sanpig.blogspot.com/2013/05/askeb-neonatus-seborrhea.html" name="_Toc354061096" style="text-decoration: none;"></a><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">DAFTAR PUSTAKA</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;"><o:p></o:p></span></span></h1>
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<br /></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 18px;">Dewi Lia. 2010. Asuhan Neonatus Bayi dan Balita. Salemba Medika: Jakarta.<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 18px;">Djuanda Adhi, Budimulja Unandar. 2002. Dermatitis Seboroik dan Tinea Kapitis, Ilmu Penyakit Kulit dan Kelamin. Edisi ketiga. Hal 93-95, 183-185. Balai Penerbit FKUI: Jakarta.<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 18px;"><a href="http://obstetriginekologi.com/artikel/pencegahan+miliariasis+pada+bayi.html" style="text-decoration: none;">Http://obstetriginekologi.com/artikel/pencegahan+miliariasis+pada+bayi.html</a>. Di akses pada tanggal 16 April 2013, Pukul: 09.00 WIB<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 18px;"><a href="http://ibuprita.suatuhari.com/tips/seborrhea-pada-neonatus-bayi-dan-balita" style="text-decoration: none;">Http://Ibuprita.suatuhari.com/tips/seborrhea-pada-neonatus-bayi-dan-balita</a>. Di akses pada tanggal 17 April 2013, Pukul: 13.00 WIB<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 18px;">Ismail Sofyan,dkk. 1991. Ilmu Kesehatan Anak. Fakultas Kedokteran UI:Jakarta.<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 18px;">Siregar, R. S. 2002. Dermatitis Seboroika, dalam Atlas Berwarna Saripati Penyakit Kulit. Edisi kedua, hal 104-106. Balai Penerbit EGC: Jakarta.<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 24px;">Sudarti, dkk.,2010, Asuhan Kebidanan Neonatus, Bayi dan Anak Balita, nuha medika, jogyakarta.</span></div>
Anonymoushttp://www.blogger.com/profile/09877824835430540158noreply@blogger.com0tag:blogger.com,1999:blog-8430991463257497357.post-77378068073111138292012-11-14T20:53:00.000-08:002012-11-14T21:02:39.010-08:00Format Tumbuh Kembang Anak<br />
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<img height="320" src="https://encrypted-tbn1.gstatic.com/images?q=tbn:ANd9GcTuzgmhtfWeaJUl-3gETBqlBOxrQIfdOmGpPUOpIc5bCxJazpKCeqplKBg" width="204" /><br />
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">ASUHAN KEBIDANAN PADA TUMBUH
KEMBANG ANAK<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">An………………UMUR …………….TAHUN
…………………………….<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">DI…………………………………………………<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">NO. REGISTRASI :.........................<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">TEMPAT PENGKAJIAN :........................<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">TANGGAL PENGKAJIAN/
PUKUL:.............<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">OLEH/ <i>PENGKAJI</i>
: ………...........<o:p></o:p></span></div>
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<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l5 level1 lfo1; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">I.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PENGKAJIAN<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 42.55pt; mso-add-space: auto; mso-list: l7 level1 lfo2; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">A.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">DATA
SUBYEKTIF<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: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Identitas
anak<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: 150%;">Nama : ………………………………</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-indent: 27.8pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"> Tanggal Lahir :
...............................................<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: 150%;">Umur : ………………………………<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jenis kelamin : ………………………………<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: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Identitas
orang tua ibu suami<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Nama : …………………... ………………………….<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Umur : ………………….. ………………………….<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Agama : ………………….. ………………………….<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Suku/Bangsa : ………………….. ………………………….<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pendidikan : ………………….. ………………………….<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pekerjaan : …………………. ………………………….<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Alamat : …………………. ………………………….<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: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Alasan
Kunjungan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto;">
<span lang="EN-US" 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: 63.8pt; mso-add-space: auto; mso-list: l6 level1 lfo3; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Keluhan
utama<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto;">
<span lang="EN-US" 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: 12pt; line-height: 150%;"> </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; mso-list: l6 level1 lfo3; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Riwayat
Kesehatan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 3.0cm; mso-add-space: auto; mso-list: l8 level1 lfo4; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Riwayat
kesehatan yang lalu<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 3.0cm; mso-add-space: auto;">
<span lang="EN-US" 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: 3.0cm; mso-add-space: auto;">
<span lang="EN-US" 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: 3.0cm; mso-add-space: auto;">
<span lang="EN-US" 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%; mso-ansi-language: IN;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 3.0cm; mso-add-space: auto; mso-list: l8 level1 lfo4; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Riwayat
kesehatan </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">sekarang</span><span lang="EN-US" 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: 3.0cm; mso-add-space: auto;">
<span lang="EN-US" 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%; mso-ansi-language: IN;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 3.0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 3.0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 3.0cm; mso-add-space: auto; mso-list: l8 level1 lfo4; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">c.<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%; mso-ansi-language: IN;">Riwayat kesehatan
keluarga<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 3.0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">.....................................................................................................................<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">.......................................................................................................................<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">........................................................................................................................<o:p></o:p></span></div>
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<a name='more'></a><br />
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; mso-list: l6 level1 lfo3; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pola
pemenuhan kebutuhan sehari-hari<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78.0pt; mso-add-space: auto; mso-list: l3 level1 lfo5; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Nutrisi
makan minum<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78.0pt; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Frekuensi : ……………………. ……………………………..<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78.0pt; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jenis : ……………………. …………………………..…<i><o:p></o:p></i></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78.0pt; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Keluhan : ……………………. ……………………………..<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78.0pt; mso-add-space: auto; mso-list: l3 level1 lfo5; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Eliminasi
BAB BAK<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78.0pt; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Frekuensi : ……………………. ……………………………..<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78.0pt; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Konsistensi : ……………………. ……………………………..<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78.0pt; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Warna : ……………………. ……………………………..<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78.0pt; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bau :
……………………. ……………………………..<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78.0pt; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Keluhan : ……………………. ……………………………..</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78.0pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78.0pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; mso-list: l3 level1 lfo5; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Istirahat
<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tidur siang : ……………………………………<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tidur malam : ……………………………………<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Keluhan : ……………………………………</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; mso-list: l3 level1 lfo5; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Personal
hygiene<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mandi </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">
:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">....</span><span lang="EN-US" 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: 63.8pt; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Membersihkan alat kelamin : …………………………………………………….<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ganti pakaian :
……………………………………………………<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Keluhan :
……………………………………………………</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Aktivitas <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">...............................................................................<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 42.55pt; mso-add-space: auto; mso-list: l7 level1 lfo2; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">B.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">DATA
OBYEKTIF<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto; mso-list: l0 level1 lfo6; text-indent: -14.15pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pemeriksaaan
umum<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">KU :
……………………………….. Kesadaran :
…………………………<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">TTV :
………………………………..<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PB/BB : ………………………………..<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto; mso-list: l0 level1 lfo6; text-indent: -14.15pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pemeriksaan
fisik<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kepala : …………………………………………………………………………..<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Mata</span><span lang="EN-US" 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: 2.0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Hidung</span><span lang="EN-US" 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: 2.0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Telinga</span><span lang="EN-US" 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: 2.0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mulut : …………………………………………………………………………..<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Leher : …………………………………………………………………………..<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dada : …………………………………………………………………………..<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Abdomen</span><span lang="EN-US" 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: 2.0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Genetalia</span><span lang="EN-US" 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: 2.0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ekstremitas<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78.0pt; mso-add-space: auto; mso-list: l1 level1 lfo7; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Atas : ……………………………………………………………………….....<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78.0pt; mso-add-space: auto; mso-list: l1 level1 lfo7; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bawah</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"> </span><span lang="EN-US" 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: 12pt; line-height: 150%;">…………………………………………………………………………..</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto; mso-list: l0 level1 lfo6; text-indent: -14.15pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%; mso-ansi-language: IN;">Data penunjang</span><span lang="EN-US" 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%;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"> ........................................................................................................................<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-indent: 36.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"> ............................................................................................................</span><span lang="EN-US" 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: 2.0cm; mso-add-space: auto; mso-list: l0 level1 lfo6; text-indent: -14.15pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%; mso-ansi-language: IN;">Pemeriksaan Khusus</span><span lang="EN-US" 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: 74.7pt; mso-add-space: auto; mso-list: l4 level1 lfo9; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%; mso-ansi-language: IN;">Pertumbuhan
:.......................................................................................</span><span lang="EN-US" 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: 74.7pt; mso-add-space: auto; mso-list: l4 level1 lfo9; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%; mso-ansi-language: IN;">Perkembangan
:.......................................................................................</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 110.15pt; mso-add-space: auto; mso-list: l1 level1 lfo7; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Motorik halus : </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">...........................................................................</span><span lang="EN-US" 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: 110.15pt; mso-add-space: auto; mso-list: l1 level1 lfo7; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Motorik kasar : </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">..........................................................................</span><span lang="EN-US" 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: 110.15pt; mso-add-space: auto; mso-list: l1 level1 lfo7; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bahasa</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"> </span><span lang="EN-US" 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%; mso-ansi-language: IN;">..........................................................................</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 110.15pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 110.15pt; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"> </span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 110.15pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l5 level1 lfo1; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">II.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">INTERPRETASI
DATA<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l2 level1 lfo8; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Diagnosa
kebidanan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto;">
<span lang="EN-US" 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: 39.3pt; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Data dasar:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">DS :
………………………………………………………………………….<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto;">
<span lang="EN-US" 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: 39.3pt; mso-add-space: auto;">
<span lang="EN-US" 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: 39.3pt; mso-add-space: auto;">
<span lang="EN-US" 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: 39.3pt; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> DO :
………………………………………………………………………….<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto;">
<span lang="EN-US" 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: 39.3pt; mso-add-space: auto;">
<span lang="EN-US" 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: 39.3pt; mso-add-space: auto;">
<span lang="EN-US" 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%; mso-ansi-language: IN;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l2 level1 lfo8; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Masalah
<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto;">
<span lang="EN-US" 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: 39.3pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l5 level1 lfo1; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">III.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">DIAGNOSA POTENSIAL<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto;">
<span lang="EN-US" 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: 35.45pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l5 level1 lfo1; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">IV.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">ANTISIPASI TINDAKAN
SEGERA<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto;">
<span lang="EN-US" 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%; mso-ansi-language: IN;">.............................................................................................<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l5 level1 lfo1; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">V.<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%; mso-ansi-language: IN;"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PERENCANAAN</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"> Tanggal: .................. Pukul : .................... WIB</span><span lang="EN-US" 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: 21.3pt; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"> </span><span lang="EN-US" 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: 21.3pt; mso-add-space: auto;">
<span lang="EN-US" 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: 21.3pt; mso-add-space: auto;">
<span lang="EN-US" 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: 21.3pt; mso-add-space: auto;">
<span lang="EN-US" 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: 21.3pt; mso-add-space: auto;">
<span lang="EN-US" 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: 21.3pt; mso-add-space: auto;">
<span lang="EN-US" 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: 21.3pt; mso-add-space: auto;">
<span lang="EN-US" 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: 21.3pt; mso-add-space: auto;">
<span lang="EN-US" 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: 21.3pt; mso-add-space: auto;">
<span lang="EN-US" 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: 21.3pt; mso-add-space: auto;">
<span lang="EN-US" 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: 39.3pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l5 level1 lfo1; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">VI.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PELAKSANAAN </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">T</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">anggal
: ………………………. </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Pukul</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> : …………..WIB<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto;">
<span lang="EN-US" 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: 21.3pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l5 level1 lfo1; text-indent: -21.3pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">VII.</span><!--[endif]--><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">EVALUASI </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">T</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">anggal
: ……………………… </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Pukul</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> : ……………….WIB<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………<o:p></o:p></span></div>
Anonymoushttp://www.blogger.com/profile/09877824835430540158noreply@blogger.com0tag:blogger.com,1999:blog-8430991463257497357.post-47550924738489545612012-11-13T05:10:00.007-08:002012-11-13T05:10:57.208-08:00Asuhan Kebidanan Kala III Persalinan<div dir="ltr" style="text-align: left;" trbidi="on">
<br />
<h1 align="center" style="text-align: center;">
<a href="" name="_Toc337708884"><img src="http://ramlannarie.files.wordpress.com/2010/06/persalinan.jpg" /></a></h1>
<h1 align="center" style="text-align: center;">
<a href="" name="_Toc337708884"><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">KATA PENGANTAR</span></a></h1>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Puji syukur kepada Tuhan Yang Maha Esa yang
telah memberikan karunia-Nya sehingga kami dapat menyelesaikan makalah ini
dengan baik. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Makalah
ini membahas tentang “ASUHAN KEBIDANAN KALA III PERSALINAN” agar
mahasiswa dapat memahaminya.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Penulis mengucapkan terima kasih kepada dosen
pengampu mata kuliah Askeb II Kebidanan yang telah membimbing kami dalam
penyusunan makalah ini. Kami menyadari bahwa makalah ini masih belum sempurna,
oleh karena itu kami mengharapkan kritik dan saran dari semua pihak demi
perbaikan pembuatan makalah selanjutnya. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Semoga makalah ini dapat memberikan wawasan
yang lebih luas kepada pembaca. Akhir kata, kami mengucapkan terima kasih
kepada semua pihak yang telah berperan serta dalam penyusunan makalah ini.
Semoga Tuhan Yang Maha Esa senantiasa memberikan kelancaran dan kemudahan bagi
kita semua. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
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<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Yogyakarta, Oktober 2012<o:p></o:p></span></div>
<div align="right" class="MsoNormal" style="line-height: 150%; text-align: right;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%; text-align: center;"></span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<br /></div>
<h1 align="center" style="text-align: center;">
<a href="" name="_Toc337710399"></a><a href="" name="_Toc337708886"><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">BAB I</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></h1>
<h1 align="center" style="text-align: center;">
<a href="" name="_Toc337710400"></a><a href="" name="_Toc337708887"><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">PENDAHULUAN</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></h1>
<h2 style="margin-left: 18.0pt; mso-list: l3 level2 lfo12; text-indent: -18.0pt;">
<a href="" name="_Toc337710401"></a><a href="" name="_Toc337708888"></a><a href="" name="_Toc337331653"></a><a href="" name="_Toc327885506"><!--[if !supportLists]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">1.1<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Latar Belakang</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></h2>
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Fase
pengeluaran plasenta dimulai pada saat bayi telah lahir lengkap. Berakhir
dengan lahirnya plasenta. Kelahiran plasenta : lepasnya plasenta dari insersi
pada dinding uterus, serta pengeluaran plasenta dari kavum uteri. <o:p></o:p></div>
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Lepasnya
plasenta dari insersinya : mungkin dari sentral (Schultze) ditandai dengan
perdarahan baru, atau dari tepi/marginal (Matthews-Duncan) jika tidak disertai
perdarahan, atau mungkin juga serempak sentral dan marginal. Pelepasan plasenta
terjadi karena perlekatan plasenta di dinding uterus adalah bersifat adhesi,
sehingga pada saat kontraksi mudah lepas dan berdarah. <o:p></o:p></div>
<div style="line-height: 150%; margin-left: 18.0pt; text-align: justify;">
Pada keadaan
normal, kontraksi uterus bertambah keras, fundus setinggi sekitar / di atas
pusat. Plasenta lepas spontan 5-15 menit setelah bayi lahir. <o:p></o:p></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: Calibri;"></span></div>
<a name='more'></a><br /><br />
<h2 style="margin-left: 18.0pt; mso-list: l3 level2 lfo12; text-indent: -18.0pt;">
<a href="" name="_Toc337710402"></a><a href="" name="_Toc337708889"></a><a href="" name="_Toc337331654"></a><a href="" name="_Toc327885507"><!--[if !supportLists]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">1.2<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Tujuan Penulisan</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></h2>
<div class="MsoNormal" style="margin-left: 36pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">1)<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: Calibri;">Bagi penulis<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Dapat menambah wawasan ilmu pengetahuan dalam
upaya meningkatkan mutu pelayanan kesehatan.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36pt; text-align: justify; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">2)<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: Calibri;">Bagi pembaca<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">Sebagai bahan bacaan dan menambah pengetahuan
tentang pelayanan kesehatan yang bermutu dan sesuai dengan standard.<o:p></o:p></span></div>
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<h1 align="center" style="text-align: center;">
<a href="" name="_Toc337710403"></a><a href="" name="_Toc337708890"><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">BAB I</span></a><a href="" name="_Toc337708891"></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">I</span><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></h1>
<h1 align="center" style="text-align: center;">
<a href="" name="_Toc337710404"><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">ISI</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></h1>
<h2 style="margin-left: 21.3pt; mso-list: l1 level1 lfo13; text-indent: -21.3pt;">
<a href="" name="_Toc337710405"></a><a href="" name="_Toc337708892"><!--[if !supportLists]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">2.1<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 115%; mso-bidi-font-weight: bold;">DEFINISI</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 115%; mso-bidi-font-weight: bold;"><o:p></o:p></span></h2>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l8 level1 lfo2; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Kala
III merupakan tahap ketiga persalinan yang berlangsung sejak blahir sampai
plasenta lahir. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l8 level1 lfo2; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Persalinan
kala tiga dimulai setelah lahirnya bayi dan berakhir dengan lahirnya plasenta
dan selaput ketuban.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%;">
<br /></div>
<h2 style="margin-left: 21.3pt; mso-list: l1 level1 lfo13; text-indent: -21.3pt;">
<a href="" name="_Toc337710406"></a><a href="" name="_Toc337708893"><!--[if !supportLists]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">2.2<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 115%; mso-bidi-font-weight: bold;">MEKANISME PELEPASAN PLASENTA</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 115%; mso-bidi-font-weight: bold;"><o:p></o:p></span></h2>
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<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penyebab
terpisahnya plasenta dari dinding uterus adalah kontraksi uterus (spontan atau
dengan stimulus) setelah kala dua selesai. Berat plasenta mempermudah
terlepasnya selaput ketuban, yang terkelupas dan dikeluarkan. Tempat perlekatan
plasenta menentukan kecepatan pemisahan dan metode ekspulsi plasenta. Selaput
ketuban dikeluarkan dengan penonjolan bagian ibu atau bagian janin.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pada
kala III persalinan otot uterus akan berkontraksi mengikuti penyusutan volume
rongga uterus setelah lahirnya bayi. Penyusutan ukuran ini menyebabkan
berkurangnya ukuran tempat perlengketan plasenta. Karena tempat perlengketan
menjadi semangkin kecil, sedangkan ukuran plasenta tidak berubah maka plasenta
akan terlipat, menebal, dan kemudian lepas dari dinding uterus. Setelah lepas,
plasenta akan turun kebagian bawah uterus atau kedalam vagina.<o:p></o:p></span></div>
<h2 style="margin-left: 21.3pt; mso-list: l1 level1 lfo13; text-indent: -21.3pt;">
<a href="" name="_Toc337710407"></a><a href="" name="_Toc337708894"><!--[if !supportLists]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">2.3<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 115%; mso-bidi-font-weight: bold;">TANDA-TANDA PELEPASAN PLASENTA</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 115%; mso-bidi-font-weight: bold;"><o:p></o:p></span></h2>
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<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l10 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Perubahan
bentuk dan tinggi fundus.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Setelah
bayi lahir dan sebelum miometrium mulai berkontraksi, uterus berbentuk bulat
penuh dan tinggi fundus biasanya di bawah pusat. Setelah uterus berkontraksi
dan plasenta terdorong ke bawah, uterus berbentuk segitiga atau seperti buah
pear atau alpukat dan fundus berada di atas pusat.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l10 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Tali
pusat memanjang.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tali pusat terlihat
menjulur keluar melalui vulva.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l10 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Semburan
darah secara mendadak dan singkat atau secara tibt-tiba.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Darah yang terkumpul di belakang
plasenta akan membantu mendorong plasenta keluar dibantu oleh gaya gravitasi.
Apabila kumpulan darah (retroplasental pooling) dalam ruang diantara dinding
uterus dan permukaan dalam plasenta melebihi kapasitas tampungnya maka darah
tersembur keluar dari tepi plasenta yang terlepas. Tanda ini kadang-kadang
terlihat dalam waktu satu menit setelah bayi lahir dan biasanya dalam 5 menit.<o:p></o:p></span></div>
<h2 style="margin-left: 21.3pt; mso-list: l1 level1 lfo13; text-indent: -21.3pt;">
<a href="" name="_Toc337710408"></a><a href="" name="_Toc337708895"><!--[if !supportLists]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">2.4<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 115%; mso-bidi-font-weight: bold;">TUJUAN MANAJEMEN AKTIF KALA III</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 115%; mso-bidi-font-weight: bold;"><o:p></o:p></span></h2>
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<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l4 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Menurunkan
angka kejadian perdarahan post partum.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l4 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Mengurangi
lamanya kala III.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l4 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Mengurangi
angka kematian dan angka kesakitan yang berhubungan dengan perdarahan.<o:p></o:p></span></div>
<h2 style="margin-left: 18.0pt; mso-list: l6 level2 lfo14; text-indent: -18.0pt;">
<a href="" name="_Toc337710409"></a><a href="" name="_Toc337708896"><!--[if !supportLists]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">2.5<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 115%; mso-bidi-font-weight: bold;">KEUNTUNGAN
MANAJEMEN KALA III</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 115%; mso-bidi-font-weight: bold;"><o:p></o:p></span></h2>
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<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; mso-list: l11 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Persalinan
Kala III yg lebih singkat.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l11 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Mengurangi
jumlah kehilangan darah.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l11 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Mengurangi
kejadian retensio plasenta.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<h2 style="margin-left: 18.0pt; mso-list: l6 level2 lfo14; text-indent: -18.0pt;">
<a href="" name="_Toc337710410"></a><a href="" name="_Toc337708897"><!--[if !supportLists]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">2.6<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 115%; mso-bidi-font-weight: bold;">MANAJEMEN AKTIF
KALA III</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 115%; mso-bidi-font-weight: bold;"><o:p></o:p></span></h2>
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<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; mso-list: l7 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Pemberian
suntikan oksitosin dalam 1 menit pertama setelah bayi lahir.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Cara
pemberian :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l12 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Segera
berikan bayi yg telah terbungkus kain kepada ibu utk diberi ASI.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l12 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Letakkan
kain bersih diatas perut ibu.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l12 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Periksa
uterus utk memastikan tdk ada bayi yg lain.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l12 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Memberitahukan
pd ibu ia akan disuntik.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l12 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5)<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%;">Selambat-lambatnya
dalam waktu dua menit setelah bayi lahir, segera suntikan oksitosin 10 unit IM
pd 1/3 bawah paha kanan bagian luar.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l7 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Melakukan
penegangan tali pusat terkendali ( PTT ).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l5 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Berdiri
disamping ibu.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l5 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Pindahkan
klem kedua yang telah dijepit sewaktu kala dua persalinan pada tali pusat
sekitar 5-10 cm dari vulva.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l5 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Letakkan
tangan yang lain pada abdomen ibu (alasa degan kain) tepat dibawah tulang pubis,
gunakan tangan lain untuk meraba kontraksi uterus dan menahan uterus pada saat
melakukan peregangan pada tali pusat, tangan pada dinding abdomen menekan
korpus uteri ke bawah dan atas (dorso-kranial) korpus.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l5 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Tegangkan
kembali tali pusat ke arah bawah bersamaan degan itu, lakukan penekanan korpus
uteri ke arah bawah dan kranial hingga plasenta terlepas dari tempat
implantasinya.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l5 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5)<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%;">Jika
plasenta tidak turun setelah 30-40 detik dimulainya peregangan tali pusat dan tidak
ada tanda-tanda yg menunjukkan lepasnya plasenta, jangan teruskan penegangan
tali pusat.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l5 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6)<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%;">Setelah
plasenta terlepas, anjurkan ibu utk meneran setelah itu plasenta akan terdorong
ke introitus vagina. Tetap tegang kearah bawah mengikuti arah jalan lahir.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l5 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">7)<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%;">Pada
saat plasenta terlihat pada introitus vagina, teruskan kelahiran plasenta degan
menggunakan kedua tangan. Selaput ketuban mudah robek: pegang plasenta dengan
kedua tangan rata degan lembut putar plasenta hingga selaput terpilin.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l5 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">8)<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%;">Lakukan
penarikan secara lembut dan perlahan-lahan untuk melahirkan selaput ketuban.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l5 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">9)<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%;">Jika
terjadi selaput robekan pada selaput ketuban saat melahirkan plasenta, dangan
hati-hati periksa vagina dan serviks dengan seksama.<o:p></o:p></span></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; text-align: center;">
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</v:imagedata></v:shape></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div align="center" class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gambar.
penegangan tali pusat<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; mso-list: l7 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Rangsangan
Taktil ( Masase ) fundus uteri.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Segera
setelah kelahiran plasenta<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l9 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Letakkan
telapak tangan pada fundus uteri.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l9 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Jelaskan
tindakan ini kepada ibu dan mungkin merasa tidak nyaman.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l9 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Dengan
lembut gerakkan tangan secara memutar pada fundus uteri sehingga uterus
berkontraksi jika tidak berkontraksi dlm wkt 15 detik, lakukan penatalaksanaan
atonia uteri.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l9 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Periksa
plasenta dan selaputnya untuk memastikan keduanya lengkap dan utuh.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l9 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5)<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%;">Periksa
uterus setelah satu hingga dua menit memastikan uterus berkontraksi degan baik,
jika belum ulangi rangsangan taktil fundus uteri.<o:p></o:p></span></div>
<div style="line-height: 150%; margin-left: 54.0pt; mso-list: l9 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]-->6)<span style="font-size: 7pt; line-height: normal;"> </span><!--[endif]-->Periksa
kontraksi uterus setiap 15 menit selama satu jam pertama pasca persalinan dan
setiap 30 menit selama satu jam kedua pasca persalinan.<o:p></o:p></div>
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" o:spid="_x0000_i1025" style="height: 168.75pt; visibility: visible; width: 290.25pt;" type="#_x0000_t75">
<v:imagedata cropright="-34f" o:title="" src="file:///C:\Users\SESAR\AppData\Local\Temp\msohtmlclip1\01\clip_image002.png">
</v:imagedata></v:shape><o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<h2 style="margin-left: 18.0pt; mso-list: l6 level2 lfo14; text-indent: -18.0pt;">
<a href="" name="_Toc337710411"></a><a href="" name="_Toc337708898"><!--[if !supportLists]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">2.7<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 115%; mso-bidi-font-weight: bold;">CARA-CARA
PELEPASAN PLASENTA</span></a><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 115%; mso-bidi-font-weight: bold;"><o:p></o:p></span></h2>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; mso-list: l2 level1 lfo9; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%; mso-bidi-font-style: italic;">Metode
Ekspulsi Schultze</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: 39.3pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pelepasan ini dapat
dimulai dari tengah (sentral) atau dari pinggir plasenta. Ditandai oleh makin
panjang keluarnya tali pusat dari vagina (tanda ini dikemukakan oleh Ahfled)
tanpa adanya perdarahan per vaginam. Lebih besar kemungkinannya terjadi pada
plasenta yang melekat di fundus.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l2 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%; mso-bidi-font-style: italic;">Metode Ekspulsi Matthew-Duncan</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: 39.3pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ditandai oleh adanya
perdarahan dari vagina apabila plasenta mulai terlepas. Umumnya perdarahan
tidak melebihi 400 ml. Bila lebih hal ini patologik. Lebih besar kemungkinan
pada implantasi lateral<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Apabila plasenta lahir,
umumnya otot-otot uterus segera berkontraksi, pembuluh-pembuluh darah akan
terjepit, dan perdarahan segera berhenti.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Beberapa Prasat untuk
mengetahui apakah plasenta lepas dari tempat implantasinya :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l13 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Prasat
Kustner.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tangan kanan
meregangkan atau menarik sedikit tali pusat. Tangan kiri menekan daerah di atas
simfisis. Bila tali pusat ini masuk kembali ke dalam vagina, berarti plasenta
belum lepas dari dinding uterus. Bila tetap atau tidak masuk kembali ke dalam
vagina, berarti plasenta lepas dari dinding uterus. Prasat ini hendaknya dilakukan
secara hati-hati. Apabila hanya sebagian plasenta terlepas, perdarahan banyak
akan dapat terjadi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l13 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Prasat
Strassmann<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tangan kanan
meregangkan atau menarik sedikit tali pusat. Tangan kiri mengetok-ngetok fundus
uteri. Bila terasa getaran pada tali pusat yang diregangkan ini berarti
plasenta belum lepas dari dinding uterus.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">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%;">Prasat
Klein<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Wanita tersebut disuruh mengedan.
Tali pusat tampak turun ke bawah. Bila pengedanannya dihentikan dan tali pusat
masuk kembali ke dalam vagina, berarti plasenta belum lepas dari dinding
uterus.<o:p></o:p></span></div>
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<a href="" name="_Toc337710412"></a><a href="" name="_Toc337708899"><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">BAB III</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></h1>
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<a href="" name="_Toc337710413"></a><a href="" name="_Toc337708900"><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">PENUTUP</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></h1>
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<a href="" name="_Toc337710414"></a><a href="" name="_Toc337708901"><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 115%; mso-bidi-font-weight: bold;">3.1 KESIMPULAN</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; font-weight: normal; line-height: 115%; mso-bidi-font-weight: bold;"><o:p></o:p></span></h2>
<div style="line-height: 150%; margin-left: 21.3pt; text-align: justify;">
Penyebab
terpisahnya plasenta dari dinding uterus adalah kontraksi uterus (spontan atau
dengan stimulus) setelah kala dua selesai. Berat plasenta mempermudah
terlepasnya selaput ketuban, yang terkelupas dan dikeluarkan. Tempat perlekatan
plasenta menentukan kecepatan pemisahan dan metode ekspulsi plasenta. Selaput
ketuban dikeluarkan dengan penonjolan bagian ibu atau bagian janin.<o:p></o:p></div>
<div style="line-height: 150%; margin-left: 21.3pt; text-align: justify;">
Pada kala
III, otot uterus (miometrium)berkontraksi mengikuti penyusutan volume rongga
uterus setelah lahirnya bayi. Penyusutan ukuran ini menyebabkan berkurangnya
ukuran tempat perlekatan plasenta. <o:p></o:p></div>
<div style="line-height: 150%; margin-left: 21.3pt; text-align: justify;">
Karena tempat
perlekatan menjadi semkin kecil, sedangkan ukuran plasenta tidak berubah maka
pasenta akan terlipat, menebal dan kemudian lepas dari dinding uterus. Setelah
lepas, plasenta akan turun ke bagian bawah uterus atau ke dalam vagina. <o:p></o:p></div>
<div style="line-height: 150%; margin-left: 21.3pt; text-align: justify;">
Setelah janin
lahir, uterus mengadakan kontraksi yang mengakibatkan penciutan permukaan kavum
uteri, tempat implantassi plasenta. Akibatnya, plasenta akan lepas dari tempat
implantasinya.<o:p></o:p></div>
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<a href="" name="_Toc337710415"></a><a href="" name="_Toc337708902"><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">DAFTAR PUSTAKA</span></a><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></h1>
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<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Saifudin, Abdul Bari.
(2002). <i>Ilmu Kebidanan. Jakarta</i> :
YBPSP.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Coad, Jane dan Melvyn
Dunstall. (2007). <i>Anatomi dan Fisiologi
untuk Bidan.</i> Jakarta : EGC.<o:p></o:p></span></div>
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Anonymoushttp://www.blogger.com/profile/09877824835430540158noreply@blogger.com0tag:blogger.com,1999:blog-8430991463257497357.post-47767435197059724622012-11-12T08:29:00.003-08:002012-11-12T08:37:11.817-08:00NOMENKLATUR DIAGNOSA KEBIDANAN<div class="separator" style="clear: both; text-align: center;">
<a href="http://www.blogger.com/blogger.g?blogID=8430991463257497357" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"></a></div>
<a href="http://www.blogger.com/blogger.g?blogID=8430991463257497357" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"></a><br />
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<div class="separator" style="clear: both; text-align: center;">
<a href="http://www.blogger.com/blogger.g?blogID=8430991463257497357" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"></a></div>
<a href="http://www.blogger.com/blogger.g?blogID=8430991463257497357" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"></a><img height="200" src="https://encrypted-tbn0.gstatic.com/images?q=tbn:ANd9GcRxiGS9dKGB8kc-Q3n7tMU1mWk-_SVLdZPwOGkOWa21n-cu3YQN" width="148" /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Standar
nomenklatur kebidanan meliputi :<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">1.
Diakui dan disyahkan oleh profesi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.
Berhubungan langsung dengan praktik kebidanan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">3.
Memiliki ciri khas kebidanan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">4.
Didukung oleh clinical julgement dalam praktik kebodanan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">5.
Dapat diselesaikan dengan menejemen kebidanan<o:p></o:p></span></div>
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<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">DAFTAR NOMENKLATUR
KEBIDANAN</span></b><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%;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">1. Persalinan Normal<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Adalah
suatu proses pengeluaran hasil konsepsi yang dapat hidup, dari dalam uterus melalui
vagina atau jalan lain ke dunia luar.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2. Partus Normal<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bayi
lahir melalui vagina dengan letak belakang kepala / ubun-ubun kecil, tanpa memakai
alat / pertolongan istimewa, serta tidak melukai ibu maupun bayi (kecuali episiotomi),
berlangsung dalam waktu kurang dari 24 jam.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">3. Syok<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Syok
adalah suatu kondisi patofisiologi dengan perfusi jaringan dan organ yang tidak
adekuat yang mengarah pada suatu keadaan hipoperfusi dan hipoksia seluler pada
akhirnya dengan semua gejala sisa yang menyertai.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">4. DJJ tidak normal<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Suara
jantung adalah suara yang dikeluarkan oleh jantung dan akibat aliran darah melalui
jantung.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">5. Abortus<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Abortus
adalah : kegagalan kehamilan sebelum umur 28 minggu / berat janin kurang dari
1000 gram.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">6. Solusio Placenta<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Solusio
plasenta adalah lepasnya sebagian atau seluruh jaringan plasenta yang berimplantasi
normal pada kehamilan di atas 22 minggu dan sebelum anak lahir.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">7. Akut Pyelonephritis<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pyelonephritis Akut adalah inflamasi pada pelvis ginjal dan
parenkim ginjal yang disebabkan karena adanya infeksi oleh bakteri.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">8. Amnionitis<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Amnionitis
is an infection of the uterus, the amniotic sac (bag of waters), and in some cases,
of the fetus.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">9. Anemia Berat<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Anemia
Berat adalah suatu keadaan yang menggambarkan kadar hemoglobin atau jumlah eritrosit
dalam darah kurang dari nilai standar (normal).<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">10. Apendiksitis<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Apendiksitis
adalah peradangan dari apendiks dan merupakan penyebab abdomen akut yang paling
sering (Mansjoer,2000).<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">11. Atonia Uteri<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Atonia
uteri adalah uterus tidak berkontraksi dan lembek, pendarahan segera terjadi
setelah anak lahir. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">12. Infeksi Mammae<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Carsinoma
mammae adalah neolasma ganas dengan pertumbuhan jaringan mammae abnormal yang
tidak memandang jaringan sekitarnya, tumbuh infiltrasi dan destruktif dapat
bermetastase ( Soeharto Resko Prodjo, 1995).<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">13. Pembengkakan Mamae<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Payudara
bengkak disebabkan karena menyusui yang tidak kontinyu, sehingga sisa ASI terkumpul pada daerah duktus. Hal ini
dapat terjadi pada hari ke tiga setelah melahirkan.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">14. Presentasi Bokong<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">15. Asma Bronchiale<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">16. Presentasi Dagu<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">17. Disproporsi Sevalo
Pelvik<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Disproporsi
sefalo pelvik yaitu ketidak seimbangan antara ukuran kepala dan panggul.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">18. Hipertensi Kronik<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">19. Koagilopati<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">20. Presentasi Ganda<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">21. Cystitis<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Cystitis
adalah inflamasi kandung kemih yang paling sering disebabkan oleh infeksi
asenden dari uretra. Penyebab lainnya mungkin aliran balik urine dari uretra
kedalam kandung kemih. Kontaminasi fekal atau penggunaan kateter atau
sistoskop.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">22. Eklampsia<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pre-eklampsia
dalam kehamilan adalah apabila dijumpai tekanan darah 140/90 mmHg setelah
kehamilan 20 minggu (akhir triwulan kedua sampai triwulan ketiga) atau bisa
lebih awal terjadi. Sedangkan pengertian eklampsia adalah apabila ditemukan
kejang-kejang pada penderita pre-eklampsia, yang juga dapat disertai koma. Pre-eklampsia adalah salah satu kasus
gangguan kehamilan yang bisa menjadi penyebab kematian ibu. Kelainan ini
terjadi selama masa kelamilan, persalinan, dan masa nifas yang akan berdampak
pada ibu dan bayi.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">23. Kelainan Ektopik<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kelainan
Ektopik Adalah : kehamilan dengan implantasi terjadi di luar rongga uterus. Kehamilan
ektopik adalah : kehamilan yang berlangsung di luar endometrium yang normal
(travum uteri). Kehamilan ekstraterin adalah : kehamilan di luar batas uterus,
sedangkan kehamilan heterntupik adalah : hamil intraveterin dan hamil ektopik yang
terjadi bersama-sama.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">24. Ensephalitis<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Encephalitis
adalah suatu peradangan dari otak.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">25. Epilepsi<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Epilepsi
memiliki pengertian gangguan kronik ditandai bangkitan epileptik berulang
akibat gangguan fungsi otak secara intermiten yang terjadi oleh lepas muatan
listrik abnormal neuron-neuron secara paroksismal akibat berbagai etiologi.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">26. Hidramnion<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hidramnion
atau poli hidramnion adalah suatu kondisi dimana terdapat keadaan dimana jumlah
air ketuban melebihi dari batas normal.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">27. Presentasi Muka<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">28. Persalinan Semu<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">29. Kematian Janin<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">30. Hemorargik
Antepartum<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">31. Hemorargik
Postpartum<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">32. Gagal Jantung<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">33. Inertia Uteri<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">34. Infeksi Luka<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">35. Invertio Uteri<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">36. Bayi Besar<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">37. Malaria Berat
Dengan Komplikasi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">38. Malaria Ringan
Dengan Komplikasi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">39. Mekonium<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">40. Meningitis<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">41. Metritis<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">42. Migrain<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">43. Kehamilan Mola<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">44. Kehamilan Ganda<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">45. Partus Macet<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">46. Posisi Occiput
Posterior <o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">47. Posisi Occiput
Melintang<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">48. Kista Ovarium<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">49. Abses Pelvix<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">50. Peritonitis<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">51. Placenta Previa<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">52. Pneumonia<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">53. Pre-Eklampsia
Ringan/Berat<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pre
eklampsia berat adalah suatu komplikasi kehamilan yang ditandai dengan
timbulnya tekanan darah tinggi 160/110 mmHg atau lebih disertai proteinuria
dan/atau edema pada kehamilan 20 minggu atau lebih.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">54. Hipertensi Karena
Kehamilan<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">55. Ketuban Pecah Dini<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">56. Partus Prematurus<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">57. Prolapsus Tali
Pusat<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">58. Partus Fase Laten
LAma<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">59. Partus Kala II Lama<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">60. Sisa Plasenta<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">61. Retensio Plasenta<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">62. Ruptura Uteri<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">63. Bekas Luka Uteri<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">64. Presentase Bahu<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">65. Distosia Bahu<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">66. Robekan Serviks dan
Vagina<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">67. Tetanus<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">68. Letak Lintang<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">69.</span> <span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sectio
Caesarea<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bedah
sesar (bahasa Inggris: caesarean section atau cesarean section dalam Inggris- Amerika),
disebut juga dengan seksio sesarea (disingkat dengan sc) adalah proses persalinan
dengan melalui pembedahan dimana irisan dilakukan di perut ibu (laparatomi) dan
rahim (histerotomi) untuk mengeluarkan bayi. Bedah caesar umumnya dilakukan ketika
proses persalinan normal melalui vagina tidak memungkinkan karena berisiko kepada
komplikasi medis lainnya. Sebuah prosedur persalinan dengan pembedahan umumnya
dilakukan oleh tim dokter yang beranggotakan spesialis kandungan, anak, anastesi
serta bidan.<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>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">DAFTAR
PUSTAKA<o:p></o:p></span></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">WHO,
UNFPA, UNICEF, World Bank (2000) I M P A C (Intergrated Management of Pregnancy
And Chilbirth), Managing Complications in Pregnancy and Childbirth : A Guide
for Midwives and dovtor, Departement of Reproductive Health and Research.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><br /></span></div>
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<img height="239" src="https://encrypted-tbn0.gstatic.com/images?q=tbn:ANd9GcR4FWmkZaMmzQIvUIHPcb9X9JJasEh8CXmNZXu00L2FdKp3bZv5" width="400" /></div>
Anonymoushttp://www.blogger.com/profile/09877824835430540158noreply@blogger.com3tag:blogger.com,1999:blog-8430991463257497357.post-24936260593033391162012-11-12T08:09:00.001-08:002012-11-12T08:26:00.218-08:00Perkembangan Bayi yang Stabil<br />
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<a href="http://www.blogger.com/blogger.g?blogID=8430991463257497357" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"></a><img height="255" 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" width="400" /></div>
Senjaga agar <b>perkembangan bayi tetap stabil</b> adalah hal yang
sangat penting. Untuk memudahkan kita memantau apakah perkembangan pada bayi
sudah dalam tahap yang benar maka kita perlu mempelajari atau mengamati melalui
gambar perkembangan bayi. Ada banyak buku ataupun situs web yang menyediakan
bahan bacaan mengenai perkembangan bayi dengan disertai gambar mengenai
perkembangan otak bayi, organ bayi dan sebagainya. Biasanya tahapan
perkembangan akan dimulai dari proses fertilisasi. Saat baru berusia 1 bulan, bayi
masih berbentuk embrio yang terdiri dari 2 lapisan sel. Baru kemudian seluruh
organ dan juga bagian tubuhnya akan terbentuk dan terlihat dalam gambar
perkembangan bayi. Saat berusia 2 bulan,
bayi akan berukuran sebesar biji beras merah dan bergerak-gerak dengan irama
yang konstan. Bentuknya mungkin akan sedikit berbeda dengan jari-jarinya yang
masih nampak berselaput. Perkembangan bayi akan terus mengalami perubahan yang
signifikan. Di bulan yang ketiga bayi akan mencapai panjang 3 inci dan berat hampir
1 ons. Pada usia ini perkembangan juga meliputi pembentukan sidik jarinya. Di bulan yang keempat, gambar perkembangan
bayi akan lebih jelas menunjukkan kerangka tubuh yang semakin mengeras dari
bentuk sebelumnya yang lebih lunak. Selain itu panjang dan berat bayi akan
bertambah menjadi 5 inci dan beratnya 5 ons. <o:p></o:p></div>
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Bulan kelima, gambar perkembangan bayi biasanya akan
memperlihatkan bahwa alis dan juga bulu mata mulai terbentuk. Tidak hanya itu,
panjang bayi sekarang juga sudah mencapai lebih dari 10 inci jika kita
meluruskan kakinya. Pada bulan berikutnya yaitu bulan yang ke enam maka berat
bayi akan mencapai 1 ½ pond dan kulitnya yang berkerut akan berubah menjadi
halus sejak lemak bayi mulai terbentuk. Pada bulan ketujuh, berat bayi akan
mencapai 3 pon dengan panjang lebih dari 15 inci. </div>
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Di usia ini juga bayi akan
bisa membuka dan menutup matanya. Tidak hanya itu, pada usia ke tujuh bulan
maka mata bayi akan bisa mengikuti suatu cahaya. Di bulan ke sembilan, umumnya
berat bayi akan mencapai 7 pon dengan panjang 19 inci. Akan tetapi tentunya hal
ini tidaklah mutlak mengingat setiap bayi memiliki perkembangan yang
berbeda-beda sehingga gambar perkembangan bayi yang banyak terdapat di
buku-buku ataupun website tidak boleh menjadi patokan satu-satunya. Untuk mempermudah
pemantauan, kita bisa mengamati setiap tumbuh kembang bayi dalam rahim tidak
hanya dengan menggunakan metode usg untuk bisa mendapatkan gambar perkembangan
bayi. Agar lebih jelas kita bisa
mengamati melalui video perkembangan bayi untuk bisa mendapatkan gambaran mulai
dari awal berbentuk janin hingga tiba hari kelahiran. Pada saatnya nanti semua
foto dan juga video bisa menjadi kenang-kenangan kelak saat kita sudah dewasa.
Bahkan saat pertemuan keluarga, ibu pastinya akan sangat senang untuk bisa
menunjukkan gambar perkembangan bayi kepada semua orang secara berulang-ulang.<o:p></o:p></div>
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Saat ini kita sendiri telah menjadi seorang ibu. Dengan
sendirinya kita akan bisa mengerti kesenangan yang ditimbulkan dengan memiliki
gambar perkembangan bayi bagi ibu kita. Bayi tumbuh dengan sangat cepat dan
sulit untuk mengingat dari satu hari hingga ke hari berikutnya seberapa banyak
mereka berubah. Menghidupkan kembali saat-saat berharga ini lewat gambar-gambar
adalah sebuah cara yang hebat untuk melihat kembali ke masa lalu. Gambar-gambar
bayi adalah cara yang hebat untuk membagikan perkembangan anak kepada teman dan
anggota keluarga lain yang tidak bisa bertemu setiap hari dengan bayi kita.
Memiliki foto terbaru dari anak kita adalah salah satu cara untuk anggota keluarga
yang tinggal jauh untuk bisa berbagi dan merasa dekat dengan cucu, saudara atau
keponakannya. Kita bisa saja menceritakan saat si kecil merangkak namun
memiliki gambar perkembangan bayi dimana bisa terlihat jelas saat bayi
merangkak akan menimbulkan sensasi yang berbeda karena lebih nyata. Gambar ini
juga bisa digunakan untuk melihat seberapa cepat proses perkembangan bayi dan
perubahan apa saja yang telah dilaluinya. Saat dewasa, anak kita mugnkin tidak
akan selalu bisa memperhatikan seberapa cepat mereka telah tumbuh dan pastinya
sulit untuk membayangkan diri mereka sendiri sebagai bayi atau bahkan
kanak-kanak. Disinilah gambar perkembangan bayi berfungsi untuk bisa
memproyeksikan sejarah pribadi mereka dan membantu anak mengerti bahwa mereka
tumbuh besar dan juga dewasa.<o:p></o:p></div>
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Gambar perkembangan bayi anak yang lebih tua ketika dia
masih seorang bayi akan bisa membantunya mengerti perubahan saat dia memiliki
saudara laki-laki atau perempuan baru. Mengetahui bahwa suatu saat di masa lalu
dia sangat kecil dan bergantung sepenuhnya kepada kita sebagai orang tua akan
membantunya mengerti. Mengerti bahwa meskipun waktu orang tuanya banyak tersita
dengan kedatangan anggota keluarga baru, dulu dia juga seperti itu. Gambar
perkembangan bayi menjadi hal yang penting karena bisa membuat kita tetap
memiliki semua kenangan yang berharga saat anak kita tumbuh dan berkembang.
Bisa melihat kembali dan menghidupkan momen senyum pertamanya, langkah
pertamanya dan hari pertamanya di sekolah akan membantu kita untuk menyadari seberapa
jauh perkembangan dan kemajuan yang telah kita capai dalam mengasuh anak hingga
dia bisa menjadi orang dewasa. Pada akhirnya, gambar perkembangan bayi akan
bisa menjadi hal berharga baik bagi kita sebagai orang tua dan juga bagi anak
tentunya.<o:p></o:p><br />
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<img height="305" src="https://encrypted-tbn3.gstatic.com/images?q=tbn:ANd9GcQMbaFxthQAucTcY48g7bWkpTiQiINT22vFFS_nn1nBLK6d3nd7Sg" width="400" /></div>
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