KPD Kebumen

8/18/2019 KPD Kebumen

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Presentasi kasus

KPD 10 JAM PADA PRIMIGRAVIDA

HAMIL ATERM DALAM PERSALINAN

Disusun oleh :

Kevin wahu! G""1#111$

Su%a a!hi P G""1#111"

KEPANITERAAN KLINIK KEDOKTERAN OBSTETRI DAN GINEKOLOGI

FAKULTAS KEDOKTERAN UNS/RSUD DR. MOEWARDI

SURAKARTA

2!"


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STAT&S PASIEN

A.I#entitas

Na'a : N( L

&'u% : )1 *ahun

Jenis +ela'in : ,e%e',uan

Pe+e%-aan : i.u %u'ah *an//a

Ala'a* : +liwonan+e.u'en

S*a*us : 'eni+ah

Su+u : Jawa

A/a'a : Isla'

Tan//al 'asu+: 11 Mei 012

B. Ana$nesis

1( Keluhan u*a'a

Pasien 'e%u,a+an %u-u+an !a%i .i!an !esa !en/an !ia/nosis +e*u.an ,e3ah !ini 10

-a' usia +eha'ilan )$4# 'in//u(

( Riwaa* ,ena+i* se+a%an/

Da*an/ seo%an/ G1P0A0 )1 *ahun !a*an/ .e%sa'a .i!an !esa !en/an !ia/nosis

+e*u.an ,e3ah !ini 10 -a'( Pasien 'en/eluh+an 'en/elua%+an 3ai%an an/ 'e%e'.es !a%i

+e'aluanna !ala' -u'lah .ana+ 5ngepyok-ngepyok 6 !an *i.a7*i.a 10 -a' se.elu'

'asu+ %u'ah sa+i*( Pasien 'e%asa ha'il 'e%asa +en3an/7+en3an/ na'un *i!a+

'en/eluh+an ,e%nah 'en/elua%+an len!i% !a%ah !a%i +e'aluanna( 8ai%an an/ +elua%

.e%wa%na .enin/ en3e% !an *i!a+ .e%.au( Pasien *i!a+ 'en/eluh+an +eluhan se%u,a

se.elu'na HPL 1727012 HPMT 1#7$7012 %iwaa* 'ens*%uasi lan3a% 19.ulan )7#

ha%isi+lus /an*i ,e'.alu* )7#9ha%i(

)( Riwaa* 'ens*%uasi

Mena%3he : 1 *ahun

Si+lus 'ens*%uasi : )0 ha%i

La'a 'ens*%uasi : )7# ha%i

Da%ah hai! : ;


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2( Riwaa* ?e%i*ili*as

Riwaa* ?e%*ili*as ,asien !inlai .ai+

@( Riwaa* o.s*e*%i+

Pasien se.elu'na *i!a+ ,e%nah ha'il !an 'e'ili+i ana+ se.elu'na

sua%a *a'.ahan =77>

$( A!o'en : ha*i *i!a+ *e%a.aC lien *i!a+ *e%a.a

"( An//o*a /e%a+: oe!e'a =7> a+%al !in/in =7>

D. Status ,-stetri

!. Ins,e+siKe,ala : 'eso3e,hal


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Ma*a : +on-un/*iva ane'is =77> s+le%a i+*e%i+ =77>

Tho%a9 : /lan!ula 'a''ae hi,e%*%o?i =7> ae%ola 'a''ae hi,e%,i/'en*asi

A.!o'en : !in!in/ ,e%%u* se-a-a% !in!in/ !a!a *i!a+ na',a+ a!ana ,enon-olan

si+a*%i+ =7>

2. Pal,asi

Su,el ne%i *e+an =7> !i,e%u* +anan .awah'. Aus+ul*asi

isin/ usus =4> no%'al %e/ule%

. Pe%+usi

Pe+a+ .e%alih =7> un!ulasi =7>

". Geni*alia e+s*e%na

V& *i!a+ a!a +elainan !in!in/ va/ina !.n ?le+ !a%ah =7> !is3ha%/e =7> ai% +e*u.an =4>

. Pe'e%i+saan !ala'

VT: V& *enan/ !in!in/ va/ina !.n ,o%*io li3in &E *e%.u+a !en/an !ia'e*e% #3'

3avu' u*e%i se*in//i -a%i !i .awah ,%o3essus 9i,hoi!eus ai% +e*u.an 4 len!i% !a%ah

E. Pe$eriksaan +enun0an)

La.o%a*o%iu' !a%ah =11 'ei 012>

Pe'e%i+saan Hasil Sa*uan

He'o/lo.in 1) /%!L

Hi*un/ leu+osi* 1"2 Ri.uul

Hi*un/ e%i*%osi* #1 Ju*aul

Hi*un/ *%o'.osi* 1"1 Ri.uul

He'a*o+%i* )" F

Glo.ulin 1" G%!LTo*al ,%o*ein 2)# G%!L

Al.u'in )# G%!L

Hasil &SG =11 'ei 012> :

1( Ta',a+ -anin *un//al 'e'an-an/ in*%au*e%ine ,%esen*asi +e,ala DJJ =4>

( PD B$$" 3'

A8B )1"< 3'

LB


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Da*an/ seo%an/ G1P0A0 )1 *ahun !a*an/ .e%sa'a .i!an !esa !en/an !ia/nosis

+e*u.an ,e3ah !ini 10 -a'( Pasien 'en/eluh+an 'en/elua%+an 3ai%an an/ 'e%e'.es !a%i

+e'aluanna !ala' -u'lah .ana+ 5ngepyok-ngepyok 6 !an *i.a7*i.a 10 -a' se.elu' 'asu+

%u'ah sa+i*( Pasien 'e%asa ha'il 'e%asa +en3an/7+en3an/ na'un *i!a+ 'en/eluh+an

,e%nah 'en/elua%+an len!i% !a%ah !a%i +e'aluanna( 8ai%an an/ +elua% .e%wa%na .enin/en3e% !an *i!a+ .e%.au(

G. Dia)n,sis

Ke*u.an ,e3ah !ini 10 -a' ,a!a ,%i'i/%avi!a ha'il a*e%' !ala' ,e%salinan

. Pr,)n,sis

I.u : Du.ia a! .ona'

Janin: Du.ia a! .ona'

I. Penata1aksanaan

Mon!o+ .an/sal =+onse%va*i? ,e%*ahan+an +eha'ilan>

8e+ la. len/+a,

.se%vasi 10

In!u+si o+si*osin 10 I&

ST&DI P&STAKA

Ke*u.an ,e3ah !ini =KPD> 'e%u-u+ ,a!a ,asien !en/an usia +eha'ilan !ia*as )<

'in//u !an 'en/ala'i ,e3ah +e*u.an se.elu' !i'ulaina ,%oses ,e%salinan( Ke*u.an ,e3ah

!ini ,%e*e%' =KPDP> a!alah ,e3ahna +e*u.an se.elu' usia )< 'in//u( Ke*u.an ,e3ah !ini

s,on*an a!alah ,e3ahna +e*u.an se*elah a*au !en/an !i'ulaina ,e%salinan( KPD

'e'an-an/ a!alah ,e3ahna +e*u.an an/ *e%-a!i le.ih !a%i # -a' !an se.elu' !i'ulaina

,%oses ,e%salinan(


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Me'.%an an/ 'en/elilin/i +avu' a'nio*i+ *e%!i%i !a%i a'nion !an +o%ion an/

'e%u,a+an la,isan an/ 'ele+a* an/ 'en/an!un/ .e%.a/ai *i,e sel *e%'asu+ sel e,i*el sel

'esen+i' !an sel *%o?o.las *e%*ana' !al'a 'a*%i+s +ola/en( Me'.%an ini 'e',e%*ahan+an

3ai%an a'nion !an 'ense+%esi+an su.s*ansi .ai+ +e !ala' 3ai%an a'nion 'au,un +e u*e%us

!an 'elin!un/i -anin !a%i in?e+si an/ 'eli.a*+an salu%an %e,%o!u+si( Pa!a ausia +eha'ilana*e%' $710F wani*a ha'il 'en/ala'i KPD !an ,a%a wani*a ini 'e'ili+i %esi+o in?e+si

in*%au*e%i an/ 'enin/+a* .ila in*e%val an*a%a ,e3ah +e*u.an !an ,elahi%an se'a+in la'a(

KPDP *e%-a!i ,a!a +i%a7+i%a 1F !a%i selu%uh +eha'ilan !an .e%+ai*an !en/an )07)0F

+elahi%an ,%e'a*u%( Hal ini +e'u!ian 'en-a!i ,ene.a. u*a'a an/ *e%i!en*i?i+asi !a%i

+elahi%an ,%e'a*u% !an +o',li+asina *e%'asu+ sin!%o'a !is*%ess ,e%na?asan in?e+si

neona*us !an ,e%!a%ahan in*e%ven*%i+ule%(

Se*elah +e*u.an ,e3ah !ini a*e%'


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,e'e%i+saan se3a%a vaginal touche !a,a* !ila+u+an( Den/an 'en//una+an s,e+ulu' va/ina

!a,a* !i*e'u+an 3ai%an +e*u.an an/ 'e%e'.es +elua% an/ 'enan!a+an +e*u.an an/

,e3ah( Nilai no%'al +a!a% Ph va/ina a!alah #7#(< sela'a +eha'ilan !an +a!a% ,H 3ai%an

a'nion a!alah


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wa+*u ,e%salinan !an 'en/u%an/i +o',li+asi !an ,en//unaan *o+oli*i+ *i!a+ !ian-u%+an

,a!a 'asa usia +eha'ilan ini(

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