antepartum hemoragik
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Dr. Hermawan U. SpOG
Obstetri & Ginekologi
RSUD Dr. Moewardi
Surakarta
Meliputi :
1.Solusio Plasenta
2.Plasenta Previa
3.Vasa Previa
PERDARAHAN
ANTE PARTUM
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Epidemiologi
• Insiden :
- 3% seluruh persalinan
- 14,3% ( data RSCM )• Mortalitas :
- 5 – 10% ( iu )
- !0 – "0 % ( #anin )
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Perdarahan Ante Partum $erdarahan pera&ina' pada usia eha'ilan ** '&
!R"#ER"A D"AG$OS"S
%.Anamnesa - $erdarahan pera&ina' + ** '&
- $erdarahan pera&ina' t#d spontan
- isertai n.eri atau tanpa n.eri aiat ontrasi
- /ator predisposisi :
- Ri Solusio plasenta- $eroo
- 2ipertensi
- Multiparitas
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. Pemeriksaan 'isik - eadaan u'u', ital si&n
- $e'erisaan luar : a&ian aah #anin 'asupan&&ul
atau ada elainan leta atau tida
- Inspeulo : apaah perdarahan erasal dari
stiu' +teri,
seris atau a&ina- $M ( perisan dala' di Me#a perasi ) #ia
aan 'en&ahiri eha'ilan
- +S6
Diagnosa (anding - Solusio $lasenta- $lasenta $reia-
asa $reia
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Solusio Plasenta 7erlepasn.a plasenta .& letan.a
nor'al pada 8undus uteri9orpus uteri seelu' #anin lahir• Sol $las Rin&an
• Sol $las Sedan&• Sol $las erat
Plasenta Pre)ia $lasenta .& letan.a tida nor'al sh&
'enutupi sea&ian atau seluruh per'uaan #alan lahir• $lasenta preia total• $lasenta preia partial• $lasenta leta rendah
*asa Pre)ia 7ali pusat erinsersi pada selaput etuan
di'ana pe'uluh darahn.a er#alan di antara
lapisan a'nion dan orion 'elalui pe'uaanseris
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Jenis Plasenta Previa
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Jenis Solusio Plasenta
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Pemeriksaan Penun+ang
- ;aoratoriu' :
2, 2t, <7, C7, 7, $77, <$77
- ardiotoo&ra8i
- ;aene=, oppler
- +S6 : - 'enilai leta plasenta
- +sia eha'ilan
- eadaan #anin
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$enan&anan :
#anpa S,ok - U! - / mg at #(0 - 122 gr
1 Sol-$las :
* $lasenta preia :
3 asa $reia :
-
U! 3 / mg at #(0 3 122 gr 1 Sol-$las :
* $lasenta preia :
3 asa $reia :
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Dengan S,ok
1 Sol-$las :
* $lasenta $reia :$rinsip :
atasi s.o ( resusitasi =airan ) dan peraian +
Pen,ulit -. I+ : s.o, &a&al &in#al, IC, plasenta areta, atonia
uteri, perdarahan pada i'plantasi uterus se&'en
aah
-. >anin : as8isia, ;R, RS ( respirator. distress
sindro' )
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Terima Kasih