FERTILISASI & NIDASI
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Transcript of FERTILISASI & NIDASI
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FERTILISASI & NIDASI
DR ELIZABETH S GIRSANG, SPOG
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UNTUK TERJADI KEHAMILAN HARUS ADA: SPERMATOZOA OVUM PEMBUAHAN (KONSEPSI) NIDASI (IMPLANTASI)
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SPERMATOZOA
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OVUM
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FERTILISASI
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DIAGNOSIS KEHAMILAN
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DEFINISI KEHAMILAN
FERTILISASI ATAU PENYATUAN DARI SPERMATOZOA DAN OVUM DAN DILANJUTKAN DGN NIDASI ATAU IMPLANTASI
(FIGO)
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KEHAMILAN NORMAL
SAAT FERTILISASI HINGGA LAHIRNYA BAYI
40 MINGGU 10 BULAN LUNAR 9 BULAN
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KEHAMILAN DIBAGI 3 TRIMESTER
TRIMESTER I : 12 MINGGU TRIMESTER II : 15 MINGGU
(MGG 13 – 27) TRIMESTER III : 13 MINGGU
(MGG 28 – 40)
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ASUHAN ANTENATALYG BAIK
PENGETAHUAN & KEMAMPUAN → PERUBAHAN FISIOLOGIK PROSES KEHAMILAN: PRODUKSI & PENGARUH HORMONAL ANATOMI & FISIOLOGIK
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TANDA & GEJALA KEHAMILAN
1. TANDA-TANDA PRESUMTIF AMENOREA
DD: PENY. KRONIK, MALNUTRISI,TUMOR HIPOFISE, FX LINGK, GGAN EMOSI
MUAL & MUNTAH MENGIDAM TDK TAHAN BAU-BAUAN PINGSAN TDK ADA SELERA MAKAN LELAH
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PAYUDARA MEMBESAR, TEGANG, DAN SEDIKIT NYERI
DD: KONTR.HORMONAL,TUMOR OTAK/OVARIUM,OBAT PENENANG, HAMIL SEMU
SERING BAK KONSTIPASI/OBSTIPASI PIGMENTASI KULIT
CHLOASMA GRAVIDARUMSTRIAE
EPULIS VARICES
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2. TANDA-TANDA KEMUNGKINAN HAMIL PERUT MEMBESAR UTERUS MEMBESAR TANDA HEGAR
PELUNAKAN DAN KOMPRESIBILITAS ISMUS UTERI TANDA CHADWICK
PERUBAHAN WARNA PD VULVA, VAGINA & SERVIKS TANDA GOODELL
PERUBAHAN KONSISTENSI SERVIKS TANDA PISCASECK
PEMBESARAN ASIMETRI & PENONJOLAN SALAH SATU KORNU BRAXTON HICKS TERABA BALLOTEMENT
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2. TANDA-TANDA KEMUNGKINAN HAMIL REAKSI KEHAMILAN POSITIF
PROD hCG OLEH SINSIOTROFOBLAS 26 HR SETELAH KONSEPSI PUNCAK : 60-70 HR MENETAP ; 100 -130 HR KADAR hCG RENDAH: KE, AB IMMINEN KADAR hCG TINGGI: KEMBAR, MOLA
HIDATIDOSA, KRIOKARSINOMA FALSE (+) ATAU FALSE (-)
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3. TANDA PASTI GERAKAN JANIN
BERMULA 12 MGG DIRASAKAN IBU 16 – 20 MGG QUICKENING
DENYUT JANTUNG JANIN AWAL MGG KE 4 20 MGG DGN FETOSKOP U/S ATAU DOPPLER 12 – 20 MGG
TERLIHAT TULANG-TULANG JANIN USG/RONTGEN
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DIAGNOSIS BANDING KEHAMILAN
1. HAMIL PALSU (PSEUDOCYESIS)
2. MIOMA UTERI
3. KISTA OVARIUM
4. RETENSI URIN
5. HEMATOMETRA
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ASUHAN ANTENATAL
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DEFINISI
UPAYA PREVENTIF PROGAM PELAYANAN OBSTETRI UNTUK OPTIMALISASI LUARAN MATERNAL DAN NEONATAL MELALUI SERANGKAIAN KEGIATAN PEMANTAUAN RUTIN SELAMA KEHAMILAN
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JADUAL KUNJUNGAN
KEHAMILAN NORMAL K1 K2 K3 K4
1X KUNJUNGAN HGG USIA 28 MGG 1X KUNJUNGAN 28 – 36 MGG 2X KUNJUNGAN DI ATAS 36 MGG
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PEMERIKSAAN RUTIN
IDENTIFIKASI & RIWAYAT KESEHATAN DATA UMUM PRIBADI KELUHAN SAAT INI RIWAYAT HAID RIW KEHAMILAN & PERSALINAN RIWAYAT KEHAMILAN SAAT INI RIW PENY DALAM KELUARGA RIW PENYAKIT IBU RIW PENY YG MEMERLUKAN TINDAKAN
PEMBEDAHAN RIW KB RIW IMUNISASI RIW MENYUSUI
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PEMERIKSAAN KEADAAN UMUM PEM ABDOMEN
INSPEKSI BENTUK & UKURAN ABDOMEN PARUT BEKAS OP TANDA2 KEHAMILAN GERAKAN JANIN VARISES HERNIA EDEMA
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PALPASI TINGGI FUNDUS PUNGGUNG BAYI PRESENTASI BAGIAN TERBAWAH
AUSKULTASI 10 MGG DGN DOPPLER 20 MGG DGN FETOSKOP PINARD
INSPEKULO VAGINA
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LABORATORIUM PEMERIKSAAN USG
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GEJALA & TANDA BAHAYA SELAMA KEHAMILAN PERDARAHAN PREEKLAMPSIA NYERI HEBAT DI DAERAH
ABDOMINOPELVIKUM GEJALA & TANDA LAIN: MUNTAH,
DISURIA,DEMAM,KPD, UTERUS > ATAU <
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EDUKASI KESEHATAN
NUTRISI YG ADEKUAT PERAWATAN PAYUDARA PERAWATAN GIGI KEBERSIHAN TUBUH & PAKAIAN
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TERIMA KASIH