GEMELI,ok
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GEMELLI
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TANDA-TANDA GEMELLI
UT > USIA HAMILOBAT PENYUBUR
RIWAYAT2 BJJ ~ 10 DPM
3 BAGIAN BESAR2 BALLOTEMENT
ANEMIAHcg, BB, AFP
HIDRAMNION (UNIOVULER)
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DETEKSI DINI
CEGAH PREMATURITAS(GEMELLI ~ 37 MG, TRIPLET ~ 35 MG, QUADRUPLET ~ 33 MG)
BED REST SEJAK 24 MINGGUTOKOLITIK, MONITORING KONTRAKSI
USG SERIAL 2-4 MG ~ 16 MG
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GEMELLI
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KOMPLIKASI
KEMATIAN BAYILAHIR MATI > 2X HAMIL TUNGGAL
PREMATURITASKPD, PJT
TWIN-TWIN TRANSFUSIONTALI PUSAT
ABRUTIO PLASENTAMALPRESENTASI
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MONOZIGOTIK(IDENTIK, HOMOLOG, UNIOVULER)
KELAMIN, GOL.DARAH SAMATRANSPLANTASI
SEGMENTASI 0-72 JAM ~ 2K2A
4-8 H ~ 1K2A>8 H ~ 1K1A
> 13H (PRIMITIVE STREAK +) ~ SIAM
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DIZIGOTIK(HETEROLOG, BINOVULER, FRATERNAL)
SUPERFEKUNDASI(2 OVUM, 2 COITUS)
SUPERFETASI(2 OV, 1 COITUS)
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ANASTOMOSIS PEMBULUH DARAH
(TWIN-TWIN TRANSFUSION)
MONSTRUM
AKARDIAKUS
A. ASEFALUS
A.AKORNUS
A. AMORFUS
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TWIN-TWIN TRANSFUSION(PD USIA LEBIH TUA)
DARAH >HIDRAMNIONPOLISITEMIA
EDEMAPJ BAIK
DARAH <OLIGOHIDRAMNION
MIKROKARDIAANEMIA
DEHIDRASI
Ht DAN BB > 20 %HIDROPSFETALIS
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TWIN TO TWIN TRANSFUSION
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CARA PERSALINAN
SUNGSANG MELINTANG
SC
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MASALAH ?JIKA MATI SATU