asuhan persalinan kala iii

8/16/2019 Asuhan Persalinan Kala III

1/12

NAMA KELOMPOK:

RAI HENDRIANI

NILUH YANI LESTARI

NI WAYAN LESTARI

NURHASANAH

NI NYOMAN KARIANI

PIPIN NOVITASARI

NI LUH WAYAN NITA

NI NYOMAN ALIT ARIYATI

NI MADE WIDYAWATI

NURIZAH

NURWAINI

NOVITA

NI KOMANG SRI DANI


2/12

POLTEKKES KEMENKES PALU

JURUSAN KEBIDANAN

T.A 2013/2014

1. ASUHAN PERSALINAN KALA III1.1 FISIOLOGI KALA III

1.1.1 MEKANISME PELEPASAN PLASENTA Pelepasan plasena !e"#pa$an %as&l pen#"#nan !en'a'a$ #$#"an

$a(#! #e"& sela!a 'an seela% )a*& la%&"+ pen,#"an,an #$#"an #e"#s se-"a

)e"sa!aan )e"a"& pen#"#nan a"ea pe"le$aan plasena. Plasena )e"'apas& 'en,an pen#"#nan #e"#s se%&n,,a plasena

!ene)al+ eap& pa'a s&s& pe"le$aan plasena &'a$ !a!p# !ena%an e$anan

'an !elen,$#n, se%&n,,a )e"a$&)a e"a'&n*a pelepasan plasena 'a"& '&n'&n,

#e"#s pa'a lap&san sp/n,&/sa 'es&'#a. Pa'a saaa plasena e"lepas !na'& %e!a/!a ana"a plasena *an,

e"lepas 'en,an 'es&s#a+ 'a"a% )e"asal 'a"& 'ala! "#an, *an, &ne"(&l& *an,

)&asa '&se)# %e!a/!a "e"/plasena *an, !e!(as&l&as& e"a'&n*a pelepasan

plasena se-a"a len,$ap. Seela% plasena e"lepas+ plasena a$an #"#n $e se,!en )a0a%

"a%&! S2R3 'an !en*e)a)$an &!)#ln*a an'a ,eala $ala III+ *an, e"'&"&

'a"& :

1. Kel#a"an*a 'a"a% se-a"a !en'a'a$ )a&$ eesan aa# pan-a"an $e-&l4. Tal& p#sa *an, )e"a!)a% panan, e"l&%a '&&n"/&#s (a,&na.

5. Te"a'& pee"#)a%an )en#$ Ue"#s 'a"& '&s-/&' $e )en#$ ,l/)#la" se0a$# #e"#s )e"$/n"a$s& 'en,an sen'&"&n*a+

6. Te"a''& pe"#)a%an p/s&s& #e"#s+ #e"#s !en&n,,& '&'ala! a)'/!en

$a"ena )a,an e")esa" plasena 'ala! se,!en )a0a% #e"#s 'an

!en'esa$ #e"#s $eaas.


3/12

1.1.4 MA7AM8MA7AM PELEPASAN PLASENTA

13 Me$an&s!e s-%#l9e Pelepasan plasena 'en,an !e$an&s!e s-%#l9a '& !#la& 'a"& a"a% sen"al aa# )a,&an

en,a% se%&n,,a !en&!)#l$an )e$#an aa# pen'a"a%an "e"/plasena.43 Me$an&s!e D#n-an Pelepasan plasena 'en,an !e$an&s!e D#n-an '& !#la& 'a"& a"a% p&n,,&" plasena aa#

)e"sa!aan 'en,an )a,&an sen"al plasena se%&n,,a !en&!)#l$an e"a'&n*a se!)#"an

'a"a% se)el#! plasena la%&"

1.1.5 MEKANISME PENGELUARAN PLASENTA

Pen,el#a"an plasena '& !#la& 'en,an pen#"#nan plasena $e se,!en )a0a%

#e"#s+ plesena $el#a" !ele0a& se"(&$s $e "#an, (a,&na aas+ 'a"& a"a% plasena $el#a".

Pa'a saa '& la$#$an pena"&$an plasena 'en,an !ena"&$ al& p#sa !a$a plasena a$an

e"la%&" 'an e"l&%a '& &n"/&#s (a,&na.

1.1.6 PENGAWASAN PERDARAHAN Sela!a p"/ses pelepasan plasena+ &n'a$an pen,a0asan *an, '& la$#$an /le%

se/"an, )&'an a'ala% '& la$#$ann*a pen,a0asan !en,ena& $e!#n,$&nan e"a'&n*a

pe"'a"a%an se"a 'en,an se,e"a !ela$sana$an penen,anan ses#a& 'en,an a-/"

pen*e)a)n*a.

1.4 MANA;EMEN AKTIF KALA III S*a"a: an&n #n,,al

Ke#n#n,an:

13 La!a $ala III s&n,$a43 Men-e,a% pen'a"a%an p/s pa"#!

53 Men#"#n$an $ea'&an "eens&/ plasena Lan,$a%8lan,$a% !anae!en a$& $ala III

13 Pe!)e"&an /$s&/s&n

a3 Seela% )a*& la%&"+ pas&$an &'a$ a'a )a*& $e '#a 'en,an !ela$#$an

palpas& pa'a a)'/!en Alasan : /$s&/s&n !en*e)a)$an #e"#s )e"$/n"a$s&+ se%&n,,a )&la

a'a an&n $e '#a 'ala! "a%&! a$an !en*e)a)$an )e"$#"an,n*a pas/$an

/$s&,en pa'a )a*& )3 2e"&a%# &)# )a%0a '&a a$an '& s#n&$.


4/12

-3 Se,e"a s#n&$an /$s&/s&n 1< #n& se-a"a IM /a'a 1=5 )a,&an aas pa%a

)a,&an l#a"+ la$#$an asp&"as& se)el#! /$s&/s&n '& !as#$$an. Alasan :/$s&/s&n !e"an,san, #n'#s #e"& )e"n$/n"a$s& #n#$

pelepasan plasena 'an !en,#"an,& $e%&lan,an 'a"a%+ asp&"as& '& la$#a$n

#n#$ !en,%&n'a"& !as#$n*a /$s&%/s&n 'ala! pe!)#l#% 'a"a%.'3 La$#$an penep&an 'an pe!//n,an al& p#sa Alasan : sela!a p"/ses pen*#n&$an a$an !e!)e"&$an 0a$# pa'a

)a*& #n#$ !en'apa$an 'a"a% sa!pa& penep&an al& p#sa.

e3 2e"&$an )a*& pa'a &)# #n#$ &n&s&as& !en*#s# '&n& Alasan : IMD 'apa !en-e,a% e"a'&n*a %&p/e"!&+ pe",e"a$$an

an&n pa'a a)'/!en se"a &sapan !#l# )a*& pa'a p#&n, s#s# 'apa

!en&!)#l$an $/n"a$s& #e"#s #n#$ !en-e,a% e"a'&n*a pen'a"a%an.43 Pe"e,an,an al& p#sa e"$en'al&

a3 2&'an )e"'&"& '& sa!p&n, &)# )e"sal&n )3 P&n'a%$an $le! al& p#sa se$&a" >84< -! 'a"& (#l(a #n#$ !en-e,a%

e"a'&n*a a(#lse

-3 Lea$$an an,an $&"& '& aas pe"# &)# epa '& aas s&!p&s&s #n#$

!e!e"&$sa $/n"a$s& #e"#s'3 Seela% e"a'& $/n"a$s& #e"#s *an, $#a+ e,an,,$an al& p#sa 'en,an

an,an $aanan 'aan an,an $&"& !ene$an #e"#s $e a"a% l#!)al Dan $epala &)# '/"s/$"an&al3

e3 2&la plasena )el#! lepas+ #n,,# %&n,,a #e"#s )e"$/n"a$s& 'an #lan,&

$e!)al& pe"e,an,an al& p#sa e"$en'al&PTT33 Saa e"l&%a a'a an'a pelepasan plasena+ an#"$an &)# #n#$ se'&$&

!ene"an sa!)&l eap !ela$#$an PTT.

,3 ;&$a plasena e"l&%a '& &n"/&#s (a,&na la%&"$an plasena sea"a% alan la%&"+

$a"ena selap# $e#)an !#'a% "/)e$+ pe,an, plasena 'en,an $e'#a

an,an 'an se-a"a le!)# p#a" plasena se%&n,,a selap# e#)an e"p&l&n

!ena'& sa#.

%3 La$#$an pena"&$an pe"la%an 'an le!)# #n#$ !ela%&"$an selap# $e#)an

#n#$ !en-e,a% e"&n,,aln*a selap# $e#)an.

53 Masase #n'#s #e"&a3 Tan,an $&"& '&lea$$an '& aas #n'#s #e"&

)3 Ge"a$$an 'en,an pe"la%an an,an 'en,an se'&$& '& e$an !e!#a" sea"a%

a"#! a!

-3 Ka& $/n"a$s& sela!a 184 !en&+ 'an )/!)&n, &)# 'an $el#a",a #n#$

!ela$#$an !asase #e"#s


5/12

TINDAKAN YANG TIDAK DI PERBOLEHKAN PAADAA

MANAJEMEN AKTIF KALA III

13 Masase #e"#s se)el#! plasena la%&"

43 Mena"&$ plasena $el#a" se)el#! a'a an'a pelepasaan plasena

53 Mela$#$an $aee"&sas& *an, &'a$ pe"l#

63 T&'a$ !ela$#$an !asaase #e"#s>3 Me!)&a"$an plasena *an, s#'a% e"lepas 'ala! $a(#! #e"&

?3 Mela$#$an PTT *an, e"laal# $#a

1.5 PEMERIKSAAN PLASENTA 7a"a *an, 'apa '&,#na$an #n#$ !ela$#$an pe!e"&$saan plasena a'ala% :

13 Pe"&$sa )a,&an !e!)"ane aa# selap#+ 'en,an -a"a an,an $&"& !e!e,an, al&

p#sa 'an )a,&an selap# '&)&a"$an !en,,an#n, $e!#'&an !as#$$an an,an 'an

'&"enan,$an 'ala! !e!)"ane #n#$ !e!e"&$sa $elen,$apann*a.43 Pe"&$sa )a,&an !ae"nal+ 'en,an -a"a plasena '&lea$$an pa'a pe"!#$aan *an,

"aa 'en,an $ea'aan )a,&an !ae"nal se)ela% aas '&)a0a% -a%a*a *an, )a&$+

apa)&la e"'apa )e$#an 'a"a% pa'a pe"!#$aan plasena la$#$an pe!)e"s&%an+

la$#$an pe!e"&$saan $/&le'/n+ apa)&la a'a $/&le'/n *an, pe-a% %a"#s

'&lea$$an $e!)al&= '&sa#$an $e!)al& #n#$ !e!as&$an &'a$ a'a )a,&an

e"&n,,al.

53 Pe"&$sa al& p#sa+ pa'a pe"!#$aan )a,&an eal pe"&$sa &nse"s& al& p#sa+

#!#!n*a &nse"s& al& p#sa e"'apa '&en,a%+ eap& a'a p#la *an, e"'apa

'&sa!p&n,. ;&$a e"'apa '#,aan )a%0a e"'apa plasena aa# !e!)"ane *an, &'a$

len,$ap+ la$#$an penaala$sanaan ses#a& 'en,an a-/" pen*e)a)n*a.

1.6 PEMANTAUAN KALA III

13 K/n"a$s& Seela% plasena e"lepas 'an la%&"+ #e"#s !ela$#$an $/n"a$s&+ $/n"a$s& %a"#s

e"#s '&pana# sa!pa& $ala IV pe"sal&nan+ )&la '&'apa$an #e"#s *an, $/n"a$s&n*a

ele$ aa# )a%$an &'a$ )e"$/n"a$s& $e!#n,$&nan e"a'& a/n&a #e"& se)a,a& sala%

sa# pen*e)a) pe"'a"a%an seela% pe"sal&nan.43 R/)e$an alan la%&" Pe"%a&$an 'an e!#$an pen*e)a) pe"'a"a%an 'a"& lase"as& aa# "/)e$an pe"&ne#!

'an (a,&na+ n&la& pe"l#asan lase"as& alan la%&" 'an pe"&ne#! #n#$ !en,ea%#& en&s

penaala$sanaan *an, a$an '&la$#$an.53 Tan'a @ an'a (&al


6/12

a3 Te$anan 'a"a% : e$anan s&s/l&$ 'an '&as/l&- !#la& $e!)al& $e&$a se)el#!

pe"sal&nan. )3 Na'& : se-a"a )e"a%ap $e!)al& $e&n,$a se)el#! pe"sal&nan.

-3 S#%# : s#%# #)#% !en&n,$a se-a"a pe"la%an.

'3 Pe"napasan : $e!)al& )e"naas n/"!al.

e3 A$&(&as ,as"/&nes&nal : &$a &'a$ e"pen,a"#% /)a8/)aan+ !/&l&as la!)#n,

'an a)s/"ps& $e!)al& $e a$&(&as n/"!al.

1.> KE2UTUHAN I2U 2ERSALIN KALA III

13 Kee"a"&$an &)# pa'a )a*&n*a Seela% $ela%&"an )a*&+ &)# 'an $el#a",a 'en,an pen#% "asa &n,&n a%#

!enan*a$an pa'a )&'an !en,ena& $ea'aan )a*&n*a+ apa$a% en&s $ela!&nn*a+

apa$a% )a*& 'ala! $ea'aan n/"!al+ apa$a% )a*& 'ala! $ea'aan )a&$ 'an )&sa

)e"a'apas& 'en,an l&n,$#n,an )a"#n*a.

43 Kea'aan &)# Seela% &)# )e"sal&n !en,ea%#& )a%0a en&s $ela!&n )a*&n*a 'an $ea'aan

&s&$n*a+ pe"%a&an &# )a"al&% pa'a $ea'aan '&"&n*a+ apa$a% plasenan*a s#'a% la%&"+

apa$a% e"'apa l#$a pa'a alan la%&"+ apa)&la e"'apa $ea'aan *an, a)n/"!al

!a#p#n *an, &s&/l/,&s e"a'&+ se/"an, )&'an pe"l# !enelas$an !en,ena& $ea'aan

&)#+ p"/ses pe"sal&nan selan#n*a se"a &n'a$an apa saa *an, '&la$#$an pa'a &)#

)e"sal&n.

1.? DETEKSI KOMPLIKASI KALA III

2e"&$# &n& $/!pl&$as& *an, e"a'& pa'a $ala III :13 Reens&/ plasena A'ala% plasena *an, )el#! e"lepas 'an !en,a$&)a$an pe"'a"a%an *an, &'a$

e"l&%a. Kea'aan &n& e"a'& apa)&la pla-ena )el#! la%&" 'ala! 5< !en& seela% )a*&

la%&". Hal &n& e"a'& a$&)a :

a3 Pe"le$aan plasena *an, e"a pa'a '&n'&n, #e"#s $a"ena (&ll& $/"&al&s !ene!)#s

'es&'#a sa!pa& $e pe"&/ne#!.

)3 Plasena s#l& e"lepas $a"ena )e)e"apa se)a) *a&# :

• Te"lea$ '&s#'# #)a.

•

U$#"an plasena *an, e"lal# $e-&l.• Plasena *an, )e")en#$ !ele)a" sepe"& !e!)"an.

-3 K#"an, $#an*a $/n"a$s& #e"#s #n#$ !elepas$an plasena.

43 Plasena e"lepas se)a,&an Sala% sa# pen*e)a) pe"'a"a%an $ala III e"a'& a$&)a pelepasan plasena

se)a,&an. T&n'a$an !assase #e"#s se)el#! plasena la%&" !e"#pa$an pen*e)a) #a!a

e"a'&n*a pelepasan plasena se)a,&an.


7/12

53 S&sa plasena Apa)&la seela% plasena la%&" !as&% e"'apa pe"'a"a%an se-a"a e"#s !ene"#s

eap& TFU &'a$ #"#n se,e"a pe"&$sa $elen,$apan plasena+ p//n,an8 p//n,an

plasena *an, e"&n,,al )&asan*a !en&!)#l$an pe"'a"a%an p/spa"#!.

63 In(e"s&/n #e"& A'ala% $ea'aan #e"#s *an, !e!)al&$ 'a"& )a,&an 'ala! $el#a" se%&n,,,a )a,&an

'ala! #n'#s !en/n/l $el#a" !elal#& /"&&s! se"(&$s sa!pa& $e &n"/&#s (a,&na. Pen*e)a) e"a'&n*a &n(e"s&/ #e"& a'ala% :

a3 Ue"#s *an, &'a$ )e"$/n"a$s&.

)3 Kanal&s se"(&$al&s *an, l/n,,a".-3 Te$anan aa# a"&$an pa'a #n'#s 'an a"&$an pa'a al& p#sa.

Geala *an, e"a'& :

a3 I)# !en,ala!& s*/$. )3 F#n'#s #e"& &'a$ e"a)a= e"a)a le$#$an pa'a #n'#s.

-3 Ta!pa$ se)#a% #!/" )e"0a"na !e"a% '&l#a" (#l(a aa# '&'ala! (#l(a *a&# )a,&an

#n'#s #e"& *an, e")al&$.

'3 Te"a'& pe"'a"a%an.

Penan,anan : la$#$an "ep/s&s& #lan,.

1. TINDAKAN @ TINDAKAN PADA KALA III

13 Man#al plasena

A'ala% &n'a$an #n#$ !elepas plasena se-a"a !an#al !en,,#na$an an,an

'a"& e!pa &!planas&n*a 'an $e!#'&an !ela%&"$ann*a $el#a" 'a"& $a(#! #e"&.P"/se'#" !an#al plasena:

a3 Pasan, &n#se se 'an -a&"ann*a

)3 ;elas$an pa'a &)# p"/se'#" 'an ##an &n'a$an

-3 La$#$an anases& (e")al aa# anal,es&a pe" "e-al'3 Sap$an !enalan$an pen-e,a%an &ne$s&.

T&n'a$an:

a3 Pas&$an $an'#n, $e!&% 'ala! $ea'aan $/s/n, )3 ;ep& al& p#sa 'en,an $le! pa'a a"a$ >81< -! 'a"& (#l(a+ e,an,$an

'en,an sa# an,an seaa" lana&.-3 Se-a"a /)se"&-+ !as#$$an an,an $anan p#n,,#n, $anan !en,%a'ap $e

)a0a% 3 $e 'aa! (a,&na 'en,an !enel#s#"& s&s& )a0a% al& p#sa.


8/12

'3 Seela% !en-apa& )#$aan se"(&$+ !&na as&sen #n#$ !e!e,an, $le! al&

p#sa+ 'an p&n'a%$an an,an $&"& pen/l/n, #n#$ !ena%an #n'#s.e3 Sa!)&l !ena%an #n'#s #e"&+ !as#$$an an,an $anan sa!pa& $e $a(#!

#e"& se%&n,,a !en-apa& e!pa &!planas& plasena.

3 2enan,$an an,an /)se"&- !ena'& 'aa" sepe"& !e!)e" sala! p/s&s& a"&!e"apa 3

,3 Ten#$an e!pa &!planas& plasena 'an e!#$an ep& plasena pal&n,

)a0a%.

%3 Mas#$$an ##n, a"& '& aas plasena 'an '&'n'&n, #e"#s 'an pe"l#as

pelepasan plasena 'en,an !en,,ese" an,an $ea "a% $anan 'an $&"& sa!)&l

'& ,ese"$e aas sa!pa& e"lepas sel#"#%n*a.

&3 La$#$an e$sp/"as #n#$ !en&la& &'a$ a'an*a s&sa plasena *an, e"&n,,al.

3 T&n'a$an an,an $&"& $e s#p"a s&!p&s&s #n#$ !ena%an se,!en )a0a% "a%&!+

$e!#'&an an,an $anan !e!)a0a plasena $el#a".$3 Seela% plasena '& la%&"$an la$#$an pene$anan pa'a an,an $&"& $ea "a%

'/"s/$"an&al

l3 La$#$an &n'a$an pen-e,a%an &ne$s& 'an pe!ana#an pas-a &n'a$an.

4. K2I KOMPRESI 2IMANUAL INTERNA 3

A'ala% !ela$#$an pene$anan pa'a )a,&an /"n&$s ane"&/" 'an '&n'&n,

p/se"&/" #e"#s #n#$ !e!)e"&$an e$anan lan,s#n, pa'a pe!)#l#% 'a"a% )e$as

&!planas& plasena '& '&n'&n, #e"#s *an, e")#$a 'an !e"an,san, !&/!e"!

)e"$/n"a$s&.

P"/se'#" K2I:

a3 Pa$a& sa"#n, an,an DTT aa# se"&l 'en,an le!)# !as#$$an an,an

$anan pse-a"a /)se"&+ !elal#& &n"/&#s $e'ala! (a,&na &)#.

)3 Pe"&$sa (a,&na 'an se"(&$s 'a"& selap# $e#)an 'an )e$#an 'a"a%+

!#n,$&n %al &n& se)a,a& pen*e)a) #e"#s &'a$ )e"$/n"a$s&

-3 Kepal$an an,an $anan 'an e!pa$an 'ala! (e"n&$s ane"&/"+ e$an

'&n'&n, ane"&/" #e"#s $ea "a% an,an l#a" *an, !ena%an 'an !en'/"/n,

'&n'&n, p/se"&/" #e"#s $ea"a% 'epan se%&n,,a #e"#s '& e$an 'a"& a"a%

'e/an 'an )ela$an,

'3 Te$an $#a #e"#s '& ana"a $e'#a an,an

e3 La$#$an e(al#as&:


9/12

• ;&$a #e"#s )e"$/n"a$s& 'an pe"'a"a%an )e"$#"an, e"#s$an K2I

sela!a 4 !en&+ $e!#'&an $el#a"$an an,an pe"la%an

• ;&$a #e"#s )e"$/n"a$s& eap& pe"'a"a%an !as&% a'a+ pe"&$sa

pe"&ne#!+ (a,&na 'an se"(&$s #n#$ !e!as&$an a'an*a "/)e$an

alan la%&"+ la$#$an pena%&an.

• ;&$a #e"#s &'a$ )e"$/n"a$s& 'ala! > !en&+ aa"& $el#a",a K2E

'an la$#$an "##$an.

3 2e"&$an e",/!e"&n

5. K2E KOMPRESI 2IMANUAL EKSTERNA3 2&la seela% !ela$#$an K2E sela!a > !en& &'a$ '& 'aapa$an #e"#s

)e"$/n"a$s& aa"& pen'a!p&n, pe"sal&nan=$el#a",a K2E. K2E a'ala% &n'a$an pen,%en&an pe"'a"a%an 'an !e"an,san, $/n"a$s&

#e"#s 'en,an -a"a pene$anan pa'a )a,&an '&n'&n, 'epan 'an )ela$an, #e"#s

'en,an !a$s#' #n#$ !enep& pe!)#l#% #'a"a #e"#s.

P"/se'#" K2E:a3 Lea$$an sa# an,an pa'a '&n'&n, a)'/!en 'an '&n'&n, 'epan $/"p#s

#e"& 'an '& aas s&!p&s&s p#)&s )3 Lea$$an an,an la&n pa'a '&n'&n, a)'/!en 'an '&n'&n, )ela$an, $/"p#s

#e"&+ seaa" 'en,an '&n'&n, 'epan $/"p#s #e"&. Usa%a$an #n#$

!en-a$#p=pe,an, )a,&an )ela$an, #e"#s sel#as !#n,$&n.

-3 La$#$an $/!p"es& #e"#s 'en,an -a"a sal&n, !en'e$a$an an,an 'epan

'an )ela$an, a,a" pe!)#l#% 'a"a% '& 'ala! an*a!an en'/!e"! 'apa

'& ep& se-a"a !an#al.

6. KAA KOMPRESI AORTA A2DOMINALIS3 Ya&# &n'a$an pene$anan pa'a a/"a a)'/!&nal&s *an, )e"a'a '& 'e$a

$/l#!na (e"e)"al&s #n#$ !en,%en&$an al&"an 'a"a% *an, !elal#& a/"a

a)'/!&nal&s se%&n,,a pe"'a"a%an )e"%en&. P"/se'#" KAA:


10/12

a. Pen/l/n, )e"a'a '& se)ela% $anan &)#

). A#" p/s&s& pen/l/n, se%&n,,a &)# )e"a'a '& $e&n,,&an *an, sa!a 'en,an

p&n,,#l pen/l/n,

-. T#n,$a& &)# '& lea$$an pa'a 'asa" *an, "aa 'en,an se'&$& le$ss&

'. 7a"& 'an "a)aa a"e"& e!/"al&s 'en,an alan !elea$$an ##n, a"& el#n#$

'an a"& en,a% an,an $anan paa'a l&paan pa%a+ pas&$an p#lsas& a"e"&

)e"a'a 'en,an )a&$

e. Kepal$an an,an $&"& 'an e$an )a,&an p#n,,#n, a"& el#n#$ sa!pa&

$el&n,$&n, pa'a #!)&l&-#s $ea"a% $/l#!na (e"e)"al&s $ea "a% e,a$ l#"#s

. Den,an eap !e!pe"a%an$an p/s&s& an,an $&"& pas&$an p#lsas& a"e"&

e!/"al&s &'a$ e"a)a+ )&la p#lsas& a"e"& e!/"al&s nas&% e"a)a )e"a"&

e$anana )el#! sanpa& $e a/"a a)'/!&nal&s pe")a&$& p/s&s& 'an la$#a$n

pene$anan $e!)al&

,. 2&la pe"'a"a%an )e"%en& aa# )e"$#"an,+ pe"a%aan$an p/s&s& 'an !&na

ass&san #n#$ !ela$#a$n !assa,e #e"#ss sa!pa& a'aa $/n"a$s&%. K/!p"es& )&sa '& lepas$an )&la pe"'aa"a%an )e"%en& 'an #e"#s )e"$/n"a$s&

'en,an )a&$.

CUIS:

13 Da"& )e)e"apa pe"n*aaan '& )a0a% &n&+ !ana saa$a% *an, !en*e)a)$an pen#"#nan

$epala an&n

;a0a)an:

Te$anan -a&"an a!n&/n

Te$anan lan,s#n, #n'#s pa'a )/$/n, e$sens& 'an pen#"#nan )a'an an&n aa# #lan, )ela$an,

43 P/s&s& *an, &'a$ '& an#"$an #n#$ &)# %a!&l a'ala%;a0a)an : e"lenan,

53 Da"& pe"n*aaan )e"&$# &n& !ana$a% *an, !e"#pa$an pen*e)a) e"a'&n*a &n(e"s&/n

#e"& pa'a saa pe"sal&nan


11/12

;a0aa)an: #e"#s *an, &'a$ )e"$/n"a$s&+ $anal&s se"(&$al&s *an, l/n,,a" 'an

e$anan aa# aa"&$a pa'a #n'#s 'an a"&$an pa'a al& p#sa63 Pa'a ,a!)a" '& )a0a% &n&+ #n#$$an )a,&an *an, a$an !ela$#$an pe"p#a"an pa'a

"/as& l#a" *an, )&asan*a pe"p#a"an e"se)# !en,&$#& 'en,an p#n,,#n, an&n

;a0a)an: #)#n8#)#n $e-&l=/nanel !&n/"=la!)'a>3 *an, !e"#pa$an &n'&$as& ep&s&//!* a'ala%;a0a)an: !en-e,a% "/)e$an 'a"& pe"&ne#! $a$#

?3 pe"asa *an, '& ,#na$an pa'a pe"sal&nan s#n,san, *an, )e"##an #n#$ !ela%&"$an

)a%# 'epan e"le)&% 'a%#l#;a0a)an: -a"a !#lle"

3 'a"& ,a!)a" '& )a0a% &n&+ !ana$a% *an, !e"#pa$an penan,an #n#$ "eens&/

plasena a0a)an: ,a!)a" n/ 5

B3 -/-/$an pe"asa )e"&$# 'en,an p"&ns&p pela$sanaan*a

;a0a)an: -a"a $las&$ a'ala% !ela%&"$an )a%# )ela$an, e"le)&% 'a%#l#7a"a !#lle" a'ala% !ela%&"$an )a%# 'epan e"le)&% 'a%#l#

7a"a l/(se a'ala% !e!#a" )a%# )ela$an, *an, )e"#)a% !ena'& )a%# 'epan

7a"a !/#"&-ea# a'ala% !ela%&"$an $epala an&n

3 $e#n#n,an 'a"& p/s&s& '#'#$ aa# seen,a% '#'#$ a'ala% !en,&$#& ,a*a ,"a(&as&

#n#$ !e!)an# &)# !ela%&"$an )a*&n*a.;a0aa)an: )ena"

1<

lan,$a% APN

;a0a)an: a. !e!a$a& sa"#n, an,an DTT pa'a $e'#a an,an ). saa $epala an&n e"l&%a pa'a (#l(a 'en,an '&a!ee" >8? -!+ !e!asan, %an'#$

)e"s&% #n#$ !en,"&n,$an an&n pa'a pe"# &)#-. !e!"&$sa a'an*a l&lan al& p#sa pa'a le%e" an&n

'. !en#n,,# %&n,,a $epaa a&n&n selea& !ela$#$an p#a"an pa$s& l#a" se-a"aa"a

sp/nane.seala% $epaa !ela$#$an p#a"an pa$s& l#a"+ pe,an, se-a"a )& pa"&eal.


12/12

143 pa'a $ala II e"a'& pe"#)a%an )en#$ #e"#s *an, !ena'& /(al $a"ena a'an*a

pe",e"a$an an&n;a0a)an: )ena"

153 'a"& ,a!)a" '&)a0a% &n& !ana$a% p/s&s& *an, 'apa !e!pe"-epa pe"sal&nan+ na!#n

)e"es&$/ e"a'&n*a lase"as& pe"&n&e#!;a0a)an: p/s&s& /n,$/$

163 en&s ep&s&//!* *an, $e"#,&ann*a 'apa !e!pe"l#as "/)e$an %&n,,a sp&n$e" an#s

'&se)#.;a0a)an: ep&s&//!/ !e'&al&s

1>3 )e"&$# &n& !e"#pa$an &n'a$an *an, %a"#s '&la$#$an pa'a !ene!en a$& $ala III

*a&#;a0a)an: !ela$#$an !assase #e"#s seela% plasena la%&"

1?3 !ana$a% 'a"& $e e!pa (&'e/ '&sa!p&n, &n& *an, !e"#pa$an -a"a !ela$#$an K2E

*an, )ena"

;a0a)an: (&'e/ 7

13 )e"&$# &n& !e"#pa$an $e#n#n,an 'a"& '&la$sana$ann*a !enee!en a$& $ala III

pe"sal&nan+$e-#al&

a0a)an: !en#"#n$an $ea'&an '&s/s&a )a%#1B3 pe"asa *an, '&,#na$an 'ala! !en/l/n, '&s/s&a )a%# '&se)#..

a0a)an: !ane#(e" M-."/)e

13 se-a"a &s&/l/,&s $ala III pe"sal&nan e")a,& aas 5 $ea'&an *a&# pelepasan plasena+

pen,el#a"an plasena+ 'an !assase #e"#s

;a0a)an: sala%

4

asuhan persalinan kala iii

Documents