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GA N/RA N / J A N /DHA /A Z M/TR I /MA U / I V O

PERDARAHAN PASCA PERSALINAN(HPP)

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Overview

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Prakiraan waktu kematian untukkasus gawat darurat Obstetri

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Overview

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Perubahan aliran darah keuterus pada tahapan kehamilan

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Overview

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Uterus !i"er!arahi o#eh $%Terutama Arteri uterina ber&abang 'e atas mem"er!arahi !in!ing rahimArteri vari!a !an arteri vagina

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Overview

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Management

"ungsi #ntraksi Ott Rahim

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Overview

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Perdarahan $ kehilangan plasma%

hemglbin% trmbsit

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Denisi 'ehi#angan !arah sebana'&''!! (pervaginamatau )''' !! SC(sete#ah ana' #ahir/sete#ah 'a#a $) Primerter*a!i dalam *+ ,am sete#ah

"ersa#inan-ne.atnia uteri /paling sering0

Tissue % sisa "#a&enta+ retensio "#a&enta+

Trauma % #aserasi *a#an #ahir (ser,i's+ "erineum+

,agina)+ ru"tur uteri+ hematomThrombin % gangguan "embe'uan !arah (so#usio

"#a&enta)

-e'un!er *+ ,am 1 )* minggu sete#ah"ersa#inan

Tissue % in.e'si a'ibat sisa "#a&entaTrauma % #aserasi *a#an #ahir

Overview

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PN01A1 HPPOverview

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Atnia 2teri $ uterus ti!a' ber'ontra'si / 'ontra'si*e#e'

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3a'tor risi'o

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O,er,ie2

-ne

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Management

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O,er,ie2

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Prinsip tatalaksana.

Mem"erbai'i "engiriman o'sigen

Menghenti'an "er!arahan

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O,er,ie2

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Pasien !atang!engan "er!arahan

Panggi# "asien

Panggi# bantuanHAMO-TA-I-

(4) 5oo' 3ee# 5istenHAMO-TA-I-

-a!ar Ti!a' -a!ar

6RP $7%8Tan!a8 so'

(8) O8+ IV 5ine 9 :ateter

Urin($)Ambi# !arah+ "eri'sa#ab

Atasihi"o,o#emi

Hb ;

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O,er,ie2

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:rista#oi! (murah+terse!ia @ NaCl '%45(RL) / 'o#oi!(maha#)+ !engan *arum IV ber'a#iber #ebih besar(4 G+

2arna orange)

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O,er,ie2

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HAEMO-TA-I- B stab#ish Aetio#og

Atnia uteri

Rbekan ,alan

lahir

Retensipla!enta

SisaPla!enta

Inversiuteri

Rupturuteri

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O,er,ie2

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-isi *anin

-isi materna#

:oti#e!on#e"as?

PENILAIAN PLACEN-A

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O,er,ie2

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HAE3O-TA-I-

B Massage Uterus

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O1AT UTROTONI:A

B OCto&in In.usion+ rgometrin bo#usIV/IMO,er,ie2

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HAEMO-TA-I-

Anti!iureti'

Hati8 "a!a "asAsma

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#O3PRESI 6I3AN2ALMANUVR 0ANG 1RTUJUAN MMPRTMU:AN DINDING DPAN

DAN 15A:ANG UTRU- B MNGHNTI:AN PRDARAHAN -GRA

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HAEMOSTA-I- B -hi.t to the theatre+ bimanua#&om"ression

:om"resiInterna

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O,er,ie2

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:om"resi 'sterna

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#O3PRESI AOR-A A6DO3INALDI5A:U:AN JI:A :OMPR-I :-TRNA DAN INTRNA -UDAH TIDA:

DAPAT DI5A:U:AN 5AGI

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O,er,ie2

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HAEMO--A-I- B Tam"ona!e 1a##on

#ndm #ateter

Mu!ah !an murah+ !i#a'u'an untu'mengganti'an me'anisme 'om"resi "a!a uterus

(su#it !an me#e#ah'an)

U*ung 'ateter !i"otong !an !isambung !engan 'on!om

ang !ii'at !engan benang

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O,er,ie2

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Masu''an 'e !a#am uterus+ !an !ihubung'an !engan

se#ang in.us !an masu''an !airan *''7*&'

m5

mengembang !an mengganti'an me'anisme 'er*aotot rahim

:on!om B sarung tangan (!iisi !airan *L)

Ji'a su!ah terisi &airan+ u*ung 'ateter

wa,ib diklem

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RE-ENSIO PLACEN-AO,er,ie2

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RO6E#AN 8ALAN LAHIR

Robe'an "a!a%

Perineum Vagina

Otot 5e,ator ani

-er,i's

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RO6E#AN SER9I#SO,er,ie2

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SE3O:A6ER3AN"AA-