laporan pendahuluan departemen maternitas

7/23/2019 Laporan Pendahuluan Departemen Maternitas

1/10

Laporan Pendahuluan Departemen Maternitas

POST SECTIO CAESAREA + BEKAS SC + PAN!L SEMPIT RELATI" +

POST TERM

Oleh:

Kelompok 05

MAQHVIROH NURVITASARI R.

105070200111045

#!R!SAN ILM! KEPERA$ATAN

"AK!LTAS KEDOKTERAN

!NI%ERSITAS BRA$I#A&A

MALAN

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2/10

LAPORAN PENDA!L!ANDEPARTEMEN EMERENC&

POST TERM

), PENERTIANDef!" Keh#ml#! $e%#& %#k&' ()o"T Te*m+ #,#l#h keh#ml#! -#!

mele%#& 2/4 h#* #' leh ,#* 42 m!' $e!k#p. ( I$m' ke,#!#!: h#l

17+.)o"&m#&'* me!'!'k#! #' me!#m#*k#! ke#,##! #!! -#! l#h*

&el#h mel#mp#' #" %#k&' pe*"#l!#!!-#3 "eh!# ,#p#& me!-e#k#!

ee*#p# komplk#". ('k' )e!#!* K'l#h O"e&*: h#l 450+. Keh#ml#!

le%#& 'l#!3 "'#&' ko!," #!&ep#*&'m3 h#*'" ,e,#k#! ,e!#! "!,*om

p#"# m#&'*"3 -#! me*'p#k#! ko!," !eo!#l -#! ,,#!o"" "e&el#h

peme*k#"##! #- #*' l#h*.Ke#k'*#! ,#l#m mempe*k*#k#! '"# keh#ml#! me!!k#& pe"#& "e#k

#,#!-# US6 -#! m#k! #!-#k ,'!#k#!. K"#*#! op&m'm #*#" l#m#

e"" p#,# m#!'"# el'm ,keh' h!# k!3 ,#! pe!ep#! ,'#

m!' mele%#& k"*#! pe*"#l!#! (T)+ m#"h e*'#h8'#h. Me"kp'!

!",e!" keh#ml#! le%#& 'l#! *el#&f *e!,#h3 ee*#p# "&', me!'!'kk#!

#h%# "e##! e"#* !,'k" -#! ,#,%#lk#! ,e!#! !,k#" keh#ml#!

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US6. Ak#&!-# !,'k" -#! me!#, e*"f#& *el#&e.

2. ETIOLOI)e!-e# l#h* m#&!-# &,#k m',#h ,p#h#m ,#! '# &,#k #,#

ke"ep#k#! &e!! pe!,ek#! -#! p#l! &ep#& '!# me!e#h

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m!' f*ek'e!"!-# #,#l#h 1034 9 12. Ap#l# ,#ml #" %#k&' 4

m!' f*ek'e!"!-# #,#l#h 34 84 (Oh*3R'"m31//;+.


3/10

e*k'*#! ( Moh*3 R'"m3 1///+. D,'# #,#!-# k#,#* ko*&"ol -#!

*e!,#h p#,# ,#*#h #!!. Sel#! &'3 k'*#!!-# #* ke&'#! ,#! !"'f"e!"

pl#"e! '# ,,'# e*h''!#! ,e!#! keh#ml#! le%#& %#k&'.


4/10

po"&m#&'* @lffo*, m#& ,#! #!-#k -#! "#k& e*#& #k#& #"fk"# l#h*

,#! #"p*#" meko!'m. e*#p# #- -#! e*h#! h,'p me!#l#m

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m#"!8m#"! el'm ,#p#& ,&e!&'k#! ,e!#! p#"&. S-!,*ome !

&e*#, p#,# "ek* 10 keh#ml#! #!*# 41 ,#! 4 m!' "e*

me!!k#& me!#, p#,# 44 m!'. Oloh,*#m!o! -#!

me!-e*!-# "e#*# !-# me!!k#&k#! kem'!k!#! po"&m#&'*".

5. KOMPLIKASITerhadap i-u)e*"#l!#! "e*o&!'" ,#p#& me!-e#k#! ,"&o"# ,k#*e!#k#! oleh:

Ak" '&e*'" -#! &,#k &e*koo*,!* ,k#*e!#k#! k#,#* p*oe"&e*o! -#!

&,#k &'*'! p#,# keh#ml#! "e*o&!'" m#k# kepek##! &e*h#,#p ok"&o"!

e*k'*#! "eh!# e"&*oe! &,#k 'k'p '!&'k me!-e,#k#!

p*o"l#!,! -#! e*pe*#! &e*h#,#p pe!p"#! "e*k" ,#! ko!&*#k"

'&e*'" "eh!# "e*! ,,#p#&k#! #k" '&e*'" -#! &,#k &e*koo*,!*.

>#!! e"#* oleh k#*e!# pe*&'m'h#! #!! -#! &e*'" e*l#!"'! ,#!

,#p#& me!m'lk#! @)D ,e!#! ,e*##& -#! me!#kh#%#&*k#!

#k#&!-# pe*"#l!#! &,#k ,#p#& e*l#!"'! "e#*# !o*m#l3 m#k# "e*!

,'mp# pe*"#l!#! l#m#3 !e*"# '&e*3 ,"&o"# #h' ,#! pe*,#*#h#! po"&p#*&'m.

Terhadap .anin

f'!" pl#"e! me!#p# p'!#k!-# p#,# keh#ml#! 2; m!'

kem',#! m'l# me!'*'! &e*'*m# "e&el#h 42 m!'3 h#l ! ,#p#&

,'k&k#! ,e!#! pe!'*'!#! k#,#*e"&*ol k#,#* pl#"e! ,#! e"&*oe!.

Re!,#h!-# f'!" pl#"e! e*k#! ,e!#! pe!!k#! ke#,#! #%#&

#!! ,e!#! *e"ko k#l. Ak#& ,#* p*o"e" pe!'##! pl#"e! m#k#

p#"ok#! m#k#!#! ,#! ok"e! #k#! me!'*'! ,"#mp! ,e!#! #,#!-#

"p#"me #*&e* "p*#l". T#!,#8!,# p#*&'" po"&&e*m ,# me!#,

",'m: S,'m I : k'l& me!'!'kk#! kehl#!#! e*!k" k#"eo"# ,#!

m#"e*#" e*'p# k'l& ke*!3 *#p'h ,#! m',#h me!el'p#". S,'m II : e#l# p#,# ",'m "#&' ,m#h ,e!#! pe%#*!##!

meko!'m (keh#'#! p#,# k'l&+. S,'m III : pe%#*!##! keke'!!#! p#,# k'k'3 k'l& ,#! l p'"#&.

)#,# k#"'" -#! l#! #"#!-# &e*#, !"'f"e!" pl#"e!. Dm#!#

pl#"e! #k "e#*# #!#&om" m#'p'! f"olo" &,#k m#mp'


5/10

meme*k#! m#k#!#! ,#! ok"e! kep#,# fe&'" '!&'k mempe*h#!k#!

pe*&'m'h#! ,#! pe*kem#!#! "e#*# !o*m#. H#l ! ,#p#&

me!-e#k#! kem#! #!! ,#l#m k#!,'!#!. Vol'me #*#! #m!o!

#k#! me!!k#& "e"'# ,e!#! e*m#h!-# keh#ml#!. )#,#

keh#ml#! 'k'p 'l#! #*#! #m!o! 100081500 ml3 %#*!# p'&h3 ##k

ke*'h3 "e* memp'!-# #' -#! kh#"3 #m"3 ,#! ##k m#!"3 #*#! !

me!#!,'! "ek* /; #*. S"#!-# &e*,* ,#* #*#m o*#!k ,#!

#!o*#!k -#&' *#m'& l#!'o (*#m'& h#l'" -#! e*#"#l ,#* #-+3 "el8

"el ep&el ,#! fo*!k" k#"eo"# (lem#k -#! melp'& k'l& #-.

. Penatala/sanaan

)#,# po"& ,#&"me p*!"p!-# h#*'" ,l#k'k#! &e*m!#" keh#ml#!

D'"#h#k#! keh#ml#! #!#! le%#& 10 h#* ,#* !#l pe*k*##!

pe*"#l!#!.

K#l#' keh#ml#! p#"& leh ,#* 40 m!' ,l#k'k#! !,'k" p#*&'" ,#!

&e*m!#".

)#,# p*m&'#3 &e*m!#" keh#ml#! ,l#k'k#! p#,# !#l pe*k*##!

pe*"#l!#!

Se&el#h keh#ml#! leh ,#* 40 m!' "#!p# ,e!#! 42 m!' -#!

pe!&! #,#l#h mo!&o*! #!! "e#k8#k!-#3 ,e!#! #*# :

No! S&*e"" Te"& (&e"& !p# &ek#!#!+l# mempe*oleh h#"l !o! *e#k&f m#k# !l# "pe"f"" /;3;

me!'!'k#! kem'!k!#! e"#* #!! #k. l# ,&e*'"k#! ,e!#! &e"&

&ek#!#! ,e!#! h#"l po"&f3 h#l ! me!'!'kk#! pe!'*'!#! f'!"

pl#"e! #!!. Te*m!#" ,l#k'k#! ,e!#! "e&o #e"#*e#.

Amnios/op>k# #* ke&'#! e*!h e*#*& #!! ,#l#m ke#,##! #k. >k# #*

ke&'#! "e,k& ,#! me!#!,'! meko!e'm e*#*& #!! me!#l#m

#"fk"#. Ke#,##! -#! me!,'k'! #h%# #!! m#"h #k

mem'!k!k#! '!&'k me!#ml kep'&'"#! :

Me!'!,# &e*m!#" 1 m!' ,e!#! me!l# e*#k #!! ,#! &e"&

!p# &ek#!#! h#* l#.

Mel#k'k#! !,'k" p#*&'".

>k# &,#k #,# !,#8!,# !"'f"e!" pl#"e! pe*"#l!#!

"po!! ,#p#& ,&'!' ,e!#! pe!#%#"#! -#! ke& l#k'k#!

peme*k"##! ,#l#m '!&'k me!eh' kem#!#! "e*k"3 k#l#' "',#h

oleh ,l#k'k#! !,'k" pe*"#l#! ,e!#! #' !p# #m!o&om.


6/10

)#,# pe*"#l!#! pe*#!#m h#*'" ,pe*h#&k#!:

#h%# p#*&'" l#m# #k#! "#!#& me*'k#! #-.

#h%# #!! po"& &e*m k#,#!8k#,#! e"#*3 kem'!k!#!

,"p*opo*" "ef#lo8pelk ,#! ,"&o"# #!! pe*l' ,pe*&m#!k#!.

#h%# #!! po"& &e*m leh pek# &e*h#,#p "e,#&f ,#! !#*ko"#3 oleh

k#*e!# &' #!e"" ko!,'k&f p#l! #k.

#h%# pe*#%#! !eo!#&'" po"& &e*m pe*l' pe!#%#"#! ,ok&e* #!#k.

T!,#k#! ope*#" S@ ,#p#& ,pe*&m#!k#! p#,# !,k#":

I!"'f"e!" pl#"e! ,e!#! ke#,##! "e*k" el'm m#!.

)em'k##! el'm le!k#p3 pe*"#l!#! l#m# ,#! !,# 9 !,# #%#&

#!!. )#,# p*m*#,# &'#3 kem#! #!! ,#l#m k#!,'!#!3

p*eekl#mp"3 #!#k e*h#*# (!fe*&l"+ ,#! ke"#l#h#! lek #!!.

Tanda0tanda Ba1i Post Term

#"#!-# leh e*#& ,#* #- #&e*m

T'l#! ,#! "'&'*# kep#l# leh ke*#" ,#* #- #&e*m.

R#m'& l#!'o hl#! #' "#!#& k'*#!.

Ve*!k" k#"eo"# , #,#! k'*#! .

K'k' p#!#!.

R#m'& kep#l# ##k &e#l

K'l& ##k p'#& ,e!#! ,e"k'#m#" ep&el.


7/10

AS!AN KEPERA$ATAN#+ )e!k##!

o I,e!&" kle! ,#! pe!#!'!

o Kel'h#! 'm# kle! "##& !

o

R%#-#& keh#ml#!3 pe*"#l!#!3 ,#! !f#" "eel'm!-# # kle!m'l&p#*#

o R%#-#& pe!-#k& kel'#*#

o Ke#,##! kle! melp'& :

S*k'l#"

Hpe*&e!" ,#! pe!,#*#h#! #!# -#! m'!k! &e*#,.

Kem'!k!#! kehl#!#! ,#*#h "el#m# p*o"e,'* peme,#h#! k*#8

k*# 008;00 m$

I!&e*" eo

D#p#& me!'!'kk#! p*o"e,'* -#! ,#!&"p#" "e## !,#

ke##l#! ,#! #' *eflek" !e#&f p#,# kem#mp'#! "e##

%#!. Me!'!'kk#! l#l" emo"o!#l ,#* keem*##!3

kek'!3 me!#*k ,*3 #' keem#"#!.

M#k#!#! ,#! #*#!

A,ome! l'!#k ,e!#! &,#k #,# ,"&e!" (,e& ,&e!&'k#!+.

Ne'*o"e!"o*

Ke*'"#k#! e*#k#! ,#! "e!"#" , #%#h &!k#& #!e"&e" "p!#l

ep,'*#l.

N-e* ? ke&,#k!-#m#!#!

M'!k! me!el'h !-e* ,#* e*## "'me* k#*e!# &*#'m# e,#h3

,"&e!" k#!,'! kemh 3 efek 8 efek #!e"&he"#3 !-e* &ek#! '&e*'"

m'!k! #,#.

)e*!#p#"#!

'!- p#*' 8 p#*' e"k'le* ,#! &e*,e!#* el#".

Ke#m#!#!

#l'! #,ome! ,#p#& mp#k "e,k& !o,# ? ke*! ,#! '&'h.

Sek"'#l"

='!,'" ko!&*#k" k'#& ,#! &e*lek , 'mlk'". Al*#! lokhe# "e,#!.

+ D#!o"# Kepe*#%#!

o N-e* #k'& e*h''!#! ,e!#! pelep#"#! me,#&o* !-e* (h"m!3

p*o"l#!,!+ #k#& &*#'m# #*!#! ,#l#m peme,#h#! ("e&o!

#e"#*e#+


8/10

o R"ko &! !fek" e*h''!#! ,e!#! &*#'m# #*!#! ? l'k# ke*!

ek#" ope*#"o A!"e" e*h''!#! ,e!#! k'*#!!-# !fo*m#" &e!! p*o"e,'*

peme,#h#!3 pe!-em'h#! ,#! pe*#%#! po"& ope*#"o Def"& pe*#%#! ,* ?, kelem#h#! f"k #k#& &!,#k#! #!e"&e" ,#!

peme,#h#!

o I!&ole*#!" #k&" ?, &!,#k#! #!e"&e"

+ Re!#!# I!&e*e!"N-e* #k'& e*h''!#! ,e!#! pelep#"#! me,#&o* !-e* (h"m!3

p*o"l#!,!+ #k#& &*#'m# #*!#! ,#l#m peme,#h#! ("e&o!

#e"#*e#+o T''#! : Se&el#h ,e*k#! #"'h#! kepe*#%#! "el#m# B 24 #m

,h#*#pk#! !-e* kle! e*k'*#! ? &e*ko!&*olo K*&e*# h#"l :

Kle! mel#po*k#! !-e* e*k'*#! ? &e*ko!&*ol

C##h &,#k mp#k me*!"

Kle! mp#k *lek"3 ,#p#& e*"&*#h#&3 ,#! e*#k&" "e"'#

kem#mp'#!

o I!&e*e!" :

1. $#k'k#! pe!k##! "e#*# komp*ehe!"f &e!! !-e*

melp'& lok#"3 k#*#k&e*"&k3 ,'*#"3 f*ek'e!"3 k'#l"3 !&e!""!-e* ,#! f#k&o* p*e"p".

2. O"e*#" *e"po! !o!e*#l ,#* ke&,#k!-#m#!#! (m"#l!-# %##h

me*!"+ &e*'m# ke&,#km#mp'#! '!&'k e*kom'!k#" "e#*#

efek&f.. K# efek pe!#l#m#! !-e* &e*h#,#p k'#l" h,'p (eB: e*#k&"3

&,'*3 "&*#h#&3 *lek"3 ko!"3 pe*#"##!3 ,#! h''!#! "o"#l+4. A#*k#! me!'!#k#! &ek!k !o!#!#le&k (*el#k"#" p*o*e"f3

l#&h#! !#p#" ,#l#m3 m#!#"3 "e!&'h#! &e*#pe'&k.+

5. Ko!&*ol f#k&o* 8 f#k&o* l!k'!#! -#! -#! ,#p#& mempe!#*'h*e"po! p#"e! &e*h#,#p ke&,#k!-#m#!#! (*'#!#!3 "'h'3 #h#-#3

,#! "'#*#+. Kol#o*#" '!&'k pe!'!##! ko!&*ol #!#le&k3 k# pe*l'.

R"ko &! &e*h#,#p !fek" e*h''!#! ,e!#! &*#'m# #*!#! ? l'k#

ek#" ope*#" (S@+o T''#! : Se&el#h ,e*k#! #"'h#! kepe*#%#! "el#m# B 24 #m

,h#*#pk#! kle! &,#k me!#l#m !fek"o K*&e*# h#"l :


9/10

T,#k &e*#, !,# 8 !,# !fek" (k#lo*3 *'o*3 ,olo*3 &'mo*3 f'!"o

l#e"#+ S'h' ,#! !#, ,#l#m #" !o*m#l ( "'h' 35 87350 @3

f*ek'e!" !#, 0 8 100B? me!&+ C@ ,#l#m #" !o*m#l (43108103/ 10E ? '$+

o I!&e*e!" :

1. T!#' 'l#! ko!," ,#"#* ? f#k&o* *"ko -#! #,# "eel'm!-#.

@#& %#k&' pe#h ke&'#!.2. K# #,#!-# !,# !fek" (k#lo*3 *'o*3 ,olo*3 &'mo*3 f'!"o l#e"#+. $#k'k#! pe*#%#! l'k# ,e!#! &ek!k #"ep&k4. I!"pek" #l'! #,om!#l &e*h#,#p ek"',#& ? *eme"#!.

$ep#"k#! #l'! "e"'# !,k#"5. A!'*k#! kle! ,#! kel'#*# '!&'k me!' !#! "eel'm ?

"e"',#h me!-e!&'h l'k#. )#!' pe!!k#! "'h'3 !#,3 ,#! peme*k"##! l#o*#&o*'m

'ml#h C@ ? "el ,#*#h p'&h7. Kol#o*#" '!&'k peme*k"##! H ,#! H&. @#& pe*k*##!

kehl#!#! ,#*#h "el#m# p*o"e,'* peme,#h#!;. A!'*k#! !ke !'&*" -#! 'k'p/. Kol#o*#" pe!'!##! #!&o&k "e"'# !,k#"

A!"e" e*h''!#! ,e!#! k'*#!!-# !fo*m#" &e!! p*o"e,'*

peme,#h#!3 pe!-em'h#!3 ,#! pe*#%#! po"& ope*#"o T''#! : Se&el#h ,e*k#! #"'h#! kepe*#%#! "el#m# F B #m

,h#*#pk#! #!"e" kle! e*k'*#!o K*&e*# h#"l :

Kle! &e*lh#& leh &e!#! ,#! &,#k el"#h

Kle! me!'!k#pk#! #h%# #!"e"!-# e*k'*#!

o I!&e*e!" :

1. K# *e"po! p"kolo" &e*h#,#p ke#,#! ,#! ke&e*"e,##! ""&em

pe!,'k'!

2. Tep e*"#m# kle!3 e*"k#p &e!#! ,#! me!'!'kk#! *#"#

emp#&. O"e*#" *e"po! !o!e*#l kle! (m"#l!-#: el"#h+ e*k#!

,e!#! #!"e" -#! ,*#"#k#!4. D'k'! ,#! #*#hk#! kem#l mek#!"me kop!5. e*k#! !fo*m#" -#! e!#* me!e!# p*o"e,'* peme,#h#!3

pe!-em'h#!3 ,#! pe*#%#! po"& ope*#". D"k'"k#! pe!#l#m#! ? h#*#p#! kel#h*#! #!#k p#,# m#"# l#l'7.


10/10

DA"TAR P!STAKA

e!"o! ,#! )e*!oll. 200/. Buku Saku Obstetri dan Ginekologi. >#k#*. '#ll. Diagnosa Keperawatan: Aplikasi Pada Pasien Klinis.

>#k#* : #k#*.

'k' Ke"eh#!.S-#f',!3 A,'l #*3 Pelayanan kese!atan &aternal dan neonatal. !#

)'"k# : >#k#*. 2002.S#"&*#%!# S'l#m#! e&.#l (e,+. 2005. "l&u Kese!atan Reproduksi : Obstetri

Patologi.#k#* :

laporan pendahuluan departemen maternitas

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