8/18/2019 ABORTUS IMMINENS-Ade.ppt Power Point

1/18

ABORTUS IMMINENS

PEMBIMBING

Dr. SRI LESTARI, SpOG

PRESENTAN

ADE IRMA YOETICEA

030.98.002

OPONEN

YESSICA WILANDA

SUSANTI

MELLYA SESWITA

KEPANITERAAN KLINIK KEBIDANAN DAN KANDUNGAN

FAKULTAS KEDOKTERAN UNIVERSITAS TRISAKTI

PERIODE 27 SEPTEMBER – 4 DESEMBER 2004

RSUP FATMAWATI

AKARTA

8/18/2019 ABORTUS IMMINENS-Ade.ppt Power Point

2/18

A!"r#$%&

'(')'* p+-*+#' /+*')' %+!+)$ 1'/#$', (''

*'%) /"%+p% !+)$ ('p'# *($p ()$'r /'($-', !+r$%'/$r'- ('r 20 --$ (' !+r'# !'(' /$r'- ('r 00 -r.

A!"r#$% ('p'# (-")"-/' '#'% ('%'r &

4. '!"r#$% %p"#'5 '!"r#$% +%

5 '!"r#$% %p+%

5 '!"r#$% /"p)+#$%

5 '!"r#$% /"p)+#$%

2. '!"r#$% pr"6"/'#$%

5 '!"r#$% +(7')%

5 '!"r#$% /r')%

8/18/2019 ABORTUS IMMINENS-Ade.ppt Power Point

3/18

A!"r#$% +% &

')'* p+r%#1' #+r'(' p+r('r'*' ('r

$#+r$% p'(' /+*')' , 20 --$ (+-'

BB ' 00-r #'p' (%+r#' (+-' '(''

p+!$/'' %+r6/% (' (+-' '#'$ #'p'

(%+r#' r'%' $)+%5$)+% (' *'%) /"%+p%

'%* ( (')' $#+r$%.

8/18/2019 ABORTUS IMMINENS-Ade.ppt Power Point

4/18

IKTISAR KASUSI IDENTITAS

Pasien Suami

N'' N.S T FU$r 39 #* :8 #*

A-'' /'#")/ /'#")/  

P+((/' SMP SMP

P+/+r''IRT !$r$*S$/$ '1' '1'

A)''# 7)'('/ 7)'('/ 

Masuk RS tgl 1 okt 2004 !k 21"#0$ %& 

II ANMAMNESIS

A$#"''+%% #-) 4 "/#"!+r 200:, p$/$) 22.00

A. /+)$*' U#''

&elua' (a'a) (a'i kemaluan se*ak ± + *am SMRS

8/18/2019 ABORTUS IMMINENS-Ade.ppt Power Point

5/18

B R1''# P+'/# S+/'r'-

P'%+, N S, 39 #'*$ ('#'- (+-' /+)$*'

/+)$'r ('r'* ('r'* ('r /+')$' %+'/ ; 'SMRS, (%+r#' 7'r' %+p+r# 'r (' )+(r, $)+%5

$)+% (r'%'/' %+'/ 2 *'r '- )')$. R1''#

#r'$' %+!+)$' (%'-/'). P'%+ +-'/$

*') : !$)', PT 2 + 200:, TP : 'r+# 200,

ANC ( p$%/+%'%, #('/ #+r'#$r.

C. R1''# +%#r$'%M+'r7*+ 4 #*, %/)$% *'( 28 *'r )''' <

*'r, !''/'

3 p+!')$#=*'r, +r *'( #('/ '('

8/18/2019 ABORTUS IMMINENS-Ade.ppt Power Point

6/18

D. R1''# p+r/'1'

M+/'* p+r#'' /'), p'(' $$r 2: #*, )'''

p+r/'1' 4 #*

E. R1''# /+*')' (' /+)'*r' %+!+)$'

  K+*')' & -r'6(' :, p'r' 3, '!"r#$% 0

4. T* 4994, )'/5)'/, BB 2?@

5 ANC & ( p$%/+%'%, #('/ #+r'#$r

8/18/2019 ABORTUS IMMINENS-Ade.ppt Power Point

7/18

G.R1''# KB &

#('/ p+r'* KB

. R1''# p+'/#

D%'-/')

I. R1''# "p+r'%

T('/ p+r'*

. R1''# p+'/# /+)$'r-'

T('/ '('

K. R1''# /+!'%'' (r pr!'(M+r"/"/,')/"*"),'$ (' 'r/"!' (%'-/')

L. R1''# -+/")"-%

K+p$#*' %+'/ 4 #'*$ '- )')$,

 >!'$ ?, -'#') ?@!+r"!'# #('/ #+r'#$r ( p$%/+%'%

8/18/2019 ABORTUS IMMINENS-Ade.ppt Power Point

8/18

III PEMERIKSAAN FISIK 

A. S#'#$% -++r')%

  &,-kes . sakit se(ang - /M

TD . 110-70 mmgFN & 400 =

FP & 2: =

TB=BB %/r- & 4;4 7= /-

BB %!) *') &:; /-

K+p')' & "r"7+p*'), r'!$# *#', #('/ $('* (7'!$#  M'#' & /"$-#6' '+%, %/)+r' #('/ /#+r/ 

M$)$# & #"%) T45T4, 'r- *p+r+%>5@, -- -+)- (!N

L+*+r & KGB (' /+)+'r #r"( #('/ #+r'!' +!+%'r

T"r'/% & ''+ & %+#r%, *p+rp-+#'% p'(' /+($' 'r+")',

  r+#r'/% p$##- >5@  C"r & S45S2 r+-$)+r, $r$r >5@, -'))"p >5@

  P$)" & SN 6+%/$)+r, r*"/ (' 1*++- >5@

A!("+ & )*'# %#'#$% -+/")"-%

A"-+#') & )*'# %#'#$% -+/")"-%

E#r+#'% & '/r') *'-'#, +(+' #$-/' >5@

8/18/2019 ABORTUS IMMINENS-Ade.ppt Power Point

9/18

B STAT,S INE&O3OIS

A!("+&

Ins!eksi . memun5it

P')'p'% & NT %$pr' p$!$% >5@, NL >5@, (+'% $%7$)'r >5@

P+r/$% & %*#- ($))+%% >5@A$%/$)#'% & !%- $%$% >?@ "r'), D >?@

A"-+#')

I & 6$)6'=$r+#r' #+'-, +(+' >5@, 6'r%+% >5@, #'p'/ ('r'*

M+-')r ('r #r"#$% 6'-',

I" & p"r#" )6(+, "%#$ #+r#$#$p, )$"r>5@, )$$%>?@,

#'p'/ ('r'* +-')r

V# & P"r#" /+'), +r -"'- p"r#">5@

III. PEMERIKSAAN PENUNANG

4. L'!"r'#"r$

D'r'* #& 32 6") ! & 40,< -=()

L+$/" & 4;.;00 $)  Tr"!" & 2:9.000 $)

  GDS & 444 -=()

2. USG & %+%$' (+-' $$r /+*')' 48549 --$, +#$% *($p,

p)'%+#' ( !+)'/'- , B >?@, -+r'/ >?@, 'r /+#$!' >?@

8/18/2019 ABORTUS IMMINENS-Ade.ppt Power Point

10/18

I%" RES,ME

P'%+ N.S 39 #* ('#'- (+-' /+)$*' p+r('r'*' ('r

/+')$' %+'/ ; ' SMRS. (%+r#' 7'r' %p# )+(r ('

'r, $)+% >?@, r1''# #r'$' %+!+)$' (%'-/').

PT & 255200:

TP & :535200

ANC & p$%/+%'%, #('/ #+r'#$r

P'(' p++r/%'' %/ (('p'#/' &

5 S#'#$% -++r')% & (!N

5 S#'#$% -+/")"-% &

A!("+ & NT %$pr' p$!% >?@, (+'7+ $%7$)'r >5@,+r %$pr' p$!% >?@, %*#- ($))+%% >5@,

  D >?@

8/18/2019 ABORTUS IMMINENS-Ade.ppt Power Point

11/18

P++r/%'' p+$'- &

LAB &)+$/"%#"%%

USG &/+%' %+%$' (+-' $%' /+*')',+#$% *($p

V. DIAGNOSIS

5G:P3 4< --$

5 A!"r#$% +%

5)+/"%#"%% +7 )"$r ')!$%

VI. DIAGNOSA BANDING

5/+#

5")' *('#("%'

VII. PROGNOSIS

I!$ & D$!' '(' !"'

' & ($!'

8/18/2019 ABORTUS IMMINENS-Ade.ppt Power Point

12/18

VIII. PENATALAKSANAAN

O!%+r6'% TNSP, *%, B, USG

!+(r+%#

A"/%) 300-

I!" 44

Pr"+( %$pp 34

D$6'()' 24

8/18/2019 ABORTUS IMMINENS-Ade.ppt Power Point

13/18

T-) 405405200: >p/. 04.00@

S & O% ('#'- /+!') /+ VK (+-' p+r('r'*' %+'/ 40 '

SMRS ,Dr* +r'* , /+#'), %p# -$p')' ('--, /+)$'r 'r>?@,

$)+% >?@, (+'>5@,

O& S# -++r')% &TD & 90=;0 RR&20=

N & 8:= S &3;,; C

  M'#' & CA ?=?

  C=P & (!N

  A!( & T'(' '/$# '!( >5@

  S# "!%#+#r& I& #'p'/ ' ((+p' 6$)6'VT+r'!' #') p$%'# ( "%#$

  L'!&DPL9,:=28=28.00=32.000 GDS 98 -=()

A& G:P3A048--

  A!"r#$% /"p)#

  L+/"%#%% %$%p #r' -+#')  A+' +7 p+r('r'*'

P& O!%6 TNSP, P+r('r'*'

  I$% %#"%" 20 $  $%'*'/' )'*r #"#"

  B)' #(/ )'*r #"#"  /$r+#'%+ ; ' %#)* ABK+('7)) 2 -r

  +"!" 24

8/18/2019 ABORTUS IMMINENS-Ade.ppt Power Point

14/18

T-) 40=40 > p/) 42.00@

()'/$/' /$r+#'%+ (')' SA? 6')$5 %"('%+ 43 7 AF

5 (- /$r+# #'' (/+)$'r/' 'r-'

2 77,

%#)* %!)' (- '!"r#$% #'-

/+)$'r 0 77

5 +#+r- 20,2- IV

)'! & 9,:=28=28.00=32.00GDS& 98 -=()

8/18/2019 ABORTUS IMMINENS-Ade.ppt Power Point

15/18

T-) 44=40

S& #('/ '(' /+)$*'

O& /$=/+% & %'/# %(-=CM

TD & 90=;0 -

N & 8: =

RR & 20 =

S & 3;,9 C'#' & CA ?=?

C=P & (!N

'!( & #'(' '/$# >5@

A& p'%7' /$r+#P& '"/% 300-

  *+"!" 44

  +#+r- 34

8/18/2019 ABORTUS IMMINENS-Ade.ppt Power Point

16/18

ANALISA KASUS

Ao'tus e'(asa'kan (e6inisina a(ala) !engelua'an )asil konse!si

seelum *anin (a!at )i(u! (ilua' kan(ungan (engan usia ku'ang (a'i 20minggu (an e'at *anin elum men5a!ai 800 g'"

&elu)an utama !a(a ao'tus a(ala) !e'(a'a)an !e'9aginan (imana !a(a

 !asien ini" N s #: t) (atang (engan kelu)an !e'(a'a)an !e'9aginam se*ak ± 

+ *am SMRS (ise'tai kelu)an tama)an e'u!a 'asa mules kelua' 5ai'an (an

len(i' " Se'ta !a(a !eme'iksaan 6isik ti(ak te'(a!at (ilatasi se'9ik"Penea ao'tus se5a'a ga'is esa' te'agi men*a(i (ua e'(asa'kan

6akto' mate'nal (an 6akto' )asil konse!si " !a(a !asien ini !eneana masi)

 !e'lu (i5a'i" Da'i 6akto' konse!si kelainan !e'kemangan mau!un

 !e'tumu)an )asil konse!si (a!at meneakan kematian *anin mau!un

5a5at teta!i (a'i )asil !eme'iksaan ,S ti(ak (i(a!ati kelainan" Penea

lain isa e'u!a kelainan k'omosom (a'i ee'a!a !enelitian tama!ak );a

80

8/18/2019 ABORTUS IMMINENS-Ade.ppt Power Point

17/18

F'/#"r '#+r') '- +$-//' +'( p++!'! '!"r#$%,

'#'r' )' '(')'* +/%. P'(' p'%+ (('p'#/' r1''# /+p$#*',

(' *'%) p++r/%'' )'!, !+r$p' )+/"%#"%%, %+*--' *')

+$-//' #+r'(' +/% '%%+(- %+*--' ++!'!/'

'!"r#$%. F'/#"r5'/#"r )' '- !%' +'( p++!'! '!"r#$% ,%+p+r#

'('' -'--$' +("/r, r1''# p+'/# /r"%, p+--$'' "!'#5

"!'#' '$p$ r1''# #r'$' #('/ (#+$/' p'(' p'%+ .

B+r('%'r/' /+)$*' $#'' p'%+ !+r$p' p+r('r'*' p+r6'-',p'(' /+*')' /$r'- ('r 20 --$, %+)' '!"r#$% p+r)$ $-'

(7$r-' '('' KET (' ")' *('#("%' %+!'-' ('-"%% !'(-.

K+*')' +/"p/ #+r-'--$, -+')' '1')' !+r$p' '+"r+ %+p+r#

p'(' /+*')' !'%' (' /+$(' #+r'( p+r('r'*' p+r6'-',

T+#'p *') ('p'# (%-/r/' %+!'! #('/ #+r('p'#' #'('5#'(''/$# '!("+ '- +r$p'/' #'(' /)'%/ p'(' KET (' p'('

p++r/%'' %/ #('/ (#+$/' +r -"'- p"r#" (' p'('

p++r/%'' USG (('p'# !6'*1' *'%) /"%+p% !+r'(' (')' /'6$

$#+r %+*--' ('-"%% !'(- KET ('p'# (%-/r/'

8/18/2019 ABORTUS IMMINENS-Ade.ppt Power Point

18/18

M")' *('#("%' '(')'* %$'#$ /+*')' '- !+r/+!'- #('/

1''r ( '' #('/ (#+$/' ' (' *'pr %+)$r$* 6)) /"r')%+-')' p+r$!'*' *(r"p/. P'(' '1')' -+')' '- #!$) rp

p'(' /+*')' !'%', #+r'( p+r('r'*'. T+#'p ('-"%' ('p'#

(%'-/'), /'r+' p'(' p'%+ #+r('p'# #'('5#'(' /+*')' p'%#,

%+p+r# #+r('p'#' -+r'/' ' (' '('' B, %+r#' #('/

(#+$/'' snow flake pattern p'(' p++r/%'' USGP+'-'' '!"r#$% +% '- $#'' '(')'* #r'* !'r- >!+(

r+%#@, P+!+r' '#!"#/' ( % '(')'* $#$/ +-'#'% +/% #('/

$#$/ +7+-'* #+r'(' '!"r#$%. P+!+r' ($6'()' '(')'* $#$/

#"/")%% (%+r#' p+!+r' '')-+#/ !+r$p' pr"+( %$pp. D'

p+!+r' !" %+!'-' #+r'p %$p"r#. P+!+r' *"r"

pr"-+%#+r" p'(' '!"r#$% +% '%* +r$p'/' /"#r"6+r% %+!'!

H/+!+r*'%)' (')' p+--$'' "!'# %+r- +-'/!'#/' #('/

)+!* ('r /+('' missed abortion.