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Obstetric examination
Outer examination : abdomen flat, soft, uterine fundus palpable at the level of umbilicus,
uterine conraction was poor, active bleeding (+)
Inspeculo : portio livide, external uterine ostium was opened, fluor (-) fluxus (+) active
bleeding, erosion (+), laceration (+) repaired, polyp (-)
Lab : HB 4,7 g/d/l ; PLT : 225.000/mm3 WBC : 20.600/mm3, BT/CT : 3 minutes/ 12 minutes
Ureum : 48,5 mg/dL; creatinine : 1.10 mg/dL
Klarifikasi istilah
Identifikasi masalah
Outer examination : abdomen flat, soft, uterine fundus palpable at the level of
umbilicus, uterine conraction was poor, active bleeding (+)
Inspeculo : portio livide, external uterine ostium was opened, fluor (-) fluxus (+)
active bleeding, erosion (+), laceration (+) repaired, polyp (-)
Analisis masalah
2. She was put on oxytocin drip and delivered a 4100-gram infant by spontaneous
delivery 3 hours ago with the assistance of the midwife. The placenta was
delivered spontaneously and intact. Sisi jason rere miranti
a. Apa indikasi dan kontraindikasi pemberian oksitosin drip?
b. Bagaimana cara pemberian oksitosin drip?
c. Bagaimana manajemen aktif kala III? (pemberian oksitosin, dsb)
d. Berapa berat badan normal pada bayi baru lahir?
e. Apa komplikasi yang ditimbulkan pada ibu dan bayi makrosomia?
f. Apa penyebab bayi makrosomia?
3. She received episiotomy and had it repaired. Dyah, nendy iqbal ulfi
a. Apa indikasi dan kontraindikasi episiotomi?
b. Apa komplikasi yang bisa ditimbulkan dari episiotomi?
c. Episiotomi grade berapa yang dapat menyebabkan perdarahan?
4. After delivered, she complained of massive vaginal bleeding and was brought to
hospital. Due to the absence of the OBGYN, she was reffered to Moh. Hoesin
Hospital. The estimated blood loss at the time of delivery was 500 cc.
a. Apa penyebab perdarahan massive?
b. Bagaimana mekanisme perdarahan massiv?
c. Apa hubungan usia, riwayat obstetri lama waktu persalinan dengan massive
vaginal bleeding?
d. Bagaimana tatalaksana awal dari massive vaginal bleeding?
e. Kapan indikasi dilakukan transfusi darah? Berapa target Hb yang diinginkan?
berapa maksimal jumlah darah yang diberikan dalam sehari?
f. Bagaimana sistem merujuk Ny A yang mengalami perdarahan
g. Bagaimana cara menghitung persentasi darah yang hilang saat perdarahan
masif?
h. Bagaimana mekanisme pucat, lemah dan mengantuk ?
i. Bagaimana komplikasi dari massive vaginal bleeding?
5. At the hospital, the patient looked pale, weak, and drowsy. Her prenatal care was
uncomplicated and had no significant medical history. She had no history of
previous contraception
a. Apa makna klinis kalimat di atas?
b. Apa hubungan tidak menggunakan kontrasepsi sebelumnya dengan vaginal
bleeding?
7. Obstetric examination
Outer examination : abdomen flat, soft, uterine fundus palpable at the level of
umbilicus, uterine conraction was poor, active bleeding (+)
Inspeculo : portio livide, external uterine ostium was opened, fluor (-) fluxus (+)
active bleeding, erosion (+), laceration (+) repaired, polyp (-)
LI
1. HPP semua
2. Fase Persalinan (kala I, kala II, kala III, kala IV) aul vezi clar
3. APN sisi rere jason miranti
4. Episiotomi ulfi dyah nendy iqbal
5. Anatomi dan fisiologi ( yang kemarin aja ya )