{"id":1040,"date":"2016-10-13T05:26:59","date_gmt":"2016-10-13T05:26:59","guid":{"rendered":"http:\/\/doktermuslim.com\/?p=1040"},"modified":"2016-10-13T05:26:59","modified_gmt":"2016-10-13T05:26:59","slug":"perdarahan-jalan-lahir","status":"publish","type":"post","link":"https:\/\/doktermuslim.com\/perdarahan-jalan-lahir\/","title":{"rendered":"Perdarahan Jalan Lahir"},"content":{"rendered":"

DEFINISI<\/u><\/strong><\/h3>\n

Perdarahan kehamilan tua adalah perdarahan pada vagina yang terjadi setelah usia 20 minggu kehamilan. Angka kejadiannya kurang dari 5% tetapi apabila ini terjadi, dapat beresiko terjadinya prematuritas dan mortalitas perinatal quadruple.<\/p>\n

\n

ETIOLOGI<\/u><\/strong><\/h3>\n

Perdarahan ini dapat di sebabkan beberapa hal, secara umum disebabkan oleh :<\/p>\n

    \n
  1. Cervical<\/strong> : pada cervical dapat ditemukan erosi, polips dan kadang berupa carcinoma.<\/li>\n
  2. Vaginal<\/strong> : pada vaginal dapat ditemukan laserasi dan varicosities<\/li>\n
  3. Plasental<\/strong> : pada plasental dapat ditemukan abruptio plasenta, plasenta previa dan vasa previa.<\/li>\n<\/ol>\n
    \n

    EVALUASI AWAL<\/u><\/strong><\/h3>\n

    Ketika pasien datang lakukan anamnesis, pemeriksaan vital sign, pemeriksaan tonus detak jantung janin, pemeriksaan fetal status, dan durasi perdarahan. Apakah terdapat kontraksi (kencang-kencang), dan nyeri. Periksa juga lokasi implantasi dari plasentanya.<\/p>\n

    \n

    INVESTIGASI AWAL<\/u><\/strong><\/h3>\n

    Lakukan pemeriksaan penunjang seperti darah rutin, DIC (disseminated intravascular coagulation, platelet, protrombin time partial tromboplastin time, fibrinogen, D-dimer, pemeriksaan cross match, senogram dan lokasi plasenta. Jangan lakukan pemeriksaan digital dan spekulum sampai diagnosis plasenta previa disingkirkan dengan pemeriksaan USG.<\/p>\n

    \n

    MANAJEMEN AWAL<\/u><\/strong><\/h3>\n
      \n
    1. Pasang jalur Intravena dan berikan cairan dengan jarum dan kanal yang besar.<\/li>\n
    2. Apabila vital sign ibu dalam keadaan tidak stabil, berikan cairan isotonik tanpa kandungan dextrosa.<\/li>\n
    3. Pasang juga urin kateter untuk memonitor urin output.<\/li>\n
    4. Apabila fetal jeopardy atau usia kehamilan mencapai 36 minggu, dapat langsung dilakukan deliveri (dilahirkan) dengan SC (Sectio Caesarean).<\/li>\n<\/ol>\n
      \n

      REFERENSI<\/u><\/strong><\/h3>\n

      Eimar, PS. Et Al. 2005. Kaplan Medicine USMLE Step 2 CK, Lecture Note Obstetrics and Gynecology. 2005-2006 edition<\/em><\/strong>. Kaplan Inc.<\/p>\n","protected":false},"excerpt":{"rendered":"

      DEFINISI Perdarahan kehamilan tua adalah perdarahan pada vagina yang terjadi setelah usia 20 minggu kehamilan. Angka kejadiannya kurang dari 5% tetapi apabila ini terjadi, dapat [Read more]<\/a><\/p>\n","protected":false},"author":1,"featured_media":1041,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[8,31],"tags":[241,237,236,240,238,242,239],"newstopic":[],"yoast_head":"\nPerdarahan Jalan Lahir | Dokter Muslim<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/doktermuslim.com\/perdarahan-jalan-lahir\/\" \/>\n<meta property=\"og:locale\" content=\"id_ID\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Perdarahan Jalan Lahir | Dokter Muslim\" \/>\n<meta property=\"og:description\" content=\"DEFINISI Perdarahan kehamilan tua adalah perdarahan pada vagina yang terjadi setelah usia 20 minggu kehamilan. Angka kejadiannya kurang dari 5% tetapi apabila ini terjadi, dapat [Read more]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/doktermuslim.com\/perdarahan-jalan-lahir\/\" \/>\n<meta property=\"og:site_name\" content=\"Dokter Muslim\" \/>\n<meta property=\"article:author\" content=\"https:\/\/www.facebook.com\/doktermuslimcom\/\" \/>\n<meta property=\"article:published_time\" content=\"2016-10-13T05:26:59+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/doktermuslim.com\/wp-content\/uploads\/2016\/10\/perdarahan-jalan-lahir.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1300\" \/>\n\t<meta property=\"og:image:height\" content=\"750\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"dr. 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