Post on 06-Jul-2018
8/17/2019 Komplikasi Ketuban Pecah Dini Preterm
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MAILIA FEBRIANI 22010113120019
KOMPLIKASI KETUBAN PECAHDINI PRETERM
8/17/2019 Komplikasi Ketuban Pecah Dini Preterm
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Ketuban Peca D!n! P"ete#
Pecan$a %e&a'ut (etuban %ebe&u# '")%e%!#'a"tu *!#u&a! *en+an u%!a (ea#!&an , 3-#!n++u
Ke.a*!an !n! *a'at #en!#bu&(an ()#'&!(a%!'a*a #ate"na& *an .u+a ne)nata&
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K)#'&!(a%! KPDPPe"%a&!nan '"e#atu"In/e(%! #ate"na& *an ne)nata&
H!')(%!a *an a%(%!a
S!n*")# *e/)"#!ta% .an!n
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PERSALINAN PREMATURSete&a (etuban 'eca b!a%an$a %e+e"a *!
%u%u& )&e 'e"%a&!nan
Pe"!)*e &aten te"+antun+ u%!a (ea#!&an• (ea#!&an ate"#
90 'e"%a&!nan te".a*! *a&a# a(tu 24 .a#%ete&a (etuban 'eca
• Kea#!&an 25637 #!n++u
80 'e"%a&!nan te".a*! *a&a# a(tu 24 .a#
%ete&a (etuban 'eca• Kea#!&an , 27 #!n++u
'e"%a&!nan te".a*! *a&a# a(tu 1 #!n++u %ete&a(etuban 'eca
8/17/2019 Komplikasi Ketuban Pecah Dini Preterm
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INFEKSI PADA MATERNAL DANNEONATAL
KPD #en!n+(at(an "e%!() INFEKSI #ate"na&*an ne)nata&
In/e(%! &eb! %e"!n+ te".a*! 'a*a KPD '"ete"# *a"!'a*a KPD ate"#
In%!*en%! !n/e(%! KPD #en!n+(at %eban*!n+*en+an &a#an$a 'e"!)*e &aten
Mate"na&• K)"!)a#n!)n!t!%
Ne)nata&• Se't!(e#!a
• Pneu#)n!a
• )#/a&!t!%
8/17/2019 Komplikasi Ketuban Pecah Dini Preterm
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()"!)a#n!)n!t!%Kea*aan 'a*a an!ta a#!& *!#ana ()"!)n
a#n!)n *an ca!"an (etuban te"(ena !n/e(%!ba(te"!
Ba(te"! be"a%a& *a"! t"a(tu% u")+en!ta&!% !bu$an+ %eca"a a%cen*e"en #en.a&a" (e ute"u%
Te".a*! %ebe&u# .an!n te"!n/e(%!
:e.a&a ; *e#a# ta(!(a"*! be"(e"!n+at
ute"u% 'a*a 'e"abaan &e#be( ca!"anbe"bau (e&ua" *a"!
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Se't!(e#!a ne)nata&S!n*")#a (&!n!% $an+ *!tan*a! *en+an
+e.a&a %!%te#!( *an ba(te"!e#!a $an+te".a*! 'a*a ba$! ba"u &a!"
In/e(%! 'a*a ne)natu% *a'at te".a*!antenata& !nt"anata& *an ')%tnata&
8/17/2019 Komplikasi Ketuban Pecah Dini Preterm
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In/e(%! Antenata&
In/e(%! antenata& 'a*a u#u#n$a !n/e(%!t"an%'&a%enta (u#an be"a%a& *a"! !bu(e#u*!an #e&eat! '&a%enta *an u#b!&!(u%*an #a%u( (e *a&a# tubu ba$! #e&a&u!
%!"(u&a%! ba$! In/e(%! ba(te"! antenata&anta"a &a!n )&e Streptococcus Group B
8/17/2019 Komplikasi Ketuban Pecah Dini Preterm
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In/e(%! Int"anata&
In/e(%! !nt"anata& 'a*a u#u#n$a#e"u'a(an !n/e(%! a%en*en% $a!tu !n/e(%!$an+ be"a%a& *a"!
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In/e(%! 'a%canata&
In/e(%! 'a%canata& 'a*a u#u#n$a a(!bat!n/e(%! n)%)()#!a& $an+ *!'e")&e ba$! *a"!&!n+(un+ann$a *! &ua" "a!# !bu %e'e"t!()nta#!na%! )&e a&at6a&at %a"ana 'e"aatan
*an )&e $an+ #e"aatn$a
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O#/a&!t!% Ne)nat)"u#In/e(%! u#b!&!(u%Se"!n+ te".a*! *! #a%$a"a(at *en+an
a'&!(a%! '"a(te( *!"u#a $an+ t!*a( %te"!&
Fa(t)" "e%!();Penan+anan ta&! 'u%at $an+ t!*a( 'anta%
In/e(%! %e(un*e" ;KPD
In/e(%! #ate"na&
P")%e% (e&a!"an $an+ t!*a( %te"!&
P"e#atu"!ta%
BBLR
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Et!)&)+!Ba(te"! ae")bStaphylococcus aureus
Streptococcus group A
E. coliKlebsiella
Proteus
Ba(te"! anae")bBacteroides fragilis
Clostridium perfringens
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8/17/2019 Komplikasi Ketuban Pecah Dini Preterm
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Re/e"en%!P"a!")a"*.) Sa")n) 2014 Iu
(eb!*anan %a")n) '"a!")a"*.) >a(a"taPT B!na Pu%ta(a Sa")n) P"a!")a"*.)
Tant) c"!% *an *(( 2014 Ka'!ta %e&e(ta
(e*)(te"an e%%ent!a& )/ #e*!c!ne E* I? >a(a"ta Me*!a Ae%cu&a'!u%
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