Dt-Anc Nuzma Fix

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KONSULEN : DR. RADITYA ANGGA. SP.OG NUZMA ANBIA (1110103000015) ANTENATAL CARE (ANC)

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Transcript of Dt-Anc Nuzma Fix

KONSULEN:DR. RADI TYAANGGA. SP. OGNUZMAANBI A(1110103000015)ANTENATAL CARE (ANC)DEFINISIUpaya preventif program pelayanan kesehatan obstetrik untuk optimalisasi luaran maternal dan neonatal melalui serangkaian kegiatan pemantauan rutin selama kehamilan.Upaya preventif program pelayanan kesehatan obstetrik untuk optimalisasi luaran maternal dan neonatal melalui serangkaian kegiatan pemantauan rutin selama kehamilan.6 ALASAN PENTN! AN" #$. %embangun keper&ayaan antara pasien dengan dokter'. Ter(u)udnyakondisiterbaikbagiibudanbayiyang dikandungnya*. nformasidasartentangkesehatanibudan kehamilannya+. denti,kasi dan menatalaksana kehamilan resiko tinggi-. %emberi pendidikan kesehatan yang diperlukan dalam men)aga kualitas kehamilan dan mera(at bayi6. %enghindari gangguan kesehatan selama kehamilan.A/0AL 1UN.UN!AN AN"Se&ara tradisional #2 3 '4 minggu 5 $6'4 3 *6 minggu5 tiap ' minggu7 *6 minggu5 setiap mingguNamun saat ini8 bila kehamilan normal &ukup + kali #$6 pada trimester91$:$6 pada trimester91':'6 pada trimester91*81+:;iladenganpenyulitagina dan ser>iks tampak #elas/, Setelah inspeksi selesai, lepaskan pengungkit dan pengatur #arak bilah kemudian keluarkan spekulum,10, 3etakkan spekulum pada yang telah disediakan%E&E'IKSAAN2AGINA* TOU3!E'1, (emeriksa berdiri untuk melakukan tuse >aginal, buka labium mayus kiri dan kanan dengan ibu #ari dan telun#uk tangan kiri, masukan #ari telun#uk dan tengah tangan ke dalam >agina2, 3etakkan u#ung-u#ung #ari tangan kiri pada suprasim-isis, tentukan tinggi -undus uteri,-Tangan dalam memeriksa dinding >agina, kemudian tentukan besar uterus, konsistensi dan arahnya, (eriksa konsistensi ser>iks dan keadaan parametrium,-(indahkan #ari-#ari tangan luar dan dalam ke bagian ismus%, Tangan kiri menahan uterus pada bagian suprasim-isis, keluarkan #ari tengah dan telun#uk tangan kanan4, &ngkat tangan kiri dari dinding perut, usapkan larutan antiseptik pada bekas sekret atau cairan dinding perut dan sekitar >ul>a., ubela?A>apid test daerah endemisSputum ;TA ibu dengan ri(ayat de,siensi imun8 batuk 7' minggu (emeriksaan (enun#ang 2, (emeriksaan *S=, direkomendasikan+ (ada a"al kehamilan (ideal sebelum usia kehamilan 1. minggu) ukur usia gestasti, >iabilitas #anin, deteksi abnormalitas #anin yang berat (ada usia kehamilan sekitar 20 minggu deteksi anomali #anin (ada trimester ketiga perencanaan persalinan 2&!S964epatitis irus that in-ects the li>er and many people "ith hepatitis < >iral in-ection ha>e no symptoms, The hepatitis < >irus has an incubation period o- ' "eeks to ' months, it is eFcreted in >arious body -luids including blood, sali>a, >aginal -luid and breast milkH these -luids may be highly in-ectious,Serological screening -or hepatitis < >irus should be o--ered to pregnant "omen so that e--ecti>e postnatal inter>ention can be o--ered to in-ected "omen to decrease the risk o- mother-to-child transmission,T-4-+"as/-sis:aused by the parasite Toxoplasma gondii, primary toFoplasmosis in-ection is usually asymptomatic in healthy "omen, 5nce in-ected, a li-elong antibody response pro>ides immunity -rom -urther in-ection,:linical mani-estations o- congenital toFoplasmosis include in-lammatory lesions in the brain and retina and choroids that may lead to permanent neurological damage or >isual impairment,ToFoplasmosis in-ection is acIuired >ia -our routes in humans+1, ingestion o- >iable tissue cysts in undercooked or uncooked meat (e,g,, salami, "hich is cured) or tachyzoites in the milk o- in-ected intermediate hosts2, ingestion o- oocytes eFcreted by cats and contaminating soil or "ater (e,g,, un"ashed -ruit or >egetables contaminated by cat -aeces)%, transplanted organs or blood products -rom other humans in-ected "ith toFoplasmosis4, mother-to-child transmission "hen primary in-ection occurs during pregnancy,(regnant "omen should be in-ormed o- primary pre>ention measures to a>oid toFoplasmosis in-ection such as+"ashing hands be-ore handling -oodthoroughly "ashing all -ruit and >egetables, including ready-prepared salads, be-ore eatingthoroughly cooking ra" meats and ready-prepared chilled meals"earing glo>es and thoroughly "ashing hands a-ter handling soil and gardeninga>oiding cat -aeces in cat litter or in soil, )*ent or reduce mother-to-child transmission o- rubella -or the current pregnancy:ongenital in-ection in the -irst 12 "eeks o- pregnancy among mothers "ith symptoms "as o>er 0J and reduced to 2.J at the end o- the second trimester, 100J o- in-ants in-ected during the -irst 11 "eeks o- pregnancy had rubella de-ects,)ubella susceptibility screening should be o--ered early in antenatal care to identi-y "omen at risk o- contracting rubella in-ection and to enable >accination in the postnatal period -or the protection o- -uture pregnancies,492The most common "ay to diagnose 492 in-ection is by a test -or antibodies against 492-1 and 492-2, 492 antibody is detectable in at least /.J o- patients "ithin % months o- in-ection,7arly 492 diagnosis impro>es outcomes -or the mother and can reduce the rate o- disease progression,(regnant "omen should be o--ered screening -or 492 in-ection early in antenatal care because appropriate antenatal inter>entions can reduce mother-to-child transmission o- 492 in-ection,$iagnosis $iagnosis 4amil atau tidak(rimi atau multigra>ida*sia kehamilan ;anin hidup atau mati ;anin tunggal atau kembar 3etak anak &nak intra atau eFtrauterin!eadaan #alan lahir !eadaan umum penderita EDUKASI KESE!ATAN (AGI I(U !A&I*(ola Makan Selama !ehamilan KE%ENTINGAN !esehatan dan kekuatan badan ibu hamilTumbuhnya #anin&gar luka K luka persalinan lekas sembuh selama ni-as:adangan untuk masa laktasi KE%ENTINGAN !esehatan dan kekuatan badan ibu hamilTumbuhnya #anin&gar luka K luka persalinan lekas sembuh selama ni-as:adangan untuk masa laktasi 3ebih perhatikan kualitas makanan bukan kuantitas makanan (enambahan berat badan menandakan pertumbuhan #anin yang baik, L 10-12 kg selama kehamilan 3ebih perhatikan kualitas makanan bukan kuantitas makanan (enambahan berat badan menandakan pertumbuhan #anin yang baik, L 10-12 kg selama kehamilan 1, 6*T)9S9 B&6= &$7!*&T1alori# '-22 kal