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&

8/17/2019 Komplikasi Ketuban Pecah Dini Preterm

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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

8/17/2019 Komplikasi Ketuban Pecah Dini Preterm

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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"!

8/17/2019 Komplikasi Ketuban Pecah Dini Preterm

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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"!

8/17/2019 Komplikasi Ketuban Pecah Dini Preterm

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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

8/17/2019 Komplikasi Ketuban Pecah Dini Preterm

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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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