tag:blogger.com,1999:blog-48325144067069573782024-03-05T18:31:32.477-08:00MATERI KULIAH KEBIDANANAnonymoushttp://www.blogger.com/profile/12379317249182996237noreply@blogger.comBlogger8125tag:blogger.com,1999:blog-4832514406706957378.post-13705419827200900112013-05-22T05:49:00.003-07:002013-05-22T05:50:16.069-07:00Pencegahan Infeksi Nosokomial<div style="text-align: justify;">
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<div style="line-height: 14.95pt; margin: 0cm 0cm 6.8pt; text-align: justify;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt;"><b>II.3 Pencegahan terjadinya Infeksi Nosokomial</b><br />
Pencegahan dari infeksi nosokomial ini diperlukan suatu rencana yang
terintegrasi, monitoring dan program yang termasuk:<br />
• Membatasi transmisi organisme dari atau antar pasien dengan cara mencuci
tangan dan penggunaan sarung tangan, tindakan septik dan aseptik, sterilisasi
dan disinfektan.<br />
• Mengontrol resiko penularan dari lingkungan.<br />
• Melindungi pasien dengan penggunaan antibiotika yang adekuat, nutrisi yang
cukup, dan vaksinasi.<br />
• Membatasi resiko infeksi endogen dengan meminimalkan prosedur invasif.<br />
• Pengawasan infeksi, identifikasi penyakit dan mengontrol penyebarannya.</span></div>
<div style="line-height: 14.95pt; margin: 0cm 0cm 6.8pt; text-align: justify;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt;"><b>II.3.1 Dekontaminasi tangan</b><br />
Transmisi penyakit melalui tangan dapat diminimalisasi dengan menjaga hiegene
dari tangan. Tetapi pada kenyataannya, hal ini sulit dilakukan dengan benar,
karena banyaknya alasan seperti kurangnya peralatan, alergi produk pencuci
tangan, sedikitnya pengetahuan mengenai pentingnya hal ini, dan waktu mencuci
tangan yang lama. Selain itu, penggunaan sarung tangan sangat dianjurkan bila
akan melakukan tindakan atau pemeriksaan pada pasien dengan penyakit-penyakit
infeksi. Hal yang perlu diingat adalah: Memakai sarung tangan ketika akan
mengambil atau menyentuh darah, cairan tubuh, atau keringat, tinja, urin,
membran mukosa dan bahan yang kita anggap telah terkontaminasi, dan segera
mencuci tangan setelah melepas sarung tangan.</span></div>
<div style="line-height: 14.95pt; margin: 0cm 0cm 6.8pt; text-align: justify;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt;"><b>II.3.2 Instrumen yang sering digunakan Rumah Sakit</b><br />
Simonsen et al (1999) menyimpulkan bahwa lebih dari 50% suntikan yang dilakukan
di negara berkembang tidaklah aman (contohnya jarum, tabung atau keduanya yang
dipakai berulang-ulang) dan banyaknya suntikan yang tidak penting (misalnya
penyuntikan antibiotika).7 Untuk mencegah penyebaran penyakit melalui jarum
suntik maka diperlukan:<br />
• Pengurangan penyuntikan yang kurang diperlukan<br />
• Pergunakan jarum steril<br />
• Penggunaan alat suntik yang disposabel.<br />
Masker, sebagai pelindung terhadap penyakit yang ditularkan melalui udara.
Begitupun dengan pasien yang menderita infeksi saluran nafas, mereka harus menggunakan
masker saat keluar dari kamar penderita.<br />
Sarung tangan, sebaiknya digunakan terutama ketika menyentuh darah, cairan
tubuh, feses maupun urine. Sarung tangan harus selalu diganti untuk tiap
pasiennya. Setelah membalut luka atau terkena benda yang kotor, sanrung tangan
harus segera diganti.11<br />
Baju khusus juga harus dipakai untuk melindungi kulit dan pakaian selama kita
melakukan suatu tindakan untuk mencegah percikan darah, cairan tubuh, urin dan
feses.11</span></div>
<div style="line-height: 14.95pt; margin: 0cm 0cm 6.8pt; text-align: justify;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt;"><b>II.3.3 Mencegah penularan dari lingkungan rumah sakit</b><br />
Pembersihan yang rutin sangat penting untuk meyakinkan bahwa rumah sakit sangat
bersih dan benar-benar bersih dari debu, minyak dan kotoran. Perlu diingat
bahwa sekitar 90 persen dari kotoran yang terlihat pasti mengandung kuman.
Harus ada waktu yang teratur untuk membersihkan dinding, lantai, tempat tidur,
pintu, jendela, tirai, kamar mandi, dan alat-alat medis yang telah dipakai
berkali-kali.<br />
Pengaturan udara yang baik sukar dilakukan di banyak fasilitas kesehatan.
Usahakan adanya pemakaian penyaring udara, terutama bagi penderita dengan
status imun yang rendah atau bagi penderita yang dapat menyebarkan penyakit
melalui udara. Kamar dengan pengaturan udara yang baik akan lebih banyak
menurunkan resiko terjadinya penularan tuberkulosis. Selain itu, rumah sakit
harus membangun suatu fasilitas penyaring air dan menjaga kebersihan pemrosesan
serta filternya untuk mencegahan terjadinya pertumbuhan bakteri. Sterilisasi
air pada rumah sakit dengan prasarana yang terbatas dapat menggunakan panas
matahari.11<br />
Toilet rumah sakit juga harus dijaga, terutama pada unit perawatan pasien diare
untuk mencegah terjadinya infeksi antar pasien. Permukaan toilet harus selalu
bersih dan diberi disinfektan.11<br />
Disinfektan akan membunuh kuman dan mencegah penularan antar pasien.<br />
Disinfeksi yang dipakai adalah:<br />
• Mempunyai kriteria membunuh kuman<br />
• Mempunyai efek sebagai detergen<br />
• Mempunyai efek terhadap banyak bakteri, dapat melarutkan minyak dan protein.<br />
• Tidak sulit digunakan<br />
• Tidak mudah menguap<br />
• Bukan bahan yang mengandung zat yang berbahaya baik untuk petugas maupun
pasien<br />
• Efektif<br />
• tidak berbau, atau tidak berbau tak enak</span></div>
<div style="line-height: 14.95pt; margin: 0cm 0cm 6.8pt; text-align: justify;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt;"><b>II.3.4 Perbaiki ketahanan tubuh</b><br />
Di dalam tubuh manusia, selain ada bakteri yang patogen oportunis, ada pula
bakteri yang secara mutualistik yang ikut membantu dalam proses fisiologis
tubuh, dan membantu ketahanan tubuh melawan invasi jasad renik patogen serta
menjaga keseimbangan di antara populasi jasad renik komensal pada umumnya,
misalnya seperti apa yang terjadi di dalam saluran cerna manusia. Pengetahuan
tentang mekanisme ketahanan tubuh orang sehat yang dapat mengendalikan jasad
renik oportunis perlu diidentifikasi secara tuntas, sehingga dapat dipakai
dalam mempertahankan ketahanan tubuh tersebut pada penderita penyakit berat.
Dengan demikian bahaya infeksi dengan bakteri oportunis pada penderita penyakit
berat dapat diatasi tanpa harus menggunakan antibiotika. 6</span></div>
<div style="line-height: 14.95pt; margin: 0cm 0cm 6.8pt; text-align: justify;">
<span style="color: #333333; font-family: "Georgia","serif"; font-size: 9.0pt;"><b>II.3.5 Ruangan Isolasi</b><br />
Penyebaran dari infeksi nosokomial juga dapat dicegah dengan membuat suatu
pemisahan pasien. Ruang isolasi sangat diperlukan terutama untuk penyakit yang
penularannya melalui udara, contohnya tuberkulosis, dan SARS, yang
mengakibatkan kontaminasi berat. Penularan yang melibatkan virus, contohnya DHF
dan HIV. Biasanya, pasien yang mempunyai resistensi rendah eperti leukimia dan
pengguna obat immunosupresan juga perlu diisolasi agar terhindar dari infeksi.
Tetapi menjaga kebersihan tangan dan makanan, peralatan kesehatan di dalam
ruang isolasi juga sangat penting. Ruang isolasi ini harus selalu tertutup
dengan ventilasi udara selalu menuju keluar. Sebaiknya satu pasien berada dalam
satu ruang isolasi, tetapi bila sedang terjadi kejadian luar biasa dan
penderita melebihi kapasitas, beberapa pasien dalam satu ruangan tidaklah
apa-apa selama mereka menderita penyakit yang sama.9</span></div>
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<br /></div>
Anonymoushttp://www.blogger.com/profile/12379317249182996237noreply@blogger.com0tag:blogger.com,1999:blog-4832514406706957378.post-8807245729066187712013-05-22T05:44:00.000-07:002013-05-22T05:44:51.444-07:00Konsep Bendungan ASI<!--[if gte mso 9]><xml>
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<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
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<div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">BAB I</span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Definisi</span></div>
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<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Bendungan ASI adalah pembendungan air
susu karena penyempitan duktus laktiferi atau oleh kelenjar-kelenjar tidak
dikosongkan dengan sempurna atau karena kelainan pada putting susu. Bendungan
air susu adalah terjadinya pembengkakan pada payudara karena peningkatan aliran
vena dan limfe sehingga menyebabkan bendungan ASI dan rasa nyeri disertai
kenaikan suhu badan. </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">(Sarwono, 2005).</span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Payudara terasa lebih penuh tegang
dan nyeri terjadi pada hari ketiga atau hari ke empat pasca persalinan
disebakan oleh bendungan vera edan pembuluh dasar bening. Hal ini semua
merupakan bahwa tanda asi mulai banyak di sekresi, namun pengeluaran belum
lancar. </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 35.45pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Bila nyeri ibu tidak mau menyusui
keadaan ini akan berlanjut, asi yang disekresi akan menumpuk sehingga payudara
bertambah tegang. Gelanggang susu menonjol dan putting menjadi lebih getar.
Bayi menjadi sulit menyusu. Pada saat ini payudara akan lebih meningkat, ibu
demam dan payudara terasa nyeri tekan (oserty patologi: 196) Saluran tersumbat
= obstructed duct = caked brecs t. terjadi statis pada saluran asi (ductus
akhferus) secara local sehingga timbul benjolan local (Wiknjosastro, 2006).</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Faktor
Penyebab Bendungan ASI</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Beberapa faktor yang dapat menyebabkan bendungan ASI, yaitu:</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pengosongan mamae yang tidak
sempurna </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Dalam
masa laktasi, terjadi peningkatan produksi ASI pada Ibu yang produksi ASI-nya
berlebihan. apabila bayi sudah kenyang dan selesai menyusu, & payudara
tidak dikosongkan, maka masih terdapat sisa ASI di dalam payudara. Sisa ASI
tersebut jika tidak dikeluarkan dapat menimbulkan bendungan ASI.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Faktor hisapan bayi yang tidak aktif
</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pada
masa laktasi, bila Ibu tidak menyusukan bayinya sesering mungkin atau jika bayi
tidak aktif mengisap, maka akan menimbulkan bendungan ASI.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Faktor posisi menyusui bayi yang
tidak benar </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Teknik
yang salah dalam menyusui dapat mengakibatkan puting susu menjadi lecet dan
menimbulkan rasa nyeri pada saat bayi menyusu. Akibatnya Ibu tidak mau menyusui
bayinya dan terjadi bendungan ASI.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Puting susu terbenam </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Puting
susu yang terbenam akan menyulitkan bayi dalam menyusu. Karena bayi tidak dapat
menghisap puting dan areola, bayi tidak mau menyusu dan akibatnya terjadi
bendungan ASI.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Puting susu terlalu panjang </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Puting
susu yang panjang menimbulkan kesulitan pada saat bayi menyusu karena bayi
tidak dapat menghisap areola dan merangsang sinus laktiferus untuk mengeluarkan
ASI. Akibatnya ASI tertahan dan menimbulkan bendungan ASI.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Gejala
Bendungan ASI</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Gejala yang dirasakan ibu apabila terjadi bendungan ASI
adalah :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">1.</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Bengkak pada payudara</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">2.</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Payudara terasa keras</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">3.</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">
</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Payudara
terasa panas dan nyeri</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 35.45pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
(Saifuddin, 2005)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 35.45pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.2.4
Pencegahan </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Menyusui secara dini, susui bayi
segera mungkin (sebelum 30 menit) setelah dilahirkan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Susui bayi tanpa dijadwal (on
demand)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Keluarkan asi dengan tangga atau
pompa bila produksi melebihi kebutuhan bayi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Perawawatan payudara pasca
persalinan (obserti patologi 169)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Menyusui yang sering</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Memakai kantong yang memadai</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">7.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Hindari tekanan local pada payudara </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">(Wiknjosastro,
2006)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-spacerun: yes;"> </span>Penatalaksanaan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kompres air hangat agar payudara
menjadi lebih lembek </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Keluarkan asi sebelum menyusui
sehingga asi keluar lebih mudah ditangkap dan di isap oleh bayi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Sesudah bayi kenyang keluarkan sisa
ASI</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Untuk mengurangi ras sakit pada
payudara berikan kompres dingin </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Untuk mengurangi statis di vena dan
pembuluh dara getah benih dilakukan pengurutan (marase) payudara yang dimulai
dari putting kearah korpus </span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">BAB II</span></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">TINJAUAN TEORI</span></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<b><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1. Definisi</span></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pembendungan ASI menurut Pritchar (1999) adalah
pembendungan air susu karena penyempitan duktus lakteferi atau oleh
kelenjar-kelenjar tidak dikosongkan dengan sempurna atau karena kelainan pada
puting susu (Buku Obstetri Williams)</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Keluhan ibu menurut Prawirohardjo, (2005) adalah
payudara bengkak, keras, panas dan nyeri. Penanganan sebaiknya dimulai selama
hamil dengan perawatan payudara untuk mencegah terjadinya kelainan.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Bila terjadi juga, maka berikan terapi
simptomatis untuk sakitnya (analgetika), kosongkan payudara, sebelum menyusui
pengurutan dulu atau dipompa, sehingga sumbatan hilang. Kalau perlu berikan
stilbestrol atau lynoral tablet 3 kali sehari selama 2-3 hari untuk membendung
sementara produksi ASI. </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kepenuhan fisiologis menurut Rustam (1998)
adalah sejak hari ketiga sampai hari keenam setelah persalinan, ketika ASI
secara normal dihasilkan, payudara menjadi sangat penuh. Hal ini bersifat
fisiologis dan dengan penghisapan yang efektif dan pengeluaran ASI oleh bayi,
rasa penuh tersebut pulih dengan cepat. Namun dapat berkembang menjadi
bendungan. </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pada bendungan, payudara terisi sangat penuh
dengan ASI dan cairan jaringan. Aliran vena limpatik tersumbat, aliran susu
menjadi terhambat dan tekanan pada saluran ASI dengan alveoli meingkat.
Payudara menjadi bengkak, merah dan mengkilap.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Jadi dapat diambil kesimpulan perbedaan
kepenuhan fisiologis maupun bendungan ASI pada payudara adalah : </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<ol start="1" type="a">
<li class="MsoNormal" style="color: black; line-height: 150%; mso-list: l1 level1 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Payudara yang penuh terasa panas, berat dan keras.
Tidak terlihat mengkilap. ASI biasanya mengalir dengan lancar dengan
kadang-kadang menetes keluar secara spontan. </span></li>
<li class="MsoNormal" style="color: black; line-height: 150%; mso-list: l1 level1 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Payudara yang terbendung
membesar, membengkak dan sangat nyeri. Payudara yang terbendung membesar,
membengkak dan sangat nyeri. Payudara terlihat mengkilap dan puting susu
teregang menjadi rata. ASI tidak mengalir dengan mudah dan bayi sulit
menghisap ASI sampai bengkak berkurang. </span></li>
</ol>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<b><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.</span></b><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><b><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Perawatan Payudara pada Masa Nifas Menurut
Depkes, RI (1993) adalah</span></b><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Dengan tangan yang sudah
dilicinkan dengan minyak lakukan pengurutan 3 macam cara : </span></div>
<ol start="2" type="a"><ol start="1" type="a">
<li class="MsoNormal" style="color: black; line-height: 150%; mso-list: l1 level2 lfo2; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 72.0pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Tempatkan kedua telapak tangan diantara ke 2 payudara
kemudian urut keatas, terus kesamping, kebawah dan melintang hingga
tangan menyangga payudara, kemudian lepaskan tangan dari payudara. </span></li>
<li class="MsoNormal" style="color: black; line-height: 150%; mso-list: l1 level2 lfo2; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 72.0pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Telapak tangan kiri menopang payudara kiri dan
jari-jari tangan saling dirapatkan, kemudian sisi kelingking tangan kanan
mengurut payudara dari pangkal ke arah puting, demikian pula payudara
kanan. </span></li>
<li class="MsoNormal" style="color: black; line-height: 150%; mso-list: l1 level2 lfo2; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 72.0pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Telapak tangan menopang payudara pada cara ke – 2
kemudian jari tangan kanan dikepalkan kemudian buku-buku jari tangan
kanan mengurut dari pangkal ke arah puting. </span></li>
</ol>
</ol>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<b><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3.</span></b><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><b><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Terapi dan Pengobatan Menurut Prawirohardjo
(2005) adalah </span></b><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 73.5pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.</span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Anjurkan
ibu untuk tetap menyusui bayinya </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 73.5pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.</span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Anjurkan
ibu untuk melakukan post natal breast care </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 73.5pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c.</span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Lakukan
pengompresan dengan air hangat sebelum menyusui dan kompres dingin sesudah
menyusui untuk mengurangi rasa nyeri</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 73.5pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d.</span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Gunakan BH yang menopang </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 73.5pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">e.</span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Berikan
parasetamol 500 mg untuk mengurangi rasa nyeri dan menurunkan panas. </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: center;">
<b><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">BAB III</span></b><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: center;">
<b><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">MANAJEMEN ASUHAN
KEBIDANAN IBU NIFAS PADA Ny. K</span></b><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: center;">
<b><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">DENGAN BENDUNGAN ASI</span></b><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: center;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -36.0pt;">
<b><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">I.</span></b><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><b><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">PENGUMPULAN DATA DASAR </span></b><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -18.0pt;">
<b><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">A.</span></b><b><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">
</span></b><b><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">Identitas / Biodata</span></b><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Nama
: Ny.
K
Nama Suami : Tn.A</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Umur
: 20
tahun
Umur
: 24 tahun </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Agama
:
Islam
Agama :
Islam </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pendidikan
: D
III
Pendidikan : SMA </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Suku
:
Aceh
Suku
: Jawa </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pekerjaan
:
PNS
Pekerjaan : dagang</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Alamat
:
Langsa
Alamat :
Langsa</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<b><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">B. Anamnesa (data
subyetif)</span></b><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
Pada Tanggal : 15 Februari
2011
Pukul: 15.30 wib</span></div>
<ol start="1" type="a"><ol start="1" type="1">
<li class="MsoNormal" style="color: black; line-height: 150%; mso-list: l0 level2 lfo3; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 72.0pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Keluhan Utama :</span></li>
</ol>
</ol>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Ibu 2 hari post partum
tanggal 15 Februari 2011 mengeluh payudara penuh, bengkak, terasa nyeri dan
tidak ada pengeluaran ASI</span></div>
<ol start="1" type="a"><ol start="2" type="1">
<li class="MsoNormal" style="color: black; line-height: 150%; mso-list: l0 level2 lfo4; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 72.0pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Riwayat Persalinan dan kelahiran:</span></li>
</ol>
</ol>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.1
Jenis pesalinan: Normal</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.2
Jenis kelamin : Perempuan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
BB
: 2800 gr</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
PB
: 49 cm</span></div>
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<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
Keadaan Anak
: Baik</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.3
Proses Persalinan</span></div>
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<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">
Ketuban Pecah
:
Jam:
Menit(spontan/amniotomi)</span></div>
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<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">Kala I
: Lamanya 7 jam berlangsung normal, pengeluaran
bloady show</span></div>
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<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kala II
: Lamanya 30 menit, persalinan spontan perdarahan 100 cc.
Kelamin : perempuan, berat badan : 2800 gr, panjang badan :
49 cm, apgar score 8/9 hidup. </span></div>
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<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kala III
: Lamanya 8 menit plasenta lahir lengkap, berat plasenta 500 gr, panjang tali
pusat 15 cm dan perdarahan 100 cc. </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 207.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -97.5pt;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kala
IV
: Berlangsung normal, kontraksi uterus baik perdarahan 100 cc keadaan umum
baik. </span></div>
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<br /></div>
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<br /></div>
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<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">
2.4 Jumlah Perdarahan </span></div>
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<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">
Kala
I
: - cc</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">
Kala II
:
100 cc</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">
Kala III
:
100 cc</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">
Kala IV
:
100 cc</span></div>
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<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">
Total
:
300 cc</span></div>
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<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">
2.5 Penyulitan dan Komplikasi</span></div>
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<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">
Tekanan darah tinggi :Tidak ada</span></div>
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<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">
Kejang
:Tidak ada</span></div>
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<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">
Infeksi
:Tidak ada</span></div>
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<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
Lain-lain
:Tidak ada</span></div>
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<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
2.6 Tindakan / Pengobatan pada masa persalinan :</span></div>
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<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a.</span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Sebelum
melahirkan : ibu makan 3x sehari dengan porsi sedang dengan nasi, lauk, sayur
dan minum 8-10 gelas / hari </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 108.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.</span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Sesudah melahirkan ibu makan 4x sehari dengan porsi banyak dan
minum 10-12 x gelas / hari </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.7 Buang air
kecil :</span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> 4-6 x sehari </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.8 Buang air
besar : 2x sehari</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<b><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">C. Pemeriksaan umum
(data objektif)</span></b><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 108.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">a.</span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">
</span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">Data
Psikologi :</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 108.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">b.</span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">
</span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">Ibu merasa cemas dengan keadaannya saat ini</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 108.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">c.</span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">
</span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">Ibu
merasa takut kebutuhan ASI untuk bayinya tidak ada </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1)</span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> Keadaan
Umum
: Baik </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2) Keadaan
Emosional : Stabil</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3) Tanda
Vital
:</span></div>
<div class="MsoNormal" style="margin-left: 108.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">Tekanan darah
: 110/70 mmHg</span></div>
<div class="MsoNormal" style="margin-left: 108.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">Pols
: 76 x/i </span></div>
<div class="MsoNormal" style="margin-left: 108.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">RR
: 20 x/i</span></div>
<div class="MsoNormal" style="margin-left: 108.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">Temp
: 36,5<sup>0</sup>C </span></div>
<div class="MsoNormal" style="margin-left: 108.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">Berat
Badan
: 53 kg </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 90.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b.</span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pemeriksaan
Fisik </span></div>
<div class="MsoNormal" style="margin-left: 198.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -108.0pt;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">1)</span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">
</span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">Kepala
: rambut hitam, bersih, sedikit rontok dan tidak berketombe</span></div>
<div class="MsoNormal" style="margin-left: 198.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -108.0pt;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">2)</span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">
</span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">Muka
: tidak ada oedem </span></div>
<div class="MsoNormal" style="margin-left: 198.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -108.0pt;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">3)</span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">
</span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">Mata
: conjungtiva merah muda, sklera anikterik </span></div>
<div class="MsoNormal" style="margin-left: 198.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -108.0pt;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">4)</span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">
</span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">Hidung
: bersih, tidak ada polip </span></div>
<div class="MsoNormal" style="margin-left: 198.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -108.0pt;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">5)</span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">
</span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">Mulut
dan gigi : mulut dan lidah bersih tidak ada scorbut,
gigi bersih tidak ada caries
</span></div>
<div class="MsoNormal" style="margin-left: 198.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -108.0pt;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">6)</span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">
</span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">Telinga
: simetris, bersih </span></div>
<div class="MsoNormal" style="margin-left: 198.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -108.0pt;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">7)</span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">
</span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">Leher
: tidak ada pembesaran vena jugularis dan tidak ada pembesaran kelenjar tiroid </span></div>
<div class="MsoNormal" style="margin-left: 198.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -108.0pt;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">8)</span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">
</span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">Dada
: simetris kanan kiri, payudara membesar nampak penuh dan tegang </span></div>
<div class="MsoNormal" style="margin-left: 198.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -108.0pt;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">9)</span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">
</span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">Perut
: tidak ada bekas operasi, konsistensi keras, tinggi fundus uteri 3 jari bawah
pusat </span></div>
<div class="MsoNormal" style="margin-left: 198.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -108.0pt;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">10)</span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">
</span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">Alat
Genetalia : tidak ada oedem dan varises, tidak ada
hemoroid simetris </span></div>
<div class="MsoNormal" style="margin-left: 198.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -108.0pt;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">11)</span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">
</span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">Estremitas
: </span></div>
<div class="MsoNormal" style="margin-left: 216.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">a.</span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">
</span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">Ekstremitas
atas : pergerakan baik, jari-jari </span></div>
<div class="MsoNormal" style="margin-left: 90.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">
lengkap tidak ada cacat </span></div>
<div class="MsoNormal" style="margin-left: 216.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">b.</span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">
</span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">Ekstremitas
bawah : simetris, tidak ada oedem, </span></div>
<div class="MsoNormal" style="margin-left: 198.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"> pergerakan baik </span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -36.0pt;">
<b><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">II.</span></b><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><b><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">IDENTIFIKASI MASALAH, DIAGNOSA DAN KEBUTUHAN</span></b><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<ol start="1" type="a"><ol start="1" type="1">
<li class="MsoNormal" style="color: black; mso-list: l0 level2 lfo5; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 72.0pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">Diagnosa </span></li>
</ol>
</ol>
<div class="MsoNormal" style="margin-left: 90.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">Ibu post partum hari ke-2 G III P III A 0 dengan
bendungan ASI </span></div>
<div class="MsoNormal" style="margin-left: 90.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">Dasar : </span></div>
<ol start="1" type="a"><ol start="1" type="1"><ol start="1" type="1">
<li class="MsoNormal" style="color: black; line-height: 150%; mso-list: l0 level3 lfo6; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 108.0pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Payudara penuh ,tegang, dan terasa nyeri</span></li>
<li class="MsoNormal" style="color: black; line-height: 150%; mso-list: l0 level3 lfo6; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 108.0pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Suhu tubuh 36,5<sup>0</sup>C </span></li>
<li class="MsoNormal" style="color: black; line-height: 150%; mso-list: l0 level3 lfo6; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 108.0pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">ASI tidak keluar</span></li>
</ol>
<li class="MsoNormal" style="color: black; mso-list: l0 level2 lfo6; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 72.0pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">Masalah </span></li>
</ol>
</ol>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">- Ibu cemas karena
bayinya tidak bisa mendapatkan ASI</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Dasar : </span></div>
<ol start="1" type="a"><ol start="1" type="1"><ol start="1" type="1">
<li class="MsoNormal" style="color: black; line-height: 150%; mso-list: l0 level3 lfo7; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 108.0pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Payudara penuh, tegang dan terasa nyeri</span></li>
<li class="MsoNormal" style="color: black; line-height: 150%; mso-list: l0 level3 lfo7; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 108.0pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">ASI tidak keluar</span></li>
</ol>
</ol>
</ol>
<ol start="1" type="a"><ol start="3" type="1">
<li class="MsoNormal" style="color: black; line-height: 150%; mso-list: l0 level2 lfo8; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 72.0pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kebutuhan </span></li>
</ol>
</ol>
<div class="MsoNormal" style="margin-left: 90.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">Penyuluhan tentang perawatan dan bresker</span></div>
<div class="MsoNormal" style="margin-left: 90.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">Dasar : </span></div>
<div class="MsoNormal" style="margin-left: 108.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">a.</span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">
</span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">ASI
tidak keluar</span></div>
<div class="MsoNormal" style="margin-left: 108.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">b.</span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">
</span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">Payudara
ibu penuh dan tegang</span></div>
<div class="MsoNormal" style="margin-left: 108.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">c.</span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">
</span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">Ibu
post partum hari
ke-2
</span></div>
<div class="MsoNormal" style="margin-left: 108.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">d.</span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">
</span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">Ibu
kurang mengerti tentang perawatan payudara pada post partum </span></div>
<div class="MsoNormal" style="margin-left: 108.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -18.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -36.0pt;">
<b><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">III.</span></b><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><b><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">IDENTIFIKASI DIAGNOSA DAN MASALAH POTENSIAL </span></b><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Potensial terjadi
mastitis </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -36.0pt;">
<b><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">IV.</span></b><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><b><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">KEBUTUHAN TERHADAP TINDAKAN SEGERA DAN
KOLABORASI </span></b><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kolaborasi dengan dokter
bila terjadi mastitis yang berlanjut </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -36.0pt;">
<b><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">V.</span></b><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><b><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">PERENCANAAN</span></b><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 108.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-</span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Jelaskan
pada ibu kondisinya saat ini </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 108.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-</span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Jelaskan
manfaat perawatan payudara post partum pada ibu</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 108.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-</span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Ajarkan cara perawatan payudara yang baik dan benar pada ibu </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 108.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-</span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Anjurkan
pada ibu untuk memberikan ASI pada bayinya </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 108.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -36.0pt;">
<b><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">VI. PERENCANAAN </span></b><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 108.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-</span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Memberikan
penjelasan pada ibu dan keluarga, saat ini ibu mengalami pembendungan ASI yang
menyebabkan payudara ibu penuh, nyeri dan tegang</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 108.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-</span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Memberikan
penjelasan pada ibu tentang perawatan payudara serta manfaatnya dapat
memperlancar proses menyusui </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 108.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-</span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Mengajarkan
pada ibu perawatan payudara pada ibu dengan melakukan pengurutan payudara
dengan baby oil atau minyak</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 108.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-</span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Menganjurkan
ibu untuk member ASI pada bayinya supaya dapat memperlancar proses menyusui</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 108.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -36.0pt;">
<b><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">VII.</span></b><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"> </span><b><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">EVALUASI </span></b><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 108.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-</span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Ibu
mengatakan mengerti keadaannya saat ini </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 108.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-</span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Ibu
mengeri penjelasan yang sudah diberikan </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 108.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-</span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Ibu berjanji akan melaksanakan anjuran yang diberikan </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 108.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-</span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Ibu mengatakan tidak cemas dengan kondisinya saat ini</span></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: center;">
<b><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">DAFTAR PUSTAKA </span></b><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: center;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-</span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Mochtar,
Rustam, 1998, <i>Sinopsis Obstetri : Obstetri Fisiologi, Obstetri Patologi, </i>Jakarta
: EGC. </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-</span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pritchard
: Maedonal; Bant, 1999, <i>Obstetri Williams, </i>Surabaya : Airlangga
University </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-</span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Prawirohardjo,
Sarwono, 2005, <i>Ilmu Kebidanan, </i>Jakarta : Yayasan Bina Pustaka</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">-</span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Prawirohardjo,
Sarwono, 2005, <i>Acuan Nasional Pelayanan Maternal dan Neonatal, </i>Jakarta
yayasan Bina Pustaka </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
Anonymoushttp://www.blogger.com/profile/12379317249182996237noreply@blogger.com0tag:blogger.com,1999:blog-4832514406706957378.post-89906356388682228452013-05-22T05:29:00.003-07:002013-05-22T05:30:29.037-07:00DDST (Denver Development Screening Test)<div style="text-align: justify;">
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<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">I.<span style="mso-bidi-font-weight: bold;"> Pengertian DDST (Denver Development Screening Test)</span></span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">DDST adalah
salah satu metode <i>screening</i> terhadap kelainan perkembangan anak. Tes ini
bukanlah tes diagnostik atau tes IQ. (Soetjiningsih, 1998). </span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; text-align: justify;">
<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-font-kerning: 18.0pt;">II.</span></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-font-kerning: 18.0pt;"> <b>Fungsi DDST</b></span><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-font-kerning: 18.0pt;"></span></b></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">DDST
digunakan untuk menaksir perkembangan personal sosial, motorik halus, bahasa
dan motorik kasar pada anak umur 1 bulan sampai 6 tahun.</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; text-align: justify;">
<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-font-kerning: 18.0pt;">III.</span></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-font-kerning: 18.0pt;"> <b>Aspek-aspek Perkembangan yang
Dinilai</b></span><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-font-kerning: 18.0pt;"></span></b></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dalam DDST
terdapat 125 tugas-tugas perkembangan dimana semua tugas perkembangan itu
disusun berdasarkan urutan perkembangan dan diatur dalam 4 kelompok besar yang
disebut sektor perkembangan, yang meliputi :</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">A.</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
<b>Personal Social (Perilaku Sosial)</b></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Aspek yang
berhubungan dengan kemampuan mandiri, bersosialisasi dan berinteraksi dengan
lingkungannya, seperti:</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1. Menatap
muka</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2. Membalas
senyum pemeriksa</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3. Tersenyum
spontan</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">4. Mengamati
tangannya</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">5. Berusaha
menggapai mainan</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">6. Makan
sendiri</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">7. Tepuk
tangan</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">8.
Menyatakan keinginan</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">9. Daag-daag
dengan tangan</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">10. Main
bola dengan pemeriksa</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">11. Menirukan
kegiatan</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">12. Minum
dengan cangkir </span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">13. Membantu
di rumah</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">14. Menggunakan
sendok dan garpu</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">15. Membuka
pakaian</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">16. Menyuapi
boneka</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">17. Memakai
baju </span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">18. Gosok
gigi dengan bantuan</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">19. Cuci
dan mengeringkan tangan</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">20. Menyebut
nama teman</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">21. Memakai
T-shirt</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">22. Berpakaian
tanpa bantuan</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">23. Bermain
ular tangga / kartu</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">24. Gosok
gigi tanpa bantuan</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">25. Mengambil
makan</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">B.</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> <b>Fine Motor Adaptive (Gerakan
Motorik Halus)</b></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Aspek yang
berhubungan dengan kemampuan anak untuk mengamati sesuatu, melakukan gerakan
yang melibatkan bagian-bagian tubuh tertentu dan dilakukan dalam:</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1. Mengikuti
ke garis tengah</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2. Mengikuti
lewat garis tengah</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3. Memegang
icik-icik</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">4. Mengikuti
180<sup>0</sup></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">5. Mengamati
manik-manik</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">6. Tangan
bersentuhan</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">7. Meraih</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">8. Mencari
benang</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">9. Menggaruk
manik-manik</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">10. Memindahkan
kubus</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">11. Mengambil
dua buah kubus</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">12. Memegang
dengan ibu jari dan jari</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">13. Membenturkan
2 kubus</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">14. Menaruh
kubus di cangkir</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">15. Mencoret-coret
</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">16. Ambil
manik-manik ditunjukkan</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">17. Menara
dari 2 kubus </span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">18. Menara
dari 4 kubus </span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">19. Menara
dari 6 kubus </span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">20. Meniru
garis vertikal</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">21. Menara
dari kubus </span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">22. Menggoyangkan
dari ibu jari </span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">23. Mencontoh
O</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">24. Menggambar
dengan 3 bagian</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">25. Mencontoh
(titik)</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">26. Memilih
garis yang lebih panjang</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">27. Mencontoh
ð yang ditunjukkan</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">28. Menggambar
orang 6 bagian</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">29. Mencontoh
ð </span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">C.</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> <b>Language (Bahasa)</b></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kemampuan
untuk memberikan respon terhadap suara, mengikuti perintah dan berbicara
spontan yang meliputi :</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1. Bereaksi </span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2. Bersuara</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3. Oooo
? Aaaah</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">4. Tertawa</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">5. Berteriak</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">6. Menoleh
ke bunyi icik-icik</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">7. Menoleh
ke arah suara </span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">8. Satu
silabel</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">9. Meniru
bunyi kata-kata</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">10. Papa/mama
tidak spesifik</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">11. Kombinasi
silabel</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">12. Mengoceh</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">13. Papa/mama
spesifik</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">14. 1
kata</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">15. 2
kata</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">16. 3
kata</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">17. 6
kata</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">18. Menunjuk
2 gambar</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">19. Kombinasi
kata</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">20.
menyebut 1 gambar </span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">21. Menyebut
bagian badan</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">22. Menunjuk
4 gambar</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">23. Bicara
dengan dimengerti</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">24. Menyebut
4 gambar</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">25. Mengetahui
2 kegiatan </span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">26. Mengerti
2 kata sifat</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">27. Menyebut
satu warna</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">28. Kegunaan
2 benda </span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">29. Mengetahui
</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">30. Bicara
semua dimengerti</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">31. Mengerti
4 kata depan</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">32. Menyebut
4 warna</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">33. Mengartikan
6 kata</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">34. Mengetahui
3 kata sifat </span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">35. Menghitung
6 kubus</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">36. Berlawanan
2</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">37. Mengartikan
7 kata</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">D.</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><b> Gross Motor
(Gerak Motorik Kasar)</b></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Aspek yang
berhubungan dengan pergerakan dan sikap tubuh, meliputi kemampuan dalam: </span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1. Gerakan
seimbang</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2. Mengangkat
kepala</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3. Kepala
terangkat ke atas </span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">4. Duduk
kepala tegak</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">5. Menumpu
badan pada kaki</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">6. Dada
terangkat menumpu satu lengan</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">7. Membalik</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">8. Bangkit
kepala tegak</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">9. Duduk
tanpa pegangan</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">10. Berdiri
tanpa pegangan </span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">11. Bangkit
waktu berdiri</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">12. Bangkit
terus duduk</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">13. Berdiri
2 detik</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">14. Berdiri
sendiri</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">15. Membungkuk
kemudian berdiri</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">16. Berjalan
dengan baik</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">17. Berjalan
dengan mundur</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">18. Lari</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">19. Berjalan
naik tangga</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">20. Menendang
bola ke depan </span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">21. Melompat</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">22. Melempar
bola, lengan ke atas</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">23. Loncat</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">24. Berdiri
satu kaki 1 detik</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">25. Berdiri
satu kaki 2 detik</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">26. Melompat
dengan satu kaki</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">27. Berdiri
satu kaki 3 detik</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">28. Berdiri
satu kaki 4 detik</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">29. Berjalan
tumit ke jari kaki</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">30. Berdiri
satu kaki 6 detik </span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">IV.</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> <b>Cara Mengukur Perkembangan
Anak dengan DDST</b></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pada waktu
tes, tugas yang perlu diperiksa setiap kali skrining biasanya hanya berkisar
antara 20-30 tugas saja, sehingga tidak memakan waktu lama, hanya sekitar 15-20
menit saja</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">A. Alat yang
Digunakan </span></b></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1.Alat peraga : benang wol merah, kismis/manik-manik, kubus warna
merah-kuning-hijau- biru, permainan anak, botol kecil, bola tenis, bel kecil,
kertas, dan pensil.</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2. Lembar formulir DDST</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3. Buku petunjuk sebagai referensi yang menjelaskan cara-cara melakukan tes dan cara
menilainya.</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">B. Prosedur DDST terdiri dari dua tahap, yaitu:</span></b></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1. Tahap pertama : secara periodik dilakukan pada semua anak yang berusia 3 – 6
bulan, 9 – 12 bulan, 18 – 24 bulan, 3 tahun, 4 tahun, 5 tahun.</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2. Tahap kedua : dilakukan pada mereka yang dicurigai adanya hambatan perkembangan
pada tahap pertama kemudian dilarutkan dengan evaluasi diagnostik yang lengkap.</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><b>C. Penilaian </b> </span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penilaian
apakah lulus (Passed: P), gagal (Fail: F), ataukah anak tidak mendapat
kesempatan melakukan tugas (No Opportunity: N.O). Kemudian ditarik garis
berdasarkan umur kronologis, yang memotong garis horisontal tugas perkembangan
pada formulir DDST. Setelah itu dihitung pada masing-masing sektor, berapa yang
P dan berapa yang F, selanjutnya berdasarkan pedoman, hasil tes diklasifikasi
dalam normal, abnormal, meragukan (Questionable) dan tidak dapat dites
(Untestable). </span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1. Abnormal</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">- Bila didapatkan 2 atau lebih keterlambatan, pada 2 sektor atau lebih</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">- Bila dalam 1 sektor atau lebih didapatkan 2 atau lebih keterlambatan plus 1
sektor atau lebih dengan 1 keterlambatan dan pada sektor yang sama tersebut
tidak ada yang lulus pada kotak yang berpotongan dengan garis vertikal usia.</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2. Meragukan </span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">- Bila pada 1 sektor didapatkan 2 keterlambatan atau lebih.</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">- Bila pada 1 sektor atau lebih didapatkan 1 keterlambatan dan pada sektor yang
sama tidak ada yang lulus pada kotak yang berpotongan dengan garis vertikal
usia. </span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3. Tidak dapat dites</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">- Apabila
terjadi penolakan yang menyebabkan hasil tes menjadi abnormal atau meragukan.</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">4. Normal</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Semua yang
tidak tercantum dalam kriteria tersebut di atas.</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Agar lebih
cepat dalam melaksanakan skrining, maka dapat digunakan tahap pra skrining
dengan menggunakan :</span></b></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1. DDST Short Form, yang masing-masing sektor hanya diambil 3 tugas (sehingga
seluruhnya ada 12 tugas) yang ditanyakan pada ibunya. Bila didapatkan salah
satu gagal atau ditolak, maka dianggap “suspect” dan perlu dilanjutkan dengan
DDST lengkap.</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2. PDQ (Pra-Screening Development Questionnaire)</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bentuk
kuisioner ini digunakan bagi orang tua yang berpendidikan SLTA ke atas dapat
diisi orang tua di rumah atau pada saat menunggu di klinik. Dipilih 10
pertanyaan pada kuisioner yang sesuai dengan umur anak. Kemudian dinilai
berdasarkan kriteria yang sudah ditentukan dan pada kasus yang dicurigai
dilakukan tes DDST lengkap. (Soetjiningsih, 1998)</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">V.</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
<b>Faktor-faktor yang Mempengaruhi Tumbuh Kembang Anak</b></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Terdapat dua
faktor utama yang berpengaruh terhadap tumbuh-kembang anak, yaitu:</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1. Faktor Genetik</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Termasuk
faktor genetik antara lain adalah berbagai faktor bawaan yang normal dan
patologik, jenis kelamin, suku bangsa atau bangsa. Seperti sindrom Down,
sindrom Turner yang disebabkan oleh kelainan kromosom. </span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2. Faktor Lingkungan</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">a. Faktor Lingkungan Pra natal, antara lain:</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">- Gizi ibu pada waktu hamil </span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">- Mekanis (trauma dan cairan ketuban yang kurang, posisi janin)</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">- Toksin / zat kimia (zat teratogen: obat-obatan teralidomide, pkenitoin,
methadion, obna-obat anti kanker)</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">- Endokrin (defisiensi hormon somatotropin, hormon plasenta, hormon tiroid,
insulin)</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">- Radiasi</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">- Infeksi (Torch, Varisela, Coxsakie, Echovirus, Malaria, Lues, HIV, polio, campak,
teptospira, virus influenza, virus hepatitis)</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">- Stres</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">- Imunitas</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">- Anoksia embrio</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">b. Faktor Lingkungan Post Natal, yaitu :</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1. Lingkungan Biologis, antara lain: Ras/suku bangsa, jenis kelamin, umur, gizi,
perawatan kesehatan, kepekaan terhadap penyakit, penyakit kronis, fungsi
metabolisme, hormon. </span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2. Faktor Fisik, antara lain: cuaca, musim, keadaan geografis suatu daerah,
sanitasi, keadaan rumah, radiasi.</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3. Faktor Psikososial, antara lain: stimulasi, motivasi belajar, hukuman yang
wajar, kelompok sebaya, stres, sekolah, cinta dan kasih sayang, kualitas
interaksi anak-orang tua.</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">4. Faktor Keluarga dan Adat Istiadat, antara lain: pekerjaan/ pendapatan keluarga,
pendidikan ayah/ibu, jumlah saudara, jenis kelamin dalam keluarga, stabilitas
rumah tangga, kepribadian ayah/ibu, adat-istiadat, norma-norma, agama,
urbanisasi, kehidupan politik dalam masyarakat yang mempengaruhi prioritas
kepentingan anak, angaran, dll. (Soetjiningsih, 1998)</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">VI.</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> <b>Stimulasi dasar atau kebutuhan dasar untuk tumbuh-kembang yang diberikan Ibu
pada anak </b></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Secara umum
digolongkan menjadi 3 kebutuhan dasar, yaitu:</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1. Kebutuhan Fisik – Biomedis <b>(“ASUH”)</b></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">- Pangan/gizi merupakan kebutuhan terpenting</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">- Perawatan kesehatan dasar: imunisasi, pemberian ASI, penimbangan bayi/anak yang
teratur, pengobatan kalau sakit. </span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">- Papan/pemukiman yang layak.</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">- Hygiene perorangan, sanitasi lingkungan</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">- Sandang</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">- Kesegaran jasmani, rekreasi.</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2. Kebutuhan emosi/kasih sayang <b>(“ASUH”)</b></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">- Kebutuhan hubungan ibu dan anak</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">- Emosi</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">- Psikososial</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">- Kasih sayang</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3. Kebutuhan akan stimulasi mental <b>(“ASUH”)</b></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">-
Kecerdasan - Kreativitas
- Moral – Etika </span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">-
Ketrampilan
-
Agama
- Produktivitas</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">-
Kemandirian
- Kepribadian
- dsb.</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Stimulasi
yang diberikan tenaga profesional, meliputi:</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1.
Fisioterapi</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.
Terapi okupasi</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3.
Terapi wicara</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">4.
Terapi bermain</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">5.
Terapi pijat</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">6.
Latihan persepsi motorik </span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">7.
Psikoterapi</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">8.
Edukasi</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Stimulasi
yang diberikan orang tua dan tenaga profesional berupa stimulasi sensori yang
terintegrasi meliputi:</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1.
Penglihatan </span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.
Pendengaran</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3.
Proprioseptif raba</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">4.
Sentuhan</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">5.
Keseimbangan</span></div>
<div class="MsoNormal" style="background: none repeat scroll 0% 0% white; line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><br />
Read more: </span><a href="http://belajaraskep.blogspot.com/2012/04/ddst-denver-development-screening-test_14.html#ixzz2NKmARxMg"><span style="color: #003399; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">http://belajaraskep.blogspot.com/2012/04/ddst-denver-development-screening-test_14.html#ixzz2NKmARxMg</span></a><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
</div>
Anonymoushttp://www.blogger.com/profile/12379317249182996237noreply@blogger.com0tag:blogger.com,1999:blog-4832514406706957378.post-46520449242413351552013-04-03T06:26:00.000-07:002013-04-03T06:26:30.086-07:00BIOLOGI REPRODUKSI<!--[if !mso]>
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<br />
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-themecolor: background2; mso-themeshade: 26;">BAB I</span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-themecolor: background2; mso-themeshade: 26;">PENDAHULUAN</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: -36.0pt;">
<a href="http://www.blogger.com/blogger.g?blogID=4832514406706957378" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"></a><a href="http://www.blogger.com/blogger.g?blogID=4832514406706957378" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"></a><a href="http://www.blogger.com/blogger.g?blogID=4832514406706957378" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"></a><a href="http://www.blogger.com/blogger.g?blogID=4832514406706957378" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"></a><a href="http://www.blogger.com/blogger.g?blogID=4832514406706957378" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"></a><b><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">1. </span></b><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"><b>Latar Belakang</b></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt;">
<a href="http://www.blogger.com/blogger.g?blogID=4832514406706957378" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"></a><a href="http://www.blogger.com/blogger.g?blogID=4832514406706957378" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"></a><a href="http://www.blogger.com/blogger.g?blogID=4832514406706957378" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"></a><a href="http://www.blogger.com/blogger.g?blogID=4832514406706957378" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"></a><a href="http://www.blogger.com/blogger.g?blogID=4832514406706957378" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"></a><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">Ilmu kebidanan adalah ilmu yang mempelajari tentang
kehamilan, persalinan, dan kala nifas serta kembalinya alat reproduksi ke
keadaan normal. Kemampuan pelayanan kesehatan suatu negara ditentukan dengan perbandingan
tinggi rendahnya angka kematan ibu dan angka kematian perinatal. Dikemukakan
bahwa angka kematian perinatal lebih mencerminkan kesanggupan satu negara untuk
memberikan pelayanan kesehatan.</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">Indonesia, di lingkungan Asia, merupakan Negara dengan
angka kematian ibu dan perinatal tertinggi, yang berarti kemampuan untuk
memberikan pelayanan kesehatan masih memerlukan perbaikan yang bersifat
menyeluruh dan lebih bermutu. Dengan perkiraan persalinan di Indonesia setiap
tahunnya atau terjadi setiap 26-27 menit. Penyebab kematian ibu adalah
perdarahan 30,5%, infeksi 22,5%, gestosis 17,5%, dan anesthesia 2,0%. Kematian
bayi sebesar 56/10.000 menjadi sekitar 280.000 atau terjadi setiap 18-20 menit
sekali. Penyebab kematian bayi adalah asfiksia neonatorum 49-60%, infeksi
24-34%, prematuritas BBL 15-20%, dan cacat bawaan 1-3%.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">Memperhatikan angka kematian ibu dan bayi yang terjadi
di Indonesia penulis menyimpulkan bahwa sebagian besar kematian ibu dan
perinatal terjadi saat pertolongan pertama persalinan. Oleh karena itu pada
penulisan makalah ini penulis akan membahas mengenai proses fisiologis
persalinan yang bertujuan untuk menambah wawasan dan pengetahuan mengenai ilmu
kebidanan khususnya mengenai persalinan dan dalam upaya meningkatkan mutu
pelayanan kebidanan dan menurunkan angka kematian ibu dan bayi.</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"> </span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 0cm; text-align: justify; text-indent: -36.0pt;">
<b><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">1.2</span></b><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"> <b>Tujuan</b></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">1. </span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">Untuk </span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">mengerti dan memahami </span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">pengertian fisiologi persalinan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">2. </span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">Untuk </span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-spacerun: yes;"> </span>memahami dan mengetahui </span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">proses
terjadinya persalinan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">3. </span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">Untuk </span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">mengerti dan memahami tahap</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"> – tahap </span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-spacerun: yes;"> </span>persalinan </span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">4. </span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">Untuk </span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">mengerti dan memahami </span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">perubahan fisiologis dan
psikologis yang mempengaruhi persalinan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">5. </span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">Untuk<span style="mso-spacerun: yes;"> </span></span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">memahami dan mengetahui</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"> faktor –
faktor yang mempengaruhi persalinan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">6.<span style="mso-spacerun: yes;">
</span>Untuk<span style="mso-spacerun: yes;"> </span>memahami dan mengetahui
penurunan kepala janin</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">7.<span style="mso-spacerun: yes;"> </span>Untuk
memahami dan mengetahui karakteristik persalinan<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">8.<span style="mso-spacerun: yes;"> </span>Untuk </span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">memahami dan mengetahui konsep mo</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">lase </span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">dalam persalinan</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">9.<span style="mso-spacerun: yes;"> </span>Untuk </span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-spacerun: yes;"> </span>memahami dan mengetahui mekanisme fisiologi </span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">persalinan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br />
<b><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">1.3</span></b><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"> <b>Rumusan Masalah</b></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">Apa itu fisiologi persalinan
?</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">Bagaimana terjadinya proses persalinan?</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">Apa saja tahap – tahap persalinan?</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">Apa saja perubahan fisiologis dan psikologis yang
terjadi dalam persalinan?</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">Apa saja faktor-faktor yang mempengaruhi persalinan ?</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">Bagaimana proses penurunan kepala janin?</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">Apa perbedaan his palsu dengan his persalinan ?</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">Bagaimana konsep mo</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">lase </span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">dalam persalinan ?</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">Bagaimana mekanisme fisiologi </span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">persalinan</span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">?</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
<div style="text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-themecolor: background2; mso-themeshade: 26;">BAB II</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-themecolor: background2; mso-themeshade: 26;">PEMBAHASAN</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l4 level2 lfo1; text-align: justify; text-indent: -21.3pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-list: Ignore;">2.1<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-spacerun: yes;"> </span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-themecolor: background2; mso-themeshade: 26;">Pengertian Persalinan</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1cm; text-align: justify; text-indent: 1cm;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-themecolor: background2; mso-themeshade: 26;">Persalinan dan kelahir</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-themecolor: background2; mso-themeshade: 26;">an</span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-themecolor: background2; mso-themeshade: 26;"> merupakan kejadian
fisiologi yang normal dalam kehidupan. Kelahiran seorang bayi juga merupakan p</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-themecolor: background2; mso-themeshade: 26;">e</span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-themecolor: background2; mso-themeshade: 26;">ristiwa so</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-themecolor: background2; mso-themeshade: 26;">si</span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-themecolor: background2; mso-themeshade: 26;">al bagi ibu dan
keluarga. Peran ibu adalah melahirkan bayinya, sedangkan peran keluarga adalah
member</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-themecolor: background2; mso-themeshade: 26;">i</span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-themecolor: background2; mso-themeshade: 26;"> dukungan dan bantuan </span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-themecolor: background2; mso-themeshade: 26;">dalam </span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-themecolor: background2; mso-themeshade: 26;">proses persalinan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1cm; text-align: justify; text-indent: 1cm;">
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<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-themecolor: background2; mso-themeshade: 26;">Kelahiran adalah proses dimana janin dan ketuban didorong
keluar melalui jalan lahir. Dengan demikian bi</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-themecolor: background2; mso-themeshade: 26;">sa</span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-themecolor: background2; mso-themeshade: 26;"> dikatakan
persalinan adalah rangkaian peristiwa mulai dari kenceng – kenceng teratur
sampai dikeluarkannya produk konsepsi ( janin, plasenta, ketuban, dan cairan
ketuban)</span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-themecolor: background2; mso-themeshade: 26;"> </span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-themecolor: background2; mso-themeshade: 26;">dari uterus kedunia
luar melalui jalan lahir atau melalui jalan lain, dengan bantuan at</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-themecolor: background2; mso-themeshade: 26;">au</span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-themecolor: background2; mso-themeshade: 26;"> dengan<span style="mso-spacerun: yes;"> </span>kekuatan
sendiri.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1cm; text-align: justify; text-indent: 1cm;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l4 level2 lfo1; text-align: justify; text-indent: -21.3pt;">
<b style="mso-bidi-font-weight: normal;"><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-list: Ignore;">2.2<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-spacerun: yes;"> </span>Proses terjadinya persalinan</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l0 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></i></b><b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-themecolor: background2; mso-themeshade: 26;">Teori Keregangan</span></i></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-themecolor: background2; mso-themeshade: 26;">Otot rahim
mempunyai kemampuan meregang dalam batas tertentu. Setelah melewati batas waktu
tersebut terjadi kontraksi sehingga persalinan dapat mulai. Keadaan uterus yang
terus membesar dan menjadi tegang menyebabkan iskemia. Hal ini mungkin
merupakan fa</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-themecolor: background2; mso-themeshade: 26;">k</span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-themecolor: background2; mso-themeshade: 26;">tor yang mengganggu sirkulasi
uteroplasenta sehingga plaseta mengalami regenerasi.</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l0 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></i></b><b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-themecolor: background2; mso-themeshade: 26;">Teori penurunan progesterone</span></i></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-themecolor: background2; mso-themeshade: 26;">Proses penuaan
plasenta terjadi mulai umur kehamilan 28 minggu, dimana terjadi penimbunan
jaringan ikat, pembuluh darah mengalami penyempitan dan buntu. Villi koriales
mengalami perubahan – perubahan dan produksi<span style="mso-spacerun: yes;">
</span>progerte</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-themecolor: background2; mso-themeshade: 26;">r</span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-themecolor: background2; mso-themeshade: 26;">on mengalami
penurunan, sehingga otot rahim mulai berkontraksi setelah tercapai tingkat
penurunan progesteton tertentu.</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l0 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></i></b><b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-themecolor: background2; mso-themeshade: 26;">Teori Oksitosin Internal</span></i></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-themecolor: background2; mso-themeshade: 26;">Oksitosin
dikeluarkan oleh kelenjar hipofise posterior. Perubahan keseimbangan
progesterone dan estrogen dapat mengubah sensitivitas otot rahim, sehingga
sering terjadi kontraksi br</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-themecolor: background2; mso-themeshade: 26;">axton Hicksc </span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-themecolor: background2; mso-themeshade: 26;">.Men</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-themecolor: background2; mso-themeshade: 26;">u</span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-themecolor: background2; mso-themeshade: 26;">runnya konsentrasi progesterone akibat tuannya kehamilan
menyebabkan oksitosin meninggatkan aktivitasnya,sehingga terjadi persalinaan.</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l0 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></i></b><b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-themecolor: background2; mso-themeshade: 26;">Teori Postaglandin</span></i></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-themecolor: background2; mso-themeshade: 26;">Pemberian
prostaglandin pada saa</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-themecolor: background2; mso-themeshade: 26;">t</span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-themecolor: background2; mso-themeshade: 26;"> hamil dapat
menimbulkan kontraksi otot rahim sehingga terjadi persalinaan. Postaglandin
dianggap pemicu terjadinya persalinan.</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l0 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></i></b><b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-themecolor: background2; mso-themeshade: 26;">Teori Hipotalamus – pituitary dan
Glandula suprarenalis</span></i></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-themecolor: background2; mso-themeshade: 26;">Teori ini
menunjukkan pada </span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-themecolor: background2; mso-themeshade: 26;">k</span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-themecolor: background2; mso-themeshade: 26;">ehamilan
anensefalus sering terjadi keterlambatan persalinan karena tidak terbentuk
hipotalamus.Pemberian kortikosteroid yang dapat menyebabkan maturitas janin,
induksi persalinan.Sehingga dapat disimpulkan bahwa hubungan hipotalamus
pituitary dengan mulianya persalinan. Glandula suprarenalis merupakan pemicu
terjadinya persalinan.</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l0 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></i></b><b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-themecolor: background2; mso-themeshade: 26;">Teori Ber</span></i></b><b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-themecolor: background2; mso-themeshade: 26;">k</span></i></b><b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-themecolor: background2; mso-themeshade: 26;">urangnya Nutrisi</span></i></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-themecolor: background2; mso-themeshade: 26;">Berkurangnya
nutrisi pada janin dikemukakan oleh Hippokrates untuk pertama kalinya. Bila
nutrisi pada janin berkurang maka hasil konsepsi akan segera di keluarkan.</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l0 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></i></b><b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-themecolor: background2; mso-themeshade: 26;">Faktor Lain</span></i></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-themecolor: background2; mso-themeshade: 26;">Tekanan pada
ganglion servikale dari pleksus frankenhauser yang terletak di belakang
serviks. Bila ganglion ini tertekan maka kontraksi uterus dapat dibangkitkan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify; text-indent: -7.1pt;">
<b style="mso-bidi-font-weight: normal;"><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-themecolor: background2; mso-themeshade: 26;">2.3 <span style="mso-spacerun: yes;"> </span>Tahapan Persalinan</span></b></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 21.3pt;">
<b style="mso-bidi-font-weight: normal;"><i><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">a. </span></i></b><b style="mso-bidi-font-weight: normal;"><i><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">Persalinan kala I.</span></i></b><b style="mso-bidi-font-weight: normal;"><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">Kala I adalah kala pembukaan yang
berlangsung antara pembukaan nol sampai pembukaan lengkap. Lamanya kala I untuk
primigravida berlangsung 12 jam sedangkan multigravida sekitar 8 jam.
Berdasarkan kurve Friedman, diperhitungkan pembukaan primigravida 1 cm per jam
dan pembukaan multigravida 2 cm per jam. Dengan perhitungan tersebut maka waktu
pembukaan lengkap dapat diperkirakan. Pada kala I ini terjadi pendataran dan
penipisan serviks.</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 18.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 18.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 18.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 18.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 18.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 21.3pt;">
<b style="mso-bidi-font-weight: normal;"><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">b. </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"> <i>Kala II </i></span></b><b style="mso-bidi-font-weight: normal;"><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">Gejala utama kala II </span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-spacerun: yes;"> </span></span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">adalah</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">:</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l13 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">His semakin kuat, dengan interval 2 sampai 3 menit,
dengan durasi 50 sampai 100</span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"> </span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">detik.</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l13 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-spacerun: yes;"> </span>Menjelang akhir
kala I ketuban pecah yang ditandai dengan pengeluaranan cairan secara mendadak.</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l13 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"> Ketuban pecah pada pembukaan mendekati lengkap
diikuti keinginan mengejan, karena tertekannya fleksus frankenhouser.</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l13 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-spacerun: yes;"> </span>Kedua kekuatan,
his dan mengejan lebih mendorong kepala bayi sehingga terjadi:</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 85.65pt; mso-add-space: auto; mso-list: l2 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-spacerun: yes;"> </span>Kepala membuka
pintu</span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"> </span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 85.65pt; mso-add-space: auto; mso-list: l2 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">Subocciput bertindak sebagai hipomoglion
berturut-turut lahir ubun-ubun besar, </span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-spacerun: yes;"> </span></span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">dahi, hidung dan muka, dan kepala seluruhnya.</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l13 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">Kepala lahir seluruhnya dan diikuti oleh putaran paksi
luar, yaitu penyesuaian kepala pada punggung.</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l13 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"> Setelah putar paksi luar berlangsung, maka
persalinan bayi ditolong dengan jalan:</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 85.65pt; mso-add-space: auto; mso-list: l3 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">Kepala dipegang pada os occiput dan di bawah dagu,
ditarik curam ke bawah untuk</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 85.65pt; mso-add-space: auto; mso-list: l3 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">Setelah kedua bahu lahir, ketiak dikait untuk
melahirkan sisa badan bayi.</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 85.65pt; mso-add-space: auto; mso-list: l3 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-spacerun: yes;"> </span>Bayi lahir
diikuti oleh sisa air ketuban.</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l13 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">Lamanya kala II untuk primigravida 50 menit dan
multigravida 30 menit.</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 21.3pt;">
<b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">c. </span></i></b><b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-spacerun: yes;"> </span><span lang="EN-US" style="mso-bidi-font-style: italic;">Kala III (pelepasan placenta)</span></span></i></b><b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></i></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">Setelah kala II, kontraksi uterus
berhenti sekitar 5 sampai 10 menit. Dengan lahirnya bayi, </span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-spacerun: yes;"> </span></span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">sudah mulai pelepasan plasenta pada lapisan Nitabusch,
karena sifat retraksi otot rahim.</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">Lepasnya placenta sudah dapat
diperkirakan dengan memperlihatkan tanda-tanda sebagai berikut:</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l12 level2 lfo6; text-align: justify; text-indent: -14.2pt;">
<span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">Uterus menjadi bundar</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l12 level2 lfo6; text-align: justify; text-indent: -14.2pt;">
<span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-spacerun: yes;"> </span>Uterus
terdorong ke atas, karena plasenta dilepas ke segmen bawah rahim</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l12 level2 lfo6; text-align: justify; text-indent: -14.2pt;">
<span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">Tali pusat bertambah panjang</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l12 level2 lfo6; text-align: justify; text-indent: -14.2pt;">
<span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">Terjadi perdarahan.</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l9 level1 lfo7; text-align: justify; text-indent: -14.15pt;">
<b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></i></b><b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"> <span style="mso-bidi-font-style: italic;">Kala IV</span></span></i></b><b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></i></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -3.3pt;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">Kala IV dimaksudkan untuk melakukan observasi karena perdarahan postpartum
paling sering terjadi pada 2 jam pertama.</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">Observasi yang dilakuakn:</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l7 level2 lfo8; text-align: justify; text-indent: -14.2pt;">
<span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">Tingkat kesadaran penderita.</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l7 level2 lfo8; text-align: justify; text-indent: -14.2pt;">
<span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-spacerun: yes;"> </span>Pemeriksaan
tanda-tanda vital: tekanan darah, nadi, pernapasan, dan respirasi.</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l7 level2 lfo8; text-align: justify; text-indent: -14.2pt;">
<span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">Kontraksi uterus.</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l7 level2 lfo8; text-align: justify; text-indent: -14.2pt;">
<span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"> Terjadinya perdarahan.</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 35.45pt;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">Perdarahan dianggap masih normal
bila jumlahnya tidak melebihi 400 sampai 500 cc.</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 35.45pt;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level2 lfo4; text-align: justify; text-indent: -28.4pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-list: Ignore;">2.4<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">Faktor fisiologis dan </span></b><b style="mso-bidi-font-weight: normal;"><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">p</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">sikologis yang mrempengaruhi
persalinan</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 14.2pt; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">Perubahan</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"> fisiologis: <span style="mso-tab-count: 11;"> </span><span style="mso-spacerun: yes;"> </span></span><b><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-themecolor: background2; mso-themeshade: 26;">1.Tekanan darah</span></b><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-tab-count: 11;"> </span></span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-themecolor: background2; mso-themeshade: 26;">Tekanan darah meningkat selama terjadi kontraksi (
sistolik naik ± 15-20 mmhg, diastolik </span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-tab-count: 1;"> </span></span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-themecolor: background2; mso-themeshade: 26;">± 5-10 mmhg) Rasa sakit, takut, cemas juga akan meningkatkan
tekanan darah</span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
<div class="MsoNormal" style="line-height: 150%; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<b><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-themecolor: background2; mso-themeshade: 26;">2. Metabolisme</span></b><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-tab-count: 10;"> </span></span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-themecolor: background2; mso-themeshade: 26;">Metabolisme akan meningkat secara berangsur-angsur
disebabkan karena kecemasan dan </span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-tab-count: 1;"> </span></span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-themecolor: background2; mso-themeshade: 26;">aktivitas otot-otot skeketal, peningkatan ini karena
ditandai dengan peningkatan suhu tubuh, </span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-tab-count: 1;"> </span></span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-themecolor: background2; mso-themeshade: 26;">nadi dan respirasi</span></div>
<div class="MsoNormal" style="line-height: 150%; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<b><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-themecolor: background2; mso-themeshade: 26;">3.
Suhu tubuh</span></b><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-tab-count: 10;"> </span></span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-themecolor: background2; mso-themeshade: 26;">Peningkatan metabolisme tubuh menyebabkan suhu tubuh
meningkat selama persalinan </span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-tab-count: 1;"> </span></span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-themecolor: background2; mso-themeshade: 26;">terutama selama dan setelah bayi lahir. Peningkatn suhu
tubuh tidak boleh > 0,5 °C-1 °C.</span></div>
<div class="MsoNormal" style="line-height: 150%; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<b><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-themecolor: background2; mso-themeshade: 26;">4.
Sistem Kardiovaskular</span></b><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-tab-count: 10;"> </span><span style="mso-tab-count: 1;"> </span></span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-themecolor: background2; mso-themeshade: 26;">Peningkatan metabolisme akan meningkatkn detak jantung
selama kontraksi secara </span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-tab-count: 1;"> </span></span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-themecolor: background2; mso-themeshade: 26;">otomatis.</span></div>
<div class="MsoNormal" style="line-height: 150%; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<b><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-themecolor: background2; mso-themeshade: 26;">5.
Sistem Pernafasan</span></b><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-tab-count: 9;"> </span></span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-themecolor: background2; mso-themeshade: 26;">Pernafasan meningkat sehubungan dengan meningkatnya
metabolisme.</span></div>
<div class="MsoNormal" style="line-height: 150%; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<b><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-themecolor: background2; mso-themeshade: 26;">6.
Sistem Urinaria</span></b><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-tab-count: 12;"> </span></span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-themecolor: background2; mso-themeshade: 26;">Poliuri terjadi selama persalinan karena peningkatan cardiac
output, filtrasi glumerulus dan </span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-tab-count: 1;"> </span></span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-themecolor: background2; mso-themeshade: 26;">aliran plasma ginjal</span></div>
<div class="MsoNormal" style="line-height: 150%; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<b><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-themecolor: background2; mso-themeshade: 26;">7.
Sistem Gastro intestinal</span></b><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-tab-count: 10;"> </span></span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-themecolor: background2; mso-themeshade: 26;">Motilitas lambung , absorbsi makanan padat secara
substansial berkurang banyak sekali </span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-tab-count: 1;"> </span></span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-themecolor: background2; mso-themeshade: 26;">selama persalinan, pengeluaran getah lambung mengakibatkan
aktifitas pencernaan </span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-tab-count: 1;"> </span></span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-themecolor: background2; mso-themeshade: 26;">terganggu, mual dan muntah bisa terjadi sampai ibu mencapai
akhir persalinan</span></div>
<div class="MsoNormal" style="line-height: 150%; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<b><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-themecolor: background2; mso-themeshade: 26;">8.
Sistem Hematologi</span></b><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-tab-count: 4;"> </span><span style="mso-tab-count: 7;"> </span></span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-themecolor: background2; mso-themeshade: 26;">Hb meningkat 1-2 gr% selama persalinan dan akan kembali pada
tingkat sebelum persalinan </span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-tab-count: 1;"> </span></span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-themecolor: background2; mso-themeshade: 26;">sehari setelah persalinan kecuali terjadi perdarahan</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
<div class="MsoNormal" style="line-height: 150%; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-themecolor: background2; mso-themeshade: 26;">Perubahan
</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-themecolor: background2; mso-themeshade: 26;">p</span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-themecolor: background2; mso-themeshade: 26;">sikologis :</span></div>
<ol start="1" style="text-align: justify;" type="1">
<li class="MsoNormal" style="color: #1d1b11; line-height: 150%; mso-list: l11 level1 lfo12; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-themecolor: background2; mso-themeshade: 26; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kebahagian
yang besar dan antisipasi untuk mengungkapkan ketakutan</span></li>
<li class="MsoNormal" style="color: #1d1b11; line-height: 150%; mso-list: l11 level1 lfo12; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-themecolor: background2; mso-themeshade: 26; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Ketakutan
terhadap hal yang tidak diketahui</span></li>
<li class="MsoNormal" style="color: #1d1b11; line-height: 150%; mso-list: l11 level1 lfo12; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-themecolor: background2; mso-themeshade: 26; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Ketakutan
terhadap teknologi, intervensi dan hospitalisasi</span></li>
<li class="MsoNormal" style="color: #1d1b11; line-height: 150%; mso-list: l11 level1 lfo12; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-themecolor: background2; mso-themeshade: 26; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Ketegangan,
ketakutan, dan kecemasan mengenai nyeri serta kemampuan untuk melatih
kontrol diri selama persalinan</span></li>
<li class="MsoNormal" style="color: #1d1b11; line-height: 150%; mso-list: l11 level1 lfo12; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-themecolor: background2; mso-themeshade: 26; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Perhatian
mengenai kesejahteraan bayi dan kemampuan pasangan untuk melakukan koping</span></li>
<li class="MsoNormal" style="color: #1d1b11; line-height: 150%; mso-list: l11 level1 lfo12; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-themecolor: background2; mso-themeshade: 26; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Ketakutan
terhadap kematian – rumah sakit mungkin dipandang sebagai tempat penyakit,
kematian, dan sekarat; kuatnya perasaan semacam ini dapat meningkat jika
ibu mengalami komplikasi seperti perdarahan hebat pascapartum, distosia
bahu, atau bahkan seksio sesar</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">i</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a darurat</span></li>
<li class="MsoNormal" style="color: #1d1b11; line-height: 150%; mso-list: l11 level1 lfo12; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-themecolor: background2; mso-themeshade: 26; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Proses
persalinan menyebabkan banyak data pribadi di ketahui publik sehingga
dapat menimbulkan ketakutan dan kurangnya privasi atau rasa malu.</span></li>
<li class="MsoNormal" style="color: #1d1b11; line-height: 150%; mso-list: l11 level1 lfo12; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-themecolor: background2; mso-themeshade: 26; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kecemasan
mengenai abnormalitas pada janin</span></li>
<li class="MsoNormal" style="color: #1d1b11; line-height: 150%; mso-list: l11 level1 lfo12; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-themecolor: background2; mso-themeshade: 26; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kelegaan,
‘syukurlah semua telah berakhir’ mungkin di ungkapkan oleh kebanyakan ibu
segera setelah melahirkan; kadang-kadang ibu menanggapi secara dingin
terhadap peristiwa yang baru terjadi, terutama bila ibu mengalami
persalinan lama, dan komplikasi, dan sulit.</span></li>
<li class="MsoNormal" style="color: #1d1b11; line-height: 150%; mso-list: l11 level1 lfo12; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-themecolor: background2; mso-themeshade: 26; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Beberapa
ibu mungkin merasa dekat dengan pasangan dan bayi; sama </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">h</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">alnya dengan ibu yang tidak
tertarik dengan bayinya meskipun beberapa ibu yang ingin menyusui
menginginkan adany</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">a</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
<span lang="EN-US">kontak kulit ke kulit dan segera menyusui</span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></li>
<li class="MsoNormal" style="color: #1d1b11; line-height: 150%; mso-list: l11 level1 lfo12; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-themecolor: background2; mso-themeshade: 26; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Tidak
tertarik atau sangat perhatian terhadap bayinya</span></li>
<li class="MsoNormal" style="color: #1d1b11; line-height: 150%; mso-list: l11 level1 lfo12; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-themecolor: background2; mso-themeshade: 26; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kelelahan
dan peningkatan emosi</span></li>
<li class="MsoNormal" style="color: #1d1b11; line-height: 150%; mso-list: l11 level1 lfo12; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-themecolor: background2; mso-themeshade: 26; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Nyeri
(misal perenium, puting)</span></li>
</ol>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 85.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">2.</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">5</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"> <span style="mso-spacerun: yes;"> </span></span></b><b style="mso-bidi-font-weight: normal;"><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">Faktor – faktor
yang mempengaruhi persalinan</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">Faktor-faktor </span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">yang mempengaruhi persalinan
sering disebut 5P:</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 21.3pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">a. <i>Power</i></span></b><b style="mso-bidi-font-weight: normal;"><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></b></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l5 level2 lfo9; text-align: justify; text-indent: -18.0pt;">
<span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">His (kontraksi otot rahim).</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l5 level2 lfo9; text-align: justify; text-indent: -18.0pt;">
<span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"> Kontraksi otot dinding perut.</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l5 level2 lfo9; text-align: justify; text-indent: -18.0pt;">
<span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">Kontraksi diafragma pelvis atau kekuatan mengejan.</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l5 level2 lfo9; text-align: justify; text-indent: -18.0pt;">
<span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">Ketegangan dan kontraksi ligamentum retundum.</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">His atau kekuatan kontraksi rahim
yang normal mempunyai sifat dimulai dari salah satu tanduk rahim, kemudian
menjalar keseluruh otot rahim. Kekuatan ini seperti memeras isi rahim. Otot
rahim yang berkontraksi tidak akan kembali kepanjang semula, sehingga terjadi
retraksi dan pembentukan segmen bawah rahim. </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 21.3pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">b. <i>Pasanger (janin dan plasenta).</i></span></b><b style="mso-bidi-font-weight: normal;"><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">Selama janin dan plasenta berada
dalam rahim pertumbuhannya belum tentu normal, kelainan genetik dan kebiasaan
ibu yang buruk dapat menjadikan adanya pertumbuhan yang tidak normal antara
lain:</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l8 level2 lfo10; text-align: justify; text-indent: -18.0pt;">
<span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">Kelainan bentuk dan besar janin : anensefalus,
hidrosefalus dan janin makrosomia.</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l8 level2 lfo10; text-align: justify; text-indent: -18.0pt;">
<span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">Kelainan pada otak kepala : presentasi puncak, muka,
dahi dan kelainan occiput.</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l8 level2 lfo10; text-align: justify; text-indent: -18.0pt;">
<span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">Kelainan letak janin : letak sungsang, lintang,
mengolak, rangkap.</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">Setelah persalinan kepala, badan
janin tidak akan mengalami kesulitan. Kepala janin memiliki ciri oval yang
membuat bagian lain lebih mudah lahir setelah bagian besarnya lahir, berbentuk
kogel atau mudah digerakkan kesegala arah dan persendian sedikit kebelakang
yang berfungsi untuk fleksi pada putaran paksi dalam.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 21.3pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 21.3pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 21.3pt;">
<b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">c. <span style="mso-bidi-font-style: italic;">Passage atau jalan lahir.</span></span></i></b><b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></i></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">Passage atau jalan lahir terdiri
dari jalan lahir lunak dan jalan lahir tulang. Jalan lahir lunak terdiri atas
otot, jaringan dan ligamen. Sedangkan jalan lahir tulang atau keras terdiri
dari tulang panggul dan sendi.</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 21.3pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">d. <i>Psikologis</i></span></b><b style="mso-bidi-font-weight: normal;"><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">Banyak wanita normal bisa merasakan
kegairahan dan kegembiraan disaat merasa kesakitan awal persalinan. Perasaan
positif ini berupa kelegaan hati karena merasa telah menjadi “wanita sejati”.</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 49.65pt;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">Psikologis meliputi:</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 108.0pt; mso-add-space: auto; mso-list: l6 level3 lfo11; text-align: justify; text-indent: -9.0pt;">
<span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">Melibatkan psikologis ibu, emosi dan
persiapan intelektual.</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 108.0pt; mso-add-space: auto; mso-list: l6 level3 lfo11; text-align: justify; text-indent: -9.0pt;">
<span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-list: Ignore;">b.</span></span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"> Pengalaman bayi sebelumnya.</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 108.0pt; mso-add-space: auto; mso-list: l6 level3 lfo11; text-align: justify; text-indent: -9.0pt;">
<span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-spacerun: yes;"> </span>Kebiasaan adat.</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 21.3pt;">
<b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">e. </span></i></b><b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"> Penolong</span></i></b><b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></i></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">Peran dari penolong persalinan
adalah mengantisipasi dan menangani komplikasi yang mungkin terjadi pada ibu
dan janin. Dalam hal ini proses tergantung dari kemampuan skil dan kesiapan
penolong dalam menghadapi proses persalinan.</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 27.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level2 lfo13; text-align: justify; text-indent: -27.0pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-list: Ignore;">2.6<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">Penurunan
kepala pada persalinan</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-themecolor: background2; mso-themeshade: 26;">Pemeriksaan
penurunan bagian terbawah janin ke dalam rongga panggul melalui pengukuran pada
dinding abdomen akan memberikan tingkat kenyamanan yang lebih baik bagi ibu
jika dibandingkan dengan melakukan periksa dalam (<i>vaginal toucher</i>).
Selain itu, cara penilaian diatas (bila dilakukan secara benar) dapat
memberikan informasi yang sama baiknya dengan hasil periksa dalam tentang
kemajuan persalinan (penurunan bagian terbawah janin) dan dapat mencegah
periksa dalam yang tidak perlu atau berlebihan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-themecolor: background2; mso-themeshade: 26;">Penilaian penurunan
kepala janin dilakukan dengan menghitung proporsi bagian terbawah janin yang
masih berada di atas tepi atas simfisis dan dapat diukur dengan lima jari
tangan pemeriksa (per limaan). Bagian diatas simfisis adalah proporsi yang
belum masuk pintu atas panggul dan sisanya (tidak teraba) menunjukkan sejauh
mana bagian terbawah janin telah masuk ke dalam rongga panggul (lihat Gambar
2-2).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-themecolor: background2; mso-themeshade: 26;">Penurunan bagian terbawah dengan
metode lima jari (perlimaan) adalah:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-themecolor: background2; mso-themeshade: 26;">-5/5 jika bagian terbawah janin
seluruhnya teraba di atas simfisis pubis</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-themecolor: background2; mso-themeshade: 26;">- 4/5 jika sebagian (1/5) bagian
terbawah janin telah memasuki pintu atas panggul</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-themecolor: background2; mso-themeshade: 26;">- 3/5 jika sebagian (2/5) bagian
terbawah janin telah memasuki rongga panggul</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 27.0pt; mso-add-space: auto; text-align: justify; text-indent: -9.0pt;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-themecolor: background2; mso-themeshade: 26;">- 2/5 jika hanya
sebagian dari bagian terbawah janin masih berada diats simfisi dan (3/5)
bagian<span style="mso-spacerun: yes;"> </span>telah turun melewati bidang
tengah rongga panggul (tidak dapat digerakkan)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 27.0pt; mso-add-space: auto; text-align: justify; text-indent: -9.0pt;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-themecolor: background2; mso-themeshade: 26;">- 1/5 jika hanya 1
dari 5 jari masih dapat meraba bagian terbawah janin yang berada diatas
simfisis dan 4/5 bagian telah masauk ke dalam rongga panggul</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 27.0pt; mso-add-space: auto; mso-list: l7 level3 lfo8; text-align: justify; text-indent: -9.0pt;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-themecolor: background2; mso-themeshade: 26;">0/5 jika bagian terbawah janin
sudah tidak dapat diraba dari pemeriksaan luar dan seluruh bagian terbawah
janin sudah masuk ke dalam rongga panggul</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 85.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 85.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: -13.65pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center; text-indent: -2.15pt;">
<b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-no-proof: yes; mso-themecolor: text1;">
</span></b><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: text1;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: -2.15pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: -2.15pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: -2.15pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: -2.15pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-themecolor: background2; mso-themeshade: 26;">Bidang Hodge </span></b></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; mso-list: l14 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="color: #1d1b11; font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-themecolor: background2; mso-themeshade: 26;">Hodge I<span style="mso-tab-count: 1;"> </span>: Sama dengan<span style="mso-spacerun: yes;"> </span>pintu
atas panggul</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l14 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="color: #1d1b11; font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-themecolor: background2; mso-themeshade: 26;">Hodge II<span style="mso-tab-count: 1;"> </span>: Sejajar dengan Hodge I melalui pinggir bawah symphisis</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l14 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="color: #1d1b11; font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-themecolor: background2; mso-themeshade: 26;">Hodge III<span style="mso-tab-count: 1;"> </span>: Sejajar<span style="mso-spacerun: yes;"> </span>dengan Hodge
I melalui<span style="mso-spacerun: yes;"> </span>spinae ischidiadicae</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l14 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="color: #1d1b11; font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-spacerun: yes;"> </span>Hodge IV<span style="mso-tab-count: 1;"> </span>:
Sejajar dengan Hodge I melalui ujung os.coccygis</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: -2.15pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: -2.15pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center; text-indent: -2.15pt;">
<span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-no-proof: yes; mso-themecolor: background2; mso-themeshade: 26;">
</span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: -2.15pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: -2.15pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: -2.15pt;">
<b style="mso-bidi-font-weight: normal;"><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">2.</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">7 </span></b><b style="mso-bidi-font-weight: normal;"><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-spacerun: yes;"> </span>Karakteristik persalinan yang sesungguhnya </span></b></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: -36pt;">
<b><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-tab-count: 1;"> </span></span></b><b><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">Perbedaan his palsu dan his
persalinan.</span></b><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">Pada saat hamil muda sering terjadi kontraksi Braxton
Hicks. Kontraksi ini dapat dikemukakan sebagai keluhan, karena dirasakan sakit
dan mengganggu. Kontraksi Braxton Hicks terjadi karena perubahan keseimbangan
estrogen, progesteron, dan memberikan kesempatan rangsangan oksitosin.</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">Dengan demikian makin tua hamil, pengeluaran estrogen
dan progesteron makin berkurang sehingga oksitosin dapat menimbulkan kontraksi
yang lebih sering, sebagai his palsu.</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">Perbedaan his palsu dan his persalinan antara lain:</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt;">
<br /></div>
<table border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; margin-left: 41.4pt; mso-padding-alt: 0cm 0cm 0cm 0cm; mso-yfti-tbllook: 1184; width: 576px;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid #FFC000 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 221.25pt;" width="295"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">His permulaan (palsu)</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
</td>
<td style="border-left: none; border: solid #FFC000 1.0pt; mso-border-left-alt: solid #FFC000 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 210.75pt;" width="281"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">His persalian</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="border-top: none; border: solid #FFC000 1.0pt; mso-border-top-alt: solid #FFC000 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 221.25pt;" width="295"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">Rasa nyeri ringan di bagian bawah</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 210.75pt;" width="281"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">Pinggang terasa sakit yang menjalar ke depan</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="border-top: none; border: solid #FFC000 1.0pt; mso-border-top-alt: solid #FFC000 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 221.25pt;" width="295"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">Datangnya tidak teratur, interval panjang,
durasinya pendek</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 210.75pt;" width="281"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">Sifatnya teratur, interval makin pendek, durasi
makin lama dan kekuatannya makin besar</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 3;">
<td style="border-top: none; border: solid #FFC000 1.0pt; mso-border-top-alt: solid #FFC000 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 221.25pt;" width="295"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">Tidak ada perubahan pada serviks atau pembawa
tanda</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 210.75pt;" width="281"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">Mempunyai pengaruh terhadap perubahan serviks</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 4; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid #FFC000 1.0pt; mso-border-top-alt: solid #FFC000 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 221.25pt;" valign="top" width="295"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">Tidak bertambah bila beraktivitas</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 210.75pt;" valign="top" width="281"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">Makin beraktivitas (jalan) kekuatan makin
bertambah</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-themecolor: background2; mso-themeshade: 26;">2.</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-themecolor: background2; mso-themeshade: 26;">8 </span></b><b style="mso-bidi-font-weight: normal;"><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-spacerun: yes;"> </span>Konsep Molase</span></b></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: -36pt;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"> </span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-tab-count: 2;"> </span></span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">M</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">olase </span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-spacerun: yes;"> </span>adalah indikator penting tentang
seberapa jauh kepala bayi dapat menyesuaikan diri dengan bagian keras panggul
ibu. M</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">olase </span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"><span style="mso-spacerun: yes;"> </span>itu mungkin karena adanya sutura. Tulang
kepala yang yang saling menyusup atau tumpang tindih menunjukkan kemungkinan
adanya disproporsi tulang panggul (cephalo pelvic disproportion -CPD).
Ketidakmampuan akomodasi akan benar-benar terjadi jika tulang kepala yang
saling menyusup tidak dapat dipisahkan. Apabila ada dugaan disproporsi tulang
panggul sangat penting untuk memantau kondisi janin dan kemajuan persalinan.
Segera lakukan pertolongan awal yang sesuai dan rujuk ibu dengan tanda-tanda
disproporsi tulang panggul ke fasilitas kesehatan yang memadai. </span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">M</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">olase</span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"> merupakan perubahan bentuk kepala dalam usaha
menyesuaikan diri dengan bentuk panggul yaitu dengan bergesernya tulang
tengkorak yang satu dibawah tulang tengkorak yang lain. Dengan adanya mo</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">lase</span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"> ukuran yang melalui jalan lahir
menjadi kecil sedangkan ukuran yang tegak lurus menjadi lebih panjang. Misalnya
pada presentasi belakang kepala diameter suboksipito bregmatika menjadi kecil
dan diameter mento oksipitalis bertambah. Biasanya os oksipital dan
kadang-kadang juga os frontal bergeser dibawah os parietal kemampuan mo</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">lase</span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"> dapat menentukan apakah perrsalinan
dapat berlangsung dengan spontan atau tidak. Namun mou</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">lase</span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"> yang terlalu kuat dapat berbahaya
karena dapat menimbulkan perdarahan dalam tengkorak.</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 12pt; text-align: justify; text-indent: 36pt;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">Setiap kali melakukan pemeriksaan dalam nilai penyusupan kepala janin.
Catat temuan dikotak yang sesuai dibawah lajur air ketuban. Dibawah ini
merupakan lambang-lambang yang dapat digunakan.</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
<table border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; margin-left: 19.6pt; mso-padding-alt: 0cm 0cm 0cm 0cm; mso-yfti-tbllook: 1184; width: 614px;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid #FFC000 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.5pt;" valign="top" width="57"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 5.4pt;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">No.</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
</td>
<td style="border-left: none; border: solid #FFC000 1.0pt; mso-border-left-alt: solid #FFC000 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 65.65pt;" valign="top" width="88"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 5.4pt;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">Lambang</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
</td>
<td style="border-left: none; border: solid #FFC000 1.0pt; mso-border-left-alt: solid #FFC000 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 352.55pt;" valign="top" width="470"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 5.4pt;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">Keterangan</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="border-top: none; border: solid #FFC000 1.0pt; mso-border-top-alt: solid #FFC000 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.5pt;" valign="top" width="57"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 5.4pt;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">1</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
</td>
<td style="border-bottom: solid #FFC000 1.0pt; border-left: none; border-right: solid #FFC000 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 65.65pt;" valign="top" width="88"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 5.4pt;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">0</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
</td>
<td style="border-bottom: solid #FFC000 1.0pt; border-left: none; border-right: solid #FFC000 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 352.55pt;" valign="top" width="470"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">Tulang-tulang kepala janin terpisah, sutura
dengan mudah dapat dipalpasi.</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="border-top: none; border: solid #FFC000 1.0pt; mso-border-top-alt: solid #FFC000 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.5pt;" valign="top" width="57"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 5.4pt;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">2</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
</td>
<td style="border-bottom: solid #FFC000 1.0pt; border-left: none; border-right: solid #FFC000 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 65.65pt;" valign="top" width="88"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 5.4pt;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">1</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
</td>
<td style="border-bottom: solid #FFC000 1.0pt; border-left: none; border-right: solid #FFC000 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 352.55pt;" valign="top" width="470"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">Tulang-tulang kepala janin hanya saling
bersentuhan.</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 3;">
<td style="border-top: none; border: solid #FFC000 1.0pt; mso-border-top-alt: solid #FFC000 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.5pt;" valign="top" width="57"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 5.4pt;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">3</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
</td>
<td style="border-bottom: solid #FFC000 1.0pt; border-left: none; border-right: solid #FFC000 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 65.65pt;" valign="top" width="88"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 5.4pt;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">2</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
</td>
<td style="border-bottom: solid #FFC000 1.0pt; border-left: none; border-right: solid #FFC000 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 352.55pt;" valign="top" width="470"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">Tulang-tulang kepala janin saling tumpang tindih,
tapi masih dapat dipisahkan.</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 4; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid #FFC000 1.0pt; mso-border-top-alt: solid #FFC000 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.5pt;" valign="top" width="57"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 5.4pt;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">4</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
</td>
<td style="border-bottom: solid #FFC000 1.0pt; border-left: none; border-right: solid #FFC000 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 65.65pt;" valign="top" width="88"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 5.4pt;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">3</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
</td>
<td style="border-bottom: solid #FFC000 1.0pt; border-left: none; border-right: solid #FFC000 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 352.55pt;" valign="top" width="470"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">Tulang-tulang kepala janin saling tumpang tindih
dan tidak dapat dipisahkan lagi.</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-themecolor: background2; mso-themeshade: 26;">2.</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-themecolor: background2; mso-themeshade: 26;">9</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-themecolor: background2; mso-themeshade: 26;"> <span style="mso-spacerun: yes;"> </span></span></b><b style="mso-bidi-font-weight: normal;"><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-themecolor: background2; mso-themeshade: 26;">Mekanisme persalinan normal</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">Mekanisme persalinan Normal adalah<b> </b>gerakan
janin yang mengakomodasikan diri terhadap panggul ibu. Penyesuaian diri berupa
: fleksi, rotasi dari janin. Hal ini sangat penting untuk kelahiran melalui
vagina oleh karena janin tersebut harus menyesuaikan diri dengan ruangan yang
tersedia didalam panggul. Diameter-diameter yang lebih besar dari janin harus
menyesuaikan diri dengan diameter yang paling besar dari panggul ibu agar janin
bisa masuk melalui panggul untuk dilahirkan. </span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">Turunnya kepala dibagi menjadi dua yaitu:</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 14.2pt;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">a. Masuknya
kepala dalam pintu atas panggul</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"> Masuknya kedalam pintu atas
panggul pada primigravida (yang baru pertama kali hamil) sudah terjadi pada
bulan terkahir kehamilan tetapi pada multigravida (yang sudah pernah hamil
sebelumnya) biasanya baru terjadi pada permulaan persalinan. Masuknya kepala
kedalam pintu atas panggul biasanya dengan sutura sagitalis, melintang dan
dengan fleksi yang ringan. Masuknya sutura sagitalis terdapat ditengah-tengah
jalan lahir, ialah tepat diantara simpisis dan promontorium, maka kepala dikatakan
dalam synclitismus dan synclitismus os parietal depan dan belakang sama
tingginya. Jika sutura sagitalis agak ke depan mendekati simpisis atau agak
kebelakang mendekati promontorium maka posisi ini disebut <i>asynclitismus</i>.
Pada pintu atas panggul biasanya kepala dalam asynclitismus posterior yang
ringan. <i>Asynclitismus posterior</i> ialah jika sutura sagitalis
mendekati simpisis dan os parietal belakang lebih rendah dari os parietal
depan.<i> Asynclitismus anterior</i>ialah jika sutura sagitalis mendekati promontorium
sehingga os parietal depan lebih rendah dari os parietal belakang.</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 18.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 18.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">b.
Majunya kepala. </span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"> Majunya kepala pada primigravida
terjadi setelah kepala masuk kedalam rongga panggul dan biasanya baru dimulai
pada kala 2. Pada multigravida sebaiknya majunya kepala dan masuknya kepala
kedalam rongga panggul terjadi bersamaan. Yang menyebabkan majunya kepala :
Tekanan cairan intrauterin, tekanan langsung oleh fundus pada bokong, kekuatan
meneran, melurusnya badan janin oleh perubahan bentuk rahim.</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 36pt;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">Penurunan
terjadi selama persalinan oleh karena daya dorong dari kontraksi dan posisi,
serta peneranan selama kala 2 oleh ibu.</span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"> </span><span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">Penurunan kepala mengalami
tahapan-tahapan sebagai berikut: </span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">1. <i>Fiksasi (engagement)</i> merupakan
tahap penurunan pada waktu diameter biparietal dari kepala janin telah masuk
panggul ibu</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">2. <i>Desensus </i>merupakan syarat
utama kelahiran kepala, terjadi karena adanya tekanan cairan amnion, tekanan
langsung pada bokong saat kontraksi, usaha meneran, ekstensi dan pelurusan badan
janin </span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">3. <i>Fleksi</i>, sangat penting bagi
penurunan kepala selama kala 2 agar bagian terkecil masuk panggul dan terus
turun. Dengan majunya kepala, fleksi bertambah hingga ubun-ubun besar.
Keuntungan dari bertambahnya fleksi ialah ukuran kepala yang lebih kecil
melalui jalan lahir yaitu diameter suboccipito bregmatika (9,5 cm) menggantikan
diameter suboccipito frontalis (11,5 cm). Fleksi disebabkan karena janin
didorong maju, dan sebaliknya mendapat tahanan dari pinggir pintu atas panggul,
serviks, dinding panggul atau dasar panggul. Akibat dari kekuatan dorongan dan
tahanan ini terjadilah fleksi, karena moment yang menimbulkan fleksi lebih
besar dari moment yang menimbulkan defleksi. </span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">4. <i>Putaran paksi dalam/rotasi internal</i>,
pemutaran dari bagian depan sedemikian rupa sehingga bagian terendah dari
bagian depan memutar ke depan ke bawah sympisis. Pada presentasi belakang
kepala bagian yang terendah ialah daerah ubun-ubun kecil dan bagian inilah yang
akan memutar kedepan kebawah simpisis. Putaran paksi dalam mutlak perlu untuk
kelahiran kepala karena putara paksi merupakan suatu usaha untuk menyesuaikan
posisi kepala dengan bentuk jalan lahir khususnya bentuk bidang tengah dan
pintu bawah panggul. Putaran paksi dalam tidak terjadi tersendiri, tetapi selalu
kepala sampai ke hodge III, kadang-kadang baru setelah kepala sampai di dasa
panggul. Sebab-sebab putaran paksi dalam : Pada letak fleksi, bagian belakang
kepala merupakan bagian terendah dari kepala. Pada bagian terendah dari kepala
ini mencari tahanan yang paling sedikit yaitu pada sebelah depan atas dimana
terdapat hiatus genetalis antara M. Levator ani kiri dan kanan. Pada ukuran
terbesar dari bidang tengah panggul ialah diameter anteroposterior. Rotasi
internal dari kepala janin akan membuat diameter enteroposterior (yang lebih
panjang) dari kepala akan menyesuaikan diri dengan diameter anteroposterior
dari panggul</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">5. <i>Ekstensi</i>, setelah putaran
paksi selesai dan kepala sampai didasar panggul, terjadilah ekstensi atau
defleksi dari kepala. Hal ini terjadi pada saat lahir kepala, terjadi karena
gaya tahanan dari dasar panggul dimana gaya tersebut membentuk lengkungan
Carrus, yang mengarahkan kepala keatas menuju lubang vulva sehingga kepala
harus mengadakan ekstensi untuk melaluinya. Bagian leher belakang dibawah
occiputnya akan bergeser dibawah simpisis pubis dan bekerja sebagai titik
poros. Uterus yang berkontraksi kemudian memberi tekanan tambahan atas kepala
yang menyebabkan ekstensi kepala lebih lanjut saat lubang vulva-vagina membuka
lebar. Pada kepala bekerja dua kekuatan, yang satu mendesaknay ekbawah dan
satunya kerena disebabkan tahanan dasar panggul yang menolaknya keatas.
Resultantenya ialah kekuatan kearah depan atas. Setelah subocciput tertahan
pada pinggir bawah sympisis maka yang dapat maju karena kekuatan tersebut
diatas adalah bagian yang berhadapan dengan subocciput, maka lahirlah
berturut-turut pada pinggir atas perineum ubun-ubun besar, dahi hidung dan
mulut dan akhirnya dagu dengan gerakan ekstensi. Subocciput yang menjadi pusat
pemutaran disebut hypomoclion </span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">6. <i>Rotasi eksternal/putaran paksi luar</i>,
terjadi bersamaan dengan perputaran interior bahu. Setelah kepala lahir, maka
kepala anak memutar kembali ke arah punggung anak untuk menghilangkan torsi
pada leher yang etrjadi karena putaran paksi dalam. Gerakan ini disebut
putaran <i>restitusi.</i> </span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">7. <i>Restitusi</i> adalah perputaran
kepala sejauh 45ᴼ baik kearah kiri atau kanan bergantung pada arah dimana ia
mengikuti perputaran menuju posisi oksiput anterior. Selanjutnya putaran dilanjutkan
hingga belakang kepala berhadapan dengan tuber ischidicum. Gerakan yang
terakhir ini adalah gerakan paksi luar yang sebenarnya dan disebabkan karena
ukuran bahu, menempatkan diri dalam diameter anteroposterior dari pintu bawah
panggul.</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">8. <i>Ekspulsi,</i> setelah putaran
paksi luar bahu depan sampai dibawah sympisis dan menjadi hypomoclion untuk
kelahiran bahu belakang. Kemudian bahu depan menyusul dan selanjutnya seluruh
badan anak lahir searah dengan paksi jalan lahi mengikuti lengkung carrus (kurva
jalan lahir).</span><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-themecolor: background2; mso-themeshade: 26;">BAB III</span></b></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-themecolor: background2; mso-themeshade: 26;">PENUTUP</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-indent: -1.0cm;">
<b><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"> 3.1 <span style="mso-spacerun: yes;"> </span>Kesimpulan</span></b><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt;">
<span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">Pesalinan dan kelahiran normal
adalah proses pengeluaran janin yang terjadi pada kehamilan cukup bulan (37-42
minggu), lahir spontan dengan presentasi belakang kepala yang berlangsung dalam
18 jam, tanpa komplikasi baik pada ibu maupun pada janin. </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt;">
<span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">Persalinan merupakan suatu proses
alami yang akan berlangsung dengan sendirinya, tetapi persalinan pada manusia
setiap saat terancam penyulit yang membahayakan ibu maupun janinnya sehingga
memerlukan pengawasan, pertolongan dan pelayanan dengan fasilitas yang memadai.
Persalinan pada manusia dibagi menjadi empat tahap penting dan kemungkinan
penyulit dapat terjadi pada setiap tahap tersebut. </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: -27.0pt;">
<b><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;">3.2
Saran</span></b><span style="color: #1d1b11; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: background2; mso-themeshade: 26;"></span></div>
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terutama bidan harus bisa dan mengerti tentang asuhan kebidanan apa saja yang
harus diberikan pada ibu bersalin bidan juga harus bisa mendokumentasikan semua
tindakan dan perkembangan yang terjadi pada ibu bersalin.</span></div>
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Anonymoushttp://www.blogger.com/profile/12379317249182996237noreply@blogger.com1tag:blogger.com,1999:blog-4832514406706957378.post-56892340438423264732013-04-03T06:21:00.001-07:002013-04-03T06:21:42.855-07:00MAKALH FARMATOLOGI<div dir="ltr" style="text-align: left;" trbidi="on">
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<a href="http://www.blogger.com/blogger.g?blogID=4832514406706957378" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"></a><a href="http://www.blogger.com/blogger.g?blogID=4832514406706957378" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"></a><a href="http://www.blogger.com/blogger.g?blogID=4832514406706957378" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"></a><a href="http://www.blogger.com/blogger.g?blogID=4832514406706957378" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"></a><a href="http://www.blogger.com/blogger.g?blogID=4832514406706957378" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"></a><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%;">BAB
I</span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%;">PENDAHULUAN</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"><span style="mso-tab-count: 1;"> </span></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">A.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Latar Belakang</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></b></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Obat
antipiretik dan analgesik merupakan obat yang sudah di kenal luas seperti obat
asetaminofen. Bayak dijual sebagai kemasan tunggal maupun kemasan kombinasi
dengan bahan obat lain. Obat ini tergolong sebagai obat bebas sehingga mudah
ditemukan di apotik toko obat maupun warung pinggr jalan. Karena mudah
didapatkan resiko untuk terjadi penyalahgunaan obat ini semakin besar.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Di Amerika Serikat di laporkan lebih dari 100.000 kasus
per tahun yang menghubungi pusat informasi keracunan, 56.000 kasus datang ke
unit gawat darurat, 26.000 kasus memerlukan perawatan intensif di rumah sakit.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"><span style="mso-tab-count: 1;"> </span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pada
umumnya (sekitar 90%) analgesik mempunyai efek antipiretik</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">. Bagi para pengguna mungkin memerlukan bantuan dalam
mengkonsumsi obat yang sesuai dengan dosisi-dosis obat.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">
Penggunaan Obat Analgetik Narkotik atau Obat Analgesik </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>ini </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">mampu
menghilangkan atau meringankan rasa sakit tanpa berpengaruh pada sistem susunan
saraf pusat atau bahkan hingga efek menurunkan tingkat kesadaran. Obat
Analgetik </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">atau </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Analgesik
ini tidak mengakibatkan efek ketagihan pada </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">pengguna.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo1; tab-stops: 27.0pt; text-indent: 0cm;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">B.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Rumusan Masalah</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo4; text-indent: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Apa yang dimaksud
dengan </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">analgetik</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">-antipiretik?</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo4; text-indent: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Apa saja obat-obat
yang tergolong dalam </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">analgetik</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">
NSAID dan AID </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">?</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo4; text-indent: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Apa saja efek yang ditinbulkan </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">analgetik-antipiretik
pada ibu hamil</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">?</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo4; text-indent: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Apa saja </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">dampak
</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">penggunaan analgetik-antipiretik pada ibu hamil</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">?<span style="mso-tab-count: 1;"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo4; text-indent: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Bagaimana study kasus penggunaan</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">analgetik-antipiretik pada ibu hamil</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">?</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo1; tab-stops: 27.0pt; text-indent: 0cm;">
<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">C.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Tujuan<span style="mso-spacerun: yes;"> </span>Masalah<span style="mso-tab-count: 1;"> </span></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo2; text-indent: 0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Untuk mengetahui dan memahami
tenang </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">analgetik-antipiretik</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo2; text-indent: 0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Untuk menjelaskan golongan-golongan
</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">analgetik</span><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">
</span></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">NSAID dan AID</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"> </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo2; text-indent: 0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Untuk mengetahaui efek-efek
yang ditinbulkan </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">analgetik-antipiretik pada ibu hamil</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo2; text-indent: 0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Untuk mengetahui </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">dampak
</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">penggunaan analgetik-antipiretik pada ibu hamil</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo2; text-indent: 0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Untuk mengetahui study kasus pada penggunaan
analgetik-antipiretik pada ibu hamil</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo1; text-indent: 0cm;">
<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">D.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Meode Penulisan</span></b><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo3; text-indent: -18.0pt;">
<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Studi Keperpustakaan Yaitu dengan mempelajari buku-buku dan sumber lain </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">seperti
internet </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">untuk mendapatkan dasar-dasar ilmiah yang
berhubungan dengan penulisan makalah ini.</span><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></b></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo3; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Studi Dokumentasi Yaitu dengan
cara mempelajari dan menyalin data sehingga dapat dijadikan pendukung dalam
menganalisa data.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-ansi-language: EN-US;">BAB
II</span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-ansi-language: EN-US;">URAIAN</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo5; tab-stops: 18.0pt; text-indent: 0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">A.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Definisi</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo19; tab-stops: 18.0pt; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Antipiretik</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Antipiretik adalah
obat yang dapat menurunkan demam (suhu tubuh yang tinggi).Pada umumnya (sekitar
90%) analgesik mempunyai efek antipiretik. Dapat menurunkan panas karena dapat
menghambat prostatglandin pada CNS</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo19; tab-stops: 18.0pt; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Analgesik</span></b></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Analgesik adalah obat yang dapat
mengurangi atau menghilangkan rasa nyeri dan akhirnya akan memberikan rasa
nyaman pada orang yang menderita.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Analgesik
dibagi dua yaitu :</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo6; tab-stops: 18.0pt 36.0pt; text-indent: 0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Analgesik opioid /
analgesik narkotika merupakan kelompok obat yang memiliki sifat-sifat seperti
opium atau morfin. Golongan obat ini terutama digunakan untuk meredakan atau
menghilangkan rasa nyeri seperti pada fraktur dan kanker.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Contoh obat :</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo12; tab-stops: 18.0pt; text-indent: 0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Metadon.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo11; tab-stops: 18.0pt; text-indent: 0cm;">
<span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-fareast-font-family: Calibri; mso-hansi-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mekanisme kerja: kerja
mirip morfin lengkap, sedatif lebih lemah.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo11; text-indent: -18.0pt;">
<span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-fareast-font-family: Calibri; mso-hansi-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Indikasi: Detoksifikas
ketergantungan morfin, Nyeri hebat pada pasien yang di rumah sakit.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo11; text-indent: 0cm;">
<span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-fareast-font-family: Calibri; mso-hansi-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Efek tak diinginkan:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level2 lfo11; tab-stops: 54.0pt; text-indent: 0cm;">
<span lang="EN-US" style="font-family: "Courier New"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Depresi
pernapasan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level2 lfo11; tab-stops: 54.0pt; text-indent: 0cm;">
<span lang="EN-US" style="font-family: "Courier New"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Konstipasi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level2 lfo11; tab-stops: 54.0pt; text-indent: 0cm;">
<span lang="EN-US" style="font-family: "Courier New"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gangguan
SSP</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level2 lfo11; tab-stops: 54.0pt; text-indent: 0cm;">
<span lang="EN-US" style="font-family: "Courier New"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hipotensi
ortostatikMual dam muntah pada dosis awal</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 94.5pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 18.0pt; text-align: justify;">
<span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN; mso-no-proof: yes; text-decoration: none; text-underline: none;"><span style="mso-ignore: vglayout;"></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 94.5pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 18.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 94.5pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 18.0pt; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo12; tab-stops: 18.0pt; text-indent: 0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Fentanil.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo11; text-indent: -18.0pt;">
<span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-fareast-font-family: Calibri; mso-hansi-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mekanisme kerja: Lebih
poten dari pada morfin. Depresi pernapasan lebih kecil kemungkinannya.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo11; text-indent: 0cm;">
<span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-fareast-font-family: Calibri; mso-hansi-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Indikasi: Medikasi
praoperasi yang digunakan dalan anastesi.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo11; text-indent: 0cm;">
<span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-fareast-font-family: Calibri; mso-hansi-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Efek tak diinginkan: </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level3 lfo11; tab-stops: 54.0pt; text-indent: 0cm;">
<span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Depresi
pernapasan lebih kecil kemungkinannya. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level3 lfo11; tab-stops: 54.0pt; text-indent: 0cm;">
<span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Rigiditas
otot</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level3 lfo11; tab-stops: 54.0pt; text-indent: 0cm;">
<span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bradikardi
ringan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo11; tab-stops: 18.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-fareast-font-family: Calibri; mso-hansi-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Indikasi: Medikasi
praoperasi yang digunakan dalan anastesi, depresi pernapasan, cedera kepala,
alkholisme akut, </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo11; tab-stops: 18.0pt; text-indent: 0cm;">
<span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-fareast-font-family: Calibri; mso-hansi-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span>Efek tak diinginkan: </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level3 lfo11; tab-stops: 54.0pt; text-indent: 0cm;">
<span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Depresi
pernapasan lebih kecil kemungkinannya. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level3 lfo11; tab-stops: 54.0pt; text-indent: 0cm;">
<span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Rigiditas
otot</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level3 lfo11; tab-stops: 54.0pt; text-indent: 0cm;">
<span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bradikardi
ringan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level3 lfo11; tab-stops: 54.0pt; text-indent: 0cm;">
<span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Hipotensi </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level3 lfo11; tab-stops: 54.0pt; text-indent: 0cm;">
<span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Mual muntah</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level3 lfo11; tab-stops: 54.0pt; text-indent: 0cm;">
<span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Menggigil</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level3 lfo11; tab-stops: 54.0pt; text-indent: 0cm;">
<span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Halusinasi paska operasi </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l2 level1 lfo11; text-indent: -18.0pt;">
<span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-fareast-font-family: Calibri; mso-hansi-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perhatian : Lansia dan
pasien lemah, disfungsi hati dan ginjal, penyakit paru.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l2 level1 lfo11; text-indent: -18.0pt;">
<span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-fareast-font-family: Calibri; mso-hansi-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dosis: </span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Pramedikasi :100 mcg secra IM 30-60 sebelum operasi.
Tambahan pada anestesi regional: 50-100 scra IM dapat di ulang dalam 1-2 jam
bila perlu.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
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<span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN; mso-no-proof: yes; text-decoration: none; text-underline: none;"><span style="mso-ignore: vglayout;"></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
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<br /></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kodein</span></div>
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<span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-fareast-font-family: Calibri; mso-hansi-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mekanisme kerja: sebuah
prodrug 10% dosis diubah menjadi morfin. Kerjanya disebabkan oleh morfin. Juga
merupakan antitusif (menekan batuk)</span></div>
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<span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-fareast-font-family: Calibri; mso-hansi-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Indikasi: Penghilang
rasa nyeri minor</span></div>
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<span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-fareast-font-family: Calibri; mso-hansi-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Efek tak diinginkan:
Serupa dengan morfin, tetapi kurang hebat pada dosis yang menghilangkan nyeri
sedang. Pada dosis tinggi, toksisitas seberat morfin.</span></div>
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</div>
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<br /></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Obat Analgetik
Non-narkotik</span></div>
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<span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-fareast-font-family: Calibri; mso-hansi-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mekanisme</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Obat
Analgesik Non-Nakotik dalam Ilmu Farmakologi juga sering dikenal dengan istilah
Analgetik/Analgetika/Analgesik Perifer.Analgetika perifer (non-narkotik), yang
terdiri dari obat-obat yang tidak bersifat narkotik dan tidak bekerja
sentral.Penggunaan Obat Analgetik Non-Narkotik atau Obat Analgesik Perifer ini
cenderung mampu menghilangkan atau meringankan rasa sakit tanpa berpengaruh
pada sistem susunan saraf pusat atau bahkan hingga efek menurunkan tingkat
kesadaran.Obat Analgetik Non-Narkotik / Obat Analgesik Perifer ini juga tidak
mengakibatkan efek ketagihan pada pengguna (berbeda halnya dengan penggunanaan
Obat Analgetika jenis Analgetik Narkotik).</span></div>
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<span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-fareast-font-family: Calibri; mso-hansi-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Efek samping obat-pbat
analgesik perifer: kerusakan lambung, kerusakan darah, kerusakan hati dan
ginjal, kerusakan kulit.</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Contoh
obat : Ibuprofen, paracetamol.</span></div>
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<br /></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">B.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Golongan analgesic
NSAID dan AID</span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Analgesic NSAID</span></div>
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<span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-fareast-font-family: Calibri; mso-hansi-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Analgesic Nonsteroidal anti-inflammatory
drugs (NSAID) adalah obat antiinflamasi nonsteroid, golongan
obat pengurang nyeri dan peradangan yang bekerja dengan menghambat
siklooksigenase (cyclo-oxigenase/COX). </span></div>
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<span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-fareast-font-family: Calibri; mso-hansi-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mekanisme
Anti-Inflamasi</span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menghambat
prostaglandin dengan menghambat COX.</span></div>
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<br /></div>
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<span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-fareast-font-family: Calibri; mso-hansi-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Karakteristik Anti-Inflamasi</span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">NSAID
hanya mengurangi gejala klinis yang utama (erythema, edema, demam, kelainan
fungsi tubuh dan sakit).Memiliki antithrombik untuk menghambat trombus atau
darah yang membeku.</span></div>
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<span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-fareast-font-family: Calibri; mso-hansi-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Contoh obat :</span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ibupropen</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ibuprofen
merupakan derivat asam fenil propionat dari kelompok obat antiinflamasi non
steroid.Senyawa ini bekerja melalui penghambatan enzim siklo-oksigenase pada
biosintesis prostaglandin, sehingga konversi asam arakidonat menjadi PG-G2
terganggu.Prostaglandin berperan pada patogenesis inflamasi, analgesia dan
demam.Dengan demikian maka ibuprofen mempunyai efek antiinflamasi dan
analgetik-antipiretik.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Khasiat
ibuprofen sebanding, bahkan lebih besar dari pada asetosal (aspirin) dengan
efek samping yang lebih ringan terhadap lambung.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pada
pemberian oral ibuprofen diabsorbsi dengan cepat, berikatan dengan protein
plasma dan kadar puncak dalam plasma tercapai 1 – 2 jam setelah pemberian.
Adanya makanan akan memperlambat absorbsi, tetapi tidak mengurangi jumlah yang
diabsorbsi. Metabolisme terjadi di hati dengan waktu paruh 1,8 – 2 jam.
Ekskresi bersama urin dalam bentuk utuh dan metabolit inaktif, sempurna dalam
24 jam.Ibupropen merupakan devirat asam propionat yang diperkenalkan banyak
negara.Obat ini bersifat analgesik dengan daya antiinflamasi yang tidak terlalu
kuat. Efek analgesiknya sama dengan aspirin.</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ibu
hamil dan menyusui tidak di anjurkan meminim obat ini karena dapat
mengakibatkan konstriksi (penyempitan) dari arteriosus duktus fetalis (pembuluh
darah janin).</span></div>
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<br /></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Indikasi </span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Terapi
simptomatik rematoid artritis dan osteoartritis, mengurangi rasa nyeri setelah
operasi pada gigi dan dismenore.</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dosis :Dewasa
: 200 – 400 mg , 3 – 4 kali sehari.</span></div>
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<span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN; mso-no-proof: yes; text-decoration: none; text-underline: none;"><span style="mso-ignore: vglayout;"></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo8; tab-stops: 18.0pt 27.0pt 31.5pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Paracetamol</span></div>
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<span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Deskripsi:</span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Paracetamol adalah derivat
p-aminofenol yang mempunyai sifat antipiretik/analgesic</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 85.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo9; text-indent: -13.5pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Sifat antipiretik disebabkan oleh
gugus aminobenzen dan mekanismenya diduga berdasarkan efek sentral.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 85.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo9; text-indent: -13.5pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Sifat analgesik parasetamol dapat
menghilangkan rasa nyeri ringan sampai sedang.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 85.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo9; text-indent: -13.5pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Sifat antiinflamasinya sangat lemah
sehingga sehingga tindak digunakan sebagai antirematik.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l18 level1 lfo14; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Indikasi:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 1.3pt; margin-top: 5.0pt; mso-add-space: auto; tab-stops: 450.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Sebagai antipiretik/analgesik, termasuk bagi pasien yang
tidak tahan asetosal. Sebagai analgesik, misalnya untuk mengurangi rasa nyeri
pada sakit kepala, sakit gigi, sakit waktu haid dan sakit pada otot.menurunkan
demam pada influenza dan setelah vaksinasi.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 1.3pt; margin-top: 5.0pt; mso-add-space: auto; mso-list: l18 level1 lfo14; tab-stops: 450.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kontra Indikasi:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 1.3pt; margin-top: 5.0pt; mso-add-space: auto; tab-stops: 450.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Hipersensitif terhadap parasetamol dan defisiensi
glokose-6-fosfat dehidroganase.tidak boleh digunakan pada penderita dengan
gangguan fungsi hati.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 1.3pt; margin-top: 5.0pt; mso-add-space: auto; mso-list: l18 level1 lfo14; tab-stops: 450.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Komposisi :</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 1.3pt; margin-top: 5.0pt; mso-add-space: auto; tab-stops: 450.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Parasetamol / Paracetamol</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 1.3pt; margin-top: 5.0pt; mso-add-space: auto; mso-list: l18 level1 lfo14; tab-stops: 450.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Efek samping :</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 1.3pt; margin-top: 5.0pt; mso-add-space: auto; tab-stops: 450.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Reaksi kulit, darah, & reaksi alergi lain.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 1.3pt; margin-top: 5.0pt; mso-add-space: auto; mso-list: l18 level1 lfo14; tab-stops: 450.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Indeks keamanan pada wanita hamil :</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 1.3pt; margin-top: 5.0pt; mso-add-space: auto; tab-stops: 450.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Penelitian tidak menunjukkan risiko pada janin maupun pada
wanita hamil karena tidak memperlihatkan efek merugikan (kecuali penurunan
kesuburan) dimana tidak ada penelitian terkendali yang mengkonfirmasi risiko
pada wanita hamil semester pertama (dan tidak ada bukti risiko pada trisemester
selanjutnya).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 1.3pt; margin-top: 5.0pt; mso-add-space: auto; mso-list: l18 level1 lfo14; tab-stops: 450.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kemasan :Tablet 500 mg x 10 x 10
biji.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 1.3pt; margin-top: 5.0pt; mso-add-space: auto; mso-list: l18 level1 lfo14; tab-stops: 450.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Dosis :</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 1.3pt; margin-top: 5.0pt; mso-add-space: auto; tab-stops: 450.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Dewasa : 3-4 kali sehari 1-2 tablet.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 1.3pt; margin-top: 5.0pt; mso-add-space: auto; tab-stops: 450.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Anak-anak : 3-4 kali sehari ½-1 tablet.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l13 level1 lfo15; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Penyajian :Dikonsumsi bersamaan
dengan makanan atau tidak</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l13 level1 lfo15; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Jenis: Tablet</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN; mso-no-proof: yes;"></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo7; text-indent: 0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Analgesic
AID</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Kortikosteroid bekerja dengan
mempengaruhi kecepatan sintesis protein. Molekul hormon memasuki sel melewati
membran plasma secara difusi pasif. Hanya di jaringan target hormon ini
bereaksi dengan reseptor protein yang spesifik dalam sitoplasma sel dan
membentuk kompleks reseptor steroid. Kompleks ini mengalami perubahan lalu
bergerak menuju nucleus dan berikatan dengan kromatin.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-indent: 18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Contoh obat :</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Dexamethasone</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level2 lfo9; text-indent: -18.0pt;">
<span style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-fareast-font-family: Calibri; mso-hansi-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Dexamethasone tidak
mempunyai aktivitas minerat corticoid dari cortisone dan hydrocortisone
sehingga pengobatan untuk kekurangan adrenocortical tidak berguna. Obat ini
digunakan untuk glucocorticoid khususnya untuk anti inflamasi, pengobatan
rheumatic arthritis dan penyakit colagen lainnya, alergi dermatitis dan
lain-lain, penyakit inflamasi pada masa dan kondisi lain dimana terapi
glucocorticoid berguna lebih menguntungkan seperti penyakit leukimia tertentu
dan lymphomas dan inflamasi pada jaringan lunak dan anemia hemolytica.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level2 lfo9; text-indent: -18.0pt;">
<span style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-fareast-font-family: Calibri; mso-hansi-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Indikasi :</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-indent: 18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Dexamethason
adalah obat anti inflamasi dan anti alergi yang sangat kuat.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level2 lfo9; text-indent: -18.0pt;">
<span style="font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-fareast-font-family: Calibri; mso-hansi-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Kontra indikasi :</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 126.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo16; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">T</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">idak boleh diberikan pada penderita herpes simplex pada
mata, tuberkulose aktif, peptio ulcer aktif atau psikosis kecuali dapat
menguntungkan penderita.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 126.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo16; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">J</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">angan diberikan pada wanita hamil karena akan terjadi
hypoadrenalism pada bayi yang dikandungnya atau diberikan dengan dosis yang
serendah-rendahnya.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l1 level1 lfo17; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Efek samping :</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">P</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">engobatan yang berkepanjangan dapat menyebabkan efek katabolik steroid
seperti kehabisan protein, osteoporosis dan penghambatan pertumbuhan anak.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">
Karena p</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">enimbunan garam, air, dan kehilangan potasium jarang
terjadi bila dibandingkan dengan beberapa glucocorticoid lainnya.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">
Selain itu p</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">enambahan napsu makan dan
penambahan berat badan lebih sering terjadi.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo17; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Dosis :</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Dewasa : 0.5
mg – 10 mg per hari</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Anak-anak : 0.08mg – 0.3 mg/kg
berat badan/hari dibagi dalam 3 atau 4 dosis</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo17; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Perhatian :</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">K</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">ekurangan
adenocortical sekunder yang disebabkan oleh pengobatan dapat dikurangi dengan
mengurangi dosis secara bertahap.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> A</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">da penambahan efek corticosteroid pada penderita dengan
hypotyroidism dan chirrhosis.</span></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">C.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Efek Penggunaan </span></b><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Analgetik-Antipiretik dalam
Kehamilan</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ibu
hamil dan menyusui tidak di anjurkan meminim obat ini karena dapat
mengakibatkan konstriksi (penyempitan) dari arteriosus duktus fetalis (pembuluh
darah janin). (Ibuprofen)</span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Tidak menunjukkan risiko pada janin maupun pada wanita hamil
karena tidak memperlihatkan efek merugikan (kecuali penurunan kesuburan) dimana
tidak ada penelitian terkendali yang mengkonfirmasi risiko pada wanita hamil
semester pertama (dan tidak ada bukti risiko pada trisemester selanjutnya).
(Paracetamol).</span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tidak</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"> diberikan pada wanita hamil karena akan terjadi
hypoadrenalism pada bayi yang dikandungnya atau diberikan dengan dosis yang
serendah-rendahnya.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> (Dexametasone).</span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pemakaian NSAID (Non steroid anti
infamantory Drug ) sebaiknya dihindari pada TM III. Obat-obat tersebut
menghambat sintesis prostaglandin dan ketika diberikan pada wanita hamil dapat
menyebabkan penutupan ductus arteriousus, gangguan pembentukan ginjal janin,
menghambat agregasi trombosit dan tertundanya persalinan dan
kelahiran.Pengobatan NSAID selama trimester akhir kehamilan diberikan sesuai
dengan indikasi.Selama beberapa hari sebelum hari perkiraan lahir, obat-obat
ini sebaiknya dihindari.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">D.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dampak
</span></b><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Penggunaan
Analgetik-Antipiretik dalam Kehamilan.</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></b></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Penggunaan
obat Analgetik-Antipiretik pada saat mengandung bagi ibu hamil harus
diperhatikan.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Ibu hamil yang mengkonsumsi obat
secara sembarangan dapat menyebabkan cacat pada janin. Sebagian obat yang
diminum oleh ibu hamil dapat menembus plasenta sampai masuk ke dalam sirkulasi
janin, sehingga kadarnya dalam sirkulasi bayi hampir sama dengan kadar dalam
darah ibu yang dalam beberapa situasi akan membahayakan bayi.</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pengaruh
buruk obat terhadap janin, secara umum dapat bersifat toksik, teratogenik,
maupun letal tergantung pada sifat obat dan umur kehamilan pada saat minum
obat.Pengaruh toksik adalah jika obat yang diminum selama masa kehamilan
menyebabkan terjadinya gangguan fisiologik atau bio-kimiawi dari janin yang
dikandung, dan biasanya gejalanya baru muncul beberapa saat setelah
kelahiran.Pengaruh obat bersifat teratogenik, jika menyebabkan terjadinya
malformasi anatomic (kelainan/kekurangan organ tubuh) pada pertumbuhan organ
janin.Pengaruh teratogenik ini biasanya terjadi pada dosis subletal.Sedangkan
pengaruh obat yang bersifat letal adalah yang mengakibatkan kematian janin
dalam kandungan.</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Secara
umum pengaruh obat pada janin dapat beragam sesuai dengan fase-fase
berikut: </span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Fase
Implantasi yaitu pada umur kehamilan kurang dari 3 minggu.Pada fase ini obat
dapat memberi pengaruh buruk atau mingkin tidak sama sekali.Jika terjadi
pengaruh buruk biasanya menyebabkan kematian embrio atau berakhirnya kehamilan
(abortus).</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Fase
Embrional atau Organogenesis,yaitu pada umur kehamilan antara 4-8 minggu.Pada
fase ini terjadi diferensiasi pertumbuhan untuk pembentukan organ-organ tubuh,
sehingga merupakan fase yang paling peka untuk terjadinya malformasi anatomik
(pengaruh teratogenik). Selama embriogenesis kerusakan bergantung pada saat
kerusakan terjadi, karena selama waktu itu organ-organ dibentuk dan blastula
mengalami deferensiasi pada waktu yang berbeda-beda. Jika blastula yang
dipengaruhi masih belum berdeferensiasi dan kerusakan tidak letal maka terdapat
kemungkinan untuk restitutio ad integrum. Sebaliknya jika bahan yang merugikan
mencapai blastula yang sedang dalam fase deferensiasi maka terjadi cacat
(pembentukan salah) Berbagai pengaruh buruk yang terjadi pada fase ini antara
lain: -Gangguan fungsional atau metabolic yang permanen yang biasanya
baru muncul kemudian, jadi tidak timbul secara langsung pada saat
kehamilan, Pengaruh letal berupa kematian janin atau terjadinya
abortus, Pengaruh sub-letal: tidak terjadi kematian janin tetapi terjadi
malformasi anatomik (struktur) pertumbuhan organ atau pengaruh teratogenik</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Fase
Fetal yaitu pada trimester kedua dan ketiga kehamilan. Dalam fase ini terjadi
maturasi dan pertumbuhan lebih lanjut dari janin.Pengaruh buruk senyawa asing
bagi janin dalam fase ini dapat berupa gangguan pertumbuhan baik terhadap
fungsi-fungsi fisiologik atau biokimiawi organ-organ</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Keluhan
nyeri selama masa kehamilan umum di jumpai. Hal ini berkaitan dengan masalah
fisiologis dari si ibu karena adanya karena adanya tarikan otot-otot dan sendi
karena kehamilan maupun sebab-sebab yang lain.</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Untuk
nyeri yang tidak berkaitan dengan proses radang, pemberian obat pengurang nyeri
biasanya dilakukan dalam jangka waktu relatife pendek.Untuk nyeri yang
berkaitan dengan proses radang,umunya diperlukan pengobatan dalam waktu
tertentu. Penilaian yang seksama terhadap pereda nyeri perlu dilakukan agar
dapat ditentukan pilihan jenis obat yang paling tepat.</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pemakaian
NSAID (Non steroid anti infamantory Drug ) sebaiknya dihindari pada TM III.
Obat-obat tersebut menghambat sintesis prostaglandin dan ketika diberikan pada
wanita hamil dapat menyebabkan penutupan ductus arteriousus, gangguan
pembentukan ginjal janin, menghambat agregasi trombosit dan tertundanya
persalinan dan kelahiran.Pengobatan NSAID selama trimester akhir kehamilan
diberikan sesuai dengan indikasi.Selama beberapa hari sebelum hari perkiraan
lahir, obat-obat ini sebaiknya dihindari. Yang termasuk golongan ini adalah
diklofenac, diffunisal, ibuprofen, indomethasin, ketoprofen, ketorolac, asam
mefenamat, nabumeton, naproxen, phenylbutazon, piroksikam, sodium salisilat,
sulindac, tenoksikam, asam tioprofenic mempunyai mekanisme lazim untuk
menghambat sintesa prostaglandin yang terlibat dalam induksi proses melahirkan,
NSAID dapat memperpanjang masa kehamilan. </span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">E.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Studi
Kasus Penggunaan Analgetik dan Antipiretik Pada Anak dan Ibu Hamil</span></div>
<h2 style="background: white; line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-size: 12.0pt; font-weight: normal; line-height: 150%;">Bahaya Obat Pereda Sakit Pada
Wanita Hamil (</span><i><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%;">Kehamilan)</span></i><span lang="EN-US" style="font-size: 12.0pt; font-weight: normal; line-height: 150%;"></span></h2>
<div style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US">Banyak obat yang bagi wanita hamil lebih
disarankan untuk dihindari, hal ini untuk mencegah bahaya obat pada ibu
hamil.Namun anehnya obat penghilang rasa sakit seperti Tylenol Advil tidak ada
dalam daftar obat yang harus dihindari wanita hamil tersebut.Padahal sekarang
ada sebuah penelitian yang menunjukan bahwa obat penghilang rasa sakit ringan
seperti aspirin, asetaminofen (bahan aktif dalam Tylenol) dan ibuprofen (bahan
aktif dalam Advil dan Motrin) memiliki kemungkinan untuk meningkatkan gangguan
reproduksi pada laki-laki.</span></div>
<div style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US">Para ilmuwan dari Denmark, Finlandia dan
Prancis menemukan bahwa wanita yang menggunakan kombinasi analgesik ringan
selama kehamilan atau menggunakannya selama trimester kedua kehamilan memiliki
risiko lebih besar dalam melahirkan bayi laki-laki dengan kelainan testis,
suatu kondisi yang dikenal sebagai kriptorkismus dan dapat meramalkan kualitas
semen yang buruk dan kanker testis.</span></div>
<div style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US">Secara khusus, para peneliti menemukan bahwa
wanita yang menggunakan lebih dari satu jenis obat penghilang rasa sakit pada
saat yang sama, memiliki peningkatan risiko tujuh kali lipat dalam kemungkinan
memiliki anak dengan beberapa bentuk kriptorkismus dibandingkan dengan wanita
yang tidak menggunakan analgesik. Pada trimester kedua, penggunaan obat
penghilang rasa sakit lebih mengakibatkan kemungkinan risiko
kriptorkismus dua kali lipat, dan menggunakan obat penghilang rasa sakit
simultan meningkatkan risiko 16 kali lipat.</span></div>
<div style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US">Pada percobaan yang dilakukan pada tikus
ini, para ilmuwan juga menunjuk bahwa analgesik bermain-main dengan produksi
androgen dan menyebabkan penurunan kadar testosteron ketika organ janin
laki-laki terbentuk. Para peneliti tidak yakin mengapa itu terjadi.“Jika
paparan endokrin adalah suatu mekanisme di balik peningkatan masalah
reproduksi antara laki-laki muda di dunia Barat, penelitian ini
menunjukkan bahwa perhatian khusus harus diberikan pada penggunaan analgesik
ringan selama kehamilan, karena hal ini bisa menjadi alasan utama untuk
masalah-masalah tersebut , “kata Henrik Leffers, seorang ilmuwan senior di
Rigshospitalet di Kopenhagen yang memimpin penelitian.</span></div>
<div style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US">Tapi Virginia Lupo, ketua departemen
obstetri dan ginekologi di Hennepin County Medical Center di Minneapolis dan
spesialis kedokteran ibu-janin, memperingatkan bahwa data ini tidak harus
membuat seorang wanita hamil benar-benar menghindari pil penahan rasa sakit.</span></div>
<div style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US">Untuk mencapai kesimpulan mereka, para
peneliti mempelajari 834 wanita hamil di Denmark dan 1.463 di Finlandia, yang
baik menjawab kuesioner tertulis tentang penggunaan obat selama kehamilan dan /
atau menanggapi sebuah wawancara telepon. Menariknya, data menunjukkan bahwa
perempuan yang dilaporkan menggunakan obat penghilang rasa sakit dalam
kuesioner tertulis: dari 298 ibu Denmark yang merespon kuesioner dan wawancara
melalui telepon, 31% dilaporkan menggunakan obat penghilang rasa sakit dalam
kuesioner, sementara sisanya 57% melaporkan bahwa mereka menggunakan obat itu
dalam wawancara.</span></div>
<div style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US">Menggunakan obat penghilang rasa sakit
tampaknya tidak berpengaruh pada bayi wanita di Finlandia, di mana 2% dari bayi
laki-laki bayi dilahirkan dengan kelainan testis. Di Denmark, jumlah yang
melonjak sampai 9%. Denmark telah menyaksikan peningkatan yang signifikan dalam
kasus kriptorkismus, dari kurang dari 2% dalam 50 tahun yang lalu. Belum banyak
penelitian yang meneliti tingkat ini di AS, tapi satu yang dilakukan di Mount
Sinai Hospital di New York menemukan bahwa hampir 4% dari 6.935 bayi laki-laki
yang lahir antara tahun 1987 dan 1990 memiliki kelainan testis.</span></div>
<div style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US">Penelitian ini harus dilanjutkan kata para peneliti Eropa.Sementara
itu, mereka menyarankan wanita hamil untuk menghentikan penggunaan analgesik,
berbicara dengan dokter mereka.</span></div>
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<br /></div>
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<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 277.9pt; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-ansi-language: EN-US;">BAB III</span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 277.9pt; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-ansi-language: EN-US;">PENUTUP</span></b></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">KESIMPULAN</span></b></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Antipiretik
adalah obat yang menurunkan suhu tubuh yang tinggi. Jadi analgetik-antipiretik
adalah obat yang mengurangi rasa nyeri dan serentak menurunkan suhu tubuh yang
tinggi.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penggunaan obat
Analgetik-Antipiretik pada saat mengandung bagi ibu hamil harus diperhatikan.
Ibu hamil yang mengkonsumsi obat secara sembarangan dapat menyebabkan cacat
pada janin. Sebagian obat yang diminum oleh ibu hamil dapat menembus plasenta
sampai masuk ke dalam sirkulasi janin, sehingga kadarnya dalam sirkulasi bayi
hampir </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">menyebabkan terjadinya gangguan
fisiologik atau bio-kimiawi dari janin yang dikandung, dan biasanya gejalanya
baru muncul beberapa saat setelah kelahiran.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pengaruh obat bersifat teratogenik,
jika menyebabkan terjadinya malformasi anatomic</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">(kelainan/kekurangan organ tubuh) pada pertumbuhan organ
janin. Pengaruh teratogenik ini biasanya terjadi pada dosis subletal. Sedangkan
pengaruh obat yang bersifat letal adalah yang mengakibatkan kematian janin
dalam kandungan </span></div>
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<br /></div>
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<br /></div>
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<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-ansi-language: EN-US;">DAFTAR PUSTAKA</span></div>
<div style="background: white; line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span lang="EN-US"><a href="http://rynapunya.blogspot.com/2011/06/analgetik-antipiretik.html">http://rynapunya.blogspot.com/2011/06/analgetik-antipiretik.html</a></span></div>
<div class="MsoNormal">
<a href="http://promosinet.com/kecantikan/kehamilan/2591-bahaya-obat-pereda-sakit-pada-wanita-hamil.html?fontstyle=f-smaller">http://promosinet.com/kecantikan/kehamilan/2591-bahaya-obat-pereda-sakit-pada-wanita-hamil.html?fontstyle=f-smaller</a><span lang="EN-US" style="mso-ansi-language: EN-US;"></span></div>
<div class="MsoNormal">
<br /></div>
</div>
Anonymoushttp://www.blogger.com/profile/12379317249182996237noreply@blogger.com0tag:blogger.com,1999:blog-4832514406706957378.post-12119866282632657712013-04-03T06:09:00.001-07:002013-04-03T06:09:48.062-07:00PENGERTIAN DAN FUNGSI STETOSKOP<div dir="ltr" style="text-align: left;" trbidi="on">
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<div class="MsoNormal" style="line-height: 150%; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pengertian dan Fungsi Stetoskop <span id="goog_1274645509"></span><span id="goog_1274645510"></span><a href="http://www.blogger.com/"></a></span></b></div>
<div class="MsoNormal" style="line-height: 150%; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<a href="http://www.blogger.com/blogger.g?blogID=4832514406706957378" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"></a><a href="http://www.blogger.com/blogger.g?blogID=4832514406706957378" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"></a><br />
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> Stetoskop ditemukan di Perancis pada 1816 oleh
René-Théophile-Hyacinthe Laennec. Dia terdiri dari tabung kayu kosong. Konon
dia menciptakan stetoskop sehingga ia tidak perlu menaruh telinganya di buah
dada wanita Perancis. Tidak jelas apakah Laennec mencoba menghindarinya, atau
untuk menghindari rasa malu pasien. Namun begitu, orang mengatakan bahwa
“Kebutuhan adalah ibu dari penemuan”.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> Stetoskop</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> (bahasa
Yunani: <i>stethos</i>, dada dan <i>skopeein</i>, memeriksa) adalah
sebuah alat medis akustik untuk memeriksa suara dalam tubuh. Dia banyak
digunakan untuk mendengar suara jantung dan pernapasan, meskipun dia juga
digunakan untuk mendengar intestine dan aliran darah dalam arteri dan “vein”.</span></div>
<div class="MsoNormal" style="line-height: 150%; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ada dua jenis stetoskop: <i>akustik</i> dan <i>elektronik</i>.</span></div>
<ol start="1" type="1">
<li class="MsoNormal" style="line-height: 150%; text-align: justify;"><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Stetoskop akustik</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> yang
paling umum digunakan, dan beroperasi dengan menyalurkan suara dari bagian
dada, melalui tabung kosong berisi-udara, ke telinga pendengar. Bagian
“chestpiece” biasanya terdiri dari dua sisi yang dapat diletakaan di badan
pasien untuk memperjelas suara; sebuaah diaphgram (disk plastik) atau
“bell” (mangkok kosong). Bila diaphgram diletakkan di pasien, suara tubuh
menggetarkan diaphgram, menciptakan tekanan gelombang akustik yang
berjalan sampai ke tube ke telinga pendengar. Bila “bell” diletakkan di
tubuh pasien getarakn kulit secara langsung memproduksi gelombang tekanan
akustik yang berjalan ke telinga pendengar. Bell menyalurkan suara
frekuensi rendah, sedangkan diaphgram menyalurkan frekuensi suara yang
lebih tinggi. Stetoskop dua sisi ini diciptakan oleh Rappaport dan Sprague
pada awal abad ke-20. Permasalahan dengan akustik stetoskop adalah
tingkatan suara sangat rendah, membuat diagnosis sulit. </span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l2 level1 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt; text-align: justify;"><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Stetoskop elektronik</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> mengatasi
tingkatan suara yang rendah dengan cara memperkuat suara tubuh. Sekarang
ini, telah ada beberapa perusahaan menawarkan stetoskop elektronik, dan
mungkin dalam beberapa tahun lagi, stetoskop elektronik akan menjadi lebih
umum dari stetoskop akustik.</span></li>
</ol>
<div class="MsoNormal" style="line-height: 150%; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Stetoskop digunakan sebagai alat untuk mendiagnosa
penyakit tertentu. Stetoskop dapat menyalurkan suara tertentu dan menghilangkan
suara yang lain. Sebelum stetoskop ditemukan, doktor meletakkan telinganya ke
dekat badan pasien dengan harapan untuk mendengarkan sesuatu. Stetoskop
seringkali dianggap sebagai simbol pekerjaan dokter, karena dokter sering
dilihat atau digambarkan dengan sebuah stetoskop yang tergantung di sekitar
lehernya. Stetoskop juga digunakan oleh mekanik untuk mengisolasi suara
tertentu dari mesin untuk diagnosa.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tata Cara Pemakaian Alat</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> Periksa stetoskop untuk kualitas dan kerusakan.
Stetoskop terbaik memiliki tabung untuk setiap potongan telinga daripada tabung
tunggal. Selain itu, tabung terbaik adalah tebal, pendek, dan relatif kaku,
dengan sedikit membosankan. Juga, pastikan bahwa tabung bebas dari kebocoran.
Cari tempat yang tenang relatif untuk memastikan bahwa suara tubuh tidak
dikuasai oleh kebisingan latar belakang. Masukkan masing-masing dari dua buah
telinga ke telinga Anda kebisingan. Para earphone juga dapat dimiringkan
sedikit ke depan pada beberapa stetoskop untuk memastikan kesesuaian yang lebih
baik. Gunakan stetoskop pada kulit telanjang untuk menghindari mengangkat suara
gemerisik kain dan basah kulit dengan air hangat untuk menghindari polusi suara
dari rambut-rambut kecil di kulit. Pegang bagian bulat (bagian dada)
sampai seseorang dada atau jantung. Anda harus mendengar Lub dub-mantap,
Lub-dub suara. Suara pemukulan perjalanan melalui tabung ke telinga Anda
tergantung itu. Suara pada apakah Anda menggunakan bel atau diafragma dan juga
pada tekanan Anda meletakkan di bagian dada.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Fungsi Stetoskop</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Stetoskop memiliki banyak fungsi di bidang
kesehatan dan merupakan alat yang sangat berguna untuk</span></div>
<div class="MsoNormal" style="line-height: 150%; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">a. Memeriksa
Tekanan Darah</span></div>
<div class="MsoNormal" style="line-height: 150%; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">b. Paru-paru</span></div>
<div class="MsoNormal" style="line-height: 150%; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">c. Jantung</span></div>
<div class="MsoNormal" style="line-height: 150%; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">d. Pemeriksaan prenatal</span></div>
<div class="MsoNormal" style="line-height: 150%; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">e. Gangguan Perut</span></div>
<div class="MsoNormal" style="line-height: 150%; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Keuntungan dan Kerugian Stetoskop</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<ol start="1" type="1">
<li class="MsoNormal" style="line-height: 150%; mso-list: l0 level1 lfo2; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Keuntungan stetoskop</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Keuntungan keseluruhan stetoskop adalah bahwa hal itu
memungkinkan para profesional medis untuk mendengarkan suara yang dihasilkan
oleh jantung, paru-paru dan usus. Setiap fungsi yang abnormal dalam sistem ini
dalam tubuh dapat segera terlihat dengan penggunaan yang tepat dari stetoskop.
Beberapa stetoskop sangat sensitif dan bahkan bisa bekerja melalui pakaian.</span></li>
</ol>
<ol start="2" type="1">
<li class="MsoNormal" style="line-height: 150%; mso-list: l1 level1 lfo3; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kerugian stetoskop</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sejak stetoskop memperbesar suara, suara yang
disengaja yang terlalu keras berpotensi dapat merusak telinga pendengar.
Stetoskop juga harus selalu dibersihkan karena kemampuan mereka untuk
menyebarkan kuman dan virus. Karena mereka biasanya digunakan pada kulit yang
telanjang dan kadang-kadang pada pasien yang sangat sakit, pembersihan tepat
sangat penting.</span></li>
</ol>
<div class="MsoNormal" style="line-height: 150%; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Stetoskop adalah</span></i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> “Alat bantu
pendengaran” yang sederhana ini memungkinkan dokter mendengar suara-suara yang
berasal dari dalam tubuh, terutama jantung dan paru selain persendian serta
arteri yang tersumbat secara parsial. Mendengarkan suara-suara ini dengan
stetoskop disebut auskultasi berjarak (mediate auscultation), atau biasanya
hanya auskultasi. Keuntungan keseluruhan stetoskop adalah bahwa hal itu
memungkinkan para profesional medis untuk mendengarkan suara yang dihasilkan
oleh jantung, paru-paru dan usus.</span></div>
<div class="MsoNormal" style="line-height: 150%; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sejak stetoskop memperbesar suara, suara yang
disengaja yang terlalu keras berpotensi dapat merusak telinga pendengar.
Stetoskop juga harus selalu dibersihkan karena kemampuan mereka untuk
menyebarkan kuman dan virus.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 12.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">fungsi
pembesar suara, pencipta kanta pembesar, kanta pembesar dan fungsinya,
ciri-ciri stetoskop, sejarah penemuan kanta pembesar, kegunaan kanta pembesar,
ciri-ciri pembesar suara, gambar stetoskop dan fungsinya, gambar stetoskop,
prinsip bunyi stetoskop, pencipta pembesar suara, ciri-ciri kanta stetoskop,
pembesar suara dan fungsinya, cara operasi kanta pembesar, fungsi steteskop,
cara operasi stetoskop, stetoskop dan fungsinya, fugsi periskop, fungsi alat
pembesar suara, fungsi dan kegunaan kanta pembesar, sejarah alat pembesar
suara, pengertian dan fungsi stetoskop, bagian periskop dan fungsinya, fungsi
dan ciri ciri pembesar suara, kegunaan stetoskop </span></div>
<div class="MsoNormal" style="line-height: 150%; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 2; text-align: justify;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pengertian
dan Fungsi Stetoskop </span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> fungsi pembesar suara, pencipta kanta pembesar, kanta
pembesar dan fungsinya, ciri-ciri stetoskop, sejarah penemuan kanta pembesar,
kegunaan kanta pembesar, ciri-ciri pembesar suara, gambar stetoskop dan fungsinya,
gambar stetoskop, prinsip bunyi stetoskop, pencipta pembesar suara, ciri-ciri
kanta stetoskop, pembesar suara dan fungsinya, cara operasi kanta pembesar,
fungsi steteskop, cara operasi stetoskop, stetoskop dan fungsinya, fugsi
periskop, fungsi alat pembesar suara, fungsi dan kegunaan kanta pembesar,
sejarah alat pembesar suara, pengertian dan fungsi stetoskop, bagian periskop
dan fungsinya, fungsi dan ciri ciri pembesar suara, kegunaan stetoskop </span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
</div>
Anonymoushttp://www.blogger.com/profile/12379317249182996237noreply@blogger.com2tag:blogger.com,1999:blog-4832514406706957378.post-9949110229254386902013-04-03T05:04:00.001-07:002013-04-03T06:04:50.019-07:00ASUHAN BAYI BARU LAHIR <div class="separator" style="clear: both; text-align: center;">
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<div style="text-align: justify;">
<span style="font-family: Georgia,"Times New Roman",serif;"><span style="font-size: small;"><span style="line-height: 115%;">Buat
Calon Ibu atau ayah yang sedang menunggu calon bayinya, sebaiknya harus
mengetahui urutan asuhan sang bayi di rumah sakit bersalin maupun di bidan.</span></span></span></div>
<div style="text-align: justify;">
<span style="font-family: Georgia,"Times New Roman",serif;"><span style="font-size: small;"><span style="line-height: 115%;">
Dibawah ini adalah kutipan teori tentang Asuhan bayi Baru lahir dan sepertinya
hanya Bidan yang mempelajarinya, tapi tidak salahnya kita tahu, bukan..</span></span></span></div>
<div style="text-align: justify;">
<span style="font-family: Georgia,"Times New Roman",serif;"><span style="font-size: small;"><span style="line-height: 115%;">
Silahkan simak dibawah ini :</span></span></span></div>
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<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Definisi
(Menurut Sarwono, 2005 ”Pelayanan Kesehatan Maternal dan Neonatal”)</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><br /> Asuhan segera pada bayi baru lahir adalah asuhan yang diberikan pada bayi
tersebut<br />
selama bayi pertamanya setelah kelahiran. Sebagian besar bayi yang baru lahir
akan menunjukkan usaha pernafasan spontan dengan sedikit bantuan atau gangguan.</span></div>
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<br />
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<![endif]--><span style="line-height: 115%;">Aspek-aspek
penting dari asuhan segera bayi baru lahir :</span></b></span></span></div>
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1. Jagalah agar bayi tetap kering
dan hangat.</div>
<div class="MsoNormal" style="text-align: justify;">
<span style="mso-spacerun: yes;"> </span>a. Pastikan bayi tersebut tetap hangat dan
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<span style="mso-spacerun: yes;"> </span>b. Ganti handuk / kain yang
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1) Bila
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2) Bila suhu
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<div class="MsoListParagraph" style="margin-left: 40.6pt; mso-add-space: auto; mso-list: l0 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span>Kontak dini antara ibu dan bayi penting untuk :</div>
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1) Kehangatan
mempertahankan panas yang benar pada bayi baru lahir.</div>
<div class="MsoNormal" style="margin-left: 42.55pt; text-align: justify;">
2) Ikatan
batin dan pemberian ASI.</div>
<div class="MsoListParagraph" style="margin-left: 40.6pt; mso-add-space: auto; mso-list: l0 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span>Dorong ibu untuk menyusui bayinya apabila bayi
telah siap (dengan menunjukkan<span style="mso-spacerun: yes;">
</span>refleksrooting) jangan<span style="mso-spacerun: yes;"> </span>paksa
bayi untuk menyusu.</div>
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<span style="font-family: Georgia,"Times New Roman",serif;"><b>Perubahan-perubahan yang segera terjadi sesudah
kelahiran<span style="mso-spacerun: yes;"> </span>(Menurut Stright,
2004”Keperawatan Ibu-Bayi Baru Lahir”)
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<w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">12.<span style="font: 7.0pt "Times New Roman";"> </span></span></span>Perubahan suhu tubuh </div>
Etika bayi baru
lahir, bayi berasa pada suhu lingkungan yang > rendah dari suhu di<span style="mso-spacerun: yes;"> </span>dalam rahim. Apabila bayi dibiarkan dalam suhu
kamar maka akan kehilangan panas mil<span style="mso-spacerun: yes;">
</span>konveksi.Evaporasi sebanyak 200 kal/kg/BB/menit. Sedangkan produksi yang
dihasilkan tubuh<span style="mso-spacerun: yes;"> </span>bayi hanya 1/100 nya,
keadaan ini menyebabkan penurunan suhu bayi sebanyak 20C dalam waktu 15<span style="mso-spacerun: yes;"> </span>menit. Akibat suhu yang rendah metabolisme
jaringan meningkat dan kebutuhan O2 pun meningkat.
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">13.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: inherit;">Perubahan pernafasan Selama dalam rahim ibu
janin mendapat O2dari pertukaran gas mill<span style="mso-spacerun: yes;">
</span>plasenta. Setelah bayilahir pertukaran gas melalui paru-paru bayi.
Rangsangan gas melalui<span style="mso-spacerun: yes;"> </span>paru-paru
untuk gerakan pernafasan pertama.</span></div>
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<span style="font-family: inherit;"><i><span style="mso-spacerun: yes;"> </span>a.Tekanan mekanik dari toraks pada saat
melewati<span style="mso-spacerun: yes;"> </span>janin lahir.</i></span></div>
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</i></span><br />
<div class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 35.45pt; text-align: justify;">
<span style="font-family: inherit;"><i><span style="mso-spacerun: yes;"> </span>b.Menurun kadar pH O2dan meningkat kadar pH
CO2merangsang kemoreseptor karohd.</i></span></div>
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</i></span><br />
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<span style="font-family: inherit;"><i><span style="mso-spacerun: yes;"> </span>c.Rangsangan dingin di daerah muka dapat
merangsang, permukaan gerakan pinafasa.</i></span></div>
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</i></span><br />
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<span style="font-family: inherit;"><i><span style="mso-spacerun: yes;"> </span>d.Pernafasan pertama pada BBL normal dalam
waktu 30 detik setelah persalinan.</i></span></div>
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<br /></div>
<span style="font-family: inherit;">Dimana
tekanan<span style="mso-spacerun: yes;"> </span>rongga dada bayi pada melalui
jalan lahir mengakibatkan cairan paru-paru kehilangan 1/3<span style="mso-spacerun: yes;"> </span>dari jumlah cairan tersebut. Sehingga
cairan yang hilang tersebut digantidengan udara.Paru-paru
mengembang menyebabkan rongga dada troboli pada bentuk semula, jumlah
cairan<span style="mso-spacerun: yes;"> </span>paru-paru pada bayi normal 80
museum Lampung – 100 museum Lampung. </span><br />
<br />
<br />
<br />
<br />
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">14. </span></span>Perubahan struktur Dengan berkembangnya
paru-paru mengakibatkan tekanan O2 meningkat tekanan<span style="mso-spacerun: yes;"> </span>CO2 menurun.</div>
Hal ini
mengakibatkan turunnya resistensi pembuluh darah paru-paru<span style="mso-spacerun: yes;"> </span>sebagian sehingga aliran darah ke<span style="mso-spacerun: yes;"> </span>pembuluh darah tersebut meningkat. Hal ini
menyebabkan<span style="mso-spacerun: yes;"> </span>darah dari arteri
pulmonalis mengalir ke paru-paru dan duktus arteriosus menutup. Dan<span style="mso-spacerun: yes;"> </span>menciutnya arteri dan vena umbilikasis
kemudian tali pusat dipotong sehingga aliran darah<span style="mso-spacerun: yes;"> </span>dari plasenta melalui vena cava inverior dan
foramen oval atrium kiri terhenti sirkulasi<span style="mso-spacerun: yes;">
</span>darah bayi sekarang berubah menjadi seperti semula.<br />
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">15.<span style="font: 7.0pt "Times New Roman";"> </span></span></span>Perubahaan lain</div>
Alat-alat
pencernaan, hati, ginjal dan alat-alat lain mulai berfungsi<br />
<br />
<br />
<br />
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<![endif]--><span style="font-size: large;"><b> <span style="font-size: large;"></span>Tanda-tanda bayi
baru lahir normal :</b></span></div>
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<br />
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="color: #990000;"><span style="background-color: white;"> a. Berat badan :
2500 – 4000 gr </span></span></div>
<span style="color: #990000;"><span style="background-color: white;">
</span></span><div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="color: #990000;"><span style="background-color: white;"> b. Panjang badan
: 48 – 52 cn</span></span></div>
<span style="color: #990000;"><span style="background-color: white;">
</span></span><div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="color: #990000;"><span style="background-color: white;"> c. Lingkar kepala
: 33 – 5 cm</span></span></div>
<span style="color: #990000;"><span style="background-color: white;">
</span></span><div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="color: #990000;"><span style="background-color: white;"> d. Lingkar dada :
30 – 38 cm</span></span></div>
<span style="color: #990000;"><span style="background-color: white;">
</span></span><div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="color: #990000;"><span style="background-color: white;"> e. Bunyi jantung
: 120 – 160 x/menit</span></span></div>
<span style="color: #990000;"><span style="background-color: white;">
</span></span><div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="color: #990000;"><span style="background-color: white;"> f. Pernafasan
dada : 40 – 60x/menit</span></span></div>
<span style="color: #990000;"><span style="background-color: white;">
</span></span><div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="color: #990000;"><span style="background-color: white;"> g. Kulit
kemerahan dan licin karena jaringan dan diikuti vernik caseosa.</span></span></div>
<span style="color: #990000;"><span style="background-color: white;">
</span></span><div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="color: #990000;"><span style="background-color: white;"> h. Rambut lanugo
terlihat, rambut kepala biasanya sudah sempurna.</span></span></div>
<span style="color: #990000;"><span style="background-color: white;">
</span></span><div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="color: #990000;"><span style="background-color: white;"> i. Kuku telah
agak panjang dan lepas.</span></span></div>
<span style="color: #990000;"><span style="background-color: white;">
</span></span><div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="color: #990000;"><span style="background-color: white;"> j. Genetalia jika
perempuan labia mayora telah menutupi labia minora, </span></span></div>
<span style="color: #990000;"><span style="background-color: white;">
</span></span><div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="color: #990000;"><span style="background-color: white;"> k. Refleks hisab
dan menelan telah terbentuk dengan baik.</span></span></div>
<span style="color: #990000;"><span style="background-color: white;">
</span></span><div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="color: #990000;"><span style="background-color: white;"> l. Refleks moro
bila dikagetkan akan kelihatan seperti memeluk.</span></span></div>
<span style="color: #990000;"><span style="background-color: white;">
</span></span><div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="color: #990000;"><span style="background-color: white;"> m. Gerak refleks
sudah baik bila tangan diletakkan benda bayi akan menggenggam.</span></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
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<span style="color: #990000;"><span style="background-color: white;"><!--[if gte mso 9]><xml>
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<![endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> n. Eliminasi
baik, urine dan mekonium akan keluar dalam 24 jam.</span></span></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="color: #990000;"><span style="background-color: white;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span> </span></span></div>
<span style="font-family: Times,"Times New Roman",serif;"><span style="font-size: large;"><b><span style="line-height: 115%;">Penatalaksanaan
awal bayi baru lahir (Menurut buku Asuhan persalinan Normal Revisi 2007)</span></b></span></span><br />
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</span></b></span></span><br />
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-size: large;"><b>Pencegahan infeksiTindakan pencegahan infeksi saat melakukan
penanganan bayi baru lahir :</b></span></div>
<span style="font-size: large;"><b>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
a.Cuci tangan sebelum dan sesudah melakukan kontak dengan bayi.</div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
b.Pakai sarung tangan bersih saat menangani bayi yang belum
dimandikan.</div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
c. Pastikan semua peralatan telah desinfektan tingkat tinggi / steril.</div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 7.1pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="mso-spacerun: yes;"> </span>Jika menggunakan bola karena penghisap, pakai
yang bersih dan baru.</div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
d.Pastikan bahwa benda-benda lain yang akan bersentuhan dengan bayi
dalam keadaan bersih</div>
</b></span><span style="font-size: 12pt; line-height: 115%;"><br /></span><br />
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</span>Anonymoushttp://www.blogger.com/profile/12379317249182996237noreply@blogger.com0tag:blogger.com,1999:blog-4832514406706957378.post-59972385946165746662013-04-02T16:12:00.001-07:002013-04-02T16:42:52.413-07:00NOMENKLATUR DIAGNOSA KEBIDANAN<h3 align="center" style="text-align: center;">
</h3>
<div style="line-height: 150%; text-align: justify; text-indent: 36pt;">
<span style="background-color: white; font-size: small;">Nomenklatur
Diagnosa Kebidanan adalah suatu sistem nama yang telah terklasifikasikan dan
diakui serta disyahkan oleh profesi, digunakan untuk menegakkan diagnosa
sehingga memudahkan pengambilan keputusannya. Dalam nomenklatur kebidanan
mempunyai standar yang harus dipenuhi</span></div>
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<br /></div>
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NOMENKLATUR KEBIDANAN </span></span></b></div>
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</span></b><br />
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KEBIDANAN</span></span></b><br />
<br />
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<m:mathFont m:val="Cambria Math"/>
<m:brkBin m:val="before"/>
<m:brkBinSub m:val="--"/>
<m:smallFrac m:val="off"/>
<m:dispDef/>
<m:lMargin m:val="0"/>
<m:rMargin m:val="0"/>
<m:defJc m:val="centerGroup"/>
<m:wrapIndent m:val="1440"/>
<m:intLim m:val="subSup"/>
<m:naryLim m:val="undOvr"/>
</m:mathPr></w:WordDocument>
</xml><![endif]--><!--[if gte mso 9]><xml>
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LatentStyleCount="267">
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{mso-style-name:"Table Normal";
mso-tstyle-rowband-size:0;
mso-tstyle-colband-size:0;
mso-style-noshow:yes;
mso-style-priority:99;
mso-style-qformat:yes;
mso-style-parent:"";
mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
mso-para-margin-top:0cm;
mso-para-margin-right:0cm;
mso-para-margin-bottom:10.0pt;
mso-para-margin-left:0cm;
line-height:115%;
mso-pagination:widow-orphan;
font-size:11.0pt;
font-family:"Calibri","sans-serif";
mso-ascii-font-family:Calibri;
mso-ascii-theme-font:minor-latin;
mso-fareast-font-family:"Times New Roman";
mso-fareast-theme-font:minor-fareast;
mso-hansi-font-family:Calibri;
mso-hansi-theme-font:minor-latin;}
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mso-tstyle-rowband-size:1;
mso-tstyle-colband-size:1;
mso-style-priority:62;
mso-style-unhide:no;
border:solid #4BACC6 1.0pt;
mso-border-themecolor:accent5;
mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
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mso-border-insideh-themecolor:accent5;
mso-border-insidev:1.0pt solid #4BACC6;
mso-border-insidev-themecolor:accent5;
mso-para-margin:0cm;
mso-para-margin-bottom:.0001pt;
mso-pagination:widow-orphan;
font-size:11.0pt;
font-family:"Calibri","sans-serif";
mso-ascii-font-family:Calibri;
mso-ascii-theme-font:minor-latin;
mso-hansi-font-family:Calibri;
mso-hansi-theme-font:minor-latin;
mso-fareast-language:EN-US;}
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{mso-style-name:"Light Grid - Accent 5";
mso-table-condition:first-row;
mso-style-priority:62;
mso-style-unhide:no;
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mso-tstyle-border-top-themecolor:accent5;
mso-tstyle-border-left:1.0pt solid #4BACC6;
mso-tstyle-border-left-themecolor:accent5;
mso-tstyle-border-bottom:2.25pt solid #4BACC6;
mso-tstyle-border-bottom-themecolor:accent5;
mso-tstyle-border-right:1.0pt solid #4BACC6;
mso-tstyle-border-right-themecolor:accent5;
mso-tstyle-border-insideh:cell-none;
mso-tstyle-border-insidev:1.0pt solid #4BACC6;
mso-tstyle-border-insidev-themecolor:accent5;
mso-para-margin-top:0cm;
mso-para-margin-bottom:0cm;
mso-para-margin-bottom:.0001pt;
line-height:normal;
font-family:"Tahoma","sans-serif";
mso-ascii-font-family:Cambria;
mso-ascii-theme-font:major-latin;
mso-fareast-font-family:"Times New Roman";
mso-fareast-theme-font:major-fareast;
mso-hansi-font-family:Cambria;
mso-hansi-theme-font:major-latin;
mso-bidi-font-family:"Times New Roman";
mso-bidi-theme-font:major-bidi;
mso-ansi-font-weight:bold;
mso-bidi-font-weight:bold;}
table.MsoTableLightGridAccent5LastRow
{mso-style-name:"Light Grid - Accent 5";
mso-table-condition:last-row;
mso-style-priority:62;
mso-style-unhide:no;
mso-tstyle-border-top:2.25pt double #4BACC6;
mso-tstyle-border-top-themecolor:accent5;
mso-tstyle-border-left:1.0pt solid #4BACC6;
mso-tstyle-border-left-themecolor:accent5;
mso-tstyle-border-bottom:1.0pt solid #4BACC6;
mso-tstyle-border-bottom-themecolor:accent5;
mso-tstyle-border-right:1.0pt solid #4BACC6;
mso-tstyle-border-right-themecolor:accent5;
mso-tstyle-border-insideh:cell-none;
mso-tstyle-border-insidev:1.0pt solid #4BACC6;
mso-tstyle-border-insidev-themecolor:accent5;
mso-para-margin-top:0cm;
mso-para-margin-bottom:0cm;
mso-para-margin-bottom:.0001pt;
line-height:normal;
font-family:"Tahoma","sans-serif";
mso-ascii-font-family:Cambria;
mso-ascii-theme-font:major-latin;
mso-fareast-font-family:"Times New Roman";
mso-fareast-theme-font:major-fareast;
mso-hansi-font-family:Cambria;
mso-hansi-theme-font:major-latin;
mso-bidi-font-family:"Times New Roman";
mso-bidi-theme-font:major-bidi;
mso-ansi-font-weight:bold;
mso-bidi-font-weight:bold;}
table.MsoTableLightGridAccent5FirstCol
{mso-style-name:"Light Grid - Accent 5";
mso-table-condition:first-column;
mso-style-priority:62;
mso-style-unhide:no;
font-family:"Tahoma","sans-serif";
mso-ascii-font-family:Cambria;
mso-ascii-theme-font:major-latin;
mso-fareast-font-family:"Times New Roman";
mso-fareast-theme-font:major-fareast;
mso-hansi-font-family:Cambria;
mso-hansi-theme-font:major-latin;
mso-bidi-font-family:"Times New Roman";
mso-bidi-theme-font:major-bidi;
mso-ansi-font-weight:bold;
mso-bidi-font-weight:bold;}
table.MsoTableLightGridAccent5LastCol
{mso-style-name:"Light Grid - Accent 5";
mso-table-condition:last-column;
mso-style-priority:62;
mso-style-unhide:no;
mso-tstyle-border-top:1.0pt solid #4BACC6;
mso-tstyle-border-top-themecolor:accent5;
mso-tstyle-border-left:1.0pt solid #4BACC6;
mso-tstyle-border-left-themecolor:accent5;
mso-tstyle-border-bottom:1.0pt solid #4BACC6;
mso-tstyle-border-bottom-themecolor:accent5;
mso-tstyle-border-right:1.0pt solid #4BACC6;
mso-tstyle-border-right-themecolor:accent5;
font-family:"Tahoma","sans-serif";
mso-ascii-font-family:Cambria;
mso-ascii-theme-font:major-latin;
mso-fareast-font-family:"Times New Roman";
mso-fareast-theme-font:major-fareast;
mso-hansi-font-family:Cambria;
mso-hansi-theme-font:major-latin;
mso-bidi-font-family:"Times New Roman";
mso-bidi-theme-font:major-bidi;
mso-ansi-font-weight:bold;
mso-bidi-font-weight:bold;}
table.MsoTableLightGridAccent5OddColumn
{mso-style-name:"Light Grid - Accent 5";
mso-table-condition:odd-column;
mso-style-priority:62;
mso-style-unhide:no;
mso-tstyle-shading:#D2EAF1;
mso-tstyle-shading-themecolor:accent5;
mso-tstyle-shading-themetint:63;
mso-tstyle-border-top:1.0pt solid #4BACC6;
mso-tstyle-border-top-themecolor:accent5;
mso-tstyle-border-left:1.0pt solid #4BACC6;
mso-tstyle-border-left-themecolor:accent5;
mso-tstyle-border-bottom:1.0pt solid #4BACC6;
mso-tstyle-border-bottom-themecolor:accent5;
mso-tstyle-border-right:1.0pt solid #4BACC6;
mso-tstyle-border-right-themecolor:accent5;}
table.MsoTableLightGridAccent5OddRow
{mso-style-name:"Light Grid - Accent 5";
mso-table-condition:odd-row;
mso-style-priority:62;
mso-style-unhide:no;
mso-tstyle-shading:#D2EAF1;
mso-tstyle-shading-themecolor:accent5;
mso-tstyle-shading-themetint:63;
mso-tstyle-border-top:1.0pt solid #4BACC6;
mso-tstyle-border-top-themecolor:accent5;
mso-tstyle-border-left:1.0pt solid #4BACC6;
mso-tstyle-border-left-themecolor:accent5;
mso-tstyle-border-bottom:1.0pt solid #4BACC6;
mso-tstyle-border-bottom-themecolor:accent5;
mso-tstyle-border-right:1.0pt solid #4BACC6;
mso-tstyle-border-right-themecolor:accent5;
mso-tstyle-border-insidev:1.0pt solid #4BACC6;
mso-tstyle-border-insidev-themecolor:accent5;}
table.MsoTableLightGridAccent5EvenRow
{mso-style-name:"Light Grid - Accent 5";
mso-table-condition:even-row;
mso-style-priority:62;
mso-style-unhide:no;
mso-tstyle-border-top:1.0pt solid #4BACC6;
mso-tstyle-border-top-themecolor:accent5;
mso-tstyle-border-left:1.0pt solid #4BACC6;
mso-tstyle-border-left-themecolor:accent5;
mso-tstyle-border-bottom:1.0pt solid #4BACC6;
mso-tstyle-border-bottom-themecolor:accent5;
mso-tstyle-border-right:1.0pt solid #4BACC6;
mso-tstyle-border-right-themecolor:accent5;
mso-tstyle-border-insidev:1.0pt solid #4BACC6;
mso-tstyle-border-insidev-themecolor:accent5;}
</style>
<![endif]-->
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableLightGridAccent5" style="border-collapse: collapse; border: medium none; height: 1518px; width: 533px;">
<tbody>
<tr align="center" style="height: 10.7pt;">
<td style="-moz-border-bottom-colors: none; -moz-border-left-colors: none; -moz-border-right-colors: none; -moz-border-top-colors: none; border-color: rgb(75, 172, 198); border-image: none; border-style: solid; border-width: 1pt 1pt 2.25pt; height: 10.7pt; padding: 0cm 5.4pt; width: 175.2pt;" valign="top" width="292"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1. Persalinan Normal</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
</td>
</tr>
<tr align="center" style="height: 10.7pt;">
<td style="-moz-border-bottom-colors: none; -moz-border-left-colors: none; -moz-border-right-colors: none; -moz-border-top-colors: none; background: none repeat scroll 0% 0% rgb(210, 234, 241); border-color: -moz-use-text-color rgb(75, 172, 198) rgb(75, 172, 198); border-image: none; border-right: 1pt solid rgb(75, 172, 198); border-style: none solid solid; border-width: medium 1pt 1pt; height: 10.7pt; padding: 0cm 5.4pt; width: 175.2pt;" valign="top" width="292"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2. Partus Normal</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
</td>
</tr>
<tr align="center" style="height: 10.7pt;">
<td style="-moz-border-bottom-colors: none; -moz-border-left-colors: none; -moz-border-right-colors: none; -moz-border-top-colors: none; border-color: -moz-use-text-color rgb(75, 172, 198) rgb(75, 172, 198); border-image: none; border-right: 1pt solid rgb(75, 172, 198); border-style: none solid solid; border-width: medium 1pt 1pt; height: 10.7pt; padding: 0cm 5.4pt; width: 175.2pt;" valign="top" width="292"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3. Syok</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
</td>
</tr>
<tr align="center" style="height: 10.7pt;">
<td style="-moz-border-bottom-colors: none; -moz-border-left-colors: none; -moz-border-right-colors: none; -moz-border-top-colors: none; background: none repeat scroll 0% 0% rgb(210, 234, 241); border-color: -moz-use-text-color rgb(75, 172, 198) rgb(75, 172, 198); border-image: none; border-right: 1pt solid rgb(75, 172, 198); border-style: none solid solid; border-width: medium 1pt 1pt; height: 10.7pt; padding: 0cm 5.4pt; width: 175.2pt;" valign="top" width="292"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">4. DJJ tidak normal</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
</td>
</tr>
<tr align="center" style="height: 10.7pt;">
<td style="-moz-border-bottom-colors: none; -moz-border-left-colors: none; -moz-border-right-colors: none; -moz-border-top-colors: none; border-color: -moz-use-text-color rgb(75, 172, 198) rgb(75, 172, 198); border-image: none; border-right: 1pt solid rgb(75, 172, 198); border-style: none solid solid; border-width: medium 1pt 1pt; height: 10.7pt; padding: 0cm 5.4pt; width: 175.2pt;" valign="top" width="292"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">5. Abortus</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
</td>
</tr>
<tr align="center" style="height: 10.7pt;">
<td style="-moz-border-bottom-colors: none; -moz-border-left-colors: none; -moz-border-right-colors: none; -moz-border-top-colors: none; background: none repeat scroll 0% 0% rgb(210, 234, 241); border-color: -moz-use-text-color rgb(75, 172, 198) rgb(75, 172, 198); border-image: none; border-right: 1pt solid rgb(75, 172, 198); border-style: none solid solid; border-width: medium 1pt 1pt; height: 10.7pt; padding: 0cm 5.4pt; width: 175.2pt;" valign="top" width="292"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">6. Solusio Placentae</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
</td>
</tr>
<tr align="center" style="height: 10.7pt;">
<td style="-moz-border-bottom-colors: none; -moz-border-left-colors: none; -moz-border-right-colors: none; -moz-border-top-colors: none; border-color: -moz-use-text-color rgb(75, 172, 198) rgb(75, 172, 198); border-image: none; border-right: 1pt solid rgb(75, 172, 198); border-style: none solid solid; border-width: medium 1pt 1pt; height: 10.7pt; padding: 0cm 5.4pt; width: 175.2pt;" valign="top" width="292"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">7. Akut Pyelonephritis</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
</td>
</tr>
<tr align="center" style="height: 10.7pt;">
<td style="-moz-border-bottom-colors: none; -moz-border-left-colors: none; -moz-border-right-colors: none; -moz-border-top-colors: none; background: none repeat scroll 0% 0% rgb(210, 234, 241); border-color: -moz-use-text-color rgb(75, 172, 198) rgb(75, 172, 198); border-image: none; border-right: 1pt solid rgb(75, 172, 198); border-style: none solid solid; border-width: medium 1pt 1pt; height: 10.7pt; padding: 0cm 5.4pt; width: 175.2pt;" valign="top" width="292"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">8. Amnionitis</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
</td>
</tr>
<tr align="center" style="height: 10.7pt;">
<td style="-moz-border-bottom-colors: none; -moz-border-left-colors: none; -moz-border-right-colors: none; -moz-border-top-colors: none; border-color: -moz-use-text-color rgb(75, 172, 198) rgb(75, 172, 198); border-image: none; border-right: 1pt solid rgb(75, 172, 198); border-style: none solid solid; border-width: medium 1pt 1pt; height: 10.7pt; padding: 0cm 5.4pt; width: 175.2pt;" valign="top" width="292"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">9. Anemia Berat</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
</td>
</tr>
<tr align="center" style="height: 10.7pt;">
<td style="-moz-border-bottom-colors: none; -moz-border-left-colors: none; -moz-border-right-colors: none; -moz-border-top-colors: none; background: none repeat scroll 0% 0% rgb(210, 234, 241); border-color: -moz-use-text-color rgb(75, 172, 198) rgb(75, 172, 198); border-image: none; border-right: 1pt solid rgb(75, 172, 198); border-style: none solid solid; border-width: medium 1pt 1pt; height: 10.7pt; padding: 0cm 5.4pt; width: 175.2pt;" valign="top" width="292"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">10. Apendiksitis</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
</td>
</tr>
<tr align="center" style="height: 10.7pt;">
<td style="-moz-border-bottom-colors: none; -moz-border-left-colors: none; -moz-border-right-colors: none; -moz-border-top-colors: none; border-color: -moz-use-text-color rgb(75, 172, 198) rgb(75, 172, 198); border-image: none; border-right: 1pt solid rgb(75, 172, 198); border-style: none solid solid; border-width: medium 1pt 1pt; height: 10.7pt; padding: 0cm 5.4pt; width: 175.2pt;" valign="top" width="292"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">11. Atonia Uteri</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
</td>
</tr>
<tr align="center" style="height: 10.7pt;">
<td style="-moz-border-bottom-colors: none; -moz-border-left-colors: none; -moz-border-right-colors: none; -moz-border-top-colors: none; background: none repeat scroll 0% 0% rgb(210, 234, 241); border-color: -moz-use-text-color rgb(75, 172, 198) rgb(75, 172, 198); border-image: none; border-right: 1pt solid rgb(75, 172, 198); border-style: none solid solid; border-width: medium 1pt 1pt; height: 10.7pt; padding: 0cm 5.4pt; width: 175.2pt;" valign="top" width="292"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">12. Infeksi Mammae</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
</td>
</tr>
<tr align="center" style="height: 10.7pt;">
<td style="-moz-border-bottom-colors: none; -moz-border-left-colors: none; -moz-border-right-colors: none; -moz-border-top-colors: none; border-color: -moz-use-text-color rgb(75, 172, 198) rgb(75, 172, 198); border-image: none; border-right: 1pt solid rgb(75, 172, 198); border-style: none solid solid; border-width: medium 1pt 1pt; height: 10.7pt; padding: 0cm 5.4pt; width: 175.2pt;" valign="top" width="292"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">13. Pembengkakan Mamae</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
</td>
</tr>
<tr align="center" style="height: 10.7pt;">
<td style="-moz-border-bottom-colors: none; -moz-border-left-colors: none; -moz-border-right-colors: none; -moz-border-top-colors: none; background: none repeat scroll 0% 0% rgb(210, 234, 241); border-color: -moz-use-text-color rgb(75, 172, 198) rgb(75, 172, 198); border-image: none; border-right: 1pt solid rgb(75, 172, 198); border-style: none solid solid; border-width: medium 1pt 1pt; height: 10.7pt; padding: 0cm 5.4pt; width: 175.2pt;" valign="top" width="292"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">14. Presentasi Bokong</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
</td>
</tr>
<tr align="center" style="height: 10.7pt;">
<td style="-moz-border-bottom-colors: none; -moz-border-left-colors: none; -moz-border-right-colors: none; -moz-border-top-colors: none; border-color: -moz-use-text-color rgb(75, 172, 198) rgb(75, 172, 198); border-image: none; border-right: 1pt solid rgb(75, 172, 198); border-style: none solid solid; border-width: medium 1pt 1pt; height: 10.7pt; padding: 0cm 5.4pt; width: 175.2pt;" valign="top" width="292"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">15. Asma Bronchiale</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
</td>
</tr>
<tr align="center" style="height: 10.7pt;">
<td style="-moz-border-bottom-colors: none; -moz-border-left-colors: none; -moz-border-right-colors: none; -moz-border-top-colors: none; background: none repeat scroll 0% 0% rgb(210, 234, 241); border-color: -moz-use-text-color rgb(75, 172, 198) rgb(75, 172, 198); border-image: none; border-right: 1pt solid rgb(75, 172, 198); border-style: none solid solid; border-width: medium 1pt 1pt; height: 10.7pt; padding: 0cm 5.4pt; width: 175.2pt;" valign="top" width="292"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">16. Presentasi Dagu</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
</td>
</tr>
<tr align="center" style="height: 10.7pt;">
<td style="-moz-border-bottom-colors: none; -moz-border-left-colors: none; -moz-border-right-colors: none; -moz-border-top-colors: none; border-color: -moz-use-text-color rgb(75, 172, 198) rgb(75, 172, 198); border-image: none; border-right: 1pt solid rgb(75, 172, 198); border-style: none solid solid; border-width: medium 1pt 1pt; height: 10.7pt; padding: 0cm 5.4pt; width: 175.2pt;" valign="top" width="292"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">17. Disproporsi Sevalo Pelvik</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
</td>
</tr>
<tr align="center" style="height: 10.7pt;">
<td style="-moz-border-bottom-colors: none; -moz-border-left-colors: none; -moz-border-right-colors: none; -moz-border-top-colors: none; background: none repeat scroll 0% 0% rgb(210, 234, 241); border-color: -moz-use-text-color rgb(75, 172, 198) rgb(75, 172, 198); border-image: none; border-right: 1pt solid rgb(75, 172, 198); border-style: none solid solid; border-width: medium 1pt 1pt; height: 10.7pt; padding: 0cm 5.4pt; width: 175.2pt;" valign="top" width="292"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">18. Hipertensi Kronik</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
</td>
</tr>
<tr align="center" style="height: 10.7pt;">
<td style="-moz-border-bottom-colors: none; -moz-border-left-colors: none; -moz-border-right-colors: none; -moz-border-top-colors: none; border-color: -moz-use-text-color rgb(75, 172, 198) rgb(75, 172, 198); border-image: none; border-right: 1pt solid rgb(75, 172, 198); border-style: none solid solid; border-width: medium 1pt 1pt; height: 10.7pt; padding: 0cm 5.4pt; width: 175.2pt;" valign="top" width="292"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">19. Koagilopati</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
</td>
</tr>
<tr align="center" style="height: 10.7pt;">
<td style="-moz-border-bottom-colors: none; -moz-border-left-colors: none; -moz-border-right-colors: none; -moz-border-top-colors: none; background: none repeat scroll 0% 0% rgb(210, 234, 241); border-color: -moz-use-text-color rgb(75, 172, 198) rgb(75, 172, 198); border-image: none; border-right: 1pt solid rgb(75, 172, 198); border-style: none solid solid; border-width: medium 1pt 1pt; height: 10.7pt; padding: 0cm 5.4pt; width: 175.2pt;" valign="top" width="292"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">20. Presentasi Ganda</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
</td>
</tr>
<tr align="center" style="height: 12.55pt;">
<td style="-moz-border-bottom-colors: none; -moz-border-left-colors: none; -moz-border-right-colors: none; -moz-border-top-colors: none; border-color: -moz-use-text-color rgb(75, 172, 198) rgb(75, 172, 198); border-image: none; border-right: 1pt solid rgb(75, 172, 198); border-style: none solid solid; border-width: medium 1pt 1pt; height: 12.55pt; padding: 0cm 5.4pt; width: 175.2pt;" valign="top" width="292"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">21. Cystitis</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
</td>
</tr>
<tr align="center" style="height: 22.35pt;">
<td style="-moz-border-bottom-colors: none; -moz-border-left-colors: none; -moz-border-right-colors: none; -moz-border-top-colors: none; background: none repeat scroll 0% 0% rgb(210, 234, 241); border-color: -moz-use-text-color rgb(75, 172, 198) rgb(75, 172, 198); border-image: none; border-right: 1pt solid rgb(75, 172, 198); border-style: none solid solid; border-width: medium 1pt 1pt; height: 22.35pt; padding: 0cm 5.4pt; width: 175.2pt;" valign="top" width="292"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">22. Eklampsia</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
</td>
</tr>
<tr align="center" style="height: 30.95pt;">
<td style="-moz-border-bottom-colors: none; -moz-border-left-colors: none; -moz-border-right-colors: none; -moz-border-top-colors: none; border-color: -moz-use-text-color rgb(75, 172, 198) rgb(75, 172, 198); border-image: none; border-right: 1pt solid rgb(75, 172, 198); border-style: none solid solid; border-width: medium 1pt 1pt; height: 30.95pt; padding: 0cm 5.4pt; width: 175.2pt;" valign="top" width="292"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">23. Kelainan Ektopik</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
</td>
</tr>
<tr align="center" style="height: 20pt;">
<td style="-moz-border-bottom-colors: none; -moz-border-left-colors: none; -moz-border-right-colors: none; -moz-border-top-colors: none; background: none repeat scroll 0% 0% rgb(210, 234, 241); border-color: -moz-use-text-color rgb(75, 172, 198) rgb(75, 172, 198); border-image: none; border-right: 1pt solid rgb(75, 172, 198); border-style: none solid solid; border-width: medium 1pt 1pt; height: 20pt; padding: 0cm 5.4pt; width: 175.2pt;" valign="top" width="292"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">24. Ensephalitis</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
</td>
</tr>
<tr align="center" style="height: 10.7pt;">
<td style="-moz-border-bottom-colors: none; -moz-border-left-colors: none; -moz-border-right-colors: none; -moz-border-top-colors: none; border-color: -moz-use-text-color rgb(75, 172, 198) rgb(75, 172, 198); border-image: none; border-right: 1pt solid rgb(75, 172, 198); border-style: none solid solid; border-width: medium 1pt 1pt; height: 10.7pt; padding: 0cm 5.4pt; width: 175.2pt;" valign="top" width="292"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">25. Epilepsi</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
</td>
</tr>
<tr align="center" style="height: 10.7pt;">
<td style="-moz-border-bottom-colors: none; -moz-border-left-colors: none; -moz-border-right-colors: none; -moz-border-top-colors: none; background: none repeat scroll 0% 0% rgb(210, 234, 241); border-color: -moz-use-text-color rgb(75, 172, 198) rgb(75, 172, 198); border-image: none; border-right: 1pt solid rgb(75, 172, 198); border-style: none solid solid; border-width: medium 1pt 1pt; height: 10.7pt; padding: 0cm 5.4pt; width: 175.2pt;" valign="top" width="292"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">26. Hidramnion</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
</td>
</tr>
<tr align="center" style="height: 10.7pt;">
<td style="-moz-border-bottom-colors: none; -moz-border-left-colors: none; -moz-border-right-colors: none; -moz-border-top-colors: none; border-color: -moz-use-text-color rgb(75, 172, 198) rgb(75, 172, 198); border-image: none; border-right: 1pt solid rgb(75, 172, 198); border-style: none solid solid; border-width: medium 1pt 1pt; height: 10.7pt; padding: 0cm 5.4pt; width: 175.2pt;" valign="top" width="292"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">27. Presentasi Muka</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
</td>
</tr>
<tr align="center" style="height: 10.7pt;">
<td style="-moz-border-bottom-colors: none; -moz-border-left-colors: none; -moz-border-right-colors: none; -moz-border-top-colors: none; background: none repeat scroll 0% 0% rgb(210, 234, 241); border-color: -moz-use-text-color rgb(75, 172, 198) rgb(75, 172, 198); border-image: none; border-right: 1pt solid rgb(75, 172, 198); border-style: none solid solid; border-width: medium 1pt 1pt; height: 10.7pt; padding: 0cm 5.4pt; width: 175.2pt;" valign="top" width="292"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">28. Persalinan Semu</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
</td>
</tr>
<tr align="center" style="height: 10.7pt;">
<td style="-moz-border-bottom-colors: none; -moz-border-left-colors: none; -moz-border-right-colors: none; -moz-border-top-colors: none; border-color: -moz-use-text-color rgb(75, 172, 198) rgb(75, 172, 198); border-image: none; border-right: 1pt solid rgb(75, 172, 198); border-style: none solid solid; border-width: medium 1pt 1pt; height: 10.7pt; padding: 0cm 5.4pt; width: 175.2pt;" valign="top" width="292"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">29. Kematian Janin</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
</td>
</tr>
<tr align="center" style="height: 10.7pt;">
<td style="-moz-border-bottom-colors: none; -moz-border-left-colors: none; -moz-border-right-colors: none; -moz-border-top-colors: none; background: none repeat scroll 0% 0% rgb(210, 234, 241); border-color: -moz-use-text-color rgb(75, 172, 198) rgb(75, 172, 198); border-image: none; border-right: 1pt solid rgb(75, 172, 198); border-style: none solid solid; border-width: medium 1pt 1pt; height: 10.7pt; padding: 0cm 5.4pt; width: 175.2pt;" valign="top" width="292"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">30. Hemorargik Antepartum</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
</td>
</tr>
<tr align="center" style="height: 10.7pt;">
<td style="-moz-border-bottom-colors: none; -moz-border-left-colors: none; -moz-border-right-colors: none; -moz-border-top-colors: none; border-color: -moz-use-text-color rgb(75, 172, 198) rgb(75, 172, 198); border-image: none; border-right: 1pt solid rgb(75, 172, 198); border-style: none solid solid; border-width: medium 1pt 1pt; height: 10.7pt; padding: 0cm 5.4pt; width: 175.2pt;" valign="top" width="292"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">31.
Hemorargik<b style="mso-bidi-font-weight: normal;"> </b><span style="mso-bidi-font-weight: bold;">Postpartum</span></span></div>
</td>
</tr>
<tr align="center" style="height: 10.7pt;">
<td style="-moz-border-bottom-colors: none; -moz-border-left-colors: none; -moz-border-right-colors: none; -moz-border-top-colors: none; background: none repeat scroll 0% 0% rgb(210, 234, 241); border-color: -moz-use-text-color rgb(75, 172, 198) rgb(75, 172, 198); border-image: none; border-right: 1pt solid rgb(75, 172, 198); border-style: none solid solid; border-width: medium 1pt 1pt; height: 10.7pt; padding: 0cm 5.4pt; width: 175.2pt;" valign="top" width="292"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">32. Gagal Jantung</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
</td>
</tr>
<tr align="center" style="height: 10.7pt;">
<td style="-moz-border-bottom-colors: none; -moz-border-left-colors: none; -moz-border-right-colors: none; -moz-border-top-colors: none; border-color: -moz-use-text-color rgb(75, 172, 198) rgb(75, 172, 198); border-image: none; border-right: 1pt solid rgb(75, 172, 198); border-style: none solid solid; border-width: medium 1pt 1pt; height: 10.7pt; padding: 0cm 5.4pt; width: 175.2pt;" valign="top" width="292"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">33. Inertia Uteri</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
</td>
</tr>
<tr align="center" style="height: 10.7pt;">
<td style="-moz-border-bottom-colors: none; -moz-border-left-colors: none; -moz-border-right-colors: none; -moz-border-top-colors: none; background: none repeat scroll 0% 0% rgb(210, 234, 241); border-color: -moz-use-text-color rgb(75, 172, 198) rgb(75, 172, 198); border-image: none; border-right: 1pt solid rgb(75, 172, 198); border-style: none solid solid; border-width: medium 1pt 1pt; height: 10.7pt; padding: 0cm 5.4pt; width: 175.2pt;" valign="top" width="292"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">34. Infeksi Luka</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
</td>
</tr>
<tr align="center" style="height: 10.7pt;">
<td style="-moz-border-bottom-colors: none; -moz-border-left-colors: none; -moz-border-right-colors: none; -moz-border-top-colors: none; border-color: -moz-use-text-color rgb(75, 172, 198) rgb(75, 172, 198); border-image: none; border-right: 1pt solid rgb(75, 172, 198); border-style: none solid solid; border-width: medium 1pt 1pt; height: 10.7pt; padding: 0cm 5.4pt; width: 175.2pt;" valign="top" width="292"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">35. Invertio Uteri</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
</td>
</tr>
<tr align="center" style="height: 10.7pt;">
<td style="-moz-border-bottom-colors: none; -moz-border-left-colors: none; -moz-border-right-colors: none; -moz-border-top-colors: none; background: none repeat scroll 0% 0% rgb(210, 234, 241); border-color: -moz-use-text-color rgb(75, 172, 198) rgb(75, 172, 198); border-image: none; border-right: 1pt solid rgb(75, 172, 198); border-style: none solid solid; border-width: medium 1pt 1pt; height: 10.7pt; padding: 0cm 5.4pt; width: 175.2pt;" valign="top" width="292"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">36. Bayi Besar</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
</td>
</tr>
<tr align="center" style="height: 21.5pt;">
<td style="-moz-border-bottom-colors: none; -moz-border-left-colors: none; -moz-border-right-colors: none; -moz-border-top-colors: none; border-color: -moz-use-text-color rgb(75, 172, 198) rgb(75, 172, 198); border-image: none; border-right: 1pt solid rgb(75, 172, 198); border-style: none solid solid; border-width: medium 1pt 1pt; height: 21.5pt; padding: 0cm 5.4pt; width: 175.2pt;" valign="top" width="292"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">37.<b style="mso-bidi-font-weight: normal;"> </b><span style="mso-bidi-font-weight: bold;">Malaria Berat Dengan Komplikasi</span></span></div>
</td>
</tr>
<tr align="center" style="height: 22.1pt;">
<td style="-moz-border-bottom-colors: none; -moz-border-left-colors: none; -moz-border-right-colors: none; -moz-border-top-colors: none; background: none repeat scroll 0% 0% rgb(210, 234, 241); border-color: -moz-use-text-color rgb(75, 172, 198) rgb(75, 172, 198); border-image: none; border-right: 1pt solid rgb(75, 172, 198); border-style: none solid solid; border-width: medium 1pt 1pt; height: 22.1pt; padding: 0cm 5.4pt; width: 175.2pt;" valign="top" width="292"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">38. Malaria Ringan Dengan Komplikasi</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
</td>
</tr>
<tr align="center" style="height: 10.7pt;">
<td style="-moz-border-bottom-colors: none; -moz-border-left-colors: none; -moz-border-right-colors: none; -moz-border-top-colors: none; border-color: -moz-use-text-color rgb(75, 172, 198) rgb(75, 172, 198); border-image: none; border-right: 1pt solid rgb(75, 172, 198); border-style: none solid solid; border-width: medium 1pt 1pt; height: 10.7pt; padding: 0cm 5.4pt; width: 175.2pt;" valign="top" width="292"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">39. Mekonium</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
</td>
</tr>
<tr align="center" style="height: 10.7pt;">
<td style="-moz-border-bottom-colors: none; -moz-border-left-colors: none; -moz-border-right-colors: none; -moz-border-top-colors: none; background: none repeat scroll 0% 0% rgb(210, 234, 241); border-color: -moz-use-text-color rgb(75, 172, 198) rgb(75, 172, 198); border-image: none; border-right: 1pt solid rgb(75, 172, 198); border-style: none solid solid; border-width: medium 1pt 1pt; height: 10.7pt; padding: 0cm 5.4pt; width: 175.2pt;" valign="top" width="292"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">40. Meningitis</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
</td>
</tr>
<tr align="center" style="height: 10.7pt;">
<td style="-moz-border-bottom-colors: none; -moz-border-left-colors: none; -moz-border-right-colors: none; -moz-border-top-colors: none; border-color: -moz-use-text-color rgb(75, 172, 198) rgb(75, 172, 198); border-image: none; border-right: 1pt solid rgb(75, 172, 198); border-style: none solid solid; border-width: medium 1pt 1pt; height: 10.7pt; padding: 0cm 5.4pt; width: 175.2pt;" valign="top" width="292"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">41. Metritis</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
</td>
</tr>
<tr align="center" style="height: 10.7pt;">
<td style="-moz-border-bottom-colors: none; -moz-border-left-colors: none; -moz-border-right-colors: none; -moz-border-top-colors: none; background: none repeat scroll 0% 0% rgb(210, 234, 241); border-color: -moz-use-text-color rgb(75, 172, 198) rgb(75, 172, 198); border-image: none; border-right: 1pt solid rgb(75, 172, 198); border-style: none solid solid; border-width: medium 1pt 1pt; height: 10.7pt; padding: 0cm 5.4pt; width: 175.2pt;" valign="top" width="292"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">42. Migrain</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
</td>
</tr>
<tr align="center" style="height: 10.7pt;">
<td style="-moz-border-bottom-colors: none; -moz-border-left-colors: none; -moz-border-right-colors: none; -moz-border-top-colors: none; border-color: -moz-use-text-color rgb(75, 172, 198) rgb(75, 172, 198); border-image: none; border-right: 1pt solid rgb(75, 172, 198); border-style: none solid solid; border-width: medium 1pt 1pt; height: 10.7pt; padding: 0cm 5.4pt; width: 175.2pt;" valign="top" width="292"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">43. Kehamilan Mola</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
</td>
</tr>
<tr align="center" style="height: 10.7pt;">
<td style="-moz-border-bottom-colors: none; -moz-border-left-colors: none; -moz-border-right-colors: none; -moz-border-top-colors: none; background: none repeat scroll 0% 0% rgb(210, 234, 241); border-color: -moz-use-text-color rgb(75, 172, 198) rgb(75, 172, 198); border-image: none; border-right: 1pt solid rgb(75, 172, 198); border-style: none solid solid; border-width: medium 1pt 1pt; height: 10.7pt; padding: 0cm 5.4pt; width: 175.2pt;" valign="top" width="292"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">44. Kehamilan Ganda</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
</td>
</tr>
<tr align="center" style="height: 10.7pt;">
<td style="-moz-border-bottom-colors: none; -moz-border-left-colors: none; -moz-border-right-colors: none; -moz-border-top-colors: none; border-color: -moz-use-text-color rgb(75, 172, 198) rgb(75, 172, 198); border-image: none; border-right: 1pt solid rgb(75, 172, 198); border-style: none solid solid; border-width: medium 1pt 1pt; height: 10.7pt; padding: 0cm 5.4pt; width: 175.2pt;" valign="top" width="292"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">45. Partus Macet</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
</td>
</tr>
<tr align="center" style="height: 10.7pt;">
<td style="-moz-border-bottom-colors: none; -moz-border-left-colors: none; -moz-border-right-colors: none; -moz-border-top-colors: none; background: none repeat scroll 0% 0% rgb(210, 234, 241); border-color: -moz-use-text-color rgb(75, 172, 198) rgb(75, 172, 198); border-image: none; border-right: 1pt solid rgb(75, 172, 198); border-style: none solid solid; border-width: medium 1pt 1pt; height: 10.7pt; padding: 0cm 5.4pt; width: 175.2pt;" valign="top" width="292"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">46. Posisi Occiput </span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-spacerun: yes;"> </span></span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Posterior </span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
</td>
</tr>
<tr align="center" style="height: 10.7pt;">
<td style="-moz-border-bottom-colors: none; -moz-border-left-colors: none; -moz-border-right-colors: none; -moz-border-top-colors: none; border-color: -moz-use-text-color rgb(75, 172, 198) rgb(75, 172, 198); border-image: none; border-right: 1pt solid rgb(75, 172, 198); border-style: none solid solid; border-width: medium 1pt 1pt; height: 10.7pt; padding: 0cm 5.4pt; width: 175.2pt;" valign="top" width="292"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">47. Posisi Occiput Melintang</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
</td>
</tr>
<tr align="center" style="height: 10.7pt;">
<td style="-moz-border-bottom-colors: none; -moz-border-left-colors: none; -moz-border-right-colors: none; -moz-border-top-colors: none; background: none repeat scroll 0% 0% rgb(210, 234, 241); border-color: -moz-use-text-color rgb(75, 172, 198) rgb(75, 172, 198); border-image: none; border-right: 1pt solid rgb(75, 172, 198); border-style: none solid solid; border-width: medium 1pt 1pt; height: 10.7pt; padding: 0cm 5.4pt; width: 175.2pt;" valign="top" width="292"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">48. Kista Ovarium</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
</td>
</tr>
<tr align="center" style="height: 10.7pt;">
<td style="-moz-border-bottom-colors: none; -moz-border-left-colors: none; -moz-border-right-colors: none; -moz-border-top-colors: none; border-color: -moz-use-text-color rgb(75, 172, 198) rgb(75, 172, 198); border-image: none; border-right: 1pt solid rgb(75, 172, 198); border-style: none solid solid; border-width: medium 1pt 1pt; height: 10.7pt; padding: 0cm 5.4pt; width: 175.2pt;" valign="top" width="292"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">49. Abses Pelvix</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
</td>
</tr>
<tr align="center" style="height: 10.7pt;">
<td style="-moz-border-bottom-colors: none; -moz-border-left-colors: none; -moz-border-right-colors: none; -moz-border-top-colors: none; background: none repeat scroll 0% 0% rgb(210, 234, 241); border-color: -moz-use-text-color rgb(75, 172, 198) rgb(75, 172, 198); border-image: none; border-right: 1pt solid rgb(75, 172, 198); border-style: none solid solid; border-width: medium 1pt 1pt; height: 10.7pt; padding: 0cm 5.4pt; width: 175.2pt;" valign="top" width="292"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">50. Peritonitis</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
</td>
</tr>
<tr align="center" style="height: 10.7pt;">
<td style="-moz-border-bottom-colors: none; -moz-border-left-colors: none; -moz-border-right-colors: none; -moz-border-top-colors: none; border-color: -moz-use-text-color rgb(75, 172, 198) rgb(75, 172, 198); border-image: none; border-right: 1pt solid rgb(75, 172, 198); border-style: none solid solid; border-width: medium 1pt 1pt; height: 10.7pt; padding: 0cm 5.4pt; width: 175.2pt;" valign="top" width="292"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">51. Placenta Previa</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
</td>
</tr>
<tr align="center" style="height: 10.7pt;">
<td style="-moz-border-bottom-colors: none; -moz-border-left-colors: none; -moz-border-right-colors: none; -moz-border-top-colors: none; background: none repeat scroll 0% 0% rgb(210, 234, 241); border-color: -moz-use-text-color rgb(75, 172, 198) rgb(75, 172, 198); border-image: none; border-right: 1pt solid rgb(75, 172, 198); border-style: none solid solid; border-width: medium 1pt 1pt; height: 10.7pt; padding: 0cm 5.4pt; width: 175.2pt;" valign="top" width="292"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">52. Pneumonia</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
</td>
</tr>
<tr align="center" style="height: 12.3pt;">
<td style="-moz-border-bottom-colors: none; -moz-border-left-colors: none; -moz-border-right-colors: none; -moz-border-top-colors: none; border-color: -moz-use-text-color rgb(75, 172, 198) rgb(75, 172, 198); border-image: none; border-right: 1pt solid rgb(75, 172, 198); border-style: none solid solid; border-width: medium 1pt 1pt; height: 12.3pt; padding: 0cm 5.4pt; width: 175.2pt;" valign="top" width="292"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">53.Pre-Eklampsia
Ringan/Berat</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
</td>
</tr>
<tr align="center" style="height: 22.1pt;">
<td style="-moz-border-bottom-colors: none; -moz-border-left-colors: none; -moz-border-right-colors: none; -moz-border-top-colors: none; background: none repeat scroll 0% 0% rgb(210, 234, 241); border-color: -moz-use-text-color rgb(75, 172, 198) rgb(75, 172, 198); border-image: none; border-right: 1pt solid rgb(75, 172, 198); border-style: none solid solid; border-width: medium 1pt 1pt; height: 22.1pt; padding: 0cm 5.4pt; width: 175.2pt;" valign="top" width="292"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">54. Hipertensi Karena Kehamilan</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
</td>
</tr>
<tr align="center" style="height: 10.7pt;">
<td style="-moz-border-bottom-colors: none; -moz-border-left-colors: none; -moz-border-right-colors: none; -moz-border-top-colors: none; border-color: -moz-use-text-color rgb(75, 172, 198) rgb(75, 172, 198); border-image: none; border-right: 1pt solid rgb(75, 172, 198); border-style: none solid solid; border-width: medium 1pt 1pt; height: 10.7pt; padding: 0cm 5.4pt; width: 175.2pt;" valign="top" width="292"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">55. Ketuban Pecah Dini</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
</td>
</tr>
<tr align="center" style="height: 10.7pt;">
<td style="-moz-border-bottom-colors: none; -moz-border-left-colors: none; -moz-border-right-colors: none; -moz-border-top-colors: none; background: none repeat scroll 0% 0% rgb(210, 234, 241); border-color: -moz-use-text-color rgb(75, 172, 198) rgb(75, 172, 198); border-image: none; border-right: 1pt solid rgb(75, 172, 198); border-style: none solid solid; border-width: medium 1pt 1pt; height: 10.7pt; padding: 0cm 5.4pt; width: 175.2pt;" valign="top" width="292"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">56. Partus Prematurus</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
</td>
</tr>
<tr align="center" style="height: 10.7pt;">
<td style="-moz-border-bottom-colors: none; -moz-border-left-colors: none; -moz-border-right-colors: none; -moz-border-top-colors: none; border-color: -moz-use-text-color rgb(75, 172, 198) rgb(75, 172, 198); border-image: none; border-right: 1pt solid rgb(75, 172, 198); border-style: none solid solid; border-width: medium 1pt 1pt; height: 10.7pt; padding: 0cm 5.4pt; width: 175.2pt;" valign="top" width="292"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">57. Prolapsus Tali Pusat</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
</td>
</tr>
<tr align="center" style="height: 10.7pt;">
<td style="-moz-border-bottom-colors: none; -moz-border-left-colors: none; -moz-border-right-colors: none; -moz-border-top-colors: none; background: none repeat scroll 0% 0% rgb(210, 234, 241); border-color: -moz-use-text-color rgb(75, 172, 198) rgb(75, 172, 198); border-image: none; border-right: 1pt solid rgb(75, 172, 198); border-style: none solid solid; border-width: medium 1pt 1pt; height: 10.7pt; padding: 0cm 5.4pt; width: 175.2pt;" valign="top" width="292"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">58. Partus Fase Laten LAma</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
</td>
</tr>
<tr align="center" style="height: 10.7pt;">
<td style="-moz-border-bottom-colors: none; -moz-border-left-colors: none; -moz-border-right-colors: none; -moz-border-top-colors: none; border-color: -moz-use-text-color rgb(75, 172, 198) rgb(75, 172, 198); border-image: none; border-right: 1pt solid rgb(75, 172, 198); border-style: none solid solid; border-width: medium 1pt 1pt; height: 10.7pt; padding: 0cm 5.4pt; width: 175.2pt;" valign="top" width="292"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">59. Partus Kala II Lama</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
</td>
</tr>
<tr align="center" style="height: 10.7pt;">
<td style="-moz-border-bottom-colors: none; -moz-border-left-colors: none; -moz-border-right-colors: none; -moz-border-top-colors: none; background: none repeat scroll 0% 0% rgb(210, 234, 241); border-color: -moz-use-text-color rgb(75, 172, 198) rgb(75, 172, 198); border-image: none; border-right: 1pt solid rgb(75, 172, 198); border-style: none solid solid; border-width: medium 1pt 1pt; height: 10.7pt; padding: 0cm 5.4pt; width: 175.2pt;" valign="top" width="292"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">60. Sisa Plasenta</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
</td>
</tr>
<tr align="center" style="height: 10.7pt;">
<td style="-moz-border-bottom-colors: none; -moz-border-left-colors: none; -moz-border-right-colors: none; -moz-border-top-colors: none; border-color: -moz-use-text-color rgb(75, 172, 198) rgb(75, 172, 198); border-image: none; border-right: 1pt solid rgb(75, 172, 198); border-style: none solid solid; border-width: medium 1pt 1pt; height: 10.7pt; padding: 0cm 5.4pt; width: 175.2pt;" valign="top" width="292"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">61. Retensio Plasenta</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
</td>
</tr>
<tr align="center" style="height: 10.7pt;">
<td style="-moz-border-bottom-colors: none; -moz-border-left-colors: none; -moz-border-right-colors: none; -moz-border-top-colors: none; background: none repeat scroll 0% 0% rgb(210, 234, 241); border-color: -moz-use-text-color rgb(75, 172, 198) rgb(75, 172, 198); border-image: none; border-right: 1pt solid rgb(75, 172, 198); border-style: none solid solid; border-width: medium 1pt 1pt; height: 10.7pt; padding: 0cm 5.4pt; width: 175.2pt;" valign="top" width="292"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">62. Ruptura Uteri</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
</td>
</tr>
<tr align="center" style="height: 10.7pt;">
<td style="-moz-border-bottom-colors: none; -moz-border-left-colors: none; -moz-border-right-colors: none; -moz-border-top-colors: none; border-color: -moz-use-text-color rgb(75, 172, 198) rgb(75, 172, 198); border-image: none; border-right: 1pt solid rgb(75, 172, 198); border-style: none solid solid; border-width: medium 1pt 1pt; height: 10.7pt; padding: 0cm 5.4pt; width: 175.2pt;" valign="top" width="292"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">63. Bekas Luka Uteri</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
</td>
</tr>
<tr align="center" style="height: 10.7pt;">
<td style="-moz-border-bottom-colors: none; -moz-border-left-colors: none; -moz-border-right-colors: none; -moz-border-top-colors: none; background: none repeat scroll 0% 0% rgb(210, 234, 241); border-color: -moz-use-text-color rgb(75, 172, 198) rgb(75, 172, 198); border-image: none; border-right: 1pt solid rgb(75, 172, 198); border-style: none solid solid; border-width: medium 1pt 1pt; height: 10.7pt; padding: 0cm 5.4pt; width: 175.2pt;" valign="top" width="292"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">64. Presentase Bahu</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
</td>
</tr>
<tr align="center" style="height: 10.7pt;">
<td style="-moz-border-bottom-colors: none; -moz-border-left-colors: none; -moz-border-right-colors: none; -moz-border-top-colors: none; border-color: -moz-use-text-color rgb(75, 172, 198) rgb(75, 172, 198); border-image: none; border-right: 1pt solid rgb(75, 172, 198); border-style: none solid solid; border-width: medium 1pt 1pt; height: 10.7pt; padding: 0cm 5.4pt; width: 175.2pt;" valign="top" width="292"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">65. Distosia Bahu</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
</td>
</tr>
<tr align="center" style="height: 18.35pt;">
<td style="-moz-border-bottom-colors: none; -moz-border-left-colors: none; -moz-border-right-colors: none; -moz-border-top-colors: none; background: none repeat scroll 0% 0% rgb(210, 234, 241); border-color: -moz-use-text-color rgb(75, 172, 198) rgb(75, 172, 198); border-image: none; border-right: 1pt solid rgb(75, 172, 198); border-style: none solid solid; border-width: medium 1pt 1pt; height: 18.35pt; padding: 0cm 5.4pt; width: 175.2pt;" valign="top" width="292"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">66. Robekan Serviks dan Vagina</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
</td>
</tr>
<tr align="center" style="height: 10.7pt;">
<td style="-moz-border-bottom-colors: none; -moz-border-left-colors: none; -moz-border-right-colors: none; -moz-border-top-colors: none; border-color: -moz-use-text-color rgb(75, 172, 198) rgb(75, 172, 198); border-image: none; border-right: 1pt solid rgb(75, 172, 198); border-style: none solid solid; border-width: medium 1pt 1pt; height: 10.7pt; padding: 0cm 5.4pt; width: 175.2pt;" valign="top" width="292"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">67. Tetanus</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">68. Letak Lintang</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
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</span></span></b></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="background-color: #76a5af;"><i><b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="font-size: large;"><span style="background-color: orange;">PENJELASAN:</span></span><span style="background-color: #45818e;"></span></span></b></b></i></span></div>
<b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
</span></span></b><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b><br />
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<u><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="color: #990000;"><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Persalianan Normal</span></b></span></span></b></u></div>
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
</span></b>
<div style="text-align: justify;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b><br />
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span class="a"><i style="mso-bidi-font-style: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Adalah suatu proses pengeluaran
hasil konsepsi yang dapat hidup, dari dalam uterusmelalui vagina atau jalan
lain ke dunia luar<u>.</u></span></i></span></span></b></div>
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
<u>
</u></span></b></div>
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</span></b></u><br />
<div style="text-align: center;">
<u><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></u><br />
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<u><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="background-color: #990000;"><span style="color: red;"><span class="a"><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;"><span style="background-color: white;"><span style="color: #990000;">Partus
Normal </span></span></span></b></span></span></span></span></b></u></div>
<u><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
</span></b></u></div>
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
</span></b><b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="color: black;">
</span></span></span></b><br />
<div style="text-align: justify;">
<b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></span></b><br />
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm;">
<b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="color: black;"><span class="a"><i style="mso-bidi-font-style: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Bayi lahir melalui vagina dengan
letak belakang kepala / ubun-ubun kecil, tanpamemakai alat / pertolongan
istimewa, serta tidak melukai ibu maupun bayi (kecualiepisiotomi), berlangsung
dalam waktu kurang dari 24 jam</span></i></span></span></span></span></b></div>
<b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
</span></span></b></div>
<b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
<span style="color: black;">
</span></span></span></b><br />
<div style="text-align: center;">
<u><b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></span></b></u><br />
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<u><b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="color: #990000;"><span class="a"><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%;">Syok</span></b></span></span></span></span></b></u></div>
<u><b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
</span></span></b></u></div>
<div style="text-align: justify;">
<div style="text-align: justify;">
<b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
<span style="color: black;">
</span></span></span></b><br />
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm;">
<b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="color: black;"><span style="background-color: #f3f3f3;"><i style="mso-bidi-font-style: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Syok adalah
suatu kondisi patofisiologi dengan perfusi jaringan dan organ yangtidak adekuat
yang mengarah pada suatu keadaan hipoperfusi dan hipoksia seluler<span style="mso-spacerun: yes;"> </span>pada akhirnya dengan semua gejala sisa yang
menyertai</span></i></span></span></span></span></b></div>
<b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
</span></span></b></div>
<b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
<span style="color: black;">
</span></span></span></b></div>
<div style="text-align: center;">
<u><b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></span></b></u><br />
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<u><b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="color: #990000;"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Abortus</span></b></span></span></span></b></u></div>
<u><b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
</span></span></b></u></div>
<b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
<span style="color: black;">
</span></span></span></b><br />
<div style="text-align: justify;">
<b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></span></b><br />
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm;">
<b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="color: black;"><i><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Abortus adalah <span style="mso-spacerun: yes;"> </span>kegagalan kehamilan
sebelum umur 28 minggu / berat janin kurang dari 1000 gram.</span></i></span></span></span></b></div>
<b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
</span></span></b></div>
<b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
<span style="color: black;">
</span></span></span></b><br />
<div style="text-align: center;">
<u><b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></span></b></u><br />
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<u><b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="color: #990000;"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Akut
Pyelonephritis</span></b></span></span></span></b></u></div>
<u><b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
</span></span></b></u></div>
<b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
<span style="color: black;">
</span></span></span></b><br />
<div style="text-align: justify;">
<b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></span></b><br />
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm;">
<b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="color: black;"><i><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 200%;">Adalah inflamasi pada pelvis ginjal dan parenkim
ginjal yang disebabkan karena adanya infeksi oleh bakteri.</span></i></span></span></span></b></div>
<b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
</span></span></b></div>
<b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
<span style="color: black;">
</span></span></span></b><br />
<div style="text-align: center;">
<u><b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></span></b></u><br />
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<u><b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="color: #990000;"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Apendiksitis</span></b></span></span></span></b></u></div>
<u><b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
</span></span></b></u></div>
<b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
<span style="color: black;">
</span></span></span></b><br />
<div style="text-align: justify;">
<b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></span></b><br />
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm;">
<b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="color: black;"><i><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Apendiksitis adalah peradangan dari apendiks dan merupakan penyebab abdomen
akut yang paling sering</span></i><i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">.</span></i></span></span></span></b></div>
<b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
</span></span></b></div>
<b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
<span style="color: black;">
</span></span></span></b><br />
<div style="text-align: center;">
<b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></span></b><br />
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><u><span style="color: #990000;"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Atonia Uteri</span></b></span><span style="color: black;"><i><span lang="EN-US" style="font-size: 12.0pt; line-height: 200%; mso-ansi-language: EN-US;"> </span></i></span></u></span></span></b><br />
<div style="text-align: justify;">
<b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="color: black;"><i><span lang="EN-US" style="font-size: 12.0pt; line-height: 200%; mso-ansi-language: EN-US;">Atonia uteri adalah uterus tidak berkontraksi dan lembek, pendarahan
segera terjadi setelah anak lahir. </span></i></span></span></span></b></div>
<div style="text-align: justify;">
<b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="color: black;"><i><span lang="EN-US" style="font-size: 12.0pt; line-height: 200%; mso-ansi-language: EN-US;"> </span></i></span>
</span></span></b></div>
</div>
<b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
</span></span></b></div>
<div style="text-align: center;">
<u><b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></span></b></u><br />
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<u><b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="color: #990000;"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Disproporsi
Sevalo Pelvik</span></b></span></span></span></b></u></div>
<u><b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
</span></span></b></u></div>
<b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
<span style="color: black;">
</span></span></span></b><br />
<div style="text-align: justify;">
<b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></span></b><br />
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-indent: 14.2pt;">
<b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="color: black;"><i><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Disproporsi
sefalo pelvik yaitu ketidakseimbangan antara ukuran kepala dan panggul</span></i></span></span></span></b></div>
<b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
</span></span></b></div>
<b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
<span style="color: black;">
</span></span></span></b><br />
<div style="text-align: center;">
<u><b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></span></b></u><br />
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; text-indent: -14.2pt;">
<u><b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="color: #990000;"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Cystitis</span></b></span></span></span></b></u></div>
<u><b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
</span></span></b></u></div>
<b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
<span style="color: black;">
</span></span></span></b><br />
<div style="text-align: justify;">
<b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></span></b><br />
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm;">
<b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="color: black;"><i><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Cystitis adalah inflamasi kandung kemih yang paling sering disebabkan oleh
infeksi asenden dari uretra.</span></i></span></span></span></b></div>
<b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
</span></span></b></div>
<b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
<span style="color: black;">
</span></span></span></b><br />
<div style="text-align: center;">
<u><b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></span></b></u><br />
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<u><b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="color: #990000;"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Eklampsia</span></b></span></span></span></b></u></div>
<u><b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
</span></span></b></u></div>
<b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
<span style="color: black;">
</span></span></span></b><br />
<div style="text-align: justify;">
<b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></span></b><br />
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm;">
<b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="color: black;"><i><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">eklampsia adalah apabila ditemukan kejang-kejang pada penderita
pre-eklampsia, yang juga dapat disertai koma. </span></i></span></span></span></b></div>
<b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
</span></span></b></div>
<b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
<span style="color: black;">
</span></span></span></b><br />
<div style="text-align: center;">
<u><b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></span></b></u><br />
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<u><b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="color: #990000;"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kelainan
Ektopik</span></b></span></span></span></b></u></div>
<u><b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
</span></span></b></u></div>
<b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
<span style="color: black;">
</span></span></span></b><br />
<div style="text-align: justify;">
<b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></span></b><br />
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm;">
<b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="color: black;"><i><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kehamilan ektopik adalah<span style="mso-spacerun: yes;"> </span>kehamilan
yang berlangsung di luar endometrium yang normal (travum uteri). </span></i></span></span></span></b></div>
<b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
</span></span></b></div>
<b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
<span style="color: black;">
</span></span></span></b><br />
<div style="text-align: center;">
<u><b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></span></b></u><br />
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<u><b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="color: #990000;"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ensephalitis</span></b></span></span></span></b></u></div>
<u><b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
</span></span></b></u></div>
<b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
<span style="color: black;">
</span></span></span></b><br />
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-indent: 14.2pt;">
<b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="color: black;"><i><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Encephalitis
adalah suatu peradangan dari otak.</span></i></span></span></span></b></div>
<b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
<span style="color: black;">
</span></span></span></b><br />
<div style="text-align: center;">
<u><b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></span></b></u><br />
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<u><b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="color: #990000;"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Epilepsi</span></b></span></span></span></b></u></div>
<u><b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
</span></span></b></u></div>
<b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
<span style="color: black;">
</span></span></span></b><br />
<div style="text-align: justify;">
<b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></span></b><br />
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm;">
<b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="color: black;"><i><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Epilepsi memiliki pengertian gangguan kronik ditandai bangkitan epileptik
berulang akibat gangguan fungsi otak secara intermiten yang terjadi oleh lepas
muatan listrik abnormal neuron -neuron secara paroksismal akibat berbagai
etiologi</span></i></span></span></span></b></div>
<b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
</span></span></b></div>
<b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
<span style="color: black;">
</span></span></span></b><br />
<div style="text-align: center;">
<b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></span></b><br />
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><u><span style="color: black;"><span style="color: #990000;"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Hidramnion</span></b></span><i><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span></i></span></u></span></span></b><br />
<div style="text-align: justify;">
<b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="color: black;"><i><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Hidramnion atau poli hidramnion adalah suatu kondisi dimana terdapat
keadaan dimana jumlah air ketuban melebihi dari batas normal.</span></i></span></span></span></b></div>
<div style="text-align: justify;">
<b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><br /></span></span></b></div>
</div>
<b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
</span></span></b></div>
<b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="color: black;"></span>
<span style="color: black;">
</span></span></span></b><br />
<div style="text-align: center;">
<u><b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></span></b></u><br />
<div class="MsoNormal" style="line-height: 200%;">
<u><b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="color: #990000;"><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: EN-US;"><span style="mso-spacerun: yes;"> </span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pre-Eklampsia
Ringan/Berat</span></b></span></span></span></b></u></div>
<u><b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
</span></span></b></u></div>
<b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
<span style="color: black;">
</span></span></span></b><br />
<div style="text-align: justify;">
<b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></span></b><br />
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm;">
<b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="color: black;"><i><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pre eklampsia berat adalah suatu komplikasi kehamilan yang ditandai dengan
timbulnya tekanan darah tinggi 160/110 mmHg atau lebih disertai proteinuria
dan/atau edema pada kehamilan 20 minggu atau lebih.</span></i></span></span></span></b></div>
<b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
</span></span></b></div>
<b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
</span></span></b><b><span style="color: #0b5394;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
</span></span></b><br />
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</xml><![endif]--><!--[if gte mso 10]>
<style>
/* Style Definitions */
table.MsoNormalTable
{mso-style-name:"Table Normal";
mso-tstyle-rowband-size:0;
mso-tstyle-colband-size:0;
mso-style-noshow:yes;
mso-style-priority:99;
mso-style-qformat:yes;
mso-style-parent:"";
mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
mso-para-margin-top:0cm;
mso-para-margin-right:0cm;
mso-para-margin-bottom:10.0pt;
mso-para-margin-left:0cm;
line-height:115%;
mso-pagination:widow-orphan;
font-size:11.0pt;
font-family:"Calibri","sans-serif";
mso-ascii-font-family:Calibri;
mso-ascii-theme-font:minor-latin;
mso-fareast-font-family:"Times New Roman";
mso-fareast-theme-font:minor-fareast;
mso-hansi-font-family:Calibri;
mso-hansi-theme-font:minor-latin;}
table.MsoTableLightGridAccent5
{mso-style-name:"Light Grid - Accent 5";
mso-tstyle-rowband-size:1;
mso-tstyle-colband-size:1;
mso-style-priority:62;
mso-style-unhide:no;
border:solid #4BACC6 1.0pt;
mso-border-themecolor:accent5;
mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
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mso-border-insideh-themecolor:accent5;
mso-border-insidev:1.0pt solid #4BACC6;
mso-border-insidev-themecolor:accent5;
mso-para-margin:0cm;
mso-para-margin-bottom:.0001pt;
mso-pagination:widow-orphan;
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font-family:"Calibri","sans-serif";
mso-ascii-font-family:Calibri;
mso-ascii-theme-font:minor-latin;
mso-hansi-font-family:Calibri;
mso-hansi-theme-font:minor-latin;
mso-fareast-language:EN-US;}
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{mso-style-name:"Light Grid - Accent 5";
mso-table-condition:first-row;
mso-style-priority:62;
mso-style-unhide:no;
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mso-tstyle-border-top-themecolor:accent5;
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mso-tstyle-border-left-themecolor:accent5;
mso-tstyle-border-bottom:2.25pt solid #4BACC6;
mso-tstyle-border-bottom-themecolor:accent5;
mso-tstyle-border-right:1.0pt solid #4BACC6;
mso-tstyle-border-right-themecolor:accent5;
mso-tstyle-border-insideh:cell-none;
mso-tstyle-border-insidev:1.0pt solid #4BACC6;
mso-tstyle-border-insidev-themecolor:accent5;
mso-para-margin-top:0cm;
mso-para-margin-bottom:0cm;
mso-para-margin-bottom:.0001pt;
line-height:normal;
font-family:"Tahoma","sans-serif";
mso-ascii-font-family:Cambria;
mso-ascii-theme-font:major-latin;
mso-fareast-font-family:"Times New Roman";
mso-fareast-theme-font:major-fareast;
mso-hansi-font-family:Cambria;
mso-hansi-theme-font:major-latin;
mso-bidi-font-family:"Times New Roman";
mso-bidi-theme-font:major-bidi;
mso-ansi-font-weight:bold;
mso-bidi-font-weight:bold;}
table.MsoTableLightGridAccent5LastRow
{mso-style-name:"Light Grid - Accent 5";
mso-table-condition:last-row;
mso-style-priority:62;
mso-style-unhide:no;
mso-tstyle-border-top:2.25pt double #4BACC6;
mso-tstyle-border-top-themecolor:accent5;
mso-tstyle-border-left:1.0pt solid #4BACC6;
mso-tstyle-border-left-themecolor:accent5;
mso-tstyle-border-bottom:1.0pt solid #4BACC6;
mso-tstyle-border-bottom-themecolor:accent5;
mso-tstyle-border-right:1.0pt solid #4BACC6;
mso-tstyle-border-right-themecolor:accent5;
mso-tstyle-border-insideh:cell-none;
mso-tstyle-border-insidev:1.0pt solid #4BACC6;
mso-tstyle-border-insidev-themecolor:accent5;
mso-para-margin-top:0cm;
mso-para-margin-bottom:0cm;
mso-para-margin-bottom:.0001pt;
line-height:normal;
font-family:"Tahoma","sans-serif";
mso-ascii-font-family:Cambria;
mso-ascii-theme-font:major-latin;
mso-fareast-font-family:"Times New Roman";
mso-fareast-theme-font:major-fareast;
mso-hansi-font-family:Cambria;
mso-hansi-theme-font:major-latin;
mso-bidi-font-family:"Times New Roman";
mso-bidi-theme-font:major-bidi;
mso-ansi-font-weight:bold;
mso-bidi-font-weight:bold;}
table.MsoTableLightGridAccent5FirstCol
{mso-style-name:"Light Grid - Accent 5";
mso-table-condition:first-column;
mso-style-priority:62;
mso-style-unhide:no;
font-family:"Tahoma","sans-serif";
mso-ascii-font-family:Cambria;
mso-ascii-theme-font:major-latin;
mso-fareast-font-family:"Times New Roman";
mso-fareast-theme-font:major-fareast;
mso-hansi-font-family:Cambria;
mso-hansi-theme-font:major-latin;
mso-bidi-font-family:"Times New Roman";
mso-bidi-theme-font:major-bidi;
mso-ansi-font-weight:bold;
mso-bidi-font-weight:bold;}
table.MsoTableLightGridAccent5LastCol
{mso-style-name:"Light Grid - Accent 5";
mso-table-condition:last-column;
mso-style-priority:62;
mso-style-unhide:no;
mso-tstyle-border-top:1.0pt solid #4BACC6;
mso-tstyle-border-top-themecolor:accent5;
mso-tstyle-border-left:1.0pt solid #4BACC6;
mso-tstyle-border-left-themecolor:accent5;
mso-tstyle-border-bottom:1.0pt solid #4BACC6;
mso-tstyle-border-bottom-themecolor:accent5;
mso-tstyle-border-right:1.0pt solid #4BACC6;
mso-tstyle-border-right-themecolor:accent5;
font-family:"Tahoma","sans-serif";
mso-ascii-font-family:Cambria;
mso-ascii-theme-font:major-latin;
mso-fareast-font-family:"Times New Roman";
mso-fareast-theme-font:major-fareast;
mso-hansi-font-family:Cambria;
mso-hansi-theme-font:major-latin;
mso-bidi-font-family:"Times New Roman";
mso-bidi-theme-font:major-bidi;
mso-ansi-font-weight:bold;
mso-bidi-font-weight:bold;}
table.MsoTableLightGridAccent5OddColumn
{mso-style-name:"Light Grid - Accent 5";
mso-table-condition:odd-column;
mso-style-priority:62;
mso-style-unhide:no;
mso-tstyle-shading:#D2EAF1;
mso-tstyle-shading-themecolor:accent5;
mso-tstyle-shading-themetint:63;
mso-tstyle-border-top:1.0pt solid #4BACC6;
mso-tstyle-border-top-themecolor:accent5;
mso-tstyle-border-left:1.0pt solid #4BACC6;
mso-tstyle-border-left-themecolor:accent5;
mso-tstyle-border-bottom:1.0pt solid #4BACC6;
mso-tstyle-border-bottom-themecolor:accent5;
mso-tstyle-border-right:1.0pt solid #4BACC6;
mso-tstyle-border-right-themecolor:accent5;}
table.MsoTableLightGridAccent5OddRow
{mso-style-name:"Light Grid - Accent 5";
mso-table-condition:odd-row;
mso-style-priority:62;
mso-style-unhide:no;
mso-tstyle-shading:#D2EAF1;
mso-tstyle-shading-themecolor:accent5;
mso-tstyle-shading-themetint:63;
mso-tstyle-border-top:1.0pt solid #4BACC6;
mso-tstyle-border-top-themecolor:accent5;
mso-tstyle-border-left:1.0pt solid #4BACC6;
mso-tstyle-border-left-themecolor:accent5;
mso-tstyle-border-bottom:1.0pt solid #4BACC6;
mso-tstyle-border-bottom-themecolor:accent5;
mso-tstyle-border-right:1.0pt solid #4BACC6;
mso-tstyle-border-right-themecolor:accent5;
mso-tstyle-border-insidev:1.0pt solid #4BACC6;
mso-tstyle-border-insidev-themecolor:accent5;}
table.MsoTableLightGridAccent5EvenRow
{mso-style-name:"Light Grid - Accent 5";
mso-table-condition:even-row;
mso-style-priority:62;
mso-style-unhide:no;
mso-tstyle-border-top:1.0pt solid #4BACC6;
mso-tstyle-border-top-themecolor:accent5;
mso-tstyle-border-left:1.0pt solid #4BACC6;
mso-tstyle-border-left-themecolor:accent5;
mso-tstyle-border-bottom:1.0pt solid #4BACC6;
mso-tstyle-border-bottom-themecolor:accent5;
mso-tstyle-border-right:1.0pt solid #4BACC6;
mso-tstyle-border-right-themecolor:accent5;
mso-tstyle-border-insidev:1.0pt solid #4BACC6;
mso-tstyle-border-insidev-themecolor:accent5;}
</style>
<![endif]--><br /></div>
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