tag:blogger.com,1999:blog-25304204438617465562023-10-05T03:46:51.436-07:00Midwifery CareAnonymoushttp://www.blogger.com/profile/01457688522410015120noreply@blogger.comBlogger75125tag:blogger.com,1999:blog-2530420443861746556.post-84367590088222045482012-04-13T21:59:00.000-07:002012-04-14T01:10:37.618-07:00Penuntun Belajar Pemeriksaan Protein Urine<br />
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<b style="mso-bidi-font-weight: normal;"><span lang="IN" style="font-family: Arial, sans-serif;">PENILAIAN<br />
Nilai 0 : Perlu perbaikan<o:p></o:p></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="IN" style="font-family: Arial, sans-serif;"> </span></b><span lang="IN" style="font-family: Arial, sans-serif;"> Langkah atau tugas tidak dikerjakan<o:p></o:p></span></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="IN" style="font-family: Arial, sans-serif;">Nilai 1 : Mampu<o:p></o:p></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="IN" style="font-family: Arial, sans-serif;"> </span></b><span lang="IN" style="font-family: Arial, sans-serif;">Langkah dikerjakan tetapi kurang
tepat<o:p></o:p></span></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="IN" style="font-family: Arial, sans-serif;">Nilai 2 : Mahir<o:p></o:p></span></b></div>
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<span lang="IN" style="font-family: Arial, sans-serif;"> Langkah dikerjakan dengan benar, tepat
dan tanpa ragu-ragu sesuai prosedur</span><span style="font-family: Arial, sans-serif;"><o:p></o:p></span></div>
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<b style="mso-bidi-font-weight: normal;">NO.<o:p></o:p></b></div>
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<b style="mso-bidi-font-weight: normal;">LANGKAH/TUGAS<o:p></o:p></b></div>
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<b style="mso-bidi-font-weight: normal;">PERTEMUAN<o:p></o:p></b></div>
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<b style="mso-bidi-font-weight: normal;">1<o:p></o:p></b></div>
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<b style="mso-bidi-font-weight: normal;">2<o:p></o:p></b></div>
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<b style="mso-bidi-font-weight: normal;">3<o:p></o:p></b></div>
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<b style="mso-bidi-font-weight: normal;">4<o:p></o:p></b></div>
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<b style="mso-bidi-font-weight: normal;">5<o:p></o:p></b></div>
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1.<o:p></o:p></div>
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Siapkan alat :<o:p></o:p></div>
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<li class="MsoNormal" style="mso-list: l0 level1 lfo1; tab-stops: list .5in;">Status pasien<o:p></o:p></li>
<li class="MsoNormal" style="mso-list: l0 level1 lfo1; tab-stops: list .5in;">Alat tulis<o:p></o:p></li>
<li class="MsoNormal" style="mso-list: l0 level1 lfo1; tab-stops: list .5in;">4 Tabung reaksi<o:p></o:p></li>
<li class="MsoNormal" style="mso-list: l0 level1 lfo1; tab-stops: list .5in;">Rak tabung reaksi<o:p></o:p></li>
<li class="MsoNormal" style="mso-list: l0 level1 lfo1; tab-stops: list .5in;">Penjepit tabung reaksi<o:p></o:p></li>
<li class="MsoNormal" style="mso-list: l0 level1 lfo1; tab-stops: list .5in;">Lampu spirtus<o:p></o:p></li>
<li class="MsoNormal" style="mso-list: l0 level1 lfo1; tab-stops: list .5in;">Korek api<o:p></o:p></li>
<li class="MsoNormal" style="mso-list: l0 level1 lfo1; tab-stops: list .5in;">Urine dalam bengkok<o:p></o:p></li>
<li class="MsoNormal" style="mso-list: l0 level1 lfo1; tab-stops: list .5in;">Corong<o:p></o:p></li>
<li class="MsoNormal" style="mso-list: l0 level1 lfo1; tab-stops: list .5in;">Celemek<o:p></o:p></li>
<li class="MsoNormal" style="mso-list: l0 level1 lfo1; tab-stops: list .5in;">Hand shoen<o:p></o:p></li>
<li class="MsoNormal" style="mso-list: l0 level1 lfo1; tab-stops: list .5in;">Tempat sampah<o:p></o:p></li>
<li class="MsoNormal" style="mso-list: l0 level1 lfo1; tab-stops: list .5in;">Bengkok<o:p></o:p></li>
<li class="MsoNormal" style="mso-list: l0 level1 lfo1; tab-stops: list .5in;">Spoit 5 cc<o:p></o:p></li>
<li class="MsoNormal" style="mso-list: l0 level1 lfo1; tab-stops: list .5in;">Pipet tetes<o:p></o:p></li>
<li class="MsoNormal" style="mso-list: l0 level1 lfo1; tab-stops: list .5in;">Larutan asam asetat 6%<o:p></o:p></li>
<li class="MsoNormal" style="mso-list: l0 level1 lfo1; tab-stops: list .5in;">Larutan asam sulfat salisilat 20 %<o:p></o:p></li>
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2.<o:p></o:p></div>
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Persiapan pasien :<o:p></o:p></div>
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a.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Tersenyum, menyapa pasien dan seseorang yang
menemani pasien<o:p></o:p></div>
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b.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Memperkenalkan diri kepada pasien<o:p></o:p></div>
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c.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Menjelaskan prosedur pemeriksaan kepada ibu<o:p></o:p></div>
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3.<o:p></o:p></div>
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Mempersilahkan
kepada ibu untuk buang air kecil terlebih dahulu dan meminta untuk menampung
urine dalam bengkok tempat urine dan menunjukkan letak kamar mandi/toilet<o:p></o:p></div>
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4.<o:p></o:p></div>
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Mencuci tangan
dengan sabun dan air mengalir kemudian di keringkan dengan handuk bersih<o:p></o:p></div>
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<span lang="SV">5.<o:p></o:p></span></div>
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Memakai sarung
tangan<o:p></o:p></div>
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<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 18.15pt;" valign="top" width="24"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 17.65pt;" valign="top" width="24"><div class="MsoNormal">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 7;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 31.8pt;" valign="top" width="42"><div class="MsoNormal" style="text-align: justify;">
6.<o:p></o:p></div>
</td>
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Melakukan
pemeriksaan urine isi dengan mengisi tabung reaksi masing-masing sebanyak 5
ml urine<o:p></o:p></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26"><div class="MsoNormal">
<br /></div>
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<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 18.15pt;" valign="top" width="24"><div class="MsoNormal">
<br /></div>
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<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 17.65pt;" valign="top" width="24"><div class="MsoNormal">
<br /></div>
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<span lang="SV">7.<o:p></o:p></span></div>
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Nyalakan lampu
spiritus, lalu Tabung I dipanaskan hingga mendidih , setelah itu perhatikan
apakah ada kekeruhan atau tidak<o:p></o:p></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26"><div class="MsoNormal">
<br /></div>
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<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 18.15pt;" valign="top" width="24"><div class="MsoNormal">
<br /></div>
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<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 17.65pt;" valign="top" width="24"><div class="MsoNormal">
<br /></div>
</td>
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<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 31.8pt;" valign="top" width="42"><div class="MsoNormal" style="text-align: justify;">
<span lang="SV">8.<o:p></o:p></span></div>
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Tetesi tabung I yang
telah dipanaskan dengan dengan larutan asam asetat 6 % sebanyak 5 tetes, lalu
panaskan kembali.<o:p></o:p></div>
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<br /></div>
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<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26"><div class="MsoNormal">
<br /></div>
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<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26"><div class="MsoNormal">
<br /></div>
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<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 18.15pt;" valign="top" width="24"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 17.65pt;" valign="top" width="24"><div class="MsoNormal">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 10;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 31.8pt;" valign="top" width="42"><div class="MsoNormal" style="text-align: justify;">
<span lang="SV">9.<o:p></o:p></span></div>
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<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 342.6pt;" valign="top" width="457"><div class="MsoNormal">
<span lang="SV">Begitu larutan
mendidih segera angkat, dan disimpan dalam rak tabung reaksi biarkan selama 5
menit<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 18.15pt;" valign="top" width="24"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 17.65pt;" valign="top" width="24"><div class="MsoNormal">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 11; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 31.8pt;" valign="top" width="42"><div class="MsoNormal" style="text-align: justify;">
<span lang="SV">10.<o:p></o:p></span></div>
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<span lang="SV">Amati hasilnya
dan bandingkan dengan tabung kesatu <o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="ES-TRAD">Hasil
Pembacaan :<o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="ES-TRAD">a. (-) : Bila larutan jernih<o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="SV">b. (+) : Bila larutan keruh<o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="SV">c. (++) : Bila larutan keruh
berbutir<o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="SV">d. (+++) : Bila larutan membentuk awan<o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="SV">e. (++++) : Menggumpal <o:p></o:p></span></div>
</td>
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<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26"><div class="MsoNormal">
<br /></div>
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<br /></div>
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<br /></div>
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<div class="MsoTitle">
<br /></div>Anonymoushttp://www.blogger.com/profile/01457688522410015120noreply@blogger.com0tag:blogger.com,1999:blog-2530420443861746556.post-79297858667083774442012-04-13T21:55:00.002-07:002012-04-14T01:08:46.917-07:00Penuntun Belajar Pemeriksaan Glukosa Urine<br />
<div align="left" class="MsoTitle" style="text-align: left;">
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<div class="MsoNoSpacing" style="line-height: 150%;">
<b style="mso-bidi-font-weight: normal;"><span lang="IN" style="font-family: Arial, sans-serif;">PENILAIAN<br />
Nilai 0 : Perlu perbaikan<o:p></o:p></span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<b style="mso-bidi-font-weight: normal;"><span lang="IN" style="font-family: Arial, sans-serif;"> </span></b><span lang="IN" style="font-family: Arial, sans-serif;"> Langkah atau tugas tidak dikerjakan<o:p></o:p></span></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<b style="mso-bidi-font-weight: normal;"><span lang="IN" style="font-family: Arial, sans-serif;">Nilai 1 : Mampu<o:p></o:p></span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<b style="mso-bidi-font-weight: normal;"><span lang="IN" style="font-family: Arial, sans-serif;"> </span></b><span lang="IN" style="font-family: Arial, sans-serif;">Langkah dikerjakan tetapi kurang
tepat<o:p></o:p></span></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<b style="mso-bidi-font-weight: normal;"><span lang="IN" style="font-family: Arial, sans-serif;">Nilai 2 : Mahir<o:p></o:p></span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; text-indent: -6.0pt;">
<span lang="IN" style="font-family: Arial, sans-serif;"> Langkah dikerjakan dengan benar, tepat
dan tanpa ragu-ragu sesuai prosedur</span><span style="font-family: Arial, sans-serif;"><o:p></o:p></span></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
</div>
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<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-bottom-style: none; border-collapse: collapse; border-color: initial; border-left-style: none; border-right-style: none; border-top-style: none; border-width: initial; width: 624px;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td rowspan="2" style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 31.8pt;" width="42"><div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;">NO.<o:p></o:p></b></div>
</td>
<td rowspan="2" style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 342.6pt;" width="457"><div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;">LANGKAH/TUGAS<o:p></o:p></b></div>
</td>
<td colspan="5" style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 93.25pt;" width="124"><div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;">PERTEMUAN<o:p></o:p></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" width="26"><div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;">1<o:p></o:p></b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" width="26"><div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;">2<o:p></o:p></b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" width="26"><div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;">3<o:p></o:p></b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 18.15pt;" width="24"><div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;">4<o:p></o:p></b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 17.65pt;" width="24"><div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;">5<o:p></o:p></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 31.8pt;" valign="top" width="42"><div class="MsoNormal" style="text-align: justify;">
1.<o:p></o:p></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 342.6pt;" valign="top" width="457"><div class="MsoNormal" style="text-align: justify;">
Siapkan alat<o:p></o:p></div>
<ol start="1" style="margin-top: 0in;" type="a">
<li class="MsoNormal" style="mso-list: l0 level1 lfo1; tab-stops: list .5in;">Status pasien<o:p></o:p></li>
<li class="MsoNormal" style="mso-list: l0 level1 lfo1; tab-stops: list .5in;">Alat tulis<o:p></o:p></li>
<li class="MsoNormal" style="mso-list: l0 level1 lfo1; tab-stops: list .5in;">2 Tabung reaksi<o:p></o:p></li>
<li class="MsoNormal" style="mso-list: l0 level1 lfo1; tab-stops: list .5in;">Rak tabung reaksi<o:p></o:p></li>
<li class="MsoNormal" style="mso-list: l0 level1 lfo1; tab-stops: list .5in;">Penjepit tabung reaksi<o:p></o:p></li>
<li class="MsoNormal" style="mso-list: l0 level1 lfo1; tab-stops: list .5in;">Lampu spirtus<o:p></o:p></li>
<li class="MsoNormal" style="mso-list: l0 level1 lfo1; tab-stops: list .5in;">Korek api<o:p></o:p></li>
<li class="MsoNormal" style="mso-list: l0 level1 lfo1; tab-stops: list .5in;">Urine dalam bengkok<o:p></o:p></li>
<li class="MsoNormal" style="mso-list: l0 level1 lfo1; tab-stops: list .5in;">Corong<o:p></o:p></li>
<li class="MsoNormal" style="mso-list: l0 level1 lfo1; tab-stops: list .5in;">Celemek<o:p></o:p></li>
<li class="MsoNormal" style="mso-list: l0 level1 lfo1; tab-stops: list .5in;">Hand shoen<o:p></o:p></li>
<li class="MsoNormal" style="mso-list: l0 level1 lfo1; tab-stops: list .5in;">Tempat sampah<o:p></o:p></li>
<li class="MsoNormal" style="mso-list: l0 level1 lfo1; tab-stops: list .5in;">Bengkok<o:p></o:p></li>
<li class="MsoNormal" style="mso-list: l0 level1 lfo1; tab-stops: list .5in;">Spoit 5 cc<o:p></o:p></li>
<li class="MsoNormal" style="mso-list: l0 level1 lfo1; tab-stops: list .5in;">Pipet tetes<o:p></o:p></li>
<li class="MsoNormal" style="mso-list: l0 level1 lfo1; tab-stops: list .5in;">Larutan benedict<o:p></o:p></li>
</ol>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 18.15pt;" valign="top" width="24"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 17.65pt;" valign="top" width="24"><div class="MsoNormal">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 3;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 31.8pt;" valign="top" width="42"><div class="MsoNormal" style="text-align: justify;">
2.<o:p></o:p></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 342.6pt;" valign="top" width="457"><div class="MsoNormal" style="text-align: justify;">
Persiapan pasien<o:p></o:p></div>
<div class="MsoListParagraphCxSpFirst" style="margin-left: .25in; mso-add-space: auto; mso-list: l2 level1 lfo2; text-align: justify; text-indent: -.25in;">
a.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Tersenyum, menyapa pasien dan seorang yang
menemani pasien<o:p></o:p></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: .25in; mso-add-space: auto; mso-list: l2 level1 lfo2; text-align: justify; text-indent: -.25in;">
b.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Memperkenalkan diri kepada pasien<o:p></o:p></div>
<div class="MsoListParagraphCxSpLast" style="margin-left: .25in; mso-add-space: auto; mso-list: l2 level1 lfo2; text-align: justify; text-indent: -.25in;">
c.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Menjelaskan prosedur pemeriksaan kepada ibu<o:p></o:p></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 18.15pt;" valign="top" width="24"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 17.65pt;" valign="top" width="24"><div class="MsoNormal">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 4;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 31.8pt;" valign="top" width="42"><div class="MsoNormal" style="text-align: justify;">
3.<o:p></o:p></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 342.6pt;" valign="top" width="457"><div class="MsoNormal" style="text-align: justify;">
Mempersilahkan kepada ibu untuk buang air kecil terlebih dahulu dan
meminta untuk menampung urine dalam bengkok tempat urine dan menunjukkan
letak kamar mandi/toilet<o:p></o:p></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 18.15pt;" valign="top" width="24"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 17.65pt;" valign="top" width="24"><div class="MsoNormal">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 5;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 31.8pt;" valign="top" width="42"><div class="MsoNormal" style="text-align: justify;">
4.<o:p></o:p></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 342.6pt;" valign="top" width="457"><div class="MsoNormal" style="text-align: justify;">
Mencuci tangan dengan sabun dan air mengalir kemudian mengeringkan
dengan handuk bersih<o:p></o:p></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 18.15pt;" valign="top" width="24"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 17.65pt;" valign="top" width="24"><div class="MsoNormal">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 6;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 31.8pt;" valign="top" width="42"><div class="MsoNormal" style="text-align: justify;">
<span lang="SV">5.<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 342.6pt;" valign="top" width="457"><div class="MsoNormal" style="text-align: justify;">
Memakai sarung tangan<o:p></o:p></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 18.15pt;" valign="top" width="24"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 17.65pt;" valign="top" width="24"><div class="MsoNormal">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 7;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 31.8pt;" valign="top" width="42"><div class="MsoNormal" style="text-align: justify;">
6.<o:p></o:p></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 342.6pt;" valign="top" width="457"><div class="MsoNormal" style="text-align: justify;">
<span lang="SV">Sediakan 2 tabung reaksi bersih dan kering dalam rak tabung<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 18.15pt;" valign="top" width="24"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 17.65pt;" valign="top" width="24"><div class="MsoNormal">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 8;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 31.8pt;" valign="top" width="42"><div class="MsoNormal" style="text-align: justify;">
<span lang="SV">7.<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 342.6pt;" valign="top" width="457"><div class="MsoNormal" style="text-align: justify;">
Isi kedua tabung tersebut masing-masing dengan 5 ml benedict<o:p></o:p></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 18.15pt;" valign="top" width="24"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 17.65pt;" valign="top" width="24"><div class="MsoNormal">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 9;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 31.8pt;" valign="top" width="42"><div class="MsoNormal" style="text-align: justify;">
<span lang="SV">8.<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 342.6pt;" valign="top" width="457"><div class="MsoNormal" style="text-align: justify;">
<span lang="SV">tetesi tabung kedua dengan sampel urine sebanyak 5-8 tetes urine <o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 18.15pt;" valign="top" width="24"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 17.65pt;" valign="top" width="24"><div class="MsoNormal">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 10;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 31.8pt;" valign="top" width="42"><div class="MsoNormal" style="text-align: justify;">
<span lang="SV">9.<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 342.6pt;" valign="top" width="457"><div class="MsoNormal" style="text-align: justify;">
<span lang="SV">Nyalakan lampu spirtus, kemudian bakar tabung kedua di atas nyala api
dengan menggunakan penjepit tabung sampai akan mendidih antara 1-2 menit<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 18.15pt;" valign="top" width="24"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 17.65pt;" valign="top" width="24"><div class="MsoNormal">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 11;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 31.8pt;" valign="top" width="42"><div class="MsoNormal" style="text-align: justify;">
<span lang="SV">10.<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 342.6pt;" valign="top" width="457"><div class="MsoNormal">
<span lang="SV">Begitu larutan
mendidih segera angkat, dan simpan dalam rak tabung reaksi biarkan selama 5
menit<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 18.15pt;" valign="top" width="24"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 17.65pt;" valign="top" width="24"><div class="MsoNormal">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 12; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 31.8pt;" valign="top" width="42"><div class="MsoNormal" style="text-align: justify;">
<span lang="SV">11.<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 342.6pt;" valign="top" width="457"><div class="MsoNormal">
<span lang="SV">Amati hasilnya
dan bandingkan dengan tabung kesatu.<o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="SV">Hasil Pembacaan
:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="margin-left: .25in; mso-add-space: auto; mso-list: l1 level1 lfo3; text-indent: -.25in;">
<span lang="SV">a.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span lang="SV">Negative (-) : warna tetap biru atau
sedikit kehijauan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: .25in; mso-add-space: auto; mso-list: l1 level1 lfo3; text-indent: -.25in;">
<span lang="SV">b.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span lang="SV">Positif 1 (</span><span lang="SV" style="font-family: 'Wide Latin', serif;">+</span><span lang="SV">) : warna hijau kekuningan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: .25in; mso-add-space: auto; mso-list: l1 level1 lfo3; text-indent: -.25in;">
<span lang="SV">c.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span lang="SV">Positif 2 (</span><span lang="SV" style="font-family: 'Wide Latin', serif;">++</span><span lang="SV">) : warna kuning kehijauan dan keruh<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: .25in; mso-add-space: auto; mso-list: l1 level1 lfo3; text-indent: -.25in;">
<span lang="SV">d.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span lang="SV">Positif 3 (</span><span lang="SV" style="font-family: 'Wide Latin', serif;">+++</span><span lang="SV">) : warna jingga dan keruh<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="margin-left: .25in; mso-add-space: auto; mso-list: l1 level1 lfo3; text-indent: -.25in;">
<span lang="SV">e.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span lang="SV">Positif 4 (</span><span lang="SV" style="font-family: 'Wide Latin', serif;">++++</span><span lang="SV">) : warna merah bata<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 18.15pt;" valign="top" width="24"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 17.65pt;" valign="top" width="24"><div class="MsoNormal">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="MsoTitle">
<br /></div>
<div class="MsoTitle">
<br /></div>
<div class="MsoTitle">
<br /></div>
<div class="MsoTitle">
<br /></div>Anonymoushttp://www.blogger.com/profile/01457688522410015120noreply@blogger.com0tag:blogger.com,1999:blog-2530420443861746556.post-46026189765750465152012-04-13T21:54:00.000-07:002012-04-14T01:11:38.693-07:00Penuntun Belajar Pemeriksaan Hemoglobin<br />
<div class="MsoTitle">
<br /></div>
<div align="left" class="MsoTitle" style="text-align: left;">
<v:rect id="_x0000_s1026" strokeweight="2pt" style="height: 159pt; margin-left: -3pt; margin-top: 10.8pt; position: absolute; width: 465pt; z-index: 251857920;">
<v:textbox style="mso-next-textbox: #_x0000_s1026;">
</v:textbox></v:rect></div>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td><div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<b style="mso-bidi-font-weight: normal;"><span lang="IN" style="font-family: Arial, sans-serif;">PENILAIAN<br />
Nilai 0 : Perlu perbaikan<o:p></o:p></span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<b style="mso-bidi-font-weight: normal;"><span lang="IN" style="font-family: Arial, sans-serif;"> </span></b><span lang="IN" style="font-family: Arial, sans-serif;"> Langkah atau tugas tidak dikerjakan<o:p></o:p></span></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<b style="mso-bidi-font-weight: normal;"><span lang="IN" style="font-family: Arial, sans-serif;">Nilai 1 : Mampu<o:p></o:p></span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<b style="mso-bidi-font-weight: normal;"><span lang="IN" style="font-family: Arial, sans-serif;"> </span></b><span lang="IN" style="font-family: Arial, sans-serif;">Langkah dikerjakan tetapi kurang
tepat<o:p></o:p></span></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<b style="mso-bidi-font-weight: normal;"><span lang="IN" style="font-family: Arial, sans-serif;">Nilai 2 : Mahir<o:p></o:p></span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; text-indent: -6.0pt;">
<span lang="IN" style="font-family: Arial, sans-serif;"> Langkah dikerjakan dengan benar, tepat
dan tanpa ragu-ragu sesuai prosedur</span><span style="font-family: Arial, sans-serif;"><o:p></o:p></span></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<br /></div>
</div>
</td></tr>
</tbody></table>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-bottom-style: none; border-collapse: collapse; border-color: initial; border-left-style: none; border-right-style: none; border-top-style: none; border-width: initial; width: 624px;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td rowspan="2" style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 31.8pt;" width="42"><div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;">NO.<o:p></o:p></b></div>
</td>
<td rowspan="2" style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 342.6pt;" width="457"><div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;">LANGKAH/TUGAS<o:p></o:p></b></div>
</td>
<td colspan="5" style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 93.25pt;" width="124"><div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;">PERTEMUAN<o:p></o:p></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" width="26"><div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;">1<o:p></o:p></b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" width="26"><div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;">2<o:p></o:p></b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" width="26"><div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;">3<o:p></o:p></b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 18.15pt;" width="24"><div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;">4<o:p></o:p></b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 17.65pt;" width="24"><div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;">5<o:p></o:p></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 31.8pt;" valign="top" width="42"><div class="MsoNormal" style="text-align: justify;">
1.<o:p></o:p></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 342.6pt;" valign="top" width="457"><div class="MsoNormal">
Siapkan :<o:p></o:p></div>
<div class="MsoNormal">
Alat
:<o:p></o:p></div>
<ol start="1" style="margin-top: 0in;" type="a">
<li class="MsoNormal" style="mso-list: l1 level1 lfo1; tab-stops: list .5in;">Haemometer set<o:p></o:p></li>
</ol>
<div class="MsoListParagraphCxSpFirst" style="margin-left: .75in; mso-add-space: auto; mso-list: l2 level1 lfo3; text-indent: -.25in;">
<span style="font-family: Symbol;">·<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span>Tabung
pengencer<o:p></o:p></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: .75in; mso-add-space: auto; mso-list: l2 level1 lfo3; text-indent: -.25in;">
<span style="font-family: Symbol;">·<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span>Batang
pengaduk kaca<o:p></o:p></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: .75in; mso-add-space: auto; mso-list: l2 level1 lfo3; text-indent: -.25in;">
<span style="font-family: Symbol;">·<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span>Pipet
pengisap<o:p></o:p></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: .75in; mso-add-space: auto; mso-list: l2 level1 lfo3; text-indent: -.25in;">
<span style="font-family: Symbol;">·<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span>Pipet
tetes<o:p></o:p></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: .75in; mso-add-space: auto; mso-list: l2 level1 lfo3; text-indent: -.25in;">
<span style="font-family: Symbol;">·<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span>Standar
sahli<o:p></o:p></div>
<div class="MsoListParagraphCxSpLast" style="margin-left: .75in; mso-add-space: auto; mso-list: l2 level1 lfo3; text-indent: -.25in;">
<span style="font-family: Symbol;">·<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span>Sikat
tabung reaksi<o:p></o:p></div>
<ol start="2" style="margin-top: 0in;" type="a">
<li class="MsoNormal" style="mso-list: l1 level1 lfo1; tab-stops: list .5in;">Lancet<o:p></o:p></li>
<li class="MsoNormal" style="mso-list: l1 level1 lfo1; tab-stops: list .5in;">Bengkok<o:p></o:p></li>
<li class="MsoNormal" style="mso-list: l1 level1 lfo1; tab-stops: list .5in;">Autoclick<o:p></o:p></li>
<li class="MsoNormal" style="mso-list: l1 level1 lfo1; tab-stops: list .5in;">Sarung tangan<o:p></o:p></li>
</ol>
<div class="MsoNormal">
Bahan
:<o:p></o:p></div>
<ol start="1" style="margin-top: 0in;" type="a">
<li class="MsoNormal" style="mso-list: l0 level1 lfo2; tab-stops: list .5in;">Tissue<o:p></o:p></li>
<li class="MsoNormal" style="mso-list: l0 level1 lfo2; tab-stops: list .5in;">Kapas alkohol dalam tempatnya<o:p></o:p></li>
<li class="MsoNormal" style="mso-list: l0 level1 lfo2; tab-stops: list .5in;">HCL 0,1 N<o:p></o:p></li>
<li class="MsoNormal" style="mso-list: l0 level1 lfo2; tab-stops: list .5in;">Aquades<o:p></o:p></li>
</ol>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 18.15pt;" valign="top" width="24"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 17.65pt;" valign="top" width="24"><div class="MsoNormal">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 3;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 31.8pt;" valign="top" width="42"><div class="MsoNormal" style="text-align: justify;">
2.<o:p></o:p></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 342.6pt;" valign="top" width="457"><div class="MsoNormal">
Mencuci tangan dan
keringkan dengan handuk bersih<o:p></o:p></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 18.15pt;" valign="top" width="24"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 17.65pt;" valign="top" width="24"><div class="MsoNormal">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 4;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 31.8pt;" valign="top" width="42"><div class="MsoNormal" style="text-align: justify;">
3.<o:p></o:p></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 342.6pt;" valign="top" width="457"><div class="MsoNormal">
Memakai sarung
tangan<o:p></o:p></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 18.15pt;" valign="top" width="24"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 17.65pt;" valign="top" width="24"><div class="MsoNormal">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 5;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 31.8pt;" valign="top" width="42"><div class="MsoNormal" style="text-align: justify;">
4.<o:p></o:p></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 342.6pt;" valign="top" width="457"><div class="MsoNormal">
<span lang="SV">Alat haemometer
dalam keadaan bersih dan kering, isi tabung sahli dengan larutan HCl 0,1 N
sampai angka 2<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 18.15pt;" valign="top" width="24"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 17.65pt;" valign="top" width="24"><div class="MsoNormal">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 6;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 31.8pt;" valign="top" width="42"><div class="MsoNormal" style="text-align: justify;">
<span lang="SV">5.<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 342.6pt;" valign="top" width="457"><div class="MsoNormal">
<span lang="SV">Bersihkan dan
beri antiseptik daerah kapiler jari dengan menggunakan kapas alkohol 70%<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 18.15pt;" valign="top" width="24"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 17.65pt;" valign="top" width="24"><div class="MsoNormal">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 7;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 31.8pt;" valign="top" width="42"><div class="MsoNormal" style="text-align: justify;">
6.<o:p></o:p></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 342.6pt;" valign="top" width="457"><div class="MsoNormal">
<span lang="SV">Buat perdarahan
dengan menusukkan blood lancet pada daerah kapiler jari tersebut<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 18.15pt;" valign="top" width="24"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 17.65pt;" valign="top" width="24"><div class="MsoNormal">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 8;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 31.8pt;" valign="top" width="42"><div class="MsoNormal" style="text-align: justify;">
<span lang="SV">7.<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 342.6pt;" valign="top" width="457"><div class="MsoNormal">
<span lang="SV">Darah yang
keluar dihisap menggunakan pipet sahli sampai angka 20 <o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 18.15pt;" valign="top" width="24"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 17.65pt;" valign="top" width="24"><div class="MsoNormal">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 9;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 31.8pt;" valign="top" width="42"><div class="MsoNormal" style="text-align: justify;">
<span lang="SV">8.<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 342.6pt;" valign="top" width="457"><div class="MsoNormal">
<span lang="SV">Masukkan darah ke
dalam tabung sahli, aduk dengan batang pengaduk kaca<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 18.15pt;" valign="top" width="24"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 17.65pt;" valign="top" width="24"><div class="MsoNormal">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 10;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 31.8pt;" valign="top" width="42"><div class="MsoNormal" style="text-align: justify;">
<span lang="SV">9.<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 342.6pt;" valign="top" width="457"><div class="MsoNormal">
<span lang="SV">Diamkan selama
4 menit (hematin akan berubah menjadi asam hematin)<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 18.15pt;" valign="top" width="24"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 17.65pt;" valign="top" width="24"><div class="MsoNormal">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 11;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 31.8pt;" valign="top" width="42"><div class="MsoNormal" style="text-align: justify;">
<span lang="SV">10.<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 342.6pt;" valign="top" width="457"><div class="MsoNormal">
<span lang="SV">Encerkan dengan
aquadest tetes demi tetes sampai larutan sama dengan warna standar pada
haemometer<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 18.15pt;" valign="top" width="24"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 17.65pt;" valign="top" width="24"><div class="MsoNormal">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 12;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 31.8pt;" valign="top" width="42"><div class="MsoNormal" style="text-align: justify;">
<span lang="SV">11.<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 342.6pt;" valign="top" width="457"><div class="MsoNormal">
<span lang="SV">Baca skala miniskus
yang ditunjukkan pada skala tabung sahli<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 18.15pt;" valign="top" width="24"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 17.65pt;" valign="top" width="24"><div class="MsoNormal">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 13;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 31.8pt;" valign="top" width="42"><div class="MsoNormal" style="text-align: justify;">
<span lang="SV">12.<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 342.6pt;" valign="top" width="457"><div class="MsoNormal">
<span lang="SV">Melepaskan
sarung tangan dan mencuci tangan<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 18.15pt;" valign="top" width="24"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 17.65pt;" valign="top" width="24"><div class="MsoNormal">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 14; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 31.8pt;" valign="top" width="42"><div class="MsoNormal" style="text-align: justify;">
<span lang="SV">13.<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 342.6pt;" valign="top" width="457"><div class="MsoNormal">
<span lang="SV">Mendokumentasikan
prosedur<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 18.15pt;" valign="top" width="24"><div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 17.65pt;" valign="top" width="24"><div class="MsoNormal">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="MsoTitle">
<br /></div>
<div class="MsoTitle">
<br /></div>
<div class="MsoTitle">
<br /></div>Anonymoushttp://www.blogger.com/profile/01457688522410015120noreply@blogger.com0tag:blogger.com,1999:blog-2530420443861746556.post-7427805023704362532012-04-13T21:50:00.000-07:002012-04-13T21:50:36.460-07:00Penuntun Belajar Anamnese Ibu Hamil<br />
<div align="left" class="MsoTitle" style="text-align: left;">
<br /></div>
<div class="MsoNormal">
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<v:textbox>
<!--[if !mso]-->
</v:textbox></v:rect></div>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td><!--[endif]-->
<div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<b style="mso-bidi-font-weight: normal;"><span lang="IN" style="font-family: "Arial","sans-serif";">PENILAIAN<br />
Nilai 0<span style="mso-tab-count: 2;"> </span>: Perlu perbaikan<o:p></o:p></span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<b style="mso-bidi-font-weight: normal;"><span lang="IN" style="font-family: "Arial","sans-serif";"><span style="mso-tab-count: 2;"> </span></span></b><span lang="IN" style="font-family: "Arial","sans-serif";"><span style="mso-spacerun: yes;"> </span>Langkah atau tugas tidak dikerjakan<o:p></o:p></span></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<b style="mso-bidi-font-weight: normal;"><span lang="IN" style="font-family: "Arial","sans-serif";">Nilai 1<span style="mso-tab-count: 2;"> </span>: Mampu<o:p></o:p></span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<b style="mso-bidi-font-weight: normal;"><span lang="IN" style="font-family: "Arial","sans-serif";"><span style="mso-tab-count: 2;"> </span></span></b><span lang="IN" style="font-family: "Arial","sans-serif";">Langkah dikerjakan tetapi
kurang tepat<o:p></o:p></span></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<b style="mso-bidi-font-weight: normal;"><span lang="IN" style="font-family: "Arial","sans-serif";">Nilai 2<span style="mso-tab-count: 2;"> </span>: Mahir<o:p></o:p></span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 78.0pt; text-indent: -6.0pt;">
<span lang="IN" style="font-family: "Arial","sans-serif";"><span style="mso-spacerun: yes;"> </span>Langkah dikerjakan dengan benar, tepat
dan tanpa ragu-ragu sesuai prosedur</span></div>
</div>
</td></tr>
</tbody></table>
<!--[endif]-->
<span lang="IN" style="mso-ansi-language: IN;"><o:p> </o:p></span><br />
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<br clear="ALL" style="mso-ignore: vglayout;" />
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-bottom-style: none; border-collapse: collapse; border-color: initial; border-left-style: none; border-right-style: none; border-top-style: none; border-width: initial; margin-left: 5.4pt; width: 606px;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td rowspan="2" style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 35.45pt;" valign="top" width="47">
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-GB">NO<o:p></o:p></span></b></div>
</td>
<td rowspan="2" style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 329.05pt;" valign="top" width="439">
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-GB">LANGKAH / TUGAS<o:p></o:p></span></b></div>
</td>
<td colspan="5" style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 1.25in;" valign="top" width="120">
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-GB">PERTEMUAN<o:p></o:p></span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .25in;" valign="top" width="24">
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-GB">1<o:p></o:p></span></b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .25in;" valign="top" width="24">
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-GB">2<o:p></o:p></span></b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .25in;" valign="top" width="24">
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-GB">3<o:p></o:p></span></b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 16.45pt;" valign="top" width="22">
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-GB">4<o:p></o:p></span></b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.55pt;" valign="top" width="26">
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-GB">5<o:p></o:p></span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td colspan="7" style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 454.5pt;" valign="top" width="606">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="FI" style="mso-ansi-language: FI;">Persiapan Tindakan </span></b><span lang="FI" style="mso-ansi-language: FI;"><o:p></o:p></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 3;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 35.45pt;" valign="top" width="47">
<div align="center" class="MsoNormal" style="tab-stops: 166.5pt; text-align: center;">
<span lang="FI" style="mso-ansi-language: FI;">1.<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 329.05pt;" valign="top" width="439">
<div class="MsoNormal">
<span lang="IN" style="mso-ansi-language: IN;">Memastikan
tersedianya tempat yang nyaman untuk melakukan pengkajian riwayat kesehatan, pemeriksaan
dan konseling</span><span lang="FI" style="mso-ansi-language: FI;"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .25in;" valign="top" width="24">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .25in;" valign="top" width="24">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .25in;" valign="top" width="24">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 16.45pt;" valign="top" width="22">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.55pt;" valign="top" width="26">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 4;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 35.45pt;" valign="top" width="47">
<div align="center" class="MsoNormal" style="tab-stops: 166.5pt; text-align: center;">
<span lang="FI" style="mso-ansi-language: FI;">2.<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 329.05pt;" valign="top" width="439">
<div class="MsoNormal" style="text-align: justify;">
<span lang="IN" style="mso-ansi-language: IN;">Menyiapkan bahan untuk penggalian riwayat kesehatan, dan konseling</span><span lang="SV" style="mso-ansi-language: SV;"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .25in;" valign="top" width="24">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .25in;" valign="top" width="24">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .25in;" valign="top" width="24">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 16.45pt;" valign="top" width="22">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.55pt;" valign="top" width="26">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 5;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 35.45pt;" valign="top" width="47">
<div align="center" class="MsoNormal" style="tab-stops: 166.5pt; text-align: center;">
<span lang="FI" style="mso-ansi-language: FI;">3.<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 329.05pt;" valign="top" width="439">
<div class="MsoNormal" style="text-align: justify;">
<span lang="IN" style="mso-ansi-language: IN;">Menyiapkan peralatan untuk melakukan pemeriksaan antenatal</span><span lang="ES-TRAD" style="mso-ansi-language: ES-TRAD;"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .25in;" valign="top" width="24">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .25in;" valign="top" width="24">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .25in;" valign="top" width="24">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 16.45pt;" valign="top" width="22">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.55pt;" valign="top" width="26">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 6;">
<td colspan="7" style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 454.5pt;" valign="top" width="606">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="IN" style="mso-ansi-language: IN;">Perkenalan <o:p></o:p></span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 7;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 35.45pt;" valign="top" width="47">
<div align="center" class="MsoNormal" style="tab-stops: 166.5pt; text-align: center;">
<span lang="FI" style="mso-ansi-language: FI;">4.<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 329.05pt;" valign="top" width="439">
<div class="MsoNormal" style="text-align: justify;">
<span lang="IN" style="mso-ansi-language: IN;">Menyambut ibu dan pendamping serta memperkenalkan diri<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .25in;" valign="top" width="24">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .25in;" valign="top" width="24">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .25in;" valign="top" width="24">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 16.45pt;" valign="top" width="22">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.55pt;" valign="top" width="26">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 8;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 35.45pt;" valign="top" width="47">
<div align="center" class="MsoNormal" style="tab-stops: 166.5pt; text-align: center;">
<span lang="FI" style="mso-ansi-language: FI;">5.<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 329.05pt;" valign="top" width="439">
<div class="MsoNormal" style="text-align: justify;">
<span lang="IN" style="mso-ansi-language: IN;">Menciptakan suasana yang nyaman<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .25in;" valign="top" width="24">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .25in;" valign="top" width="24">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .25in;" valign="top" width="24">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 16.45pt;" valign="top" width="22">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.55pt;" valign="top" width="26">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 9;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 35.45pt;" valign="top" width="47">
<div align="center" class="MsoNormal" style="tab-stops: 166.5pt; text-align: center;">
<span lang="IN" style="mso-ansi-language: IN;">6.<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 329.05pt;" valign="top" width="439">
<div class="MsoNormal" style="text-align: justify;">
<span lang="IN" style="mso-ansi-language: IN;">Menanyakan secara sopan identitas ibu <o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .25in;" valign="top" width="24">
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .25in;" valign="top" width="24">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .25in;" valign="top" width="24">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 16.45pt;" valign="top" width="22">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.55pt;" valign="top" width="26">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 10;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 35.45pt;" valign="top" width="47">
<div align="center" class="MsoNormal" style="tab-stops: 166.5pt; text-align: center;">
<span lang="FI" style="mso-ansi-language: FI;">7.<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 329.05pt;" valign="top" width="439">
<div class="MsoNormal" style="text-align: justify;">
<span lang="IN" style="mso-ansi-language: IN;">Mengkaji tujuan ibu datang ke</span><span lang="IN" style="mso-ansi-language: EN-US;"> </span><span lang="IN" style="mso-ansi-language: IN;">fasilitas kesehatan
<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .25in;" valign="top" width="24">
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .25in;" valign="top" width="24">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .25in;" valign="top" width="24">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 16.45pt;" valign="top" width="22">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.55pt;" valign="top" width="26">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 11;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 35.45pt;" valign="top" width="47">
<div align="center" class="MsoNormal" style="tab-stops: 166.5pt; text-align: center;">
<span lang="FI" style="mso-ansi-language: FI;">8.<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 329.05pt;" valign="top" width="439">
<div class="MsoNormal" style="text-align: justify;">
<span lang="IN" style="mso-ansi-language: IN;">Mengkaji apakah ada tanda bahaya yang dirasakan ibu<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .25in;" valign="top" width="24">
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .25in;" valign="top" width="24">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .25in;" valign="top" width="24">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 16.45pt;" valign="top" width="22">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.55pt;" valign="top" width="26">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 12;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 35.45pt;" valign="top" width="47">
<div align="center" class="MsoNormal" style="tab-stops: 166.5pt; text-align: center;">
<span lang="FI" style="mso-ansi-language: FI;">9.<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 329.05pt;" valign="top" width="439">
<div class="MsoNormal">
<span lang="IN" style="mso-ansi-language: IN;">Mengkaji
keluhan yang dirasakan ibu<i style="mso-bidi-font-style: normal;"><o:p></o:p></i></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .25in;" valign="top" width="24">
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .25in;" valign="top" width="24">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .25in;" valign="top" width="24">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 16.45pt;" valign="top" width="22">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.55pt;" valign="top" width="26">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 13;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 35.45pt;" valign="top" width="47">
<div align="center" class="MsoNormal" style="tab-stops: 166.5pt; text-align: center;">
<span lang="IN" style="mso-ansi-language: IN;">10. <o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 329.05pt;" valign="top" width="439">
<div class="MsoNormal">
<span lang="IN" style="mso-ansi-language: IN;">Menanyakan pada
ibu apakah ada pertanyaan yang ingin diajukan<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .25in;" valign="top" width="24">
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .25in;" valign="top" width="24">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .25in;" valign="top" width="24">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 16.45pt;" valign="top" width="22">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.55pt;" valign="top" width="26">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
</tr>
<tr style="height: 18.25pt; mso-yfti-irow: 14;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 18.25pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 35.45pt;" valign="top" width="47">
<div align="center" class="MsoNormal" style="tab-stops: 166.5pt; text-align: center;">
<span lang="FI" style="mso-ansi-language: FI;">11.<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 18.25pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 329.05pt;" valign="top" width="439">
<div class="MsoNormal">
<span lang="IN" style="mso-ansi-language: IN;">Mempersiapkan
untuk didampingi oleh orang yang diinginkannya<i style="mso-bidi-font-style: normal;"><o:p></o:p></i></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 18.25pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .25in;" valign="top" width="24">
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 18.25pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .25in;" valign="top" width="24">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 18.25pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .25in;" valign="top" width="24">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 18.25pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 16.45pt;" valign="top" width="22">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 18.25pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.55pt;" valign="top" width="26">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 15;">
<td colspan="7" style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 454.5pt;" valign="top" width="606">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="IN" style="mso-ansi-language: IN;">Penggalian Riwayat Dan
Pencatatannya<o:p></o:p></span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 16;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 35.45pt;" valign="top" width="47">
<div align="center" class="MsoNormal" style="tab-stops: 166.5pt; text-align: center;">
<span lang="FI" style="mso-ansi-language: FI;">12.<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 329.05pt;" valign="top" width="439">
<div class="MsoNormal">
<span lang="IN" style="mso-ansi-language: IN;">Menjelaskan
prosedur klinik dan tujuan pengkajian riwayat kepada ibu<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .25in;" valign="top" width="24">
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .25in;" valign="top" width="24">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .25in;" valign="top" width="24">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 16.45pt;" valign="top" width="22">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.55pt;" valign="top" width="26">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 17;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 35.45pt;" valign="top" width="47">
<div align="center" class="MsoNormal" style="tab-stops: 166.5pt; text-align: center;">
<span lang="IN" style="mso-ansi-language: IN;">13. <o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 329.05pt;" valign="top" width="439">
<div class="MsoNormal">
<span lang="IN" style="mso-ansi-language: IN;">Mengkaji dan
mencatat riwayat biodata/riwayat sosial ekonomi<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .25in;" valign="top" width="24">
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .25in;" valign="top" width="24">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .25in;" valign="top" width="24">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 16.45pt;" valign="top" width="22">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.55pt;" valign="top" width="26">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 18;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 35.45pt;" valign="top" width="47">
<div align="center" class="MsoNormal" style="tab-stops: 166.5pt; text-align: center;">
<span lang="FI" style="mso-ansi-language: FI;">1</span><span lang="IN" style="mso-ansi-language: IN;">4</span><span lang="FI" style="mso-ansi-language: FI;">.<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 329.05pt;" valign="top" width="439">
<div class="MsoNormal" style="text-align: justify;">
<span lang="IN" style="mso-ansi-language: IN;">Mengkaji dan mencatat kesehatan keluarga<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .25in;" valign="top" width="24">
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .25in;" valign="top" width="24">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .25in;" valign="top" width="24">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 16.45pt;" valign="top" width="22">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.55pt;" valign="top" width="26">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 19;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 35.45pt;" valign="top" width="47">
<div align="center" class="MsoNormal" style="tab-stops: 166.5pt; text-align: center;">
<span lang="FI" style="mso-ansi-language: FI;">1</span><span lang="IN" style="mso-ansi-language: IN;">5</span><span lang="FI" style="mso-ansi-language: FI;">.<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 329.05pt;" valign="top" width="439">
<div class="MsoNormal">
<span lang="IN" style="mso-ansi-language: IN;">Mengkaji dan
mencatat riwayat kesehatan ibu</span><span lang="SV" style="mso-ansi-language: SV;"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .25in;" valign="top" width="24">
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .25in;" valign="top" width="24">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .25in;" valign="top" width="24">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 16.45pt;" valign="top" width="22">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.55pt;" valign="top" width="26">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 20;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 35.45pt;" valign="top" width="47">
<div align="center" class="MsoNormal" style="tab-stops: 166.5pt; text-align: center;">
<span lang="FI" style="mso-ansi-language: FI;">1</span><span lang="IN" style="mso-ansi-language: IN;">6</span><span lang="FI" style="mso-ansi-language: FI;">.<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 329.05pt;" valign="top" width="439">
<div class="MsoNormal" style="text-align: justify;">
<span lang="IN" style="mso-ansi-language: IN;">Mengkaji dan mencatat riwayat penyakit menular seksual<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .25in;" valign="top" width="24">
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .25in;" valign="top" width="24">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .25in;" valign="top" width="24">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 16.45pt;" valign="top" width="22">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.55pt;" valign="top" width="26">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 21;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 35.45pt;" valign="top" width="47">
<div align="center" class="MsoNormal" style="tab-stops: 166.5pt; text-align: center;">
<span lang="FI" style="mso-ansi-language: FI;">1</span><span lang="IN" style="mso-ansi-language: IN;">7</span><span lang="FI" style="mso-ansi-language: FI;">.<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 329.05pt;" valign="top" width="439">
<div class="MsoNormal" style="text-align: justify;">
<span lang="IN" style="mso-ansi-language: IN;">Mengkaji dan mencatat riwayat operasi<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .25in;" valign="top" width="24">
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .25in;" valign="top" width="24">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .25in;" valign="top" width="24">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 16.45pt;" valign="top" width="22">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.55pt;" valign="top" width="26">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 22;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 35.45pt;" valign="top" width="47">
<div align="center" class="MsoNormal" style="tab-stops: 166.5pt; text-align: center;">
<span lang="FI" style="mso-ansi-language: FI;">18.<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 329.05pt;" valign="top" width="439">
<div class="MsoNormal" style="text-align: justify;">
<span lang="IN" style="mso-ansi-language: IN;">Mengkaji dan mencatat riwayat ginekoligi<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .25in;" valign="top" width="24">
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .25in;" valign="top" width="24">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .25in;" valign="top" width="24">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 16.45pt;" valign="top" width="22">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.55pt;" valign="top" width="26">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 23;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 35.45pt;" valign="top" width="47">
<div align="center" class="MsoNormal" style="tab-stops: 166.5pt; text-align: center;">
<span lang="IN" style="mso-ansi-language: IN;">19<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 329.05pt;" valign="top" width="439">
<div class="MsoNormal" style="text-align: justify;">
<span lang="IN" style="mso-ansi-language: IN;">Mengkaji dan mencatat riwayat mensturasi<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .25in;" valign="top" width="24">
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .25in;" valign="top" width="24">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .25in;" valign="top" width="24">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 16.45pt;" valign="top" width="22">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.55pt;" valign="top" width="26">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 24;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 35.45pt;" valign="top" width="47">
<div align="center" class="MsoNormal" style="tab-stops: 166.5pt; text-align: center;">
<span lang="IN" style="mso-ansi-language: IN;">20<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 329.05pt;" valign="top" width="439">
<div class="MsoNormal">
<span lang="IN" style="mso-ansi-language: IN;">Mengkaji dan
mencatat riwayat kontrasepsi</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .25in;" valign="top" width="24">
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .25in;" valign="top" width="24">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .25in;" valign="top" width="24">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 16.45pt;" valign="top" width="22">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.55pt;" valign="top" width="26">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 25;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 35.45pt;" valign="top" width="47">
<div align="center" class="MsoNormal" style="tab-stops: 166.5pt; text-align: center;">
<span lang="IN" style="mso-ansi-language: IN;">21<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 329.05pt;" valign="top" width="439">
<div class="MsoNormal">
<span lang="IN" style="mso-ansi-language: IN;">Mengkaji dan
mencatat riwayat obstetri</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .25in;" valign="top" width="24">
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .25in;" valign="top" width="24">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .25in;" valign="top" width="24">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 16.45pt;" valign="top" width="22">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.55pt;" valign="top" width="26">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 26;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 35.45pt;" valign="top" width="47">
<div align="center" class="MsoNormal" style="tab-stops: 166.5pt; text-align: center;">
<span lang="IN" style="mso-ansi-language: IN;">22<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 329.05pt;" valign="top" width="439">
<div class="MsoNormal">
<span lang="IN" style="mso-ansi-language: IN;">Mengkaji dan mencatat
riwayat diet ibu secara komplit</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .25in;" valign="top" width="24">
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .25in;" valign="top" width="24">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .25in;" valign="top" width="24">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 16.45pt;" valign="top" width="22">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.55pt;" valign="top" width="26">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 27;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 35.45pt;" valign="top" width="47">
<div align="center" class="MsoNormal" style="tab-stops: 166.5pt; text-align: center;">
<span lang="IN" style="mso-ansi-language: IN;">23<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 329.05pt;" valign="top" width="439">
<div class="MsoNormal">
<span lang="IN" style="mso-ansi-language: IN;">Mengkaji dan
mencatat riwayat usia kehamilan</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .25in;" valign="top" width="24">
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .25in;" valign="top" width="24">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .25in;" valign="top" width="24">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 16.45pt;" valign="top" width="22">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.55pt;" valign="top" width="26">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 28;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 35.45pt;" valign="top" width="47">
<div align="center" class="MsoNormal" style="tab-stops: 166.5pt; text-align: center;">
<span lang="IN" style="mso-ansi-language: IN;">24<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 329.05pt;" valign="top" width="439">
<div class="MsoNormal">
<span lang="IN" style="mso-ansi-language: IN;">Menjelaskan
kepada ibu tentang temuan yang didapatkan</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .25in;" valign="top" width="24">
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .25in;" valign="top" width="24">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .25in;" valign="top" width="24">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 16.45pt;" valign="top" width="22">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.55pt;" valign="top" width="26">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 29;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 35.45pt;" valign="top" width="47">
<div align="center" class="MsoNormal" style="tab-stops: 166.5pt; text-align: center;">
<span lang="IN" style="mso-ansi-language: IN;">25<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 329.05pt;" valign="top" width="439">
<div class="MsoNormal">
<span lang="IN" style="mso-ansi-language: IN;">Menanyakan
kepada ibu apakah ada pertanyaan yang ingin diajukan</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .25in;" valign="top" width="24">
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .25in;" valign="top" width="24">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .25in;" valign="top" width="24">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 16.45pt;" valign="top" width="22">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.55pt;" valign="top" width="26">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 30; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 35.45pt;" valign="top" width="47">
<div align="center" class="MsoNormal" style="tab-stops: 166.5pt; text-align: center;">
<span lang="IN" style="mso-ansi-language: IN;">26<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 329.05pt;" valign="top" width="439">
<div class="MsoNormal">
<span lang="IN" style="mso-ansi-language: IN;">Menjelaskan kepada
ibu bahwa akan dilanjutkan dengan prosedur pemeriksaan fisik</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .25in;" valign="top" width="24">
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .25in;" valign="top" width="24">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: .25in;" valign="top" width="24">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 16.45pt;" valign="top" width="22">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.55pt;" valign="top" width="26">
<div class="MsoNormal" style="tab-stops: 166.5pt;">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="tab-stops: 343.5pt;">
<br /></div>
<div align="left" class="MsoTitle" style="text-align: left;">
<br /></div>
<div align="left" class="MsoTitle" style="text-align: left;">
<br /></div>Anonymoushttp://www.blogger.com/profile/01457688522410015120noreply@blogger.com0tag:blogger.com,1999:blog-2530420443861746556.post-79979747055295679852012-03-20T19:07:00.004-07:002012-03-20T19:07:49.648-07:00Penuntun Belajar Palpasi Leopold<br />
<div align="left" class="MsoTitle" style="text-align: left;">
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</v:path></v:stroke></v:shapetype><v:shape fillcolor="white [3201]" id="_x0000_s1026" strokecolor="black [3200]" strokeweight="2pt" style="height: 29.7pt; margin-left: -3pt; margin-top: 6.3pt; position: absolute; width: 462.75pt; z-index: 251708416;" type="#_x0000_t202">
<v:shadow color="#868686">
<v:textbox style="mso-next-textbox: #_x0000_s1026;">
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</v:textbox></v:shadow></v:shape></div>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td><!--[endif]-->
<div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="ES-TRAD" style="font-family: "Arial","sans-serif"; font-size: 18.0pt; mso-ansi-language: ES-TRAD;">PALPASI
LEOPOLD<o:p></o:p></span></b></div>
</div>
<!--[if !mso]--></td>
</tr>
</tbody></table>
<!--[endif]-->
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<v:textbox style="mso-next-textbox: #_x0000_s1027;">
<!--[if !mso]-->
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td><!--[endif]-->
<div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<b style="mso-bidi-font-weight: normal;"><span lang="IN" style="font-family: "Arial","sans-serif";">PENILAIAN<br />
Nilai 0<span style="mso-tab-count: 2;"> </span>: Perlu perbaikan<o:p></o:p></span></b></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<b style="mso-bidi-font-weight: normal;"><span lang="IN" style="font-family: "Arial","sans-serif";"><span style="mso-tab-count: 2;"> </span></span></b><span lang="IN" style="font-family: "Arial","sans-serif";"><span style="mso-spacerun: yes;"> </span>Langkah atau tugas tidak dikerjakan<o:p></o:p></span></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<b style="mso-bidi-font-weight: normal;"><span lang="IN" style="font-family: "Arial","sans-serif";">Nilai 1<span style="mso-tab-count: 2;"> </span>: Mampu<o:p></o:p></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="IN" style="font-family: "Arial","sans-serif";"><span style="mso-tab-count: 2;"> </span><span style="mso-spacerun: yes;"> </span></span></b><span lang="IN" style="font-family: "Arial","sans-serif";">Langkah dikerjakan tetapi kurang
tepat<o:p></o:p></span></div>
<div class="MsoNoSpacing" style="line-height: 150%;">
<b style="mso-bidi-font-weight: normal;"><span lang="IN" style="font-family: "Arial","sans-serif";">Nilai 2<span style="mso-tab-count: 2;"> </span>: Mahir<o:p></o:p></span></b></div>
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<span lang="IN" style="font-family: "Arial","sans-serif";"><span style="mso-spacerun: yes;"> </span>Langkah dikerjakan dengan benar, tepat
dan tanpa ragu-ragu sesuai prosedur</span><span style="font-family: "Arial","sans-serif"; mso-ansi-language: EN-US;"><o:p></o:p></span></div>
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</v:rect><o:p> </o:p><br />
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<o:p> </o:p> </div>
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<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-bottom-style: none; border-collapse: collapse; border-color: initial; border-left-style: none; border-right-style: none; border-top-style: none; border-width: initial; width: 624px;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td rowspan="2" style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 31.8pt;" width="42">
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: EN-US;">NO.<o:p></o:p></span></b></div>
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<td rowspan="2" style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 342.6pt;" width="457">
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<b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: EN-US;">LANGKAH/TUGAS<o:p></o:p></span></b></div>
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<td colspan="5" style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 93.25pt;" width="124">
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<b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: EN-US;">PERTEMUAN<o:p></o:p></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: EN-US;">1<o:p></o:p></span></b></div>
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<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" width="26">
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: EN-US;">2<o:p></o:p></span></b></div>
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<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" width="26">
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<b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: EN-US;">3<o:p></o:p></span></b></div>
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<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 18.15pt;" width="24">
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: EN-US;">4<o:p></o:p></span></b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 17.65pt;" width="24">
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: EN-US;">5<o:p></o:p></span></b></div>
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</tr>
<tr style="mso-yfti-irow: 2;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 31.8pt;" valign="top" width="42">
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<span style="mso-ansi-language: EN-US;">1.<o:p></o:p></span></div>
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<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 342.6pt;" valign="top" width="457">
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<span style="mso-ansi-language: EN-US;">Jelaskan prosedur
kepada ibu<o:p></o:p></span></div>
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<br /></div>
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<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26">
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<br /></div>
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<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26">
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<br /></div>
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<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 18.15pt;" valign="top" width="24">
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<br /></div>
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<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 17.65pt;" valign="top" width="24">
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<span style="mso-ansi-language: EN-US;">2.<o:p></o:p></span></div>
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<div class="MsoNormal" style="text-align: justify;">
<span style="mso-ansi-language: EN-US;">Minta ibu untuk mengosongkan kandung kemih<o:p></o:p></span></div>
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<br /></div>
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<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26">
<div class="MsoNormal">
<br /></div>
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<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26">
<div class="MsoNormal">
<br /></div>
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<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 18.15pt;" valign="top" width="24">
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<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 17.65pt;" valign="top" width="24">
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<br /></div>
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<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 31.8pt;" valign="top" width="42">
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<span style="mso-ansi-language: EN-US;">3.<o:p></o:p></span></div>
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<div class="MsoNormal" style="text-align: justify;">
<span style="mso-ansi-language: EN-US;">Jaga privasi ibu<o:p></o:p></span></div>
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<br /></div>
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<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26">
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<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26">
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<br /></div>
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<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 18.15pt;" valign="top" width="24">
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<br /></div>
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<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 17.65pt;" valign="top" width="24">
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<br /></div>
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<span style="mso-ansi-language: EN-US;">4.<o:p></o:p></span></div>
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<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 342.6pt;" valign="top" width="457">
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<span style="mso-ansi-language: EN-US;">Cuci tangan menggunakan sabun dan air lalu keringkan<o:p></o:p></span></div>
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<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26">
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<br /></div>
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<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 18.15pt;" valign="top" width="24">
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<br /></div>
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<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 17.65pt;" valign="top" width="24">
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<span lang="SV" style="mso-ansi-language: SV;">5.<o:p></o:p></span></div>
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<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 342.6pt;" valign="top" width="457">
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<span lang="SV" style="mso-ansi-language: SV;">Buka pakaian ibu hanya di daerah abdomen<o:p></o:p></span></div>
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<div class="MsoNormal">
<br /></div>
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<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26">
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26">
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 18.15pt;" valign="top" width="24">
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 17.65pt;" valign="top" width="24">
<div class="MsoNormal">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 7;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 31.8pt;" valign="top" width="42">
<div class="MsoNormal" style="text-align: justify;">
<span style="mso-ansi-language: EN-US;">6.<o:p></o:p></span></div>
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<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 342.6pt;" valign="top" width="457">
<div class="MsoNormal" style="text-align: justify;">
<span style="mso-ansi-language: EN-US;">Gosokkan kedua telapak tangan supaya hangat<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26">
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26">
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26">
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 18.15pt;" valign="top" width="24">
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 17.65pt;" valign="top" width="24">
<div class="MsoNormal">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 8;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 31.8pt;" valign="top" width="42">
<div class="MsoNormal" style="text-align: justify;">
<span lang="SV" style="mso-ansi-language: SV;">7.<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 342.6pt;" valign="top" width="457">
<div class="MsoNormal" style="text-align: justify;">
<span lang="SV" style="mso-ansi-language: SV;">Berdiri di samping kanan ibu<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26">
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26">
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26">
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 18.15pt;" valign="top" width="24">
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 17.65pt;" valign="top" width="24">
<div class="MsoNormal">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 9;">
<td colspan="7" style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 467.65pt;" valign="top" width="624">
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span lang="SV" style="mso-ansi-language: SV;">Melakukan Palpasi Leopold I<o:p></o:p></span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 10;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 31.8pt;" valign="top" width="42">
<div class="MsoNormal" style="text-align: justify;">
<span lang="SV" style="mso-ansi-language: SV;">8.<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 342.6pt;" valign="top" width="457">
<div class="MsoNormal">
<span lang="SV" style="mso-ansi-language: SV;">Memposisikan
klien dengan lutut sedikit ditekuk dan petugas menghadap wajah klien<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26">
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26">
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26">
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 18.15pt;" valign="top" width="24">
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 17.65pt;" valign="top" width="24">
<div class="MsoNormal">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 11;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 31.8pt;" valign="top" width="42">
<div class="MsoNormal">
<span lang="SV" style="mso-ansi-language: SV;">9.<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 342.6pt;" valign="top" width="457">
<div class="MsoNormal">
<span lang="SV" style="mso-ansi-language: SV;">Menengahkan uterus
dengan menggunakan kedua tangan dari arah samping umbilikal<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26">
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26">
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26">
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 18.15pt;" valign="top" width="24">
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 17.65pt;" valign="top" width="24">
<div class="MsoNormal">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 12;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 31.8pt;" valign="top" width="42">
<div class="MsoNormal">
<span lang="SV" style="mso-ansi-language: SV;">10.<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 342.6pt;" valign="top" width="457">
<div class="MsoNormal">
<span lang="SV" style="mso-ansi-language: SV;">Menentukan
bagian janin yang berada di fundus<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26">
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26">
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26">
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 18.15pt;" valign="top" width="24">
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 17.65pt;" valign="top" width="24">
<div class="MsoNormal">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 13;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 31.8pt;" valign="top" width="42">
<div class="MsoNormal">
<span lang="SV" style="mso-ansi-language: SV;">11.<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 342.6pt;" valign="top" width="457">
<div class="MsoNormal">
<span lang="SV" style="mso-ansi-language: SV;">Kedua tangan
meraba fundus kemudian menentukan TFU<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26">
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26">
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26">
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 18.15pt;" valign="top" width="24">
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 17.65pt;" valign="top" width="24">
<div class="MsoNormal">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 14;">
<td colspan="7" style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 467.65pt;" valign="top" width="624">
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span lang="SV" style="mso-ansi-language: SV;">Melakukan Palpasi Leopold II<o:p></o:p></span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 15;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 31.8pt;" valign="top" width="42">
<div class="MsoNormal">
<span lang="SV" style="mso-ansi-language: SV;">12. <o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 342.6pt;" valign="top" width="457">
<div class="MsoNormal">
<span lang="SV" style="mso-ansi-language: SV;">Meletakkan
kedua tangan di samping kanan kiri perut ibu untuk menentukan letak bagian
janin<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26">
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26">
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26">
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 18.15pt;" valign="top" width="24">
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 17.65pt;" valign="top" width="24">
<div class="MsoNormal">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 16;">
<td colspan="7" style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 467.65pt;" valign="top" width="624">
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span lang="SV" style="mso-ansi-language: SV;">Melakukan Palpasi Leopold III<o:p></o:p></span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 17;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 31.8pt;" valign="top" width="42">
<div class="MsoNormal">
<span lang="SV" style="mso-ansi-language: SV;">13.<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 342.6pt;" valign="top" width="457">
<div class="MsoNormal">
<span lang="SV" style="mso-ansi-language: SV;">Meletakkan
tangan kiri menahan fundus, tangan kanan meraba bagan terbawah janin dan
menilai apakah bagian terbawah sudah masuk PAP<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26">
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26">
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26">
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 18.15pt;" valign="top" width="24">
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 17.65pt;" valign="top" width="24">
<div class="MsoNormal">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 18;">
<td colspan="7" style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 467.65pt;" valign="top" width="624">
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<b style="mso-bidi-font-weight: normal;"><span lang="SV" style="mso-ansi-language: SV;">Melakukan<span style="mso-spacerun: yes;">
</span>Palpasi Leopold IV<o:p></o:p></span></b></div>
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</tr>
<tr style="mso-yfti-irow: 19;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 31.8pt;" valign="top" width="42">
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<span lang="SV" style="mso-ansi-language: SV;">14. <o:p></o:p></span></div>
</td>
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<div class="MsoNormal">
<span lang="SV" style="mso-ansi-language: SV;">Memposisikan
klien dengan kedua kaki diluruskan, petugas menghadap ke arah klien<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26">
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26">
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26">
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 18.15pt;" valign="top" width="24">
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 17.65pt;" valign="top" width="24">
<div class="MsoNormal">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 20;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 31.8pt;" valign="top" width="42">
<div class="MsoNormal">
<span lang="SV" style="mso-ansi-language: SV;">15.<o:p></o:p></span></div>
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<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 342.6pt;" valign="top" width="457">
<div class="MsoNormal">
<span lang="SV" style="mso-ansi-language: SV;">Kedua tangan
diletakkan pada sisi bagian bawah rahim dan menilai seberapa jauh
penurunannya<o:p></o:p></span></div>
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<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26">
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26">
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26">
<div class="MsoNormal">
<br /></div>
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<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 18.15pt;" valign="top" width="24">
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 17.65pt;" valign="top" width="24">
<div class="MsoNormal">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 21;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 31.8pt;" valign="top" width="42">
<div class="MsoNormal">
<span lang="SV" style="mso-ansi-language: SV;">16.<o:p></o:p></span></div>
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<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 342.6pt;" valign="top" width="457">
<div class="MsoNormal">
<span lang="SV" style="mso-ansi-language: SV;">Membantu pasien
turun dan merapikan tempat tidur<o:p></o:p></span></div>
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<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26">
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26">
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 18.15pt;" valign="top" width="24">
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 17.65pt;" valign="top" width="24">
<div class="MsoNormal">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 22; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 31.8pt;" valign="top" width="42">
<div class="MsoNormal">
<span lang="SV" style="mso-ansi-language: SV;">17.<o:p></o:p></span></div>
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<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 342.6pt;" valign="top" width="457">
<div class="MsoNormal">
<span lang="SV" style="mso-ansi-language: SV;">Menyampaikan
hasil pemeriksaan<o:p></o:p></span></div>
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<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26">
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 19.15pt;" valign="top" width="26">
<div class="MsoNormal">
<br /></div>
</td>
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<div class="MsoNormal">
<br /></div>
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<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 17.65pt;" valign="top" width="24">
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<br /></div>
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<div class="MsoTitle">
<br /></div>Anonymoushttp://www.blogger.com/profile/01457688522410015120noreply@blogger.com0tag:blogger.com,1999:blog-2530420443861746556.post-91964452796391506582012-03-15T01:53:00.002-07:002012-03-15T01:53:47.234-07:00Anemia pada Ibu Hamil<!--[if gte mso 9]><xml>
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<div class="MsoListParagraph" style="line-height: 200%; margin-left: 0.25in; text-align: center; text-indent: -0.25in;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;"></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Anemia Pada Ibu Hamil</span></b></div>
<div class="MsoListParagraph" style="line-height: 200%; mso-list: l5 level4 lfo1; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Pengertian
Anemia </span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-left: .75in; mso-list: l8 level1 lfo2; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Anemia
adalah kondisi ibu dengan kadar hemoglobin di bawah 11 gr% pada trimester 1 dan
3 atau kadar < 10,5 gr% pada trimester 2 (Saifuddin, 2006).</span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-left: .75in; mso-list: l8 level1 lfo2; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Anemia
adalah kondisi ibu dengan kadar hemoglobin dalam darahnya kurang dari 12 gr%
(Winkjosastro, 2005).</span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-left: .75in; mso-list: l8 level1 lfo2; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Anemia
adalah turunya kadar hemoglobin kurang dari 12,0 gr/100 ml darah pada wanita
yang tidak hamil dan kurang dari 10 gr/100 ml darah pada wanita hamil (Varney,
2002)</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: .5in; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"><span style="mso-spacerun: yes;"></span></span></div>
<div class="MsoListParagraph" style="line-height: 200%; mso-list: l5 level4 lfo1; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Klasifikasi
Anemia dalam Kehamilan </span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-left: .75in; mso-list: l6 level1 lfo3; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Anemia
Defisiensi Besi </span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-left: .75in; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Anemia dalam kehamilan yang paling sering dijumpai adalah
akibat kekurangan besi. Kekurangan ini dapat disebabkan karena kurang masuknya
unsur besi dengan makanan, karena gangguan reabsorpsi, gangguan penggunaan atau
karena terlampau banyaknya besi ke luar dari badan, misalnya pada perdarahan.</span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-left: .75in; mso-list: l6 level1 lfo3; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Anemia
Megaloblastik</span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-left: .75in; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Anemia Megaloblastik biasanya berbentuk makrositik atau
pernisiosa. Penyebabnya adalah karena kekurangan asam folik, jarang sekali
karena akibat kekurangan vitamin B<sub>12</sub>. Biasanya karena malnutrisi dan
infeksi yang kronik. </span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-left: .75in; mso-list: l6 level1 lfo3; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Anemia
Hipoplastik </span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-left: .75in; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Anemia Hipoplastik adalah anemia pada ibu hamil yang
disebabkan karena sum-sum tulang kurang mampu membuat sel-sel darah baru.
Gambaran darah tepi menunjukan normositer dan normokrom, tidak ditemukan
cirri-ciri defisiensi besi, asam folik atau vitamin B<sub>12</sub>. Penyebabnya
belum diketahui, kecuali yang disebabkan oleh infeksi berat (sepsis), keracunan
dan sinar rontgen atau sinar radiasi. Terapi dengan obat-obatan tidak
memuaskan, mungkin pengobatan yang paling baik yaitu tranfusi darah yang perlu
sering diulang.</span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-left: .75in; mso-list: l6 level1 lfo3; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Anemia
Hemolitik </span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-left: .75in; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Disebabkan karena penghancuran sel darah merah
berlangsung lebih cepat dari pembuatannya.</span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-left: .75in; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 200%; mso-list: l5 level4 lfo1; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Kategori
Anemia </span></div>
<div class="MsoListParagraph" style="line-height: 200%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Anemia
dapat dikategorian sebagai berikut : </span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .75in; margin-right: 0in; margin-top: 0in; mso-list: l2 level1 lfo4; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Tidak
anemia bila kadar Hb 11 gr%</span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .75in; margin-right: 0in; margin-top: 0in; mso-list: l2 level1 lfo4; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Anemia
Ringan bila kadar Hb 9-10 gr% </span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .75in; margin-right: 0in; margin-top: 0in; mso-list: l2 level1 lfo4; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Anemia
Sedang bila kadar Hb 7-8 gr%</span></div>
<div class="MsoListParagraph" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .75in; margin-right: 0in; margin-top: 0in; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Anemia
Berat bila kadar Hb < 7 gr%</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt;"> </span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; mso-list: l5 level4 lfo1; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Tanda
dan Gejala Anemia </span></div>
<div class="MsoListParagraph" style="line-height: 200%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"><span style="mso-spacerun: yes;"> </span>Keluhan lemah, pucat, mudah pingsan
sementara tensi masih dalam batas normal, perlu dicurigai anemia defisiensi.
Secara klinik dapat dilihat tubuh yang malnutrisi, pucat. </span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; mso-list: l5 level4 lfo1; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Etiologi
</span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"><span style="mso-spacerun: yes;">
</span>Penyebab anemia dalam kehamilan umumnya adalah kurang gizi (malnutrisi),
kurang zat besi dalam diet, malabsorpsi, kehilangan darah yang banyak seperti
riwayat persalinan yang lalu, haid dan penyakit-penyakit kronik seperti TBC
paru, cacing usus, malaria, dll. </span></div>
<div class="MsoListParagraph" style="line-height: 200%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"><span style="mso-spacerun: yes;"> </span>Wanita memerlukan zat besi lebih tinggi
karena terjadi menstruasi dengan perdarahan sebanyak 50 sampai 80 cc setiap
bulan dan kehilangan zat besi sebesar 30 sampai 40 mg. Disamping itu kehamilan
memerlukan tambahan zat besi untuk meningkatkan jumlah sel darah merah dan
membentuk sel darah merah janin dan plasenta. Makin sering seorang wanita
mengalami kehamilan dan melahirkan akan makin banyak kehilangan zat besi dan
menjadi makin anemis. </span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; mso-list: l5 level4 lfo1; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Patofisiologi
Anemia Kehamilan </span></div>
<div class="MsoListParagraph" style="line-height: 200%; tab-stops: .75in; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"><span style="mso-spacerun: yes;"> </span>Darah
bertambah banyak dalam kehamilan, yang lazim disebut hidremia atau
hipervolemia. Akan tetapi, bertambahnya sel-sel darah kurang dibandingkan
dengan bertambahnya plasma, sehingga terjadi pengenceran darah. Perbandingannya
tidak seimbang yakni plasma bertambah 30%, sel darah 18%, dan hemoglobin 19%.
Pengenceran darah dianggap sebagai penyesuaian diri secara fisiologi dalam
kehamilan dan bermanfaat bagi wanita hamil oleh karena pengenceran itu
meringankan beban jantung yang harus bekerja lebih berat dalam masa hamil,
karena sebagai akibat hidremia cardiac output meningkat. Kerja jantung lebih
ringan apabila viskositas darah rendah. Resistensi perifer berkurang pula,
sehingga tekanan darah tidak naik. Kemudian, pada perdarahan waktu persalinan
banyaknya unsur besi yang hilang lebih sedikit dibandingkan apabila darah itu
tetap kental. Bertambahnya darah dalam kehamilan sudah mulai sejak kehamilan
umur 10 minggu dan mencapai puncaknya dalam kehamilan antara 32 dan 36 minggu. </span></div>
<div class="MsoListParagraph" style="line-height: 200%; tab-stops: .75in; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"><span style="mso-spacerun: yes;"> </span>Pada
kehamilan relative terjadi anemia karena darah ibu hamil mengalami hemodelusi
dengan peningkatan volume 30% sampai 40%. Jumlah peningkatan sel darah 18%
sampai 30%, dan hemoglobin sekitar 19%. Bila hemoglobin ibu sebelum hamil
sekitar 11 gr% maka dengan terjadinya hemodelusi akan mengakibatkan anemia
hamil fisiologis dan Hb ibu akan menjadi 9,5 gr% sampai 10 gr%.</span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; mso-list: l5 level4 lfo1; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Pengaruh
Anemia pada Kehamilan dan Janin</span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .75in; margin-right: 0in; margin-top: 0in; mso-list: l1 level1 lfo5; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Pengaruh
Anemia terhadap kehamilan .</span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 1.0in; margin-right: 0in; margin-top: 0in; mso-list: l9 level1 lfo6; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Bahaya
selama kehamilan </span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 1.25in; margin-right: 0in; margin-top: 0in; mso-list: l0 level1 lfo7; tab-stops: 81.0pt; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Dapat
terjadi abortus.</span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 1.25in; margin-right: 0in; margin-top: 0in; mso-list: l0 level1 lfo7; tab-stops: 81.0pt; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Persalinan
Prematuritas.</span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 1.25in; margin-right: 0in; margin-top: 0in; mso-list: l0 level1 lfo7; tab-stops: 81.0pt; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Hambatan
tumbuh kembang janin dalam rahim.</span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 1.25in; margin-right: 0in; margin-top: 0in; mso-list: l0 level1 lfo7; tab-stops: 94.5pt; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">d)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Mudah
terjadi infeksi.</span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 1.25in; margin-right: 0in; margin-top: 0in; mso-list: l0 level1 lfo7; tab-stops: 94.5pt; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">e)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Ancaman
dekompensasi kordis (Hb < 6 gr%).</span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 1.25in; margin-right: 0in; margin-top: 0in; mso-list: l0 level1 lfo7; tab-stops: 94.5pt; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">f)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Mola
Hidatidosa.</span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 1.25in; margin-right: 0in; margin-top: 0in; mso-list: l0 level1 lfo7; tab-stops: 94.5pt; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">g)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Hiperemesis
Gravidarum. </span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 1.25in; margin-right: 0in; margin-top: 0in; mso-list: l0 level1 lfo7; tab-stops: 94.5pt; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">h)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Perdarahan
Antepartum. </span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 1.25in; margin-right: 0in; margin-top: 0in; mso-list: l0 level1 lfo7; tab-stops: 94.5pt; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">i)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Ketuban
Pecah Dini.</span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 1.0in; margin-right: 0in; margin-top: 0in; mso-list: l9 level1 lfo6; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Bahaya
saat persalinan </span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 1.25in; margin-right: 0in; margin-top: 0in; mso-list: l3 level1 lfo8; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Gangguan
his, kekutan mengejan.</span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 1.25in; margin-right: 0in; margin-top: 0in; mso-list: l3 level1 lfo8; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Kala
pertama dapat berlangsung lama.</span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 1.25in; margin-right: 0in; margin-top: 0in; mso-list: l3 level1 lfo8; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Kala
dua berlangsung lama sehingga dapat melelahkan dan sering memerlukan tindakan
operasi kebidanan. </span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 1.25in; margin-right: 0in; margin-top: 0in; mso-list: l3 level1 lfo8; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">d)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Kala
Uri dapat diikuti retensio plasenta dan perdarahan post partum karena atonia
uteri.</span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 1.25in; margin-right: 0in; margin-top: 0in; mso-list: l3 level1 lfo8; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">e)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Kala
empat dapat terjadi perdarahan post partum sekunder dan atonia uteri. </span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 1.0in; margin-right: 0in; margin-top: 0in; mso-list: l9 level1 lfo6; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Pada
kala nifas</span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 1.25in; margin-right: 0in; margin-top: 0in; mso-list: l7 level1 lfo9; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Terjadi
Sub Involusio uteri menimbulkan perdarahan postpartum.</span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 1.25in; margin-right: 0in; margin-top: 0in; mso-list: l7 level1 lfo9; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Memudahkan
infeksi puerperium. </span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 1.25in; margin-right: 0in; margin-top: 0in; mso-list: l7 level1 lfo9; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Pengeluaran
ASI berkurang.</span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 1.25in; margin-right: 0in; margin-top: 0in; mso-list: l7 level1 lfo9; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">d)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Terjadi
dekompensasi kordis mendadak setelah persalinan. </span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 1.25in; margin-right: 0in; margin-top: 0in; mso-list: l7 level1 lfo9; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">e)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Anemia
kala nifas. </span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 1.25in; margin-right: 0in; margin-top: 0in; mso-list: l7 level1 lfo9; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">f)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Mudah
terjadi infeksi mammae. </span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .75in; margin-right: 0in; margin-top: 0in; mso-list: l1 level1 lfo5; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Pengaruh
Anemia terhadap janin. </span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .75in; margin-right: 0in; margin-top: 0in; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"><span style="mso-spacerun: yes;"> </span>Sekalipun tampaknya janin mampu menyerap
berbagai kebutuhan dari ibunya, tetapi dengan anemia akan mengurangi kemampuan
metabolisme tubuh sehingga mengganggu pertumbuhan dan perkembangan janin dalam
rahim. Akibat anemia dapat terjadi gangguan dalam bentuk : </span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 1.0in; margin-right: 0in; margin-top: 0in; mso-list: l4 level1 lfo10; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Abortus
</span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 1.0in; margin-right: 0in; margin-top: 0in; mso-list: l4 level1 lfo10; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Terjadi
kematian intrauteri. </span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 1.0in; margin-right: 0in; margin-top: 0in; mso-list: l4 level1 lfo10; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Persalinan
prematuritas tinggi.</span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 1.0in; margin-right: 0in; margin-top: 0in; mso-list: l4 level1 lfo10; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">4)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Berat
badan lahir rendah. </span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 1.0in; margin-right: 0in; margin-top: 0in; mso-list: l4 level1 lfo10; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">5)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Kelahiran
dengan anemia. </span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 1.0in; margin-right: 0in; margin-top: 0in; mso-list: l4 level1 lfo10; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">6)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Dapat
terjadi cacat bawaan. </span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 1.0in; margin-right: 0in; margin-top: 0in; mso-list: l4 level1 lfo10; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">7)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Bayi
mudah mendapat infeksi hingga kematian perinatal.</span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 1.0in; margin-right: 0in; margin-top: 0in; mso-list: l4 level1 lfo10; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">8)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Inteligensia
rendah.<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; mso-list: l5 level4 lfo1; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Diagnosis
Anemia Dalam Kehamilan </span></div>
<div class="MsoListParagraph" style="line-height: 200%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"><span style="mso-spacerun: yes;"> </span>Untuk menegakkan diagnosis anemia
kehamilan dapat dlakukan dengan anamnesa. Pada anamnesa akan didapatkan keluhan
cepat lelah, sering pusing, mata berkunang-kunang, dan keluhan mual muntah
lebih hebat pada kehamilan muda.</span></div>
<div class="MsoListParagraph" style="line-height: 200%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"><span style="mso-spacerun: yes;"> </span>Ibu hamil dengan kadar Hb kurang dari 10
gr/100 ml barulah disebut anemia dalam kehamilan, karena itu para wanita hamil
dengan Hb antara 10 dan 12 g/100 ml tidak dianggap anemia patologik, akan
tetapi anemia fisiologik. </span></div>
<div class="MsoListParagraph" style="line-height: 200%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"><span style="mso-spacerun: yes;"> </span>Pemeriksaan kadar Hb dan darah tepi akan
memberikan kesan pertama.</span></div>
<div class="MsoListParagraph" style="line-height: 200%; mso-list: l5 level4 lfo1; text-align: justify; text-indent: -.25in;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Penanganan
Anemia Dalam Kehamilan.</span></div>
<div class="MsoListParagraph" style="line-height: 200%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"><span style="mso-spacerun: yes;"> </span>Kebutuhan ibu selama kehamilan ialah
800 mg besi diantaranya 300 mg untuk janin plasenta dan 500 mg untuk penambahan
eritrosit ibu<span style="mso-spacerun: yes;"> </span>.</span></div>
<div class="MsoListParagraph" style="line-height: 200%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"><span style="mso-spacerun: yes;"> </span>Apabila pada pemeriksaan kehamilan hanya
Hb yang diperiksa dan Hb itu kurang dari 10 g/100 ml, maka wanita tersebut
dapat dianggap sebagai anemia defesiensi besi, baik yang murni maupun yang
dimorfis, karena tersering anemia dalam kehamilan ialah anemia defisiensi besi.
</span></div>
<div class="MsoListParagraph" style="line-height: 200%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"><span style="mso-spacerun: yes;"> </span>Pengobatan dapat dimulai dengan preparat
besi sebanyak 600-1000 mg sehari seperti sulfas ferrosus atau glukonas
ferrosus. Hb dapat dinaikkan sampai 10 g/100 ml atau lebih asal masih ada cukup
waktu sampai janin lahir. </span></div>
<div class="MsoListParagraph" style="line-height: 200%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"><span style="mso-spacerun: yes;"> </span>Untuk menghindari terjadinya anemia,
sebaiknya ibu hamil melakukan pemeriksaan sebelum hamil sehingga dapat
diketahui data-data dasar kesehatan umum calon ibu tersebut, disertai
pemeriksaan laboratorium .</span></div>
<div class="MsoListParagraph" style="line-height: 200%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"><span style="mso-spacerun: yes;"> </span>Pencegahan di daerah-daerah dengan
frekuensi kehamilan yang tinggi sebaiknya setiap wanita hamil diberi sulfas
ferosus atau glukonas ferrosus, cukup 1 tablet sehari. Selain itu wanita
dinasehatkan pula untuk makan lebih banyak protein dan sayur-sayuran yang
mengandung banyak mineral serta vitamin. </span></div>
<div class="MsoListParagraph" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt;">Referensi:</span></div>
<div class="MsoListParagraph" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
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<div class="MsoListParagraph" style="margin-left: 28.35pt; text-align: justify; text-indent: -27.8pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Manuaba, IBG. 1998.<i style="mso-bidi-font-style: normal;">
Ilmu Kebidanan, Penyakit Kandungan, dan Keluarga Berencana untuk Pendidikan
Bidan</i>. Jakarta ; EGC</span></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Rustam M. 1998. <i style="mso-bidi-font-style: normal;">Sinopsis Obstetri Edisi 2</i>. Jakarta :EGC</span></div>
<div class="MsoNormal" style="margin-left: 28.35pt; text-align: justify; text-indent: -28.35pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Saifuddin,
Abdul. 2006. <i style="mso-bidi-font-style: normal;">Buku Acuan Nasional
Pelayanan Kesehatan Maternal dan Neonatal. </i>Jakarta : Yayaysan Bina Pustaka
Sarwono Prawirohardjo</span></div>
<div class="MsoNormal" style="margin-left: 28.35pt; text-align: justify; text-indent: -28.35pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Saifuddin,
Abdul. 2006. <i style="mso-bidi-font-style: normal;">Buku Panduan Praktis
Pelayanan Kontrasepsi Edisi 2</i>. Jakarta : Yayasan Bina Pustaka Sarwono
Prawirohardjo</span></div>
<div class="MsoNormal" style="margin-left: 28.35pt; text-align: justify; text-indent: -28.35pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Varney,
Helen. 2002. Buku Saku Bidan. Jakarta : EGC</span></div>
<div class="MsoNormal" style="margin-left: 28.35pt; text-align: justify; text-indent: -28.35pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">Winkjosastro,
Hanifa. 2005. <i style="mso-bidi-font-style: normal;">Ilmu Kebidanan</i>. Jakarta
: Yayasan Bina Pustaka Sarwono Prawirohardjo </span></div>
<div class="MsoListParagraph" style="line-height: normal; margin-bottom: 0.0001pt; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-left: .25in; mso-list: l5 level1 lfo1; text-align: justify; text-indent: -.25in;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;"><span style="font: 7.0pt "Times New Roman";"></span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"></span></b></div>Anonymoushttp://www.blogger.com/profile/01457688522410015120noreply@blogger.com1tag:blogger.com,1999:blog-2530420443861746556.post-14961914607732445332012-03-15T01:41:00.002-07:002012-03-15T01:42:14.524-07:00Preeklampsi<br />
<div class="MsoListParagraphCxSpFirst" style="line-height: 300%; margin-left: 0.25in; text-align: center; text-indent: -0.25in;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 300%;"></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 300%;">Preeklampsi </span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: .75in; mso-add-space: auto; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 250%; mso-list: l4 level1 lfo2; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 250%;">1.<span style="font: 7pt "Times New Roman";">
</span></span></b><span dir="LTR"></span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 250%;">Penyebab
preeklampsia </span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">
Etiologi penyakit ini sampai sekarang belum diketahui secara pasti. Oleh
karena itu, pendekatan yang bijaksana adalah megidentifikasi wanita yang
beresiko atau mereka yang menunjukkan gejala. Kondisi yang dihubungkan dengan
preeeklampsia adalah sebagai berikut : </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: .75in; mso-add-space: auto; mso-list: l10 level1 lfo3; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">a.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">Nuliparitas
</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: .75in; mso-add-space: auto; mso-list: l10 level1 lfo3; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">b.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">Penyakit
trofoblastik (70% terjadi pada kasus mola hidatidosa)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: .75in; mso-add-space: auto; mso-list: l10 level1 lfo3; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">c.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">Kehamilan
kembar, tanpa memperhatikan paritas </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: .75in; mso-add-space: auto; mso-list: l10 level1 lfo3; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">d.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">Riwayat
penyakit : </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.0in; mso-add-space: auto; mso-list: l18 level1 lfo4; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">1)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">Hipertensi
kronis </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.0in; mso-add-space: auto; mso-list: l18 level1 lfo4; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">2)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">Penyakit
ginjal kronis </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.0in; mso-add-space: auto; mso-list: l18 level1 lfo4; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">3)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">Diabetes
mellitus pra-kehamilan </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: .75in; mso-add-space: auto; mso-list: l10 level1 lfo3; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">e.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">Riwayat
preeklampsia atau eklampsia dalam keluarga </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: .75in; mso-add-space: auto; mso-list: l10 level1 lfo3; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">f.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">Riwayat
preeklampsia sebelumnya </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: .75in; mso-add-space: auto; mso-list: l10 level1 lfo3; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">g.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">Nutrisi
jelek </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: .75in; mso-add-space: auto; mso-list: l10 level1 lfo3; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt;">h.<span style="font: 7pt "Times New Roman";">
</span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12pt;">Ibu dengan obesitas </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.0in; mso-add-space: auto; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 250%; mso-list: l4 level1 lfo2; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 250%;">2.<span style="font: 7pt "Times New Roman";">
</span></span></b><span dir="LTR"></span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 250%;">Patofisiologi
preeklampsia </span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">
Patifisiologi preeklampsia setidaknya berkaitan dengan perubahan
fisiologis kehamilan. Pada kehamilan normal dinding spiral arteri di invasi
oleh sel-sel trofoblas dan membentuk suatu saluran yang berkelok-kelok yang
berfungsi untuk membawa sejumlah besar darah ke dalam celah intervillus yang
mengakibatkan penurunan tahanan perifer.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">
Pada kasus preeklampsia terdapat keadaan tidak adekuatnya invasi dari
spiral arteriol oleh sel-sel trofoblas sehingga terjadi penurunan perfusi
jaringan utero plasenta. Pada proses lanjut hal ini menyebabkan kerusakan
endothelium pembuluh darah.dan selanjutnya terjadi vasokonstriksi. Vasokonstriksi
menyebabkan volume plasma yang
beredar menurun dan timbul hemokonsentrasi. Sebagai kompensasinya terjadi
peningkatan permeabilitas pembuluh darah sehingga pada akibat lanjut
mengakibatkan terjadinya edema. Selain itu vasokonstriksi juga menyebabkan
aliran darah ke ginjal menurun sehingga terjadi gangguan filtrasi glomerulus.
Kerusakan glomerulus inilah sehingga senyawa albumin bisa lolos dan terdapat
dalam urin. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">
Pada beberapa kasus, lumen arteriola sedemikian sempitnya sehingga hanya
dapat dilalui oleh satu sel darah merah. Jadi, jika semua arteriola dalam tubuh
mengalami spasme, maka tekanan darah akan naik sebagai usaha untuk mengatasi
kenaikan tekanan perifer agar oksigenasi jaringan dapat dicukupi. </span></div>
<table align="left" cellpadding="0" cellspacing="0"><tbody>
<tr><td height="8" width="11"><br /></td>
</tr>
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<td><br /></td>
<td><br /></td>
</tr>
</tbody></table>
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;"></span><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;"></span>
<br />
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; mso-list: l4 level1 lfo2; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">3.<span style="font: 7pt "Times New Roman";">
</span></span></b><span dir="LTR"></span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">Komplikasi
</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">
Komplikasi terberat adalah kematian ibu dan janin. Usaha utama ialah
melahirkan bayi hidup dari ibu yang menderita preeklampsia dan eklampsia.
Koplikasi yang tersebut di bawah ini bias any aterjadi pada preeklampsia berat
dan eklampsia . </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: .75in; mso-add-space: auto; mso-list: l7 level1 lfo23; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">a.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">Solusio
plasenta </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: .75in; mso-add-space: auto; mso-list: l7 level1 lfo23; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">b.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">Hipofibrinogenemia
</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: .75in; mso-add-space: auto; mso-list: l7 level1 lfo23; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">c.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">Hemolisis </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: .75in; mso-add-space: auto; mso-list: l7 level1 lfo23; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">d.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">Perdarahan
otak </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: .75in; mso-add-space: auto; mso-list: l7 level1 lfo23; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">e.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">Kelainan
mata </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: .75in; mso-add-space: auto; mso-list: l7 level1 lfo23; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">f.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">Edema
paru-paru </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: .75in; mso-add-space: auto; mso-list: l7 level1 lfo23; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">g.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">Nekrosis
hati </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: .75in; mso-add-space: auto; mso-list: l7 level1 lfo23; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">h.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">Sindrom
HELLP </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: .75in; mso-add-space: auto; mso-list: l7 level1 lfo23; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">i.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">Kelainan
ginjal </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: .75in; mso-add-space: auto; mso-list: l7 level1 lfo23; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">j.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">Prematuritas,
dismaturitas dan kematian janin intra uterin </span></div>
<br />
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; mso-list: l4 level1 lfo2; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">4.<span style="font: 7pt "Times New Roman";">
</span></span></b><span dir="LTR"></span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">Pencegahan
</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;"> </span></b><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">Pemeriksaan antenatal yang
teratur dan teliti dapat menemukan tanda-tanda dini preeklampsia dan dalam hal
ini harus dilkukan penanganan yang semestinya. Kita perlu lebih waspada akan
timbulnya preeklampsia dengan adanya factor-faktor predisposisi seperti yang
telah diuraikan di atas. Walaupun timbulnya preeklampsia tidak dapat dicegah
sepenuhnya, namun frekuensinya dapat dikurangi dengan pemberin penerangan
secukupnya dan pelaksanaan pengawasan yang baik pada wanita hamil. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">
Penerangan tentang manfaat istitrahat dan diet berguna dalam pencegahan.
Istirahat tidak selalu berarti erbaring di tempat tidur, namun pekerjaan
sehari-hari perlu dikurangi, dan dianjurkan lebih banyak duduk dan berbaring. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 250%; mso-list: l4 level1 lfo2; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 250%;">5.<span style="font: 7pt "Times New Roman";">
</span></span></b><span dir="LTR"></span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 250%;">Penatalaksanaan
preeklampsia </span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: .75in; mso-add-space: auto; mso-list: l12 level1 lfo5; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">a.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">Preeklampsia
ringan </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: .75in; mso-add-space: auto; text-align: justify; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">Kehamilan
kurang dari 37 minggu </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: .75in; mso-add-space: auto; text-align: justify; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">Jika
belum ada perbaikan, lakukan penilaian 2 kali seminggu secara rawat jalan : </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.0in; mso-add-space: auto; mso-list: l6 level1 lfo6; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">1)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">Pantau
tekanan darah, urin (untuk proteinuri), reflex dan kondisi janin </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.0in; mso-add-space: auto; mso-list: l6 level1 lfo6; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">2)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">Konseling
pasien dan keluarganya tentang tanda-tanda bahaya preeklampsia dan eklampsia </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.0in; mso-add-space: auto; mso-list: l6 level1 lfo6; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">3)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">Lebih
banyak istirahat </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.0in; mso-add-space: auto; mso-list: l6 level1 lfo6; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">4)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">Diet
biasa (tidak perlu diet rendah garam)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.0in; mso-add-space: auto; mso-list: l6 level1 lfo6; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">5)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">Tidak
perlu diberi obat-obatan </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: .75in; mso-add-space: auto; text-align: justify; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">Jika
rawat jalan tidak mungkin, rawat di rumah sakit : </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.0in; mso-add-space: auto; mso-list: l5 level1 lfo7; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">1)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">Diet
biasa </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.0in; mso-add-space: auto; mso-list: l5 level1 lfo7; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">2)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">Pantau
tekanan darah 2 kali sehari, dan urin (untuk proteinuri) sekali sehari </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.0in; mso-add-space: auto; mso-list: l5 level1 lfo7; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">3)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">Tidak
perlu diberi obat-obatan </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.0in; mso-add-space: auto; mso-list: l5 level1 lfo7; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">4)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">Tidak
perlu diuretik, kecuali jika terdapat edema paru, dekompensasi kordis, atau
gagal ginjal akut </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.0in; mso-add-space: auto; mso-list: l5 level1 lfo7; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">5)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">Jika
tekanan diastolik turun sampai normal pasien dapat dipulangkan: </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.25in; mso-add-space: auto; mso-list: l3 level1 lfo8; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">a)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">Nasehatkan
untuk istirahat dan perhatikan tanda-tanda preeklampsia berat </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.25in; mso-add-space: auto; mso-list: l3 level1 lfo8; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">b)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">Kontrol
2 kali seminggu untuk memantau tekanan darah, urin, keadaan janin, serta gejala
dan tanda-tanda preeklampsia berat </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.25in; mso-add-space: auto; mso-list: l3 level1 lfo8; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">c)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">Jika
tekanan diastolik naik lagi, rawat kembali </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.0in; mso-add-space: auto; mso-list: l5 level1 lfo7; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">6)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">Jika
tidak ada tanda-tanda perbaikan, tetap dirawat. Lanjutkan penanganan dan
observasi kesehatan janin</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.0in; mso-add-space: auto; mso-list: l5 level1 lfo7; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">7)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">Jika
terdapat tanda-tanda pertumbuhan janin terhambat, pertimbangkan terminasi
kehamilan. Jika tidak rawat sampai aterm </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.0in; mso-add-space: auto; mso-list: l5 level1 lfo7; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">8)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">Jika
proteinuri meningkat, tangani sebagai preeklampsia berat </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: .75in; mso-add-space: auto; text-align: justify; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">Kehamilan
lebih dari 37 minggu </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.0in; mso-add-space: auto; mso-list: l15 level1 lfo9; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">1)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">Jika
serviks matang, pecahkan ketuban dan induksi persalinan dengan oksitosin atau
prostaglandin </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.0in; mso-add-space: auto; mso-list: l15 level1 lfo9; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">2)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">Jika
serviks belum matang, lakukan pematangan dengan prostaglandin atau kateter
foley atau lakukan seksio sesaria. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.0in; mso-add-space: auto; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: .75in; mso-add-space: auto; mso-list: l12 level1 lfo5; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">b.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">Preeklampsia
berat </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.0in; mso-add-space: auto; mso-list: l1 level1 lfo10; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">1)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">Semua
kasus preeklampsia berat harus ditangani secara aktif. Penanganan konservatif
tidak dianjurkan karena gejala dan tanda eklampsia seperti hiperrefleksia dan
gangguan penglihatan sering tidak terjadi. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.0in; mso-add-space: auto; mso-list: l1 level1 lfo10; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">2)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">Penanganan
umum : </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.25in; mso-add-space: auto; mso-list: l13 level1 lfo11; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">a)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">Jika
tekanan diastolic tetap ≥ 110 mmHg,berikan obat anti hipertensi sampai tekanan
diastolik di antara 90-100 mmHg </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.25in; mso-add-space: auto; mso-list: l13 level1 lfo11; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">b)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">Pasang
infuse dengan jarum besar (16 gauge atau lebih besar)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.25in; mso-add-space: auto; mso-list: l13 level1 lfo11; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">c)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">Ukur
keseimbangan cairan, jangan sampai terjadi overload cairan </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.25in; mso-add-space: auto; mso-list: l13 level1 lfo11; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">d)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">Kateterisasi
urin untuk memantau pengeluaran urin dan proteinuri </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.25in; mso-add-space: auto; mso-list: l13 level1 lfo11; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">e)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">Jangan
tinggalkan pasien sendirian. Kejang disertai muntah dapat mengakibatkan
kematian ibu dan janin </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.25in; mso-add-space: auto; mso-list: l13 level1 lfo11; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">f)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">Observasi
tanda-tanda vital, reflex, dan denyut jantung janin setiap jam </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.25in; mso-add-space: auto; mso-list: l13 level1 lfo11; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">g)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">Auskultasi
paru untuk mencari tanda-tanda edema paru </span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-left: 1.25in; mso-add-space: auto; mso-list: l13 level1 lfo11; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">h)<span style="font: 7pt "Times New Roman";">
</span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">Hentikan pemberian
cairan IV dan berikan diuretic misalnya furosemid 40 mg IV sekali saja jika ada
edema paru </span></div>
<div class="MsoNormal" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 200%; margin-left: 1.0in; mso-add-space: auto; mso-list: l1 level1 lfo10; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">3)<span style="font: 7pt "Times New Roman";">
</span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">Penanganan kejang
dengan pemberian antikonvulsan Magnesium Sulfat (MgSO<sub>4</sub>) dengan dosis
: </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.25in; mso-add-space: auto; mso-list: l2 level1 lfo12; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">a)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">Sebelum
pemberian MgSO<sub>4</sub> periksa : </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.5in; mso-add-space: auto; mso-list: l20 level1 lfo13; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">(1)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">Frekuensi
pernapasan minimal 16 x/menit </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.5in; mso-add-space: auto; mso-list: l20 level1 lfo13; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">(2)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">Reflex
patella (+)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.5in; mso-add-space: auto; mso-list: l20 level1 lfo13; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">(3)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">Urin
minimal 30 ml/jam dalam 4 jam terakhir </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.25in; mso-add-space: auto; mso-list: l2 level1 lfo12; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">b)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">Siapkan
antidotum : </span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">(1)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">Jika
terjadi henti napas lakukan ventilasi dengan menggunakan masker dan balon
ventilator </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.5in; mso-add-space: auto; mso-list: l0 level1 lfo14; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">(2)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">Beri
kalsium glukonat 1 g (20 ml dalam larutan 10%) IV perlahan-lahan sampai
pernapasan mulai lagi. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.25in; mso-add-space: auto; mso-list: l2 level1 lfo12; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">c)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">Dosis
awal :</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.5in; mso-add-space: auto; mso-list: l19 level1 lfo15; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">(1)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">MgSO<sub>4</sub>
4 g IV dalam larutan 40% selama 5 menit </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.5in; mso-add-space: auto; mso-list: l19 level1 lfo15; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">(2)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">Segera
dilanjutkan dengan pemberian 10 g larutan MgSO<sub>4</sub> 50%, masing-masing 5
g di bokong kanan dan kiri secara IM dalam, ditambah 1 ml lignokain 2% pada
semprit yang sama. Pasien akan merasa agak panas sewaktu pemberian MgSO<sub>4</sub>.
</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.5in; mso-add-space: auto; mso-list: l19 level1 lfo15; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">(3)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">Jika
kejang berulang setelah 15 menit, berikan MgSO<sub>4</sub>2 g (larutan 40%) IV
selama menit. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.25in; mso-add-space: auto; mso-list: l2 level1 lfo12; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">d)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">Dosis
pemeliharaan :</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.5in; mso-add-space: auto; mso-list: l8 level1 lfo16; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">(1)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">MgSO<sub>4</sub>
1-2 g / jam per infuse, 15 tetes/menit atau 5 g MgSO<sub>4</sub> IM tiap 4 jam.
</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.5in; mso-add-space: auto; mso-list: l8 level1 lfo16; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">(2)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">Lanjutkan
pemberian MgSO<sub>4</sub> sampai 24 jam pasca persalinan atau kejang berakhir.
</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.25in; mso-add-space: auto; mso-list: l2 level1 lfo12; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">e)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">Hentikan
pemberian MgSO<sub>4</sub> jika : </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.5in; mso-add-space: auto; mso-list: l16 level1 lfo17; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">(1)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">Frekuensi
pernapasan < 16 x/menit </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.5in; mso-add-space: auto; mso-list: l16 level1 lfo17; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">(2)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">Refles
patella (-)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.5in; mso-add-space: auto; mso-list: l16 level1 lfo17; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">(3)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">Urin
< 30 ml/jam dalm 4 jam terakhir </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.0in; mso-add-space: auto; mso-list: l1 level1 lfo10; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">4)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">Jika
MgSO<sub>4</sub> tidak tersedia dapat diberikan diazepam IV dengan resiko
terjadinya depresi pernapasan neonatal. Pada dosis tunggal tidak menimbulkan
depresi pernapasan.kecuali jika pemberian secara terus menerus secara IV </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.25in; mso-add-space: auto; mso-list: l21 level1 lfo18; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">a)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">Dosis
awal diazepam : </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.5in; mso-add-space: auto; mso-list: l14 level1 lfo19; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">(1)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">Diazepam
10 mg IV pelan-pelan selama 2 menit </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.5in; mso-add-space: auto; mso-list: l14 level1 lfo19; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">(2)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">Jika
kejang berulang ulangi dosis awal </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.25in; mso-add-space: auto; mso-list: l21 level1 lfo18; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">b)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">Dosis
pemeliharaan : </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.5in; mso-add-space: auto; mso-list: l17 level1 lfo20; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">(1)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">Diazepam
40 mg dalam 500 ml larutan Ringer Laktat per infuse </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.5in; mso-add-space: auto; mso-list: l17 level1 lfo20; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">(2)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">Depresi
pernapasan ibu mungkin akan terjadi jika dosis > 30 mg/jam </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.5in; mso-add-space: auto; mso-list: l17 level1 lfo20; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">(3)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">Jangan
berikan > 100 mg/24 jam </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.25in; mso-add-space: auto; mso-list: l21 level1 lfo18; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">c)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">Pemberian
melalui rektum </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.5in; mso-add-space: auto; mso-list: l11 level1 lfo21; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">(1)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">Jika
pemberian IV tidak mungkin, diazepam dapat diberika per rectal dengan dosisi
awal 20 mg dalam semprit 10 ml tanpa jarum </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.5in; mso-add-space: auto; mso-list: l11 level1 lfo21; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">(2)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">Jika
kejang tidak teratasi dalam 10 menit, beri tambahan 10 mg/jam atau lebih,
tergantung pada berat badan pasien dan respon klinik pasien </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 300%; margin-left: 1.5in; mso-add-space: auto; text-align: justify; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 300%;"><br /> </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 300%; margin-left: .25in; mso-add-space: auto; mso-list: l22 level1 lfo1; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 300%;">Referensi :</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 300%; margin-left: 0.25in; text-align: justify; text-indent: -0.25in;">
<b><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 300%;">Saifuddin AB. 2006. Buku Acuan Maternal dan Neonatal. YBPSP. Jakarta<br /><span style="font: 7pt "Times New Roman";"></span></span></b></div>
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 115%;"></span>Anonymoushttp://www.blogger.com/profile/01457688522410015120noreply@blogger.com0tag:blogger.com,1999:blog-2530420443861746556.post-46277498353513253022012-03-15T01:37:00.003-07:002012-03-15T01:37:54.618-07:00Hipertensi dalam Kehamilan<!--[if gte mso 9]><xml>
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<br />
<div class="MsoListParagraphCxSpFirst" style="line-height: 250%; text-align: center; text-indent: -0.25in;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 250%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;"></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 250%;">Klasifikasi Hipertensi dalam Kehamilan <span style="mso-spacerun: yes;"> </span></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; text-align: justify; text-justify: inter-ideograph;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"><span style="mso-spacerun: yes;"> </span></span></b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Klasifikasi hipertensi dalam
kehamilan meliputi : </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: .75in; mso-add-space: auto; mso-list: l7 level1 lfo2; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Hipertensi
kronik </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.0in; mso-add-space: auto; mso-list: l4 level1 lfo3; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Hipertensi
kronik dengan gejala dantanda yang selalu ada adalah : </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.25in; mso-add-space: auto; mso-list: l9 level1 lfo4; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Tekanan
diastolik ≥ 90 mmHg </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.25in; mso-add-space: auto; mso-list: l9 level1 lfo4; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Umur
kehamilan < 20 minggu </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.0in; mso-add-space: auto; mso-list: l4 level1 lfo3; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Hipertensi
kronik dengan superimposed preeklampsi ringan dengan gejala dan tanda yang
selalu ada adalah : </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.25in; mso-add-space: auto; mso-list: l1 level1 lfo5; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Tekanan
diastolik 90-110 mmHg pada kehamilan < 20 minggu </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.25in; mso-add-space: auto; mso-list: l1 level1 lfo5; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Proteinuri
< +2 </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: .75in; mso-add-space: auto; mso-list: l7 level1 lfo2; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Hipertensi
karena kehamilan </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.0in; mso-add-space: auto; mso-list: l5 level1 lfo6; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Hipertensi
tanpa proteiuri dan edema dengan gejala dan tanda yang selalu ada adalah : </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.25in; mso-add-space: auto; mso-list: l3 level1 lfo7; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Tekanan
diastolik 90-110 mmHg pada 2 x pengukuran berjarak 4 jam </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.25in; mso-add-space: auto; mso-list: l3 level1 lfo7; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Umur
kehamilan > 20 minggu </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.25in; mso-add-space: auto; mso-list: l3 level1 lfo7; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Proteinuri
(-)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.0in; mso-add-space: auto; mso-list: l5 level1 lfo6; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Preeklampsia
ringan dengan gejala dan tanda yang selalu ada adalah : </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.25in; mso-add-space: auto; mso-list: l11 level1 lfo8; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Tekanan
diastolik 90-110 mmHg pada 2x pengukuran dengan jarak 4 jam </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.25in; mso-add-space: auto; mso-list: l11 level1 lfo8; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Umur
kehamilan > 20 minggu </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.25in; mso-add-space: auto; mso-list: l11 level1 lfo8; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Proteinuri
sampai (++)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.0in; mso-add-space: auto; mso-list: l5 level1 lfo6; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Preeklampsia
berat dengan gejala dan tanda yang selalu ada<span style="mso-spacerun: yes;">
</span>adalah : </span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Tekanan
diastolik ≥ 110 mmHg pada kehamilan > 20 minggu</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.25in; mso-add-space: auto; mso-list: l10 level1 lfo9; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Proteinuri
≥ (+++)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.25in; mso-add-space: auto; text-align: justify; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Gejala
dan tanda yang kadang menyertai adalah : </span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Nyeri
kepala yang tidak hilang dengan pemberian obat analgetik biasa </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.5in; mso-add-space: auto; mso-list: l8 level1 lfo10; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Penglihatan
kabur </span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Nyeri
epigastrium </span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">d)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Oligouri
(< 400 ml/24 jam)</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">e)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Hiperrefleksia
</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.5in; mso-add-space: auto; mso-list: l8 level1 lfo10; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">f)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Edema
paru </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.0in; mso-add-space: auto; mso-list: l5 level1 lfo6; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">4)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Eklampsia
</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.0in; mso-add-space: auto; text-align: justify; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Gejala
dan tanda yang selalu ada : </span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Kejang
</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Tekanan
diastolik ≥ 90 mmHg pada kehamilan > 20 minggu </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.25in; mso-add-space: auto; mso-list: l0 level1 lfo11; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Proteinuri
≥ (++)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.0in; mso-add-space: auto; text-align: justify; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Gejala
dan tanda yang kadang ada adalah : </span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Koma
</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.25in; mso-add-space: auto; mso-list: l2 level1 lfo12; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Sama
seperti preeklampsia berat </span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"><span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 200%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;"><span>Referensi </span>Saifuddin AB,
</span><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">2006, </span><span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">Buku Acuan Maternal Dan Neonatal , YBPSP, Jakarta</span></div>Anonymoushttp://www.blogger.com/profile/01457688522410015120noreply@blogger.com0tag:blogger.com,1999:blog-2530420443861746556.post-51284091635042982212012-03-15T01:35:00.001-07:002012-03-15T01:35:28.017-07:00Perubahan Psikologi Dalam Kehamilan<!--[if gte mso 9]><xml>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 250%;">Perubahan
Psikologi Dalam Kehamilan </span></b></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"><span style="mso-spacerun: yes;">
</span>Selama hamil wanita tidak hanya mengalami perubahan-perubahan fisiologis
dalam tubuhnya tetapi juga mengalami perubahan psikologis dan emosional. Sering
kali kita mendengar mengatakan betapa bahagianya dia karena akan menjadi
seorang ibu. Namun tidak jarang ada wanita yang merasa khawatir kalau terjadi
masalah dalam kehamilannya, khawatir kalau kehilangan kecantikannya, atau ada
kemungkinan bayinya tidak normal. Proses perubahan psikologis wanita hamil
antara lain : </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: .75in; mso-add-space: auto; mso-list: l1 level1 lfo2; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Trimester
pertama </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: .75in; mso-add-space: auto; text-align: justify; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"><span style="mso-spacerun: yes;"> </span>Pada trimester pertama ibu merasa tidak
sehat dan sering kali membenci kehamilannya. Hal ini terjadi karena adanya
perubahan-perubahan fisiologis dalam tubuh sebagai akibat dari meningkatnya
hormone estrogen dan progesterone. selain itu banyak ibu merasakan kekecewaan,
penolakan, kecemasan, dan kesedihan. Sering kali pada awal kehamilan ibu
berharap untuk tidak hamil.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: .75in; mso-add-space: auto; mso-list: l1 level1 lfo2; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Trimester
kedua </span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Trimester
kedua biasanya<span style="mso-spacerun: yes;"> </span>adalah saat ibu merasa
sehat dan sudah menerima kehamilannya. Tubuh ibu sudah terbiasa dengan kadar
hormone yang lebih tinggi dalam tubuhnya. Ibu menerima janin yang bertumbuh
sebagai sesuatu yang terpisah dari dirinya dan sebagai seorang<span style="mso-spacerun: yes;"> </span>yang perlu dirawat. Banyak ibu merasa
terlepas dari rasa kecemasan dan rasa tidak nyaman seperti yang dirasakannya
pada trimester pertama. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: .75in; mso-add-space: auto; mso-list: l1 level1 lfo2; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Trimester
ketiga </span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Trimester
ketiga sering kali disebut sebagai periode menunggu atau masa waspada sebab
pada saat itu ibu merasa tidak sabar menunggu kelahiran bayinya tersebut.
Kadang-kadang ibu merasa khawatir bahwa bayinya akan lahir sewaktu-waktu,merasa
khawatir atau takut jika bayinya lahir tidak normal. Seorang ibu mungkin mulai
merasa takut akan rasa sakit dan bahaya fisik yang akan timbul pada saat
melahirkan </span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">Referensi :</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-left: 0.75in; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12pt; line-height: 200%;">Bobak dkk. Keperawatan Maternitas. 2005. EGC </span></div>Anonymoushttp://www.blogger.com/profile/01457688522410015120noreply@blogger.com0tag:blogger.com,1999:blog-2530420443861746556.post-40039466001329832272012-03-15T01:33:00.000-07:002012-03-15T01:33:01.796-07:00Perubahan Fisiologis Dalam Kehamilan<!--[if gte mso 9]><xml>
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<div class="MsoListParagraphCxSpFirst" style="line-height: 250%; text-align: center; text-indent: -0.25in;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 250%;"> Perubahan Fisiologis Dalam Kehamilan </span></b></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 250%; text-align: center; text-indent: -0.25in;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: .75in; mso-add-space: auto; mso-list: l2 level1 lfo2; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><span dir="LTR"></span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Perubahan
sistem reproduksi dan payudara </span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.0in; mso-add-space: auto; mso-list: l1 level1 lfo3; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Uterus
</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.0in; mso-add-space: auto; text-align: justify; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"><span style="mso-spacerun: yes;"> </span>Uterus akan membesar pada bulan-bulan
pertama di bawah pengaruh estrogen dan progesteron yang kadarnya meningkat.
Pembesaran ini pada dasarnya disebabkan oleh hipertrofi otot polos uterus. Di
samping itu, serabut-serabut kolagen yang ada pun menjadi higroskopik akibat
meningkatnya kadar estrogen sehingga uterus mengikui pertumbuhan janin. Berat
uterus naik secara luar biasa, dari 30 gram menjadi 1000 gram pada akhir
kehamilan. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.0in; mso-add-space: auto; mso-list: l1 level1 lfo3; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Serviks
uteri </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.0in; mso-add-space: auto; text-align: justify; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"><span style="mso-spacerun: yes;"> </span>Serviks uteri pada kehamilan juga
mengalami perubahan karena pengaruh hormon estrogen. Serviks mengandung lebih
banyak jaringan serabut dan sedikit jaringan otot dibandingkan bagian uterus.
Jaringan serabut pada serviks ini banyak mengandung kolagen. Selain itu
estrogen juga meningkatkan vaskularitas serviks dan bila dilihat dengan
spekulum serviks terlihat kebiru-biruan. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.0in; mso-add-space: auto; mso-list: l1 level1 lfo3; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Vagina
dan Vulva </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.0in; mso-add-space: auto; text-align: justify; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"><span style="mso-spacerun: yes;"> </span>Estrogen menyebabkan perubahan lapisan
otot dan epithelium. Lapisan otot mengalami hipertrofi dan epitel menjadi tebal
dan menjadi tanda deskuamasi meningkat. Vagina menghasilkan cairan berwarna
putih yang dikenal dengan leukore. Sel epitel juga meningkatkan kadar glikogen.
Sel ini berinteraksi dengan basil dedorlein dan menghasilkan lingkungan yang
lebih asam. Lingkungan ini menyediakan perlindungan ekstra terhadap organisme
tetapi merupakan keadaan menguntungkan bagi <i style="mso-bidi-font-style: normal;">candida
albican.</i> Akibat hipervaskularisasi,vagina dan vulva terlihat berwarna ungu
kebiruan. Tanda ini disebut tanda chadwick. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.0in; mso-add-space: auto; mso-list: l1 level1 lfo3; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">4)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Ovarium
</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.0in; mso-add-space: auto; text-align: justify; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"><span style="mso-spacerun: yes;"> </span>Pada permulaan kehamilan masih terdapat
korpus luteum graviditis sampai terbentuknya plasenta pada kira-kira kehamilan
16 minggu. korpus luteum graviditis berdiameter kira-kira 3 cm. kemudian ia
mengecil setelah plasenta terbentuk. Korpus luteum ini mengeluarkan hormone
estrogen dan progesterone. Lambat laun fungsi ini diambil alih oleh plasenta
(Winkjosastro H, 2005 : 95)</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-left: 1.0in; mso-add-space: auto; mso-list: l1 level1 lfo3; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">5)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Mammae / payudara </span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 1.0in; text-align: justify; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>Peningkatan kadar estrogen dan
progesterone menyebabkan hipertrofi dan hyperplasia pada payudara, sehingga
payudara akan mengalami pembesaran. Selain<span style="mso-spacerun: yes;">
</span>itu hormone somatomammotropin juga menstimulasi pembesaran payudara.
Rasa penuh dan berat, perubahan sensitivitas mulai timbul sejak umur kehamilan
6 minggu. Puting susu dan areola menjadi lebih berpigmen dan putting susu
menjadi lebih erektil. </span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 200%; margin-left: 1.0in; mso-add-space: auto; text-align: justify; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"><span style="mso-spacerun: yes;"> </span>Perkembangan kelenjar mammae secara
fungsional lengkap pada pertengahan masa hamil. Walaupun demikian laktasi tetap
terhambat sampai kadar estrogen menurun, yakni setelah janin dan plasenta
lahir. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 1.0in; mso-add-space: auto; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 250%; margin-left: .75in; mso-add-space: auto; mso-list: l2 level1 lfo2; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 250%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><span dir="LTR"></span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 250%;">Perubahan
sistem kardiovaskuler </span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: .75in; mso-add-space: auto; text-align: justify; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"><span style="mso-spacerun: yes;"> </span>Perubahan system kardiovaskuler
,melindungi fungsi fisiologi normal wanita, memenuhi kebutuhan metabolik tubuh
saat hamil, dan menyediakan kebutuhan untuk perkembangan dan pertumbuhan janin.
Peningkatan volume plasma darah dan curah jantung disebabkan oleh hipertrofi
atau dilatasi ringan jantung, karena diafragma terdorong ke atas, jantung
terangkat ke atas dan berotasi ke depan dan ke kiri.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: .75in; mso-add-space: auto; text-align: justify; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"><span style="mso-spacerun: yes;"> </span>Selama pertengahan pertama masa hamil,
tekanan sistolik dan diastolic menurun 5 sampai 10 mmHg. Penurunan tekanan
darah ini kemungkinan disebabkan oleh vasodilatasi pembuluh darah perifer
akibat perubahan hormonal selama masa hamil. Selama trimester ketiga, tekanan
darah ibu harus kembali ke nilai tekanan darah selama trimester pertama.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: .75in; mso-add-space: auto; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 250%; margin-left: .75in; mso-add-space: auto; mso-list: l2 level1 lfo2; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 250%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><span dir="LTR"></span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 250%;">Perubahan
sistem pernapasan</span></b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 250%;"><span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: .75in; mso-add-space: auto; text-align: justify; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"><span style="mso-spacerun: yes;"> </span>Pada ibu hamil kebutuhan oksigen meningkat
sebagi respon terhadap peningkatan laju metabolisme dan peningkatan kebutuhan oksigen
jaringan uterus dan payudara. Janin membutuhkan oksigen dan suatu cara untuk
membuang karbondioksida. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: .75in; mso-add-space: auto; text-align: justify; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"><span style="mso-spacerun: yes;"> </span>Diafragma bergeser sebesar 4 cm selama
masa hamil. Dengan semakin tuanya kehamilan dan seiring pembesaran uterus ke
rongga abdomen, pernapasan dada menggatikan pernapasan perut dan penurunan
diafragma saat inspirasi menjadi semakin sulit.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: .75in; mso-add-space: auto; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: .75in; mso-add-space: auto; mso-list: l2 level1 lfo2; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><span dir="LTR"></span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Perbahan
sistem urinaria</span></b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"> </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: .75in; mso-add-space: auto; text-align: justify; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"><span style="mso-spacerun: yes;"> </span>Perubahan struktur ginjal merupakan
aktivitas hormonal (estrogen dan progesterone), tekanan yang timbul akibat
pembesaran uterus, dan peningkatan volume darah. Sejak minggu ke-10 kehamilan,
pelvis ginjal dan ureter berdilatasi. Perubahan ini membuat ureter<span style="mso-spacerun: yes;"> </span>mampu menampung urine dalam volume yang lebih
besar dan juga memperlambat laju urine.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 0.75in; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 250%; margin-left: .75in; mso-add-space: auto; mso-list: l2 level1 lfo2; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 250%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><span dir="LTR"></span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 250%;">Perubahan
sistem gastrointestinal </span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: .75in; mso-add-space: auto; text-align: justify; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"><span style="mso-spacerun: yes;"> </span>Fungsi saluran cerna selama masa hamil
menunjukkan gambaran yang sangat menarik. Gusi cenderung mudah berdarah karena
kadar estrogen yang meningkat menyebabkan peningkatan vaskularisasi selektif
dan proliferasi jaringan ikat. Pada trimester pertama terjadi penurunan nafsu
makan akibat nausea / vomitus. Gejala ini muncul sebagai akibat dari perubahan
saluran cerna dan peningkatan kadar hCG dalam darah. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: .75in; mso-add-space: auto; text-align: justify; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"><span style="mso-spacerun: yes;"> </span>Peningkatan progesterone menyebabkan tonus
dan motilitas otot polos menurun, sehingga terjadi regurgitasi esophagus,
peningkatan waktu pengosongan lambung, dan peristaltik balik. Akibatnya ibu
hamil tidak mampu mencerna asam atau mengalami nyeri ulu hati. Selain itu
penurunan motilitas otot polos menyebabkan absorpsi air di usus besar
meningkat, sehingga dapat terjadi konstipasi. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: .75in; mso-add-space: auto; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 250%; margin-left: .75in; mso-add-space: auto; mso-list: l2 level1 lfo2; text-align: justify; text-indent: -.25in; text-justify: inter-ideograph;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 250%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><span dir="LTR"></span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 250%;">Perubahan
sistem integumen</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: .75in; mso-add-space: auto; text-align: justify; text-justify: inter-ideograph;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"><span style="mso-spacerun: yes;"> </span>Perubahan keseimbangan hormone dan
peregangan mekanis menyebabkan timbulnya beberapa perubahan dalam system
integument selama masa hamil. Jaringan elastik kulit mudah pecah, menyebabkan
striae gravidarum atau tanda regangan. Hiperipigmentasi timbul akibat
peningkatan hormone hipofisis anterior melanotropin selama masa hamil.</span></div>Anonymoushttp://www.blogger.com/profile/01457688522410015120noreply@blogger.com0tag:blogger.com,1999:blog-2530420443861746556.post-37220876561850578392012-02-22T06:23:00.003-08:002012-02-22T06:23:58.611-08:00Penyebab Tidak Langsung Kematian Maternal<br />
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"><b>Penyebab Tidak Langsung Kematian Maternal</b><o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Penyakit<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 99.0pt; mso-add-space: auto; mso-list: l0 level5 lfo2; tab-stops: 1.0in 1.25in; text-align: justify; text-indent: -4.5pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Hepatitis
infeksiosa<o:p></o:p></span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"><span style="mso-spacerun: yes;"> </span>Hepatitis infeksiosa disebabkan oleh
virus dan merupakan penyakit hati yang paling sering dijumpai dalam kehamilan.
Pada wanita hamil penyebab hepatitis infeksiosa terutama oleh virus hepatitis
B, walaupun kemungkinan juga dapat virus hepatitis A atau hepatitis C.
Hepatitis virus dapat terjadi pada setiap saat kehamilan dan mempunyai pengaruh
buruk pada janin maupun ibu. Pada trimester pertama dapat terjadi keguguran,
akan tetapi jarang dijumpai kelainan kongenital, sedangkan pada kehamilan
trimester kedua dan ketiga sering terjadi persalinan prematur. Tidak dianjurkan
untuk melakukan terminasi pada kehamilan dengan induksi atau seksio sesarea,
karena akan mempertinggi risiko pada ibu. Pada hepatitis B, janin kemungkinan
dapat penularan dari plasenta, waktu lahir, atau masa neonates walaupun masih
kontroversi tentang penularan melalui air susu.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Anemia<o:p></o:p></span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"><span style="mso-spacerun: yes;"> </span>Kondisi ini disebabkan meningkatnya
volume plasma menyebabkan terjadinya pengenceran darah sehingga terjadi anemia
fisiologis dengan nilai karakteristik haemoglobin 11 mg %. Kekurangan zat besi,
asam folat atau vitamin B 12 dalam makanan sehari-hari dapat membuat wanita
hamil semakin menderita anemia. Anemia dalam kehamilan akan mengakibatkan<span style="mso-spacerun: yes;"> </span>meningkatnya risiko keguguran, prematuritas
atau berat bayi lahir rendah.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Penyakit
jantung<o:p></o:p></span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"><span style="mso-spacerun: yes;"> </span>Keperluan janin yang sedang bertumbuh
akan oksigen dan zat-zat makanan bertambah dalam berlangsungnya kehamilan, yang
harus dipenuhi melalui darah ibu. Untuk itu banyaknya darah yang beredar
bertambah, sehingga jantung harus bekerja lebih berat. Karena itu dalam
kehamilan selalu terjadi perubahan-perubahan dalam sistem kardiovaskular yang
biasanya yang biasanya masih dalam batas-batas fisiologik. Jantung yang normal
dapat menyesuaikan diri dengan perubahan tersebut, akan tetapi jantung yang
sakit tidak.<o:p></o:p></span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>Penyakit jantung memberi pengaruh tidak baik
kepada kehamilan dan janin dalam kandungan. Apabila ibu<span style="mso-spacerun: yes;"> </span>menderita hipoksia dan sianosis, hasil
konsepsi dapat menderita pula dan mati, yang disusul oleh abortus. Apabila
konseptus dapat hidup terus, anak dapat lahir premature atau lahir cukup bulan
akan tetapi dengan berat badan rendah (dismaturitas). Selain itu janin dapat
menderita hipoksia dan gawat janin dalam persalinan, sehingga neonates lahir
mati. Juga pada pada masa nifas dapat membahayakan dan mengancam keselamatan
ibu.</span></div>
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<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Faktor-faktor pelayanan kesehatan<o:p></o:p></span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"><span style="mso-spacerun: yes;"> </span>Faktor-faktor pelayanan kesehatan
mempunyai peran sangat besar pula dalam kematian maternal. Faktor tersebut
meliputi :<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Kurangnya kemudahan untuk pelayanan kesehatan
maternal.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Asuhan medik yang kurang baik.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 1.5in; mso-add-space: auto; mso-list: l1 level1 lfo4; tab-stops: 1.0in 1.25in; text-align: justify; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Kurangnya tenaga terlatih dan obat-obat
penyelamat jiwa.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Faktor ekonomi<o:p></o:p></span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"><span style="mso-spacerun: yes;"> </span>Ekonomi adalah merupakan satu ilmu yang
mengkaji tingkah laku manusia secara individu dan secara berkelompok
menggunakan sumber ekonomi atau faktor-faktor pengeluaran, untuk mengeluarkan
dan untuk memenuhi kehendak manusia yang tidak terbatas. Transportasi yang
sulit, ketidakmampuan membayar pelayanan yang baik, merupakan faktor yang ikut
berperan terhadap kematian maternal. Ibu yang hidup dalam kemiskinan cenderung
mengalami ketidakadilan dalam perawatan kesehatan dan memiliki angka mortalitas
maternal dan perinatal yang lebih tinggi.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">4)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Faktor
budaya<o:p></o:p></span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"><span style="mso-spacerun: yes;"> </span><span style="mso-tab-count: 1;"> </span><span style="mso-spacerun: yes;"> </span>Menurut Linton (1945) budaya adalah
sebagai cara hidup anggotanya (masyarakatnya), sekumpulan ide dan kebiasaan
yang mereka pelajari dan turunkan dari generasi kegenerasi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-left: 94.5pt; mso-add-space: auto; tab-stops: .25in 22.5pt 94.5pt; text-align: justify; text-indent: -40.5pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"><span style="mso-tab-count: 1;"> </span>Perilaku individu dibentuk oleh
nilai dan sikap yang mereka anut dan juga lingkungan fisik serta geografis
tempat mereka berinteraksi. Beberapa penulis membahas tentang peran budaya
dalam menjelaskan pola kesehatan dengan mengatakan bahwa penekanan pada budaya
dapat menyebabkan ketidakadilan sepenuhnya terhadap perbedaan budaya dan
mengalihkan perhatian dari penyebab diskriminasi dan rasisme yang sebenarnya
sering dihadapi wanita. Dan akibat sejumlah masalah yang saling terkait dapat
menyebabkan sehat atau sakitnya suatu komunitas termasuk mortalitas ibu dan
bayi. Olehnya itu dikembangkan pelayanan maternitas atau asuhan kebidanan.<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-left: 94.5pt; mso-add-space: auto; tab-stops: .25in 22.5pt 94.5pt; text-align: justify; text-indent: -40.5pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"><span style="mso-spacerun: yes;"><br /></span></span></div>Anonymoushttp://www.blogger.com/profile/01457688522410015120noreply@blogger.com0tag:blogger.com,1999:blog-2530420443861746556.post-78252940142499531252012-02-22T06:16:00.001-08:002012-02-22T06:16:33.327-08:00Tujuan Perkembangan Remaja<br />
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<b><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;"><span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--></b><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;"><b>Tujuan Perkembangan Remaja</b><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 56.7pt; mso-add-space: auto; mso-list: l0 level1 lfo1; tab-stops: 42.55pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Perkembangan
pribadi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 70.9pt; mso-add-space: auto; mso-list: l4 level1 lfo2; tab-stops: 70.9pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Keterampilan
kognitif dan nonkognitif yang dibutuhkan agar dapat mandiri secara ekonomi maupun
mandiri dalam bidang–bidang<span style="mso-spacerun: yes;"> </span>pekerjaan
tertentu.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 70.9pt; mso-add-space: auto; mso-list: l4 level1 lfo2; tab-stops: 70.9pt 78.0pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Kecakapan dalam mengelolah dan mengatasi masalah–masalah
pribadi secara efektif.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 70.9pt; mso-add-space: auto; mso-list: l4 level1 lfo2; tab-stops: 70.9pt 78.0pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Kecakapan–kecakapan sebagai seorang pengguna kekayaan
kultural dan peradaban bangsa.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 70.9pt; mso-add-space: auto; mso-list: l4 level1 lfo2; tab-stops: 70.9pt 78.0pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">4)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Kecakapan untuk dapat terikat dalam suatu keterlibatan
yang intensif pada suatu kegiatan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 56.7pt; mso-add-space: auto; mso-list: l0 level1 lfo1; tab-stops: 78.0pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Perkembangan
sosial<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 70.9pt; mso-add-space: auto; mso-list: l1 level1 lfo3; tab-stops: 78.0pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Pengalanman
bersama pribadi–pribadi yang berbeda dengan dirinya, baik dalam kelas sosial,
subkultur, maupun usia.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 70.9pt; mso-add-space: auto; mso-list: l1 level1 lfo3; tab-stops: 78.0pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Pengalaman
dimana tindakannya dapat berpengaruh pada orang lain.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 70.9pt; mso-add-space: auto; mso-list: l1 level1 lfo3; tab-stops: 78.0pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Kegiatan
saling bergantung yang diarahkan pada tujuan–tujuan bersama (interaksi
kelompok).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 56.7pt; mso-add-space: auto; mso-list: l0 level1 lfo1; tab-stops: 56.7pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Konsep
kedewasaan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 56.7pt; mso-add-space: auto; tab-stops: 56.7pt; text-align: justify;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Karakteristik remaja (<i style="mso-bidi-font-style: normal;">adolescence</i>)
adalah tumbuh menjadi dewasa. Secara fisik, remaja ditandai dengan ciri
perubahan pada penampilan fisik dan fungsi fisiologis, terutama yang terkait
dengan kelenjar seksual. Sementara itu, secara psikologis remaja merupakan masa
dimana individu mengalami perubahan–perubahan dalam aspek kognitif, emosi,
sosial, dan moral antara masa kanak–kanak menuju dewasa. Remaja mengevaluasi
diri secara keseluruhan dan terdapat beberapa pemisahan dimensi diri, seperti
dalam akademik, olahraga, penampilan, hubungan sosial dan moral. Terdapat bukti
bahwa konsep diri remaja berbeda diberbagai konteks dan remaja memandang diri
berbeda jika berada dengan teman sebaya di bandingkan saat dengan orang tua dan
guru.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 56.7pt; mso-add-space: auto; tab-stops: 56.7pt; text-align: justify;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Salah satu tugas perkembangan masa remaja adalah mencapai
nilai–nilai kedewasaan. Adapun ciri – ciri kedewasaan antara lain :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 78.0pt; mso-add-space: auto; mso-list: l2 level1 lfo4; tab-stops: 78.0pt; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Emosi
relatif lebih labil (mampu mengendalikan emosi);<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 78.0pt; mso-add-space: auto; mso-list: l2 level1 lfo4; tab-stops: 78.0pt; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Mandiri
(baik secara ekonomi, sosial dan emosi);<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 78.0pt; mso-add-space: auto; mso-list: l2 level1 lfo4; tab-stops: 78.0pt; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Mampu
melakukan upaya menyerahkan sumber daya dalam diri dan lingkungan untuk
memecahkan masalah;<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 78.0pt; mso-add-space: auto; mso-list: l2 level1 lfo4; tab-stops: 78.0pt; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">4)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Adanya
interdependensi (saling ketergantungan) dalam hubungan sosial;<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 78.0pt; mso-add-space: auto; mso-list: l2 level1 lfo4; tab-stops: 78.0pt; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">5)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Memiliki
tanggung jawab;<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 78.0pt; mso-add-space: auto; mso-list: l2 level1 lfo4; tab-stops: 78.0pt; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">6)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Memiliki
kontrol diri yang adekuat (mampu menunda kepuasan, melawan godaan, serta
mengembangkan standar prestasi sendiri);<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 78.0pt; mso-add-space: auto; mso-list: l2 level1 lfo4; tab-stops: 78.0pt; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">7)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Memiliki
tujuan hidup yang realistis;<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 78.0pt; mso-add-space: auto; mso-list: l2 level1 lfo4; tab-stops: 78.0pt; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">8)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Memiliki
dan menghayati nilai–nilai keagamaan yang dianut;<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 78.0pt; mso-add-space: auto; mso-list: l2 level1 lfo4; tab-stops: 78.0pt; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">9)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Peka
terhadap kepentingan orang lain;<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-left: 78.0pt; mso-add-space: auto; mso-list: l2 level1 lfo4; tab-stops: 78.0pt; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">10)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Mampu menyesuaikan
diri dengan lingkungan (bersikap luwes), bertindak secara cepat, sesuai dengan
situasi dan kondisi yang dihadapi.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 78.0pt; text-align: justify;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;"><o:p> Referensi :</o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 78.0pt; text-align: justify;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 42.55pt; text-align: justify; text-indent: -42.55pt;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;"> - Kusmiran, Eny. 2011. <i style="mso-bidi-font-style: normal;">Kesehatan
Reproduksi remaja dan Wanita</i>. Bandung : Salemba Medika.<o:p></o:p></span></div>
<br />Anonymoushttp://www.blogger.com/profile/01457688522410015120noreply@blogger.com0tag:blogger.com,1999:blog-2530420443861746556.post-24584320654126778202012-02-22T06:09:00.000-08:002012-02-22T06:09:45.322-08:00Ciri-Ciri Psikologis Remaja<br />
<div class="MsoListParagraphCxSpFirst" style="line-height: 200%; margin-bottom: 0.0001pt; margin-left: 35.45pt; margin-right: 0in; margin-top: 0in; text-align: center; text-indent: -14.15pt;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;"><b>Ciri – Ciri Kejiwaan dan Psikologi Remaja</b><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 56.7pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l0 level1 lfo1; tab-stops: 63.8pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Usia
remaja muda (11–15 tahun)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 63.8pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l5 level1 lfo5; text-align: justify; text-indent: -7.1pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Sikap protes terhadap orang tua <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 70.9pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; text-align: justify;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Remaja
pada usia ini cenderung tidak menyetujui nilai–nilai hidup orang tuanya,
sehingga sering menunjukkan sikap protes terhadap orang tua. Mereka berusaha
mencari identitas diri dan sering kali disertai dengan menjauhkan diri dari
orang tuanya. Dalam upaya pencarian identitas diri, remaja cenderung melihat
kepada tokoh–tokoh di luar lingkungan keluarganya, yaitu : guru, figur ideal
yang terdapat dalam film, atau tokoh idola.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 70.9pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l5 level1 lfo5; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Preokupasi dengan badan sendiri<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 70.9pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; text-align: justify;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Tubuh
seorang remaja pada usia ini mengalami perubahan yang cepat sekali. Perubahan
ini menjadi perhatian khusus bagi diri remaja.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 70.9pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l5 level1 lfo5; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Kesetiakawanan dengan kelompok seusia<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 70.9pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; text-align: justify;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Para
remaja pada kelompok umur ini merasakan keterikatan dan kebersamaan dengan
kelompok seusia dalam upaya mencari kelompok senasib. Hal ini tercermin dalam
cara berperilaku sosial.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 70.9pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l5 level1 lfo5; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">4)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Kemampuan untuk berfikir secara abstrak<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 70.9pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; text-align: justify;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Daya
kemampuan berfikir seorang remaja mulai berkembang dan dimanifestasikan dalam
bentuk diskusi untuk mempertajam kepercayaan diri<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 70.9pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l5 level1 lfo5; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">5)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Perilaku yang labil dan berubah–ubah<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 70.9pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; text-align: justify;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Remaja
sering memperlihatkan perilaku yang berubah–ubah. Pada suatu waktu tampak
bertanggung jawab, tetapi dalam waktu lain tampak masa bodoh dan tidak
bertanggung jawab. Remaja merasa cemas akan perubahan dalam dirinya. Perilaku
demikian menunjukkan bahwa dalam diri remaja terdapat konflik yang memerlukan
perhatian dan penanganan yang bijaksana.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 56.7pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l0 level1 lfo1; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Remaja usia penuh (16–19<span style="mso-spacerun: yes;">
</span>tahun)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 70.9pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l1 level1 lfo7; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Kebebasan dari orang tua<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 70.9pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; text-align: justify;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Dorongan
untuk menjauhkan diri dari orang tua menjadi realitas. Remaja mulai merasakan
kebebasan, tetapi juga merasa kurang menyenangkan. Pada diri remaja timbul kebutuhan
untuk terikat dengan orang lain melalui ikatan cinta yang stabil.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 70.9pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l1 level1 lfo7; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Ikatan terhadap pekerjaan dan tugas<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 70.9pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; text-align: justify;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Sering
kali remaja menunjukkan minat pada suatu tugas tertentu yang ditekuni secara
mendalam. Terjadi pengembangan akan cita–cita masa depan yaitu mulai memikirkan
melanjutkan sekolah atau langsung bekerja untuk mencari nafkah.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 70.9pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l1 level1 lfo7; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Pengembangan nilai moral dan etis yang mantap<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 70.9pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; text-align: justify;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Remaja
mulai menyusun nilai–nilai moral dan etis sesuai dengan cita – cita.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 70.9pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l1 level1 lfo7; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">4)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Pengembangan hubungan pribadi yang labil<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 70.9pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; tab-stops: 56.7pt; text-align: justify;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Adanya tokoh panutan atau hubungan cinta yang stabil
menyebabkan terbentuknya kestabilan diri remaja.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 70.9pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l1 level1 lfo7; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">5)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Penghargaan kembali pada orang tua dalam kedudukan yang
sejajar <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 70.9pt; mso-add-space: auto; mso-list: l1 level1 lfo7; tab-stops: 56.7pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">6)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Perubahan
fisik, psikologi dan seksual pada remaja<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 56.7pt; mso-add-space: auto; mso-list: l0 level1 lfo1; tab-stops: 70.9pt; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Perubahan fisik remaja<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 56.7pt; mso-add-space: auto; tab-stops: 171.0pt; text-align: justify; text-indent: 28.35pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Perubahan
fisik dalam masa remaja merupakan hal yang sangat penting dalam kesehatan
reproduksi karena pada masa ini terjadi pertumbuhan fisik yang sangat cepat
untuk mencapai kematangan, termasuk organ-organ reproduksi sehin</span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">g</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">ga mampu melaksanakan fungsi reproduksi.
Perubahan yang terjadi yaitu:</span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 70.9pt; mso-add-space: auto; mso-list: l2 level1 lfo2; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Munculnya
tanda-tanda seks primer, terjadinya haid yang pertama<span style="mso-spacerun: yes;"> </span>(<i style="mso-bidi-font-style: normal;">menarche</i>)
pada remaja perempuan, dan mimpi basah pada remaja laki-laki.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 70.9pt; mso-add-space: auto; mso-list: l2 level1 lfo2; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Munculnya
tanda-tanda seks sekunder, yaitu :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 92.15pt; mso-add-space: auto; mso-list: l6 level1 lfo3; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Pada
remaja laki-laki tumbuhnya jakun, penis dan buah zakar bertambah besar,
terjadinya ereksi dan ejakulasi, suara bertambah besar,</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;"> </span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">dada lebih lebar,badan berotot, tumbuh kumis
diatas bibir, cambang dan rambut disekitar kemaluan dan ketiak.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 92.15pt; mso-add-space: auto; mso-list: l6 level1 lfo3; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Pada
remaja perempuan pinggul melebar, pertumbuhan rahim dan vagina, tumbuh rambut
disekitar kemaluan dan vagina, payudara membesar.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 56.7pt; mso-add-space: auto; mso-list: l0 level1 lfo1; tab-stops: 56.7pt 63.8pt; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Perubahan
psikologis<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 56.7pt; mso-add-space: auto; tab-stops: 121.5pt; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Pada
masa remaja perubahan kejiwaan terjadi lebih lambat dari fisik dan labil,
meliputi :</span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 70.9pt; mso-add-space: auto; mso-list: l4 level1 lfo4; tab-stops: 121.5pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Perubahan emosi ; sensitive (mudah menangis,
tertawa, cemas dan frustasi), mudah mudah bereaksi terhadap rangsangan dari
luar, agresif sehingga mudah berkelahi.</span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 70.9pt; mso-add-space: auto; mso-list: l4 level1 lfo4; tab-stops: 121.5pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Perkembangan <i style="mso-bidi-font-style: normal;">intelegensia</i> : mampu berpikir abstrak dan senang memberi kritik ,
ingin mengetahui hal-hal baru sehinga muncul perilaku ingin mencoba hal yang
baru. Perilaku ingin mencoba ini sangat penting dalam kesehatan reproduksi.</span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 56.7pt; mso-add-space: auto; mso-list: l0 level1 lfo1; tab-stops: 94.5pt; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Perubahan
seksual remaja<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-left: 56.7pt; mso-add-space: auto; tab-stops: 94.5pt; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Sejak masa remaja,
pada diri seorang anak terlihat adanya perubahan-perubahan pada bentuk tubuh
yang disertai dengan perubahan struktur dan fungsi. Pematangan kelenjar <i style="mso-bidi-font-style: normal;">pituitary</i> berpengaruh pada proses
pertumbuhan tubuh sehingga remaja mendapatkan ciri-cirinya sebagai perempuan
dewasa atau laki-laki dewasa. Masa remaja diawali oleh masa pubertas, yaitu
masa terjadinya perubahan-perubahan fisik dan fungsi fisiologis. Kematangan seksual
remaja ini menyebabkan munculnya minat seksual dan keingintahuan remaja tentang
seksual.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-left: 56.7pt; mso-add-space: auto; tab-stops: 94.5pt; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"><br /></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-left: 56.7pt; mso-add-space: auto; tab-stops: 94.5pt; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"><b>Referensi:</b></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-left: 56.7pt; mso-add-space: auto; tab-stops: 94.5pt; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"></span></div>
<div class="MsoNormal" style="margin-left: 42.55pt; text-align: justify; text-indent: -42.55pt;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">- Kusmiran, Eny. 2011. <i style="mso-bidi-font-style: normal;">Kesehatan
Reproduksi remaja dan Wanita</i>. Bandung : Salemba Medika.<o:p></o:p></span></div>
<br />Anonymoushttp://www.blogger.com/profile/01457688522410015120noreply@blogger.com1tag:blogger.com,1999:blog-2530420443861746556.post-56709172754958327112012-02-22T06:03:00.000-08:002012-02-22T06:03:05.940-08:00Aspek Perkembangan Remaja<br />
<div class="MsoListParagraphCxSpFirst" style="line-height: 200%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l0 level3 lfo2; tab-stops: 78.0pt; text-align: justify; text-indent: -14.15pt;">
<span class="Apple-style-span" style="font-family: Arial, sans-serif;"></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 200%; margin-left: 35.45pt; text-align: center; text-indent: -14.15pt;">
<span class="Apple-style-span" style="font-family: Arial, sans-serif;"><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;"><b>Aspek Perkembangan Remaja</b><o:p></o:p></span></span></div>
<span class="Apple-style-span" style="font-family: Arial, sans-serif;">
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 35.45pt; mso-add-space: auto; tab-stops: 49.65pt; text-align: justify; text-indent: 21.25pt;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Terdapat dua konsep perkembangan remaja yaitu <i style="mso-bidi-font-style: normal;">nature </i>dan<i style="mso-bidi-font-style: normal;"> nurture</i>. Konsep <i style="mso-bidi-font-style: normal;">nature</i>
mengungkapkan bahwa masa remaja adalah masa badai dan tekanan. Periode
perkembangan ini individu banyak mengalami gejolak dan tekanan karena perubahan
yang terjadi dalam dirinya. Konsep <i style="mso-bidi-font-style: normal;">nurture</i>
menyatakan tidak semua remaja mengalami masa badai dan tekanan tersebut. Hal
tersebut tergantung dari pola asuh dan lingkungan dimana remaja itu tinggal.
Dalam perkembangan sosial, terjadinya tumpang tindih pada pola tingkah laku
anak dan pola perilaku dewasa merupakan tradisi tersulit yang dihadapi remaja.
Remaja diharuskan dapat menyesuaikan diri dengan peran orang dewasa dan
melepaskan diri dari peran anak–anak. Remaja dituntut untuk dapat menyesuaikan
diri dengan orang dewasa diluar lingkungan keluarga dan sekolah.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 56.7pt; mso-add-space: auto; mso-list: l1 level1 lfo1; tab-stops: 94.5pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Kuatnya
teman sebaya<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 56.7pt; mso-add-space: auto; tab-stops: 56.7pt; text-align: justify; text-indent: 28.35pt;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Keinginan untuk mandiri akan timbul dari dalam diri
remaja. Salah satu bentuk kemandirian itu adalah dengan mulai melepaskan diri
dari pengaruh orang tua dan ketergantungan secara emosional pada orang tua.
Berdasarkan ciri–ciri yang dimiliki seperti menjadi egosentris, dan kebingungan
peran, maka seorang remaja mulai mencari pengakuan diri diluar rumah. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 56.7pt; mso-add-space: auto; tab-stops: 56.7pt; text-align: justify; text-indent: 28.35pt;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Pada usia remaja, seseorang lebih banyak menghabiskan
waktu bersama teman sebayanya dibandingkan bersama dengan orang tuanya,
sehingga wajar saja jika tingkah laku dan norma/ aturan – aturan yang dipegang
banyak dipengaruhi oleh kelompok sebayanya. Namun, meskipun tampaknya remaja
sangat bergantung pada teman sebayanya, pada remaja sendiri terdapat sikap
ambivalen. Di satu sisi ingin membuktikan kemandiriannya dengan melepaskan diri
dari orang tua, tetapi disisi lain mereka masih tergantung pada orang tuanya.
Remaja tetap akan meminta pertimbangan dari orang tuanya ketika menghadapi
masalah yang berat atau harus menentukan sesuatu yang berkaitan dengan masa
depannya yang berakibat jangka panjang. Hal ini merupakan bentuk ketergantungan
remaja pada orang tuanya, ketergantungan remaja pada teman sebaya lebih
mengarah pada hal–hal yang berkaitan dengan relasi soaial atau penerimaan
lingkungan (misalnya perilaku/kebiasaan sehari–hari, kesukaan, aktivitas yang
dipilih, gaya bahasa, dll).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 56.7pt; mso-add-space: auto; tab-stops: 56.7pt; text-align: justify; text-indent: 21.25pt;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Tingkat konformitas remaja dengan kelompok sebayanya
bervariasi menurut kualitas relasi yang terjadi dalam keluarga. Remaja yang
berasal dari keluarga yang terlalu hangat, memberikan perlindungan dan keamanan
yang berlebihan, melibatkan ikatan emosi yang sangat kuat cenderung memengaruhi
remaja menjadi malas menjalin ikatan lain di luar keluarga atau mengalami
kesulitan dalam berinteraksi di lingkungan selain keluarganya. Umumnya remaja
ini lebih senang menyendiri atau bergaul dengan orang tertantu saja, ada juga
yang minder dan sulit berinteraksi dengan teman sebayanya. Sementara keluarga
yang tidak memberikan kehangatan dan ikatan emosi pada anak, cenderung
memengaruhi remaja berusaha keras mengikat diri dengan orang lain (yang berarti
baginya) dan secara penuh mengikuti aturan kelompok tersebut (tanpa membedakan
mana perilaku yang salah atau benar). Keluarga yang memberikan kehangatan dan
ikatan emosi yang tidak berlebihan dan senantiasa memberi dukungan positif
dapat membantu anak mengembangkan ikatan lain di luar keluarga secara lebih
baik. Remaja mampu menentukan kapan ia harus mengikuti kelompoknya dan kapan
harus menolak ajakan dari teman sebayanya shingga remaja tersebut akan terbebas
dari tekanan teman sebaya untuk melakukan hal – hal negatif. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 56.7pt; mso-add-space: auto; mso-list: l1 level1 lfo1; tab-stops: 94.5pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Pengelompokan
sosial baru<o:p></o:p></span></div>
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<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Kelompok remaja yang beranggotakan laki–laki biasanya
lebih besar dan tidak terlalu akrab, sedangkan kelompok remaja perempuan lebih
kecil dan lebih akrab. Remaja laki–laki cenderung lebih banyak berbagi pengalaman
atau topik–topik tertentu yang menarik (olah raga, musik, film, teknologi dan
lainnya), umumnya mereka jarang berbagi perasaan atau emosi pada teman
sebayanya, sedangkan remaja perempuan lebih bisa berbagi pengalaman dan
perasaan.<o:p></o:p></span></div>
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<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;"><br /></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l0 level2 lfo2; text-align: justify; text-indent: -21.3pt;">
<b>Referensi:</b></div>
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</div>
<div class="MsoNormal" style="margin-left: 42.55pt; text-align: justify; text-indent: -42.55pt;">
<span lang="IN" style="font-family: Arial, sans-serif; font-size: 12pt; line-height: 115%;">- Kusmiran, Eny. 2011. <i>Kesehatan
Reproduksi remaja dan Wanita</i>. Bandung : Salemba Medika.<b><o:p></o:p></b></span></div>
</span><br />Anonymoushttp://www.blogger.com/profile/01457688522410015120noreply@blogger.com0tag:blogger.com,1999:blog-2530420443861746556.post-39062951087225273112012-02-22T05:48:00.000-08:002012-02-22T05:48:19.413-08:00Filosofi Asuhan Antenatal<br />
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<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;"><b>Filosofi Asuhan Antenatal</b><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 32.2pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Pada prinsipnya filosofi
asuhan kehamilan merujuk pada filosofi bidan dalam memberikan pelayanan
kebidanan antara lain menyatakan bahwa:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 53.5pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l0 level1 lfo2; text-indent: -.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Kehamilan dan persalinan merupakan proses alamiah
(normal) dan bukan proses patologis, tetapi kondisi normal dapat menjadi
patologi/abnormal. Menyadari hal tersebut dalam melakukan asuhan tidak perlu
melakukan intervensi-intervensi yang tidak perlu kecuali ada indikasi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 53.5pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l0 level1 lfo2; text-indent: -.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Setiap perempuan berkepribadian unik, dimana terdiri atas
bio, psiko, sosial yang berbeda, sehingga dalam memperlakukan pasien/klien satu
dengan yang lainnya juga berbeda dan tidak boleh disamakan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 53.5pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l0 level1 lfo2; text-indent: -.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Mengupayakan kesejahteraan perempuan dan bayi baru lahir.
Ini dapat dilakukan dengan berbagai upaya baik promosi kesehatan melalui
penyuluhan atau konseling pemenuhan kebutuhan ibu hamil meupun dengan upaya
preventif misal pemberian imunisasi<span style="mso-spacerun: yes;"> </span>ibu
hamil dan pemberian TT pada ibu hamil dan pemberian tablet tambah darah dan
lain sebgaianya.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 53.5pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l0 level1 lfo2; text-indent: -.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Perempuan mempunyai hak memilih dan memutuskan tentang
kesehatan, siapa dan dimana mendapatkan pelayanan kesehatan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 53.5pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l0 level1 lfo2; text-indent: -.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Fokus asuhan kebidanan adalah untuk memberikan upaya
preventif (pencegahan) dan promotif (peningkatan kesehatan).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 53.5pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l0 level1 lfo2; text-indent: -.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Mendukung dan menghargai proses fisiologi, intervensi dan
penggunaan teknologi dilakukan hanya atas indikasi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 53.5pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l0 level1 lfo2; text-indent: -.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Membangun kemitraan dengan profesi lain untuk
memberdayakan perempuan.<o:p></o:p></span></div>
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<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;"><br /></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 53.5pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l0 level1 lfo2; text-indent: -.25in;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Referensi :</span></div>
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<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;"></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .5in; margin-right: 0in; margin-top: 12.0pt; text-indent: -.5in;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-ansi-language: IN;">- Kusmiyati, Yuni. 2010. <i style="mso-bidi-font-style: normal;">Perawatan Ibu
Hamil (Asuhan Ibu Hamil)</i>. Fitramaya. Yogyakarta.<i style="mso-bidi-font-style: normal;"><o:p></o:p></i></span></div>
<br />Anonymoushttp://www.blogger.com/profile/01457688522410015120noreply@blogger.com0tag:blogger.com,1999:blog-2530420443861746556.post-68962918717511801152012-02-22T05:44:00.000-08:002012-02-22T05:44:02.474-08:00Puskesmas<br />
<div class="MsoListParagraphCxSpFirst" style="line-height: 200%; margin-bottom: 0.0001pt; margin-left: 39.3pt; margin-right: 0in; margin-top: 0in; text-align: center; text-indent: -0.25in;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;"><b>PUSKESMAS</b></span></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 200%; margin-bottom: 0.0001pt; margin-left: 39.3pt; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Pengertian Puskesmas</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 200%; margin-bottom: 0.0001pt; margin-left: 39.3pt; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: -0.25in;">
<span class="Apple-style-span" style="font-family: Arial, sans-serif; font-size: 16px;"> Puskesmas adalah unit pelaksanan teknis Dinas Kesehatan
Kab/Kota yang bertanggung jawab menyelenggarakan pembangunan kesehatan di satu atau
sebagian wilayah kecamatan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 0.0001pt; margin-left: 39.3pt; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Fungsi Puskesmas<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 0.0001pt; margin-left: 60.55pt; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Pusat penggerak pembangunan berwawasan kesehatan <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 0.0001pt; margin-left: 60.55pt; margin-right: 0in; margin-top: 0in; text-align: justify;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Puskesmas selalu
berupaya menggerakkan dan memantau penyelenggaraan pembangunan lintas sektor
termasuk oleh masyarakat dan dunia usaha di wilayah kerjanya, sehingga
berwawasan serta mendukung pembangunan kesehatan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 0.0001pt; margin-left: 60.55pt; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Pusat pemberdayaan masyarakat<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 0.0001pt; margin-left: 60.55pt; margin-right: 0in; margin-top: 0in; text-align: justify;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Puskesmas selalu
berupaya agar perorangan terutama pemuka masyarakat, keluarga, dan masyarakat
termasuk dunia usaha memiliki kesadaran, kemauan, dan kemampuan melayani diri
sendiri dan masyarakat untuk hidup sehat berperan aktif dalam memperjuangkan
kepentingan kesehatan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 0.0001pt; margin-left: 60.55pt; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Pusat pelayanan kesehatan tingkat pertama<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 0.0001pt; margin-left: 60.55pt; margin-right: 0in; margin-top: 0in; text-align: justify;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Puskesmas bertanggung
jawab menyelenggarakan pelayanan kesehatan tingkat pertama secara menyeluruh,
terpadu, dan berkesinambungan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 0.0001pt; margin-left: 39.3pt; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Kegiatan Pokok Puskesmas<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 0.0001pt; margin-left: 60.55pt; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Kesehatan Ibu dan Anak<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 0.0001pt; margin-left: 60.55pt; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Keluarga Berencana<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 0.0001pt; margin-left: 60.55pt; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Gizi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 0.0001pt; margin-left: 60.55pt; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Kesling<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 0.0001pt; margin-left: 60.55pt; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Pencegahan dan pemberantasan penyakit<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 0.0001pt; margin-left: 60.55pt; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Balai pengobatan dan UGD<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 0.0001pt; margin-left: 60.55pt; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Penyuluhan kesehatan masyarakat<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 0.0001pt; margin-left: 60.55pt; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">h.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Kesehatan olah raga<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 0.0001pt; margin-left: 60.55pt; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">i.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Perawatan kesehatan masyarakat<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 0.0001pt; margin-left: 60.55pt; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">j.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Usaha kesehatan sekolah<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 0.0001pt; margin-left: 60.55pt; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">k.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Kesehatan kerja<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 0.0001pt; margin-left: 60.55pt; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">l.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Kesehatan gigi dan mulut<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 0.0001pt; margin-left: 60.55pt; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">m.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Kesehatan jiwa<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 0.0001pt; margin-left: 60.55pt; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">n.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Kesehatan mata<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 0.0001pt; margin-left: 60.55pt; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">o.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Laboratorium sederhana<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 0.0001pt; margin-left: 60.55pt; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">p.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Pencatatan dan pelaporan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 0.0001pt; margin-left: 60.55pt; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">q.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Kesehatan lansia<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 0.0001pt; margin-left: 60.55pt; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">r.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Pembinaan kesehatan tradisional<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 0.0001pt; margin-left: 60.55pt; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">s.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Kesehatan remaja<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 0.0001pt; margin-left: 60.55pt; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">t.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Dana sehat (JPKM).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 0.0001pt; margin-left: 39.3pt; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Kedudukan Puskesmas<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 0.0001pt; margin-left: 60.55pt; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Sistem ketahanan nasional<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 0.0001pt; margin-left: 60.55pt; margin-right: 0in; margin-top: 0in; text-align: justify;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Kedudukan puskesmas
dalam sistem Ketahanan Nasional adalah sebagai sarana pelayanan kesehatan
tingkat pertama yang bertanggung jawab menyelenggarakan uapaya kesehatan
perorangan dan upaya kesehatan masyarakat di wilayah kerjanya.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 0.0001pt; margin-left: 60.55pt; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Sistem Kesehatan Kabupaten/Kota<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 0.0001pt; margin-left: 60.55pt; margin-right: 0in; margin-top: 0in; text-align: justify;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Kedudukan puskesmas
dalam sistem pemerintahan kesehatan Kabupaten/Kota adalah sebagai Unit
Pelaksana Teknis Dinas Kesehatan Kabupaten/Kota yang bertanggung jawab
menyelnggarakan sebagian tugas pembangunan kesehatan kabupaten bidang kesehatan
di tingkat kecamatan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 0.0001pt; margin-left: 60.55pt; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Sistem Pemerintah Daerah<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 0.0001pt; margin-left: 60.55pt; margin-right: 0in; margin-top: 0in; text-align: justify;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Kedudukan puskesmas
dalam sitem pemerintah daerah adalah sebagai unit pelaksanan teknis Dinas
Kesehatan Kabupaten/Kota yang merupakan unit struktural pemerintah daerah
kabupaten/kota bidang kesehatan di tingkat kecamatan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 0.0001pt; margin-left: 60.55pt; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Antar sarana pelayanan kesehatan tingkat pertama<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 0.0001pt; margin-left: 60.55pt; margin-right: 0in; margin-top: 0in; text-align: justify;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: IN;">Di wilayah kerja
puskesmas terdapat berbagai organisasi pelayanan kesehatan tingkat pertama yang
dikelola oleh lembaga masyarakat dan swasta seperti praktik dokter, praktik
dokter gigi, praktik bidan, poliklinik, dan balai kesehatan masyarakat.
Kedudukan puskesmas di antara berbagai sarana pelayanan kesehatan tingkat pertama
ini adalah sebagai mitra.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 250%; margin-bottom: 0.0001pt; margin-left: 0.25in; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: -0.25in;">
<span class="Apple-style-span" style="font-family: Arial, sans-serif;"><b><br /></b></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 250%; margin-bottom: 0.0001pt; margin-left: 0.25in; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: -0.25in;">
<span class="Apple-style-span" style="font-family: Arial, sans-serif;"><b>Referensi:</b></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 250%; margin-bottom: 0.0001pt; margin-left: 0.25in; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: -0.25in;">
<span class="Apple-style-span" style="font-family: Arial, sans-serif;"></span></div>
<div class="MsoNormal" style="display: inline !important; margin-bottom: 0.0001pt; margin-left: 0.5in; margin-right: 0in; margin-top: 12pt; text-indent: -0.5in;">
<span lang="IN" style="font-family: Arial, sans-serif; font-size: 12pt;">- Syafrudin, dkk. 2009. <i>Buku Ajar</i> <i>Ilmu Kesehatan Masyarakat Untuk Mahasiswa
Kebidanan</i>. TIM. Jakarta.</span></div>
<br />Anonymoushttp://www.blogger.com/profile/01457688522410015120noreply@blogger.com0tag:blogger.com,1999:blog-2530420443861746556.post-507773747370330222012-02-20T23:58:00.001-08:002012-02-21T00:11:05.784-08:00Standar Asuhan Kebidanan<br />
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<span class="Apple-style-span" style="font-family: Arial, sans-serif;"></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 200%; margin-bottom: 0.0001pt; margin-left: 39.3pt; margin-right: 0in; margin-top: 0in; text-align: center; text-indent: -0.25in;">
<span class="Apple-style-span" style="font-family: Arial, sans-serif;"><span lang="IN" style="font-family: Arial, sans-serif; font-size: 12pt; line-height: 200%;"><b>Standar Asuhan Kebidanan</b><o:p></o:p></span></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 200%; margin-bottom: 0.0001pt; margin-left: 39.3pt; margin-right: 0in; margin-top: 0in; text-align: center; text-indent: -0.25in;">
<span class="Apple-style-span" style="font-family: Arial, sans-serif;"><span lang="IN" style="font-family: Arial, sans-serif; font-size: 12pt; line-height: 200%;"><b><br /></b></span></span></div>
<span class="Apple-style-span" style="font-family: Arial, sans-serif;">
</span><br />
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 39.3pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; text-indent: 38.7pt;">
<span class="Apple-style-span" style="font-family: Arial, sans-serif;"><span lang="IN" style="font-family: Arial, sans-serif; font-size: 12pt; line-height: 200%;">Standar
asuhan kebidanan adalah acuan proses pengambilan keputusan dan tindakan yang
dilakukan oleh bidan sesuai dengan wewenang dan ruang lingkup praktiknya
berdasarkan ilmu dan kiat kebidanan, perumusan diagnosa dan atau masalah
kebidanan, perencanaan, implementasi, evaluasi, dan pencatatan asuhan
kebidanan.<o:p></o:p></span></span></div>
<span class="Apple-style-span" style="font-family: Arial, sans-serif;">
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 53.5pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l4 level1 lfo5; text-indent: -.25in;">
<span lang="IN" style="font-family: Arial, sans-serif; font-size: 12pt; line-height: 200%;">a.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span lang="IN" style="font-family: Arial, sans-serif; font-size: 12pt; line-height: 200%;">Standar I : Pengkajian<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 53.5pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto;">
<span lang="IN" style="font-family: Arial, sans-serif; font-size: 12pt; line-height: 200%;"> Bidan mengumpulkan semua
informasi yang akurat, relevan, dan lengkap dari semua sumber yang berkaitan
dengan kondidi klien.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 53.5pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l4 level1 lfo5; text-indent: -.25in;">
<span lang="IN" style="font-family: Arial, sans-serif; font-size: 12pt; line-height: 200%;">b.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span lang="IN" style="font-family: Arial, sans-serif; font-size: 12pt; line-height: 200%;">Standar II : Perumusan Diagnosa dan atau Masalah Kebidanan<o:p></o:p></span></div>
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<span lang="IN" style="font-family: Arial, sans-serif; font-size: 12pt; line-height: 200%;"> Bidan menganalisa data
yang diperoleh pada pengkajian, menginterpretasikan secara akurat dan logis
untuk menegakkan doagnosa dan masalah kebidanan yang tepat.<o:p></o:p></span></div>
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<span lang="IN" style="font-family: Arial, sans-serif; font-size: 12pt; line-height: 200%;">c.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span lang="IN" style="font-family: Arial, sans-serif; font-size: 12pt; line-height: 200%;">Standar III : Perencanaan<o:p></o:p></span></div>
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<span lang="IN" style="font-family: Arial, sans-serif; font-size: 12pt; line-height: 200%;"> Bidan merencanakan
asuhan kebidanan berdasarkan diagnosa dan masalah yang ditegakkan.<o:p></o:p></span></div>
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<span lang="IN" style="font-family: Arial, sans-serif; font-size: 12pt; line-height: 200%;">d.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span lang="IN" style="font-family: Arial, sans-serif; font-size: 12pt; line-height: 200%;">Standar IV : Implementasi<o:p></o:p></span></div>
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<span lang="IN" style="font-family: Arial, sans-serif; font-size: 12pt; line-height: 200%;"> Bidan melaksanakan
rencana asuhan secara komprehensif, efektif, efisien, dan aman berdasarkan
evidence based kepada klien/pasien dalam bentuk upaya promotif, preventif,
kuratif, dan rehabilitatif. Dilaksanakan secara mandiri, kolaborasi, dan
rujukan.<o:p></o:p></span></div>
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<span lang="IN" style="font-family: Arial, sans-serif; font-size: 12pt; line-height: 200%;">e.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span lang="IN" style="font-family: Arial, sans-serif; font-size: 12pt; line-height: 200%;">Standar V : Evaluasi<o:p></o:p></span></div>
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<span lang="IN" style="font-family: Arial, sans-serif; font-size: 12pt; line-height: 200%;"> Bidan melakukan evaluasi
secara sistematis dan berkesinambungan untuk melihat keefektifan dari asuhan
yang sudah diberikan, sesuai dengan perubahan perkembangan kondisi klien.<o:p></o:p></span></div>
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<span lang="IN" style="font-family: Arial, sans-serif; font-size: 12pt; line-height: 200%;">f.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span lang="IN" style="font-family: Arial, sans-serif; font-size: 12pt; line-height: 200%;">Standar VI : Pencatatan Asuhan Kebidanan<o:p></o:p></span></div>
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<span lang="IN" style="font-family: Arial, sans-serif; font-size: 12pt; line-height: 200%;"> Bidan melakukan
pencatatan secara akurat, singkat dan jelas mengenai keadaan/kejadian yang
ditemukan dan dilakukan dalam memberikan asuhan kebidanan.<o:p></o:p></span></div>
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<span lang="IN" style="font-family: Arial, sans-serif; font-size: 12pt; line-height: 200%;"><br /></span></div>
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<span lang="IN" style="font-family: Arial, sans-serif; font-size: 12pt; line-height: 200%;"></span></div>
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<span lang="IN" style="font-family: Arial, sans-serif; font-size: 12pt;">Referensi:</span></div>
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<span lang="IN" style="font-family: Arial, sans-serif; font-size: 12pt;">- Depkes. 2007. Kepmenkes Nomor 938 Tahun 2007. <i style="mso-bidi-font-style: normal;">Standar Asuhan Kebidanan</i>. Kemenkes. Jakarta<o:p></o:p></span></div>
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<br /></div>
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<b><br /></b></div>
</span>Anonymoushttp://www.blogger.com/profile/01457688522410015120noreply@blogger.com1tag:blogger.com,1999:blog-2530420443861746556.post-46896646038795881402012-02-12T04:22:00.000-08:002012-02-12T04:22:30.318-08:00Kematian Janin Dalam Rahim<br />
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Kematian Janin Dalam Rahim<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Pengertian
<o:p></o:p></span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"> Kematian
janin biasanya didefenisikan sebagai kematian <i style="mso-bidi-font-style: normal;">intrauterin</i> dari janin dengan berat 500 gram atau<span style="mso-spacerun: yes;"> </span>lebih atau pada janin pada umur kehamilan sekurang-kurangnya
20 minggu.</span></div>
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<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Etiologi
<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 0.0001pt; margin-left: 0.75in; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Perdarahan:
plasenta previa dan solusio plasenta. Solusio plasenta atau terlepasnya
plasenta diakibatkan oleh trauma,misalnya karena benturan pada perut. Benturan
ini bisa saja mengenai pembuluh darah di plasenta, sehingga timbul perdarahan
di plasenta atau plasenta terlepas sebagian. Akhirnya aliran darah ke janin pun
tidak ada.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Pre-eklampsia
dan eklampsia. Pre-eklampsia dan eklampsia merupakan kumpulan gejala yang
timbul pada ibu hamil, bersalin, dan pada masa nifas yang terdiri dari trias:
hipertensi, protenuria, dan edema; yang kadang-kadang disertai dengan konvulsi
sampai koma. Hal ini dapat menyebabkan aliran darah menurun ke plasenta dan
menyebabkan gangguan pertumbuhan janin dan kekurangan oksigen sehingga terjadi
hipoksia intrauterin.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 0.0001pt; margin-left: 0.75in; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Penyakit-penyakit
kelainan darah, menjadi Misalnya; ketidakcocokan antara rhesus darah ibu dengan
arah janin. Akan timbul masalah bila ibu memiliki rhesus negatif, sementara
bapak rhesus positif, sehingga anak akan mengikuti yang dominan, akibatnya
antara ibu dan janin mengalami ketidakcocokan rhesus. Ketidakcocokan ini akan
mempengaruhi kondisi janin tersebut yaitu dapat terjadi hidrofetalis, suatu
reaksi imunologis yang menimbulkan gambaran klinis pada janin antara lain,
pembengkakan pada perut akibat terbentuknya cairan berlebih dalam rongga perut
(asites), pembengkakan kulit janin, penumpukan cairan dalam rongga dada dan
jantung, biasanya janin tidak dapat<span style="mso-spacerun: yes;">
</span>tertolong.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Penyakit
infeksi dan penyakit menular. Penyakit infeksi pada ibu disebabkan oleh virus
dapat mengakibatkan kematian janin dalam rahim seperti rubella,
sitomegalovirus, herpesvirus hominis, virus coxsakie, dan campak. Penyakit
menular seksual seperti sifilis. Selain itu infeksi bakteri dapat menyebabkan
kematian janin misalanya tifus abdominalis dengan angka kematian 75% dan kolera
dengan angka kematian 57%<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Penyakit
saluran kencing: bakteriuria, pielonefritis, glomerulonefritis, dan payah
ginjal. Sejauh telah diketahui bahwa kehamilan dapat mempengaruhi aliran darah
dan aliran plasma efektif ke ginjal<span style="mso-spacerun: yes;"> </span>dan
saluran kencing. Kecepatan filtrasi glomeruler dan fungsi tubuler meningkat
30-50% selama kehamilan.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Penyakit
endokrin: diabetes mellitus dan hipertiroid. Penyakit diabetes dapat merupakan
kelainan hederitar dengan ciri insufiensi insulin dalam sirkulasi darah,
konsentrasi gula darah tinggi, dan berkurangnya glikogenesis. Diabetes dalam
kehamilan menimbulkan banyak kesulitan. Penyakit ini akan menyebabkan
perubahan-perubahan metabolik dan hormonal penderita yang juga dipengaruhi oleh
kehamilan. Angka kematian perinatal karena penyakit ini adalah 10-15%. Selain
itu pada kehamilan, kelenjar tiroid mengalami hiperfungsi ditandai dengan
naiknya metabolisme basal sampai 15-27% dan kadang kala disertai pembesaran
ringan. Akibat penyakit ini adalah kematian janin dalam rahim.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Patologi
<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 0.0001pt; margin-left: 0.5in; margin-right: 0in; margin-top: 0in; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Apabila janin mati pada kehamilan yang telah lanjut,
terjadilah perubahan sebagai berikut :<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><i style="mso-bidi-font-style: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Rigor mortis</span></i><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">
(tegang mati) berlangsung 2 ½<span style="mso-spacerun: yes;"> </span>jam
setelah mati kemudian lemas kembali.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><i style="mso-bidi-font-style: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Stadium maserasi I</span></i><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">
adalah timbulnya lepuh-lepuh pada kulit. Lepuh ini mula-mula berisi cairan
jernih, tetapi kemudian menjadi merah. Berlangsung sampai 48 jam setelah anak
mati.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 0.0001pt; margin-left: 0.75in; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><i style="mso-bidi-font-style: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Stadium maserasi II </span></i><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">adalah
timbul lepuh-lepuh pecah dan mewarnai air ketuban merah coklat. Terjadi 48 jam
setelah anak mati.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 0.0001pt; margin-left: 0.75in; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><i style="mso-bidi-font-style: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Stadium maserasi III </span></i><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">adalah
terjadi kira-kira 3 minggu setelah anak mati. Badan janin sangat<span style="mso-spacerun: yes;"> </span>lemas dan hubungan antara tulang-tulang
sangat longgar dan edema dibawah<span style="mso-spacerun: yes;"> </span>kulit.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 0.0001pt; margin-left: 0.5in; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Diagnosis<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 0.0001pt; margin-left: 0.75in; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Anamnesis
: ibu tidak merasakan gerakan janin dalam beberapa hari atau gerakan janin
sangat berkurang. Ibu merasa perutnya tidak bertambah besar, bahkan bertambah
kecil, atau kehamilan tidak seperti biasanya.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 0.0001pt; margin-left: 0.75in; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Inspeksi
: tidak kelihataan gerakan-gerakan janin<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 0.0001pt; margin-left: 0.75in; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Palpasi
: <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 0.0001pt; margin-left: 1in; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">TFU
lebih rendah dari seharusnya tuanya kehamilan, tidak teraba gerakan-gerakan
janin<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 0.0001pt; margin-left: 1in; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Pada
palpasi yang teliti, dapat dirasakan adanya krepitasi pada tulang kepala janin.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 0.0001pt; margin-left: 0.75in; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Auskultasi
: baik memakai stetoskop monoral maupun deptone tidak akan terdengar denyut janin.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 0.0001pt; margin-left: 0.75in; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Reaksi
kehamilan : reaksi kehamilan baru negative<span style="mso-spacerun: yes;">
</span>setelah beberapa minggu janin mati dalam kandungan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 0.0001pt; margin-left: 0.75in; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Rontgen
foto abdomen<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 0.0001pt; margin-left: 1in; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Adanya
akumulasi gas dalam jantung dan pembuluh darah besar janin.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 0.0001pt; margin-left: 1in; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Tanda
nojosk : adanya ingulasi yang tajam tulang belakang janin.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 0.0001pt; margin-left: 1in; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Tanda
Gerhard : adanya hiperekstensi kepala tulang leher janin.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 0.0001pt; margin-left: 1in; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">4)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Tanda
spalding : overlapping tulang-tulang kepala (sutura) janin<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 0.0001pt; margin-left: 1in; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">5)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Disintegrasi
tulang janin bila ibu berdiri tegak. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 0.0001pt; margin-left: 1in; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">6)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Kepala
janin kelihatan seperti kantong yang berisi benda padat.</span><span class="Apple-style-span" style="font-family: Arial, sans-serif; font-size: 16px;"> </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 0.0001pt; margin-left: 0.5in; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Diagnosis
banding<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 0.0001pt; margin-left: 0.75in; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Mioma
uteri.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 0.0001pt; margin-left: 0.75in; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Molahidatidosa.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 0.0001pt; margin-left: 0.5in; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Komplikasi
<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 0.0001pt; margin-left: 0.75in; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Trauma
emosional yang berat<span style="mso-spacerun: yes;"> </span>terjadi bila waktu
antara kematian janin dengan persalinan cukup lama.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 0.0001pt; margin-left: 0.75in; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Dapat
terjadi infeksi jika ketuban pecah. (Saifuddin,2000:336)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 0.0001pt; margin-left: 0.75in; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Kematian
janin dalam kandungan lebih dari 3-4 minggu biasanya tidak membahayakan ibu .
setelah lewat 4 minggu maka kemungkinan terjadinya kelainan darah
(hipo-fibrinogenemia) akan lebih besar; oleh karena itu pemeriksaan pembekuan
darah harus dilakukan setiap minggu setelah diagnosis ditegakkan. Bila terjadi
hipofibrinogenemia, maka akan<span style="mso-spacerun: yes;"> </span>terjadi
perdarahan postpartum <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 0.0001pt; margin-left: 0.5in; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Penanganan
<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 0.0001pt; margin-left: 0.75in; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Periksa
tanda vital.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 0.0001pt; margin-left: 0.75in; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Ambil
darah untuk pemeriksaan darah perifer, fungsi pembekuan, golongan darah ABO dan
rhesus.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 0.0001pt; margin-left: 0.75in; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Jelaskan
seluruh prosedur pemeriksaan dan hasilnya serta rencana tindakan akan dilakukan
kepada pasien dan keluarganya. Bila belum ada kepastian sebab kematian, hindari
memberikan informasi tidak tepat.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 0.0001pt; margin-left: 0.75in; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Dukungan
mental emosional perlu diberikan kepada pasien. Sebaiknya pasien selalu
didampingi dengan orang terdekatnya. Yakinkan bahwa besar kemungkinan dapat
lahir pervaginam. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 0.0001pt; margin-left: 0.75in; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Rencana
persalinan pervaginam dengan cara induksi maupun ekspektatif, perlu dibicarakan
dengan pasien dan keluarganya, sebelum keputusan diambil.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 0.0001pt; margin-left: 0.75in; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Bila
pilihan adalah ekspekatif ; tunggu persalinan spontan hingga 2 minggu yakinkan
bahwa 90% persalinan spontan akan terjadi tanpa komplikasi. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 0.0001pt; margin-left: 0.75in; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Bila
pilihan adalah manajemen aktif : induksi persalinan mengunakan oksitosin dan
misoprostol. Seksio sesarea merupakan pilihan misalnya pada letak lintang. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 0.0001pt; margin-left: 0.75in; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">h.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Berikan
kesempatan pada ibu dan keluarganya untuk melihat dan melakukan berbagai
kegiatan ritual bagi janin yang meninggal tersebut.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 0.0001pt; margin-left: 0.75in; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">i.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Pemeriksaan
patologi plasenta akan mengungkapkan adanya patologi plasenta dan infeksi.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 0.0001pt; margin-left: 0.5in; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Faktor
dari ibu yang mempengaruhi kematian perinatal dan kematian janin dalam rahim <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 0.0001pt; margin-left: 0.75in; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Status
sosial ekonomi yang rendah.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 0.0001pt; margin-left: 0.75in; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Tingkat
pendidikan ibu yang rendah.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 0.0001pt; margin-left: 0.75in; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Umur
ibu yang melebihi 35 tahun dan kurang dari 20 tahun<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Jarak
kehamilan kurang dari 2 tahun<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Paritas
ke tiga atau lebih.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Kehamilan
di luar perkawinan <o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Kehamilan
tanpa pengawasan antenatal.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: 0.0001pt; margin-left: 0.75in; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">h.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Riwayat
kehamilan dengan komplikasi<o:p></o:p></span></div>
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<span class="Apple-style-span" style="font-family: Arial, sans-serif;"><br /></span></div>
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<span class="Apple-style-span" style="font-family: Arial, sans-serif;">Referensi :</span></div>
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<span class="Apple-style-span" style="font-family: Arial, sans-serif;"></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .5in; margin-right: 0in; margin-top: 12.0pt; text-indent: -.5in;">
<span class="Apple-style-span" style="font-family: Arial, sans-serif;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt;"> - Achadiat, Chrisdiono
M. 2004. <i style="mso-bidi-font-style: normal;">Prosedur Tetap Obstetri dan
Ginekologi</i>. Penerbit Buku Kedokteran EGC. Jakarta.<o:p></o:p></span></span></div>
<span class="Apple-style-span" style="font-family: Arial, sans-serif;"></span><span class="Apple-style-span" style="font-family: Arial, sans-serif; font-size: 16px;"> - Mochtar, R. 1998. <i style="mso-bidi-font-style: normal;">Sinopsis obstetri. </i>Penerbit <span style="mso-spacerun: yes;"> </span></span><span class="Apple-style-span" style="font-family: Arial, sans-serif; font-size: 16px;">Buku Kedokteran EGC. Jakarta.</span><div>
<span class="Apple-style-span" style="font-family: Arial, sans-serif; font-size: 16px;"> - Sastrawinata, S.
2004. <i style="mso-bidi-font-style: normal;">Obstetri Patologi</i></span><span class="Apple-style-span" style="font-family: Arial, sans-serif; font-size: 16px;">. Penerbit
Buku Kedokteran EGC. Jakarta.</span></div>
<div>
<span class="Apple-style-span" style="font-family: Arial, sans-serif; font-size: 16px;"> - Wiknjosastro, H.
2006. <i style="mso-bidi-font-style: normal;">Ilmu Kebidanan</i>. Yayasan
Bina<span style="mso-spacerun: yes;"> </span>Pustaka. Jakarta.</span><span class="Apple-style-span" style="font-family: Arial, sans-serif;">
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .5in; margin-right: 0in; margin-top: 12.0pt; text-indent: -.5in;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .5in; margin-right: 0in; margin-top: 12.0pt; text-indent: -.5in;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt;"><span style="mso-spacerun: yes;"> </span><o:p></o:p></span></div>
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<br /></div>
<div class="MsoNoSpacing" style="line-height: 200%;">
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<span class="Apple-style-span" style="font-family: Arial, sans-serif;"><br /></span></div>
</div>Anonymoushttp://www.blogger.com/profile/01457688522410015120noreply@blogger.com0tag:blogger.com,1999:blog-2530420443861746556.post-12936424055862955982012-02-12T04:07:00.000-08:002012-02-15T00:42:23.133-08:007 Langkah Varney<br />
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: 0.0001pt; margin-left: 0.25in; margin-right: 0in; margin-top: 0in; text-align: center; text-indent: -0.25in;">
<b><span style="font-family: Arial, sans-serif; font-size: 12pt; line-height: 200%;">Manajemen Kebidanan<o:p></o:p></span></b></div>
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<span style="font-family: Arial, sans-serif; font-size: 12pt; line-height: 200%;"><span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span>1.<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: Arial, sans-serif; font-size: 12pt; line-height: 200%;">Pengertian Manajemen Kebidaanan </span></div>
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<span style="font-family: Arial, sans-serif; font-size: 12pt; line-height: 200%;">Manajemen kebidanan adalah suatu metode pendekatan
pemecahan masalah dalam pemberian pelayanan asuhan kebidanan, atau merupakan
proses pemecahan masalah yang digunakan oleh bidan serta merupakan metode yang
terorganisasi melalui tindakan yang logikal dalam memberi pelayanan.<b><o:p></o:p></b></span></div>
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<span style="font-family: Arial, sans-serif; font-size: 12pt; line-height: 200%;"><span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span>2.<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: Arial, sans-serif; font-size: 12pt; line-height: 200%;">Tahapan Manajemen Kebidanan </span></div>
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<span style="font-family: Arial, sans-serif; font-size: 12pt; line-height: 200%;">a.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: Arial, sans-serif; font-size: 12pt; line-height: 200%;">Langkah
pertama adalah pengumpulan dan analisa data dasar<o:p></o:p></span></div>
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<span lang="DE" style="font-family: Arial, sans-serif; font-size: 12pt; line-height: 200%;">Pengumpulan dan analisa
data dasar (pengkajian) merupakan langkah awal dari manajemen kebidanan.
Pengumpulan data dasar utuk menilai kondisi klien. Yang termasuk data dasar :
riwayat kesehatan klien, pemeriksaan fisik dan pemeriksaan atas indikasi
tertentu, catatan riwayat kesehatan yang lalu dan sekarang serta hasil
pemeriksaan laboratorium.<o:p></o:p></span></div>
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<span lang="DE" style="font-family: Arial, sans-serif; font-size: 12pt; line-height: 200%;">Semua data harus
memberikan informasi yang saling berhubungan (relevan) dan menggambarkan
kondisi klien yang sebenarnya, data-data yang perlu dikumpulkan dalam kasus
abortus inkomplit adalah amenore, sakit perut, perdarahan yang bisa sedikit
atau banyak, dan biasanya berupa stolsel (darah beku), sudah ada keluar fetus
atau jaringan, pada abortus yang sudah lama terjadi atau pada abortus
provokatus yang dilakukan oleh orang yang tidak ahli sering terjadi infeksi.
Pada pemeriksaan dalam (VT) untuk abortus yang baru terjadi didapati serviks
terbuka, kadang-kadang dapat diraba sisa-sisa jaringan dalam kanalis servikalis
atau cavum uteri, serta yang berukuran lebih dari biasanya. <b><o:p></o:p></b></span></div>
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<span lang="DE" style="font-family: Arial, sans-serif; font-size: 12pt; line-height: 200%;">b.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span lang="DE" style="font-family: Arial, sans-serif; font-size: 12pt; line-height: 200%;">Langkah kedua adalah identifikasi diagnosa/masalah aktual<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 63.0pt; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: .25in;">
<span lang="DE" style="font-family: Arial, sans-serif; font-size: 12pt; line-height: 200%;">Menginterpretasikan data
secara fisik kedalam rumusan dignosa dan masalah kebidanan. Kata masalah dan
diagnosa digunakan kedua-duanya dan mempunyai pengertian yang berbeda-beda.
Masalah tidak dapat didefinisikan sebagai diagnosa, tetapi memerlukan suatu
pengembangan rencana keperawatan secara
menyeluruh pada klien. Masalah lebih sering berhubungan dengan bagaimana klien
menguraikan keadaan yang dirasakan, sedangkan diagnosa lebih sering
didefinisikan oleh bidan yang difokuskan pada apa yang dialami oleh klien.<o:p></o:p></span></div>
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<span style="font-family: Arial, sans-serif; font-size: 12pt; line-height: 200%;">c.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: Arial, sans-serif; font-size: 12pt; line-height: 200%;">Langkah
ketiga adalah identifikasi diagnosa/masalah potensial<o:p></o:p></span></div>
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<span style="font-family: Arial, sans-serif; font-size: 12pt; line-height: 200%;">Dari kumpulan masalah dan diagnosa,
identifikasi faktor-faktor potensial yang memerlukan antisipasi segera,
tindakan pencegahan jika memungkinkan atau waspada sambil menunggu
mempersiapkan pelayanan segala sesuatu yang mungkin terjadi.<o:p></o:p></span></div>
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<span style="font-family: Arial, sans-serif; font-size: 12pt; line-height: 200%;">d.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: Arial, sans-serif; font-size: 12pt; line-height: 200%;">Langkah
keempat adalah evaluasi perlunya tindakan segera (<i>emergency </i>dan
konsultasi).<o:p></o:p></span></div>
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<span style="font-family: Arial, sans-serif; font-size: 12pt; line-height: 200%;">Proses manajemen kebidanan dilakukan secara
terus menerus selama klien dalam perawatan bidan. Proses terus menerus ini
menghasilkan data baru segera dinilai. Beberapa data menunjukkan adanya suatu
situasi yang menutut tindakan segera selagi menunggu instruksi dari dokter
seperti prolapsus tali pusat. Situasi lain yang bukan merupakan keadaan darurat
tetapi boleh memerlikan konsultasi dokter atau manajemen kolaborasi.<o:p></o:p></span></div>
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<span style="font-family: Arial, sans-serif; font-size: 12pt; line-height: 200%;">e.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: Arial, sans-serif; font-size: 12pt; line-height: 200%;">Langkah
kelima adalah perencanaan asuhan kebidanan<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 63.0pt; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: .25in;">
<span style="font-family: Arial, sans-serif; font-size: 12pt; line-height: 200%;">Dikembangkan berdasarkan intervensi saat
sekarang dan antisipasi diagnosa dan
problem serta meliputi data-data tambahan setelah data dasar. Rencana tindakan
komprehensif bukan hanya meliputi kondisi klien serta hubungannya degan masalah
yang dialami klien, akan tetapi meliputi antisipasi dengan bimbingan terhadap
klien serta konseling, bila perlu mengenai ekonomi, agama, budaya, atapun
masalah psikologis. Rencana tindakan harus disetujui klien. Oleh sebab itu
harus didiskusikan dengan klien, semua tindakan yang diambil berdasarkan
rasional yang relevan dan diakui kebenarannya serta situasi dan kondisi
tindakan harus dianalisa secara teoritis.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 63.0pt; margin-right: 0in; margin-top: 0in; mso-list: l0 level1 lfo3; text-align: justify; text-indent: -.25in;">
<span style="font-family: Arial, sans-serif; font-size: 12pt; line-height: 200%;">f.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: Arial, sans-serif; font-size: 12pt; line-height: 200%;">Langkah
keenam pelaksanaan asuhan kebidanan<o:p></o:p></span></div>
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<span lang="DE" style="font-family: Arial, sans-serif; font-size: 12pt; line-height: 200%;">Melaksanakan rencana
tindakan secara efisien dan menjamin rasa aman klien. Implementasi dapat
dikerjakan seluruhnya oleh bidan ataupun bekerjasama dengan tim kesehatan lain.
Jika seorang bidan tidak melakukan tindakan sendiri, maka ia menerima tanggung
jawab mengurus pelaksanaannya. Dalam situasi dimana bidan melakukan tindakan
kolaborasi dengan seorang dokter, dan masih tetap terlibat didalam
penatalaksanaan perawatan secara menyeluruh bagi klien.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 63.0pt; margin-right: 0in; margin-top: 0in; mso-list: l0 level1 lfo3; text-align: justify; text-indent: -.25in;">
<span lang="DE" style="font-family: Arial, sans-serif; font-size: 12pt; line-height: 200%;">g.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span lang="DE" style="font-family: Arial, sans-serif; font-size: 12pt; line-height: 200%;">Langkah ketujuh evaluasi hasil tindakan asuhan kebidanan<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 63.0pt; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: .25in;">
<span lang="DE" style="font-family: Arial, sans-serif; font-size: 12pt; line-height: 200%;">Mengetahui sejauh mana
tingkat keberhasilan asuhan yang diberikan kepada klien. Pada tahap evaluasi
ini bidan harus melakukan pengamatan dan observasi terhadap masalah yang
dihadapi oleh klien, apakah masalah diatasi seluruhnya, sebagian telah
dipecahkan atau mungkin timbul masalah baru.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 63.0pt; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: .25in;">
<span lang="DE" style="font-family: Arial, sans-serif; font-size: 12pt; line-height: 200%;">Selain terhadap
permasalahan klien, bidan juga harus mengenal apakah rencana yang telah
ditetapkan dapat dilakukan dengan baik, apakah perlu disusun kembali rencana
intervensi yang lain sehingga maslah dapat dipecahkan dengan cepat.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 63.0pt; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: .25in;">
<span lang="DE" style="font-family: Arial, sans-serif; font-size: 12pt; line-height: 200%;">Pada prinsipnya tahap
evaluasi adalah pengkajian kembali terhadap klien untuk menjawab pertanyaan
seberapa jauh tercapainya rencana yang dilakukan.</span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 63.0pt; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: .25in;">
<span class="Apple-style-span" style="font-family: Arial, sans-serif;"><b><br /></b></span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 63.0pt; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: .25in;">
<span class="Apple-style-span" style="font-family: Arial, sans-serif;"><b>Referensi:</b></span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 63.0pt; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: .25in;">
<span class="Apple-style-span" style="font-family: Arial, sans-serif;">- </span><span class="Apple-style-span" style="font-family: Arial, sans-serif; font-size: 16px; line-height: 18px;">Helen Varney, 1997. Varney <i style="mso-bidi-font-style: normal;">Midwifery
Teks Book</i>, Thirt edition, Jonas and Barlett, London.</span></div>Anonymoushttp://www.blogger.com/profile/01457688522410015120noreply@blogger.com0tag:blogger.com,1999:blog-2530420443861746556.post-81831179671073333542012-02-12T03:55:00.000-08:002012-02-12T03:55:51.834-08:00Pendokumentasian Asuhan Kebidanan<br />
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<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;"><span style="font: 7.0pt "Times New Roman";"> </span><span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"><b>Pendokumentasian Asuhan Kebidanan </b></span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">SOAP adalah catatan yang bersifat sederhana,
jelas, logis dan tertulis. Seorang bidan hendaknya menggunakan SOAP setiap kali
bertemu dengan klienya dalam masa antenatal. Seorang bidan dapat menuliskan
satu catatan SOAP untuk setiap kali kujungan.<o:p></o:p></span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">SOAP sebagai suatu metode pendokumentasian
asuhan kebidanan, metode ini disarikan dari proses pemikiran
penatalaksanaan<span style="mso-spacerun: yes;"> </span>kebidanan. Dipakai untuk
mendokumentasikan hasil asuhan klien dalam rekam medis klien sebagai catatan
perkembangan/kemajuan (progress note) yaitu :<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Subyektif
(S)<span style="mso-tab-count: 1;"> </span></span></div>
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<span lang="DE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: DE;">Apa yang dikatakan, disampaikan, dikeluhkan<span style="mso-spacerun: yes;"> </span>oleh pasien.<b><o:p></o:p></b></span></div>
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<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Obyektif<span style="mso-tab-count: 1;"> </span>(O)<span style="mso-tab-count: 1;"> </span></span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Apa
yang dilihat, diraba, dirasakan oleh bidan saat melakukan pemeriksaan dan dari
hasil pemeriksaan laboratorium.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Assesment
(A)<span style="mso-tab-count: 1;"> </span></span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Kesimpulan
apa yang dibuat berdasarkandata subyektif dan obyektif sebagai hasil
pengambilan keputusan klinis terhadap klien tersebut.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Planing
(P)<span style="mso-tab-count: 2;"> </span>:<b><o:p></o:p></b></span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Apa
yang dilakukan berdasarkan hasil kesimpulan dan evaluasi terhadap hasil
keputusan yang diambil dalam rangka mengatasi masalah klien/memenuhi kebutuhan
klien<o:p></o:p></span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Table Jenis – jenis pendokumentasian hasil asuhan
kebidanan<o:p></o:p></span></div>
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<div align="center" class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin: 0in; text-align: center;">
<b><span lang="DE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DE;">Tujuh
Langkah dari Helen Varney<o:p></o:p></span></b></div>
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<b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Lima Langkah Kompetensi
Inti Bidan Indonesia<o:p></o:p></span></b></div>
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<b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">SOAP/Note/Progress Note<o:p></o:p></span></b></div>
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<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
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<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Pengumpulan Data<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Pengumpulan data<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Subyektif<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Obyektif <o:p></o:p></span></div>
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<tr style="mso-yfti-irow: 2;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
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<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Identifikasi Diagnosa/Masalah aktual<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Antisipasi diagnosa/Masalah Potensial<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="DE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-ansi-language: DE; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="DE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-ansi-language: DE;">Menilai perlunya tindakan segera/konsultasi/rujukan<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">2.</span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Identifikasi Diagnosa/<o:p></o:p></span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Masalah
<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Assesmant/Diagosa<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Pengembangan rencana asuhan<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Membuat rencana tindakan<b><o:p></o:p></b></span></div>
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<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Planning/Rencana
Tindakan :<b><o:p></o:p></b></span></div>
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<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Konsultasi/Rujuk<b><o:p></o:p></b></span></div>
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<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Pemeriksaan Diagnosa<b><o:p></o:p></b></span></div>
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<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Pemberian Pengobatan<b><o:p></o:p></b></span></div>
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<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Pendidikan Kesehatan dan konseling<b><o:p></o:p></b></span></div>
<div class="MsoListParagraph" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 30.6pt; margin-right: 0in; margin-top: 0in; mso-list: l1 level1 lfo6; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Follow Up kesehatan<b><o:p></o:p></b></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 4;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div class="MsoListParagraph" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .25in; margin-right: 0in; margin-top: 0in; mso-list: l2 level1 lfo3; text-align: justify; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Implementasi Asuhan<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 113.55pt;" valign="top" width="151">
<div class="MsoListParagraph" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 12.6pt; margin-right: 0in; margin-top: 0in; mso-list: l3 level1 lfo4; text-align: justify; text-indent: -13.5pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Implementasi <o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 143.4pt;" valign="top" width="191">
<div class="MsoListParagraph" style="line-height: normal; margin-bottom: .0001pt; margin: 0in; text-align: justify;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 5; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 171.0pt;" valign="top" width="228">
<div class="MsoListParagraph" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .25in; margin-right: 0in; margin-top: 0in; mso-list: l2 level1 lfo3; text-align: justify; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Evaluasi efektifitas asuhan<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 113.55pt;" valign="top" width="151">
<div class="MsoListParagraph" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 12.6pt; margin-right: 0in; margin-top: 0in; mso-list: l3 level1 lfo4; text-align: justify; text-indent: -13.5pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Evaluasi <o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 143.4pt;" valign="top" width="191">
<div class="MsoListParagraph" style="line-height: normal; margin-bottom: .0001pt; margin: 0in; text-align: justify;">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="MsoListParagraph" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 63.0pt; margin-right: 0in; margin-top: 0in; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 63.0pt; margin-right: 0in; margin-top: 0in; text-align: justify;">
<span class="Apple-style-span" style="font-family: Arial, sans-serif;"><b>Referensi:</b></span></div>
<div class="MsoListParagraph" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 63.0pt; margin-right: 0in; margin-top: 0in; text-align: justify;">
<span class="Apple-style-span" style="font-family: Arial, sans-serif;"><span style="font-family: Arial, sans-serif; font-size: 12pt; line-height: 115%;">- WHO, JHPIEGO, 2003. <i>Konsep Dasar Kebidanan</i>,
Jakarta.</span></span></div>Anonymoushttp://www.blogger.com/profile/01457688522410015120noreply@blogger.com0tag:blogger.com,1999:blog-2530420443861746556.post-62829784807129046372012-02-12T03:51:00.000-08:002012-02-12T03:51:53.781-08:00Abortus Inkomplit<br />
<div class="MsoListParagraphCxSpFirst" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .5in; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l2 level1 lfo1; text-indent: -.25in;">
<span class="Apple-style-span" style="font-family: Arial, sans-serif;"></span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: 0.0001pt; margin-left: 45pt; margin-right: 0in; margin-top: 0in; text-align: center; text-indent: -45pt;">
<!--[if !supportLists]--><span class="Apple-style-span" style="font-family: Arial, sans-serif;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;"><span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;"><b>Abortus Inkomplit</b><o:p></o:p></span></span></div>
<span class="Apple-style-span" style="font-family: Arial, sans-serif;">
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 63.0pt; margin-right: 0in; margin-top: 0in; mso-list: l1 level1 lfo3; text-align: justify; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Pengertian
abortus inkomplit<b><o:p></o:p></b></span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 81.0pt; margin-right: 0in; margin-top: 0in; mso-list: l9 level1 lfo4; text-align: justify; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Abortus
inkomplit (keguguran bersisa)<span style="mso-tab-count: 1;"> </span>:
hanya sebagian hasil konsepsi yang dikeluarkan, yang tertinggal adalah decidua
dan plasenta. </span></div>
</span><span class="Apple-style-span" style="font-family: Arial, sans-serif;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;"> b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Gambaran
klinis</span></span><span class="Apple-style-span" style="font-family: Arial, sans-serif;">
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 1.0in; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: .25in;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Didapati antara lain adalah amenore, sakit
perut mules, perdarahan yang bisa sedikit atau banyak, dan biasanya berupa
stolsel (darah beku), sudah ada keluar fetus atau jaringan, pada abortus yang
sudah lama terjadi atau pada abortus provocatus yang dilakukan oleh orang yang
tidak ahli sering terjadi infeksi. Pada pemeriksaan dalam (VT) untuk abortus
yang baru terjadi didapati serviks terbuka, kadang-kadang dapat diraba
sisa-sisa jaringan dalam kanalis servikalis atau cavum uteri, serta yang
berukuran lebih dari biasanya.</span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 63.0pt; margin-right: 0in; margin-top: 0in; mso-list: l1 level1 lfo3; text-align: justify; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Penanganan
abortus inkomplit<b><o:p></o:p></b></span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 81.0pt; margin-right: 0in; margin-top: 0in; mso-list: l0 level1 lfo8; tab-stops: 81.0pt; text-align: justify; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Tentukan
besar uterus (taksir usia gestasi), kenali dan atasi setiap komplikasi<span style="mso-spacerun: yes;"> </span>(perdarahan hebat, syok, infeksi/sepsis)<b><o:p></o:p></b></span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 81.0pt; margin-right: 0in; margin-top: 0in; mso-list: l0 level1 lfo8; tab-stops: 81.0pt; text-align: justify; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Hasil
konsepsi yang terperangkap dalam serviks disertai perdarahan hingga ukuran
sedang, dapat dikeluarkan secara digital atau dengan cunam ovum. Setelah itu
evaluasi perdarahan:<b><o:p></o:p></b></span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 99.0pt; margin-right: 0in; margin-top: 0in; mso-list: l8 level1 lfo9; text-align: justify; text-indent: -.25in;">
<!--[if !supportLists]--><span lang="DE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: DE; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="DE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: DE;">Bila perdarahan berhenti beri ergometrin 0,2 mg IM atau
misoprostol 400 mg peroral.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 99.0pt; margin-right: 0in; margin-top: 0in; mso-list: l8 level1 lfo9; text-align: justify; text-indent: -.25in;">
<!--[if !supportLists]--><span lang="DE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: DE; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="DE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: DE;">Bila perdarahan terus berlangsung evaluasi sisa hasil
konsepsi dengan AVM (Aspirasi Vacum Manual)<span style="mso-spacerun: yes;">
</span>dan D & K (pilihan tergantung usia gestasi, pembukaan serviks dan
keberadaan bagian-bagian janin).<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 99.0pt; margin-right: 0in; margin-top: 0in; mso-list: l8 level1 lfo9; text-align: justify; text-indent: -.25in;">
<!--[if !supportLists]--><span lang="DE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: DE; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="DE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: DE;">Bila tidak ada tanda-tanda infeksi beri antibiotik profilaksis
(subenisillin 2 g IM atau sefuroksim 1 g oral).<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 99.0pt; margin-right: 0in; margin-top: 0in; mso-list: l8 level1 lfo9; text-align: justify; text-indent: -.25in;">
<!--[if !supportLists]--><span lang="DE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: DE; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">d)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="DE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: DE;">Bila terjadi infeksi beri ampicillin 1 gr dan
metronidazole 500 mg setiap 8 jam.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 99.0pt; margin-right: 0in; margin-top: 0in; mso-list: l8 level1 lfo9; text-align: justify; text-indent: -.25in;">
<!--[if !supportLists]--><span lang="DE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: DE; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">e)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="DE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: DE;">Bila terjadi perdarahan hebat dan usia gestasi dibawah 16
minggu segera lakukan evakuasi dengan AVM.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 99.0pt; margin-right: 0in; margin-top: 0in; mso-list: l8 level1 lfo9; text-align: justify; text-indent: -.25in;">
<!--[if !supportLists]--><span lang="DE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: DE; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">f)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="DE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: DE;">Bila pasien tampak anemia berikan sulfaferosus 600 mg
perhari selama 2 minggu (anemia sedang) atau transfuse darah (anemia berat).<b><o:p></o:p></b></span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 99.0pt; margin-right: 0in; margin-top: 0in; mso-list: l8 level1 lfo9; text-align: justify; text-indent: -.25in;">
<!--[if !supportLists]--><span lang="DE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: DE; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">g)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="DE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: DE;">Pengeluaran sisa jaringan secara digital tindakan ini
untuk menolong penderita ditempat yang tidak ada fasilitas kuretase,
sekurang-kurangnya untuk menghentikan perdarahan. Hal ini sering dilakukan pada
keguguran yang sedang berlangsung (abortus insipien) abortus inkomplit.
Pembersihan secara digital hanya dapat dilakukan bila telah ada pembukaan
serviks uteri yang dapat dilalui oleh satu jari longgar dan kavum uteri cukup
luas. Karena manipulasi ini akan menimbulkan rasa nyeri, maka sebaiknya
dilakukan dalam narkose umum intra vena (ketalar) atau anastesi blok pars
servikalis. <b><o:p></o:p></b></span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 99.0pt; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: .25in;">
<span lang="DE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: DE;">Caranya adalah dengan
dua jari : jari telunjuk dan jari tengah tangan kanan dimasukan kedalam jalan
lahir dengan mengeluarkan hasil konsepsi, sedangkan tangan kiri menekan serviks
uteri sebagai fiksasi, dengan kedua jari tangan kikislah hasil konsepsi
sebanyak mungkin atau sebersihnya.<b><o:p></o:p></b></span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 99.0pt; margin-right: 0in; margin-top: 0in; mso-list: l8 level1 lfo9; text-align: justify; text-indent: -.25in;">
<!--[if !supportLists]--><span lang="DE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: DE; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">h)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="DE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: DE;">Pengeluaran sisa jaringan dengan kuretase/kerokan </span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 99.0pt; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: .25in;">
<span lang="DE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: DE;">Kuretase adalah cara
membersihkan hasil konsepsi menggunakan alat kuretase. Sebelum melakukan
kuretase penolong harus<span style="mso-spacerun: yes;"> </span>melakukan
pemeriksaan dalam untuk mengetahui letak uterus, gunanya untuk mencegah
terjadinya bahaya kecelakaan misalnya perforasi.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 117.0pt; margin-right: 0in; margin-top: 0in; mso-list: l3 level1 lfo5; text-align: justify; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">(1)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Persiapan
Penderita<b><o:p></o:p></b></span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 135.0pt; margin-right: 0in; margin-top: 0in; mso-list: l7 level1 lfo6; text-align: justify; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">(a)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Melakukan
pemeriksaan umum : tekanan darah, nadi, suhu, keadaan jantung dan sebagainya.<b><o:p></o:p></b></span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 135.0pt; margin-right: 0in; margin-top: 0in; mso-list: l7 level1 lfo6; text-align: justify; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">(b)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Pasanglah
infus dextrose 5% atau RL yang mengandung 10 unit oksitosin.<b><o:p></o:p></b></span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 117.0pt; margin-right: 0in; margin-top: 0in; mso-list: l3 level1 lfo5; text-align: justify; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">(2)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Persiapan
alat-alat kuretase<span style="mso-tab-count: 1;"> </span>: alat-alat
hendaknya telah tersedia dalam bak, alat hendaknya dalam keadaan <i>aseptic </i>(suci
hama) berisi :<b><o:p></o:p></b></span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 135.0pt; margin-right: 0in; margin-top: 0in; mso-list: l5 level1 lfo10; text-align: justify; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">(a)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Speculum
sims 2 buah<b><o:p></o:p></b></span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 135.0pt; margin-right: 0in; margin-top: 0in; mso-list: l5 level1 lfo10; text-align: justify; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">(b)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Cunam
tampon (tampon tang) 1 buah<b><o:p></o:p></b></span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 135.0pt; margin-right: 0in; margin-top: 0in; mso-list: l5 level1 lfo10; text-align: justify; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">(c)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Cunam
peluru (tampon tang) 1 buah<b><o:p></o:p></b></span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 135.0pt; margin-right: 0in; margin-top: 0in; mso-list: l5 level1 lfo10; text-align: justify; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">(d)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Uterus
sonde 1 buah<b><o:p></o:p></b></span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 135.0pt; margin-right: 0in; margin-top: 0in; mso-list: l5 level1 lfo10; text-align: justify; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">(e)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Busi
hegar (dilatator) 1 buah<b><o:p></o:p></b></span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 135.0pt; margin-right: 0in; margin-top: 0in; mso-list: l5 level1 lfo10; text-align: justify; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">(f)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Cunam
ovum (venster 1 buah)<b><o:p></o:p></b></span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 135.0pt; margin-right: 0in; margin-top: 0in; mso-list: l5 level1 lfo10; text-align: justify; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">(g)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Jarum
suntik 5 ml 2 buah<b><o:p></o:p></b></span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 135.0pt; margin-right: 0in; margin-top: 0in; mso-list: l5 level1 lfo10; text-align: justify; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">(h)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Mangkok
logam berisi bethadine<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 135.0pt; margin-right: 0in; margin-top: 0in; mso-list: l5 level1 lfo10; text-align: justify; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">(i)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Kateter
karet 1 buah<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 135.0pt; margin-right: 0in; margin-top: 0in; mso-list: l5 level1 lfo10; text-align: justify; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">(j)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Sarung
tangan DTT/steril 4 pasang<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 135.0pt; margin-right: 0in; margin-top: 0in; mso-list: l5 level1 lfo10; text-align: justify; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">(k)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Baju
kamar tindakan, apron, masker, kaca mata pelindung, sepatu boot/karet<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 135.0pt; margin-right: 0in; margin-top: 0in; mso-list: l5 level1 lfo10; text-align: justify; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">(l)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Kasa
steril beberapa lembar<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 135.0pt; margin-right: 0in; margin-top: 0in; mso-list: l5 level1 lfo10; text-align: justify; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">(m)</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Penampung
darah dan jaringan<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 135.0pt; margin-right: 0in; margin-top: 0in; mso-list: l5 level1 lfo10; text-align: justify; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">(n)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Lampu
sorot<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 135.0pt; margin-right: 0in; margin-top: 0in; mso-list: l5 level1 lfo10; text-align: justify; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">(o)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Larutan
chlorine 0,5%<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 117.0pt; margin-right: 0in; margin-top: 0in; mso-list: l3 level1 lfo5; text-align: justify; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">(3)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Cara
dilatasi kuretase<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 135.0pt; margin-right: 0in; margin-top: 0in; mso-list: l10 level1 lfo11; text-align: justify; text-indent: -.25in;">
<!--[if !supportLists]--><span lang="DE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: DE; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">(a)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="DE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: DE;">Pasang duk steril pada bokong ibu <o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 135.0pt; margin-right: 0in; margin-top: 0in; mso-list: l10 level1 lfo11; text-align: justify; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">(b)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Antiseptik
genitalia eksterna dan sekitarnya<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 135.0pt; margin-right: 0in; margin-top: 0in; mso-list: l10 level1 lfo11; text-align: justify; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">(c)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Kosongkan
vesika urinaria dengan kateter<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 135.0pt; margin-right: 0in; margin-top: 0in; mso-list: l10 level1 lfo11; text-align: justify; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">(d)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Pasang
spekulum<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 135.0pt; margin-right: 0in; margin-top: 0in; mso-list: l10 level1 lfo11; text-align: justify; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">(e)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Jepit
porsio dengan tenakulum<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 135.0pt; margin-right: 0in; margin-top: 0in; mso-list: l10 level1 lfo11; text-align: justify; text-indent: -.25in;">
<!--[if !supportLists]--><span lang="DE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: DE; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">(f)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="DE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: DE;">Masukkan sonde uterus untuk mengetahui dalam dan arah
kavum uteri<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 135.0pt; margin-right: 0in; margin-top: 0in; mso-list: l10 level1 lfo11; text-align: justify; text-indent: -.25in;">
<!--[if !supportLists]--><span lang="DE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: DE; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">(g)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="DE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: DE;">Lakukan dilatasi dengan dilatator hegar, mulai dari
ukuran kecil sampai dengan ukuran yang dikehendaki <o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 135.0pt; margin-right: 0in; margin-top: 0in; mso-list: l10 level1 lfo11; text-align: justify; text-indent: -.25in;">
<!--[if !supportLists]--><span lang="DE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: DE; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">(h)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="DE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: DE;">Keluarkan jaringan hasil konsepsi dengan tang abortus<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 135.0pt; margin-right: 0in; margin-top: 0in; mso-list: l10 level1 lfo11; text-align: justify; text-indent: -.25in;">
<!--[if !supportLists]--><span lang="DE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: DE; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">(i)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="DE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: DE;">Lakukan kuretase secara sistemik dengan kuret tumpul dan
tajam.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 135.0pt; margin-right: 0in; margin-top: 0in; mso-list: l10 level1 lfo11; text-align: justify; text-indent: -.25in;">
<!--[if !supportLists]--><span lang="DE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: DE; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">(j)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="DE" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: DE;">Setelah diyakini bersih dan tidak ada perdarahan lagi,
tenakulum dilepas dan portio didep dengan kasa bethadine.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 135.0pt; margin-right: 0in; margin-top: 0in; mso-list: l10 level1 lfo11; text-align: justify; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">(k)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Lepaskan
spekulum<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 135.0pt; margin-right: 0in; margin-top: 0in; mso-list: l10 level1 lfo11; text-align: justify; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">(l)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 200%;">Bersihkan
sekitar genitalia aksterna ibu<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 1.5in; margin-right: 0in; margin-top: 0in; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt;"><span style="mso-spacerun: yes;"> </span><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .25in; margin-right: 0in; margin-top: 0in; mso-list: l6 level1 lfo1; text-align: justify; text-indent: -.25in;">
<b>Referensi:</b></div>
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</div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; margin-left: 0.5in; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: -0.5in;">
<span style="font-family: Arial, sans-serif; font-size: 12pt;">- Saifuddin
AB, 2006. <i>Buku Acuan Pelayanan Kesehatan
Maternal dan Neonatal</i>, JNPK-KR JH-PIEGO, Jakarta.<o:p></o:p></span></div>
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<br /></div>
</span><span class="Apple-style-span" style="font-family: Arial, sans-serif;"> - </span><span class="Apple-style-span" style="font-family: Arial, sans-serif; font-size: 16px; line-height: 18px;">Wiknjosastro Hanifa,
2006. <i>Ilmu Kebidanan</i>, EGC, Jakarta.</span><br />Anonymoushttp://www.blogger.com/profile/01457688522410015120noreply@blogger.com0tag:blogger.com,1999:blog-2530420443861746556.post-70184852614734374362012-02-12T03:39:00.001-08:002012-03-15T01:44:15.028-07:00Ca Ovarium<br />
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 250%;">Ca Ovarium<o:p></o:p></span></b></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">1.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Pengertian
<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Kanker
indung telur adalah terjadinya pertumbuhan sel-sel yang tidak lazim (kanker)
pada satu atau dua bagian indung telur (Conectique.com, 2008, diakses tanggal
28 Mei 2009).</span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">2.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Etilologi
kanker ovarium (Busmar, 2006:469)<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Ada beberapa teori yang mencoba
menjelaskan etiologi kanker ovarium.<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">a.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Hipotesis
<i style="mso-bidi-font-style: normal;">Incessant Ovulation</i> <o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Teori ini pertama kali diperkenalkan
oleh Fathalla tahun 1972 yang menyatakan bahwa pada saat terjadi ovulasi,
terjadi kerusakan pada sel-sel epitel ovarium. Untuk penyembuhan luka yang
sempurna diperlukan waktu. Jika sebelum penyembuhan tercapai terjadi lagi
ovulasi atau trauma baru, proses penyembuhan akan terganggu sehingga dapat
menimbulkan proses transformasi menjadi sel-sel tumor.<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">b.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Hipotesis
gonadotropin<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Teori ini didasarkan pada pengetahuan
dari percobaan binatang dan data epidemiologi. Hormon hipofisa diperlukan untuk
perkembangan tumor ovarium pada beberapa percobaan pada binatang rodentia. Pada
percobaan ini ditemukan bahwa jika kadar hormon estrogen rendah di sirkulasi
perifer, kadar hormon gonadotropin akan meningkat. Peningkatan kadar
gonadotropin ini ternyata berhubungan dengan makin bertambah besarnya tumor
ovarium pada binatang tersebut.</span><span class="Apple-style-span" style="font-family: Arial,sans-serif; font-size: 16px;"> </span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">c.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Hipotesis
androgen<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Teori ini pertama kali dikemukakan oleh
Risch pada tahun 1998 yang mengatakan bahwa androgen mempunyai peran penting
dalam terbentuknya kanker ovarium. Teori ini didasarkan pada bukti bahwa epitel
ovarium mengandung reseptor androgen. Dalam percobaan invitro androgen dapat
menstimulasi pertumbuhan epitel ovarium normal dan juga sel-sel kanker ovarium
epitel dalam kultur sel. Dalam penelitian epidemiologi juga ditemukan tingginya
kadar androgen dalam darah penderita kanker ovarium. <o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">d.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Hipotesis
progesteron<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Pemberian pil yang mengandung estrogen
saja pada wanita pascamenopause akan meningkatkan risiko terjadinya kanker
ovarium, sedangkan pemberian kombinasi dengan progesteron akan menurunkan
risikonya. Akan tetapi, pemakaian depo medrosiprogesteron asetat ternyata tidak
menurunkan risiko terjadinya kanker ovarium. <o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">e.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Paritas
<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Penelitian menunjukkan bahwa wanita
dengan paritas tinggi memiliki risiko terjadinya kanker ovarium yang lebih
rendah daripada nullipara, yaitu dengan risiko relatif 0,7. Pada wanita yang
mengalami 4 atau lebih kehamilan aterm, risiko terjadinya kanker ovarium
berkurang sebesar 40% jika dibandingkan dengan wanita nullipara.<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">f.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Pil
kontrasepsi <o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Penelitian dari <i style="mso-bidi-font-style: normal;">Center for Disease Control</i> menemukan penurunan risiko terjadinya
kanker ovarium sebesar 40% pada wanita usia 20-54 tahun yang memakai pil
kontrasespsi yaitu dengan risiko relatif 0,6.<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">g.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Talk
<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Pemakaian talk (<i style="mso-bidi-font-style: normal;">hydrous magnesium silicate</i>) pada daerah perineum dilaporkan
meningkatkan risiko terjadinya kanker ovarium dengan risiko relatif 1,9. Akan
tetapi, penelitian prospektif yang mencakup kohort 78.000 wanita ternyata tidak
mendukung teori di atas.<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">h.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Ligasi
tuba<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Pengikatan tuba ternyata menurunkan
risiko terjadinya kanker ovarium dengan risiko relatif 0,3.<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">i.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Terapi
Hormon Pengganti pada masa menopause<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Pemakaian terapi hormon pengganti pada
masa menopause dengan estrogen saja selama 10 tahun akan meningkatkan risiko
relatif 2,2. Pemakaian terapi pengganti hormon dengan estrogen yang kemudian
diikuti dengan pemberian progestin, ternyata masih menunjukkan meningkatnya
risiko relatif menjadi 1,5.<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">j.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Obat-obat
yang meningkatkan kesuburan<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Obat-obat yang meningkatkan fertilitas
akan menginduksi terjadinya ovulasi atau multipel ovulasi.<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">k.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Faktor
herediter<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Dari studi metanalisis tahun 1988
ditemukan risiko relatif yang meningkat dan berbeda pada anggota keluarga lapis
pertama. Ibu dari penderita kanker ovarium risiko relatifnya 1,1, saudara
perempuan risiko relatifnya 3,8, anak dari penderita kanker ovarium risiko
relatifnya 6. <o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">3.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Faktor
risiko kanker ovarium <o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">a.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Riwayat
keluarga kanker ovarium dan kanker payudara<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">b.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Riwayat
keluarga kanker kolon dan kanker endometrial<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">c.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Wanita
di atas usia 50 tahun<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">d.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Wanita
yang tidak memilki anak (nullipara)<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">e.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Wanita
yang memiliki anak lebih dari 35 tahun (Ari, 2008).<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">4.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Patofisiologi
kanker ovarium<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Penyebab kanker ovarium masih belum
diketahui secara pasti, (Ari, 2008). Namun teori yang banyak dianut adalah
teori Fathalla yang menyatakan bahwa diperkirakan pada saat terjadi ovulasi,
terjadi kerusakan pada sel-sel epitel ovarium. Untuk penyembuhan luka yang
sempurna diperlukan waktu. Jika sebelum penyembuhan tercapai terjadi lagi
ovulasi atau trauma baru, proses penyembuhan akan terganggu sehingga dapat
menimbulkan proses transformasi menjadi sel-sel tumor (Busmar, 2006:469).<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;"> Pada
kejadian ini, beberapa orang dapat terjadi mutasi gen yang menjadi
karsinogenik. Kejadian mutasi gen akan makin meningkat pada keluarga yang mempunyai
sejarah herediter karsinoma (Manuaba, 2005:461)</span><i style="mso-bidi-font-style: normal;"><span style="font-family: Arial,sans-serif; font-size: 10pt; line-height: 200%;"><o:p> </o:p></span></i></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">5.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Gejala
kanker ovarium<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Pada stadium dini gejala-gejala kanker
ovarium tidak khas, lebih dari 70% penderita kanker ovarium sudah dalam stadium
lanjut. (Busmar, 2006:474).<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;"> Gejala kanker ovarium yang sering ditemukan :<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">a.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Nyeri
perut (50,8%)<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">b.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Perut
buncit (49,5%)<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">c.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Gangguan
fungsi saluran cerna (21,6%)<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">d.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Berat
badan turun secara nyata (17,5%)<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">e.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Perdarahan
pervaginam yang tidak normal (17,1%)<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">f.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Gangguan
saluran kencing (16,4%)<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">g.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Rasa
tertekan pada rongga panggul (5,0%)<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">h.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Nyeri
punggung (4,9%)<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">i.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Penderita
bisa meraba sendiri tumor di bagian bawah perut (2,8%)<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">(Yatim, 2008:32).</span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">6.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Klasifikasi
histologi (Rasjidi, 2007:86).<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">a.<span style="font: 7pt 'Times New Roman';"> </span></span><i style="mso-bidi-font-style: normal;"><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Epithelial</span></i><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">
(65% dari semua kanker ovarium). <o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Tumor epiteal ovarium berkembang dari
permukaan luar ovarium, pada umumnya jenis tumor yang berasal dari epitelial
adalah jinak, namun jika terjadi keganasan maka disebut epitelial ovarium
carcinomas yang merupakan jenis tumor yang paling sering dan penyebab kematian
terbesar dari jenis kanker ovarium. Gambaran tumor epitelial secara mikrokopis
tidak jelas teridentifikasi sebagai kanker, dinamakan sebagai tumor borderline
atau tumor yang berpotensi ganas. (Ari, 2008)<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Berikut adalah beberapa kanker epithelial :<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">1)<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Serosa
(20%-50%, kebanyakan ganas)<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">2)<span style="font: 7pt 'Times New Roman';"> </span></span><i style="mso-bidi-font-style: normal;"><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Muscinosa</span></i><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">
(15%-25%, dapat tumbuh hingga ukuran besar, histologinya bervariasi)<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">3)<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Endometrioid
(5%, sekitar 10% berhubungan dengan endometriosisi)<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">4)<span style="font: 7pt 'Times New Roman';"> </span></span><i style="mso-bidi-font-style: normal;"><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Clear cell </span></i><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">(5%,
prognosisnya sangat buruk)<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">5)<span style="font: 7pt 'Times New Roman';"> </span></span><i style="mso-bidi-font-style: normal;"><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Brenner</span></i><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">
(2%-3%, kebanyakan jinak)<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">b.<span style="font: 7pt 'Times New Roman';"> </span></span><i style="mso-bidi-font-style: normal;"><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Germ cell</span></i><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;"> (25%
dari semua kanker ovarium). <o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Tumor sel germinal berasal dari sel yang
menghasilkan ovum, umumnya tumor germinal adalah jinak meskipun beberapa
menjadi ganas, bentuk keganasan sel germinal adalah teratoma, disgermioma dan
tumor sinus endodermal (Ari, 2008).<o:p></o:p></span></div>
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<i style="mso-bidi-font-style: normal;"><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Germ cell</span></i><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;"> terdiri
atas :<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">a.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Disgermioma<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">b.<span style="font: 7pt 'Times New Roman';"> </span></span><i style="mso-bidi-font-style: normal;"><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Mixed germ cell tu</span></i><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">mor<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 1.0in; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l11 level1 lfo24; text-indent: -.25in;">
<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">c.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Teratoma
imatur<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">d.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Koriokarsinoma<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">e.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Endodermal
sinus tumor<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">f.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Embrional
karsinoma<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">c.<span style="font: 7pt 'Times New Roman';"> </span></span><i style="mso-bidi-font-style: normal;"><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Sex cord stromal</span></i><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;"> (5%
dari semua kanker ovarium) terdiri atas sel granulosa tumor. Tipe lainnya
adalah sertoli-leydig.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .75in; margin-right: 0in; margin-top: 0in; mso-add-space: auto; text-indent: 16.9pt;">
<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Tumor ovarium stromal berasal dari
jaringan penyokong ovarium yang memproduksi hormon estrogen dan progesteron, jenis
tumor ini jarang ditemukan (Ari, 2008).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .5in; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l1 level1 lfo2; text-indent: -.25in;">
<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">7.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Penyebaran
kanker oavarium (Busmar, 2006:484)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .75in; margin-right: 0in; margin-top: 0in; mso-add-space: auto;">
<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Kanker ovarium dapat menyebar dengan cara sebagai berikut
:<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">a.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;"> Penyebaran <i style="mso-bidi-font-style: normal;">transcoelomic</i><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 56.7pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto;">
<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Penyebaran dimulai apabila tumor telah menginvasi kapsul.
Selanjutnya sel-sel tumor yang mengalami eksfoliasi akan menyebar sepanjang
permukaan peritoneum kavum abdomen (<i style="mso-bidi-font-style: normal;">trancoelomic</i>)
mengikuti aliran cairan peritoneum. Aliran cairan peritoneum karena pengaruh
gerakan pernapasan akan mengalir dari pelvis ke fossa paracolica, terutama yang
kanan, ke mesentrium dan ke hemidiagfragma kanan. Oleh karena itu, metastasis
sering ditemukan di kavum douglasi, <i style="mso-bidi-font-style: normal;">fossa
paracolica</i>, hemidiagfagma kanan, kapsul hepar, peritoneum usus, dan
mesentrium, dan omentum.<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">b.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Penyebaran
limfatik<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 53.5pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto;">
<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Penyebaran kanker ovarium dapat juga melalui pembuluh
getah bening yang berasal dari ovarium. Melalui pembuluh getah bening yang
mengikuti pembuluh darah di ligamentum infundibulo pelvikum, sel-sel kanker
dapat menyebar mencapai kelenjar getah bening di sepanjang aorta dan kelenjar
getah bening interkavoartik. Melalui pembuluh getah bening yang mengikuti
pembuluh darah di ligamentum latum dan parametrium, sel-sel kanker dapat pula
mencapai kelenjar getah bening di dinding panggul. Melalui pembuluh getah
bening yang mengikuti ligamentum rotundum, sel-sel kanker dapat mencapai kelenjar
getah bening di daerah inguinalis. Metastasis ke kelenjar getah bening ini
sangat bergantung pada stadium penyakit. Dilaporkan pada 78% penderita kanker
ovarium stadium III ditemukan metastasis pada kelenjar getah bening pelvis.<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">c.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Penyebaran
hematogen<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Penyebaran hematogen dari kanker ovarium jarang sekali
terjadi. Bila terjadi, penyebaran tersebut dapat ditemukan di parenkim paru dan
hepar 2-3 % kasus. <o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">d.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Transdiagfragma<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Cairan asites yang mengandung sel-sel tumor ganas dapat
menembus diagfragma sebelah kanan sehingga mencapai rongga pleura. Implantasi
sel-sel tumor ganas di rongga pleura akan menimbulkan efusi pleura. Penemuan
sel tumor ganas pada cairan efusi pleura merupakan salah satu kriteria untuk
menetapkan penderita kanker ovarium di stadium IV. <o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">8.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Prognosis
<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Prognosis tergantung pada gambaran
histologik dan stadium klinik tumor. Angka harapan hidup dalam 5 tahun :<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">a.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Stadium
I : 90%<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">b.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Stadium
II : 80%<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">c.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Stadium
III : 15%<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">d.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Stadium
IV : 5% (health.meanschatzi.com,
2006, diakses tanggal 30 April 2009).<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">9.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Stadium
kanker ovarium (Abeloff, 2004:2313).<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Stadium kanker ovarium menurut <i style="mso-bidi-font-style: normal;">International Federation of Obstetrics</i> <i style="mso-bidi-font-style: normal;">and Gynecology </i>(FIGO).<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">a.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Stadium
I <o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Pertumbuhan terbatas pada ovarium<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">1)<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Ia :
pertumbuhan terbatas pada 1 ovarium, tidak ada ascites, kapsul utuh, tidak ada
pertumbuhan pada permukaan luar.<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">2)<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Ib :
pertumbuhan pada 2 ovarium, tidak ada ascites, kapsul utuh, tidak ada pertumbuhan
pada permukaan luar.<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">3)<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Ic :
pertumbuhan terbatas pada 1 atau 2 ovarium dengan tumor pada permukaan, kapsul
ruptur, dan ascites atau bilasan peritoneum yang mengandung sel ganas.<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">b.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Stadium
II<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Perluasan ke panggul<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">1)<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">IIa
: penyebaran ke uterus atau tuba.<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">2)<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">IIb
: penyebaran ke jaringan panggul lainnya.<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">3)<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">IIc
: stadium IIa dan IIb dengan tumor pada permukaan, kapsul ruptur, dan ascites
atau bilasan peritoneum yang mengandung sel ganas.<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">c.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Stadium
III<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Implantasi peritoneum di luar panggul dan/atau adanya
nodus retroperitoneal atau inguinal.<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">1)<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">IIIa
: tumor terbatas pada panggul sejati, tanpa nodus, penyebaran mikroskopis pada
peritoneum abdomen.<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">2)<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">IIIb
: implantasi pada peritoneum abdominal ≤ 2 cm, tanpa nodus. <o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">3)<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">IIIc
: terdapat implantasi abdominal > 2 cm dengan adanya nodus retroperitoneal
dan inguinal.<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">d.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Stadium
IV<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Metastase jauh</span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">10.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Diagnosa<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">a.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Anamnesis
<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">1)<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Umur
pasien<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">2)<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Jumlah
paritas<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">3)<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Umur
pertama kali memiliki anak<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">4)<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Riwayat
keluarga yang mengalami kanker ovarium, kanker kolon, kanker endometrial, dan
dan kanker payudara.<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">5)<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Riwayat
penggunaan kontrasepsi hormonal <o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">6)<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Nafsu
makan dan penurunan berat badan<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">7)<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Nyeri
abdomen bagian bawah<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">8)<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Benjolan
pada perut bagian bawah<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">9)<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Perdarahan
pervaginam<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">10)<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Perkemihan
<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">11)<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Nyeri
pada punggung<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">b.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Pemeriksaan
pelvik<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">1)<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Teraba
tumor padat<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">2)<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Tumor
bersifat ireguler dan terfiksir<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">3)<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Terdapat
asites<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">c.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Radiologi
<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">1)<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">USG transvaginal (Ultrasonografi Transvaginal)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 67.65pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; tab-stops: 56.7pt 203.25pt;">
<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Pemakaian USG transvaginal
dapat meningkatkan ketajaman diagnosis karena mampu menjabarkan morfologi tumor
ovarium dengan baik. Morfologi tumor ovarium yang diperiksa terdiri atas tiga
kategori, yaitu volume tumor, struktur dinding tumor, dan struktur septum
tumor. Pemakaian USG transvaginal dapat membedakan tumor ovarium jinak dengan
tumor ovarium ganas. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 67.65pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l12 level1 lfo26; tab-stops: 56.7pt 203.25pt; text-indent: -.25in;">
<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">2)<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">CT
Scan (<i style="mso-bidi-font-style: normal;">Computed Tomography Scanning</i>)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 67.65pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; tab-stops: 56.7pt 203.25pt;">
<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Pemakaian CT-scan untuk
diagnosis tumor ovarium juga sangat bermanfaat. Dengan CT-scan dapat diketahui
ukuran tumor primer, adanya metastasis ke hepar dan kelenjar getah bening,
asites, dan penyebaran ke dinding perut. Akan tetapi, CT-scan kurang disenangi
karena risiko radiasi, risiko alergi terhadap zat kontras, kurang tegas dalam
membedakan tumor kistik dengan tumor padat, serta biayanya mahal.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 67.65pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l12 level1 lfo26; tab-stops: 56.7pt 203.25pt; text-indent: -.25in;">
<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">3)<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">MRI
(<i style="mso-bidi-font-style: normal;">Magnetic Resonance Imaging</i>)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 67.65pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; tab-stops: 56.7pt 203.25pt;">
<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Jika dibandingkan dengan CT-scan,
MRI tidak lebih baik dalam hal diagnostik. CT-scan lebih dianjurkan dalam
mengevaluasi kanker ovarium. <o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">d.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Tes
darah khusus <o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">1)<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">CA-125
<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">CA 125 adalah antigen yang dihasilkan
oleh epitel <i style="mso-bidi-font-style: normal;">coelom</i> dan epitel amnion.
Permukaan epitel ovarium fetus dan dewasa tidak menghasilkan CA 125, kecuali
kista inklusi, permukaan epitel ovarium yang mengalami metaplasia dan yang
mengalami pertumbuhan papiler. Kadar normal yang paling tinggi untuk CA 12
adalah 35 U/ml. Pada 83% penderita kanker ovarium epitelial, kadar CA 125
adalah ≥35 U/ml. kadar CA 125 yang meningkat ditemukan pada 50% kanker ovarium
stadium I dan pada 90% penderita kanker ovarium epitelial stadium lanjut. <o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">2)<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">CA
72-4 atau TAG 72<o:p></o:p></span></div>
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<i style="mso-bidi-font-style: normal;"><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Cancer
Antigen </span></i><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">72 atau <i style="mso-bidi-font-style: normal;">Tumor
Associated Glycoprotein</i> adalah suatu <i style="mso-bidi-font-style: normal;">glycoprotein
surface antigen</i> yang ditemukan pada kanker kolon, kanker gaster, dan kanker
ovarium. Terutama meningkat pada tumor jenis musinosum.</span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">3)<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">M-SCF<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 74.75pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; tab-stops: 203.25pt;">
<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Serum <i style="mso-bidi-font-style: normal;">macrophage colony-stimulating factor</i> (factor yang menstimulasi
koloni makrofrag) adalah sitokin yang dihasilkan oleh epitel ovarium normal dan
neoplastik. Kadarnya meningkat pada 68% penderita kanker ovarium. <o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">4)<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">OVX1<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 74.75pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; tab-stops: 203.25pt;">
<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Adalah antibody monoklonal. Kombinasi
pemeriksaan OVX1 dengan M-SCF dan CA 125 akan meningkatkan sensivitas pada
penderita kanker ovarium jika disbanding pemeriksaan CA 125 saja. <o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">5)<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">LPA<o:p></o:p></span></div>
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<i style="mso-bidi-font-style: normal;"><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Lysophostidic
acid</span></i><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">
(LPA) adalah suatu fosfolipid bioaktif. Peningkatan LPA ditemukan pada 9 dari
10 penderita kanker ovarium stadium I dan pada semua penderita kanker ovarium
stadium IV. <o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">6)<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Proteasin<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 74.75pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; tab-stops: 203.25pt;">
<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Kombinasi pemeriksaan dengan CA 125
meningkatkan sensivitas menjadi 92% dan spesifitas menjadi 94% dalam deteksi
kanker ovarium jenis mukinosum. (Busmar, 2006:490)<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">7)<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Osteopontin<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">8)<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Inhibin<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">9)<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Kallikrein
<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">10)<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">LDH<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">11)<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">HCG<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">12)<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">AFP
(penanda tumor sel germinal)<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">e.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Laparoskopi<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">f.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Laparotomi<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">g.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Foto
rontgen dada dan tulang<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">h.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Scan
kelenjar getah bening<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">i.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Scan
traktus urinarus<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">(detak.org, 2008, diakses tanggal 13
Januari 2009.).<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">11.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Diagnosa
banding<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">a.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Kanker
lambung<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .75in; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l8 level1 lfo9; text-indent: -.25in;">
<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">b.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Kanker
kolon<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .75in; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l8 level1 lfo9; text-indent: -.25in;">
<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">c.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Asites<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .75in; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l8 level1 lfo9; text-indent: -.25in;">
<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">d.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Kehamilan
ektopik<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .75in; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l8 level1 lfo9; text-indent: -.25in;">
<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">e.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Kandung
kemih yang menggembung (health.meanschatzi.com, 2006, diakses tanggal 30 April
2009).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .5in; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l1 level1 lfo2; tab-stops: 203.25pt; text-indent: -.25in;">
<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">12.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Pengobatan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .75in; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l22 level1 lfo12; tab-stops: 203.25pt; text-indent: -.25in;">
<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">a.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Stadium
IA dan IB<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .75in; margin-right: 0in; margin-top: 0in; mso-add-space: auto; tab-stops: 203.25pt;">
<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Pembedahan :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 67.65pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l5 level1 lfo13; tab-stops: 203.25pt; text-indent: -.25in;">
<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">1)<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Ooforektomi
+ reseksi tumor<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 67.65pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l5 level1 lfo13; tab-stops: 203.25pt; text-indent: -.25in;">
<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">2)<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Histerektomi
+ salpingoooforektomi bilateral + omentektomi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .75in; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l22 level1 lfo12; tab-stops: 203.25pt; text-indent: -.25in;">
<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">b.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Stadium
IC<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 67.65pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l2 level1 lfo14; tab-stops: 203.25pt; text-indent: -.25in;">
<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">1)<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Pembedahan
<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 81.85pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l9 level1 lfo15; tab-stops: 203.25pt; text-indent: -.25in;">
<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">a)<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Ooforektomi
+ reseksi tumor<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 81.85pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l9 level1 lfo15; tab-stops: 203.25pt; text-indent: -.25in;">
<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">b)<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Histerektomi
+ salpingoooforektomi bilateral + omentektomi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 67.65pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l2 level1 lfo14; tab-stops: 203.25pt; text-indent: -.25in;">
<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">2)<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Terapi
radiasi : radoisotop intraperitoneal<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 67.65pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l2 level1 lfo14; tab-stops: 203.25pt; text-indent: -.25in;">
<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">3)<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Kemoterapi
: kombinasi Cis platinum dan endoxan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .75in; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l22 level1 lfo12; tab-stops: 203.25pt; text-indent: -.25in;">
<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">c.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Stadium
II<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 81.85pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l0 level1 lfo16; tab-stops: 203.25pt; text-indent: -.25in;">
<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">1)<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Pembedahan
<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 81.85pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l27 level1 lfo17; tab-stops: 203.25pt; text-indent: -.25in;">
<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">a)<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Ooforektomi
+ reseksi tumor<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 81.85pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l27 level1 lfo17; tab-stops: 203.25pt; text-indent: -.25in;">
<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">b)<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Histerektomi
+ salpingoooforektomi bilateral + omentektomi, eksisi,adhesi, biopsi diagfragma
dan pelvis<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 81.85pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l0 level1 lfo16; tab-stops: 203.25pt; text-indent: -.25in;">
<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">2)<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Terapi
radiasi defenitif pada seluruh abdomen/pelvis<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 81.85pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l0 level1 lfo16; tab-stops: 203.25pt; text-indent: -.25in;">
<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">3)<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Kemoterapi
<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .75in; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l22 level1 lfo12; tab-stops: 203.25pt; text-indent: -.25in;">
<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">d.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Stadium
III<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 1.0in; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l3 level1 lfo18; tab-stops: 203.25pt; text-indent: -.25in;">
<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">1)<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Pembedahan
: sitoreduktif<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 1.0in; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l3 level1 lfo18; tab-stops: 203.25pt; text-indent: -.25in;">
<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">2)<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Terapi
radiasi paliatif<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 1.0in; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l3 level1 lfo18; tab-stops: 203.25pt; text-indent: -.25in;">
<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">3)<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Kemoterapi
<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .75in; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l22 level1 lfo12; tab-stops: 203.25pt; text-indent: -.25in;">
<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">e.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Stadium
IV<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 1.0in; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l14 level1 lfo19; tab-stops: 203.25pt; text-indent: -.25in;">
<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">1)<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Pembedahan
: debulking<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 1.0in; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l14 level1 lfo19; tab-stops: 203.25pt; text-indent: -.25in;">
<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">2)<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Terapi
radiasi paliatif<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 1.0in; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l14 level1 lfo19; tab-stops: 203.25pt; text-indent: -.25in;">
<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">3)<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Kemoterapi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .75in; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l22 level1 lfo12; tab-stops: 203.25pt; text-indent: -.25in;">
<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">f.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Relaps
dan rekuren<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 1.0in; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l23 level1 lfo29; tab-stops: 203.25pt; text-indent: -.25in;">
<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">1)<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Pembedahan
: <i style="mso-bidi-font-style: normal;">second look laparatomy</i><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 1.0in; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l23 level1 lfo29; tab-stops: 203.25pt; text-indent: -.25in;">
<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">2)<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Terapi
radiasi paliatif<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 1.0in; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l23 level1 lfo29; tab-stops: 203.25pt; text-indent: -.25in;">
<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">3)<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Kemoterapi
<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .75in; margin-right: 0in; margin-top: 0in; mso-add-space: auto; tab-stops: 203.25pt;">
<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">(health.meanschatzi.com, 2006, diakses
tanggal 30 April 2009).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .5in; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l1 level1 lfo2; tab-stops: 203.25pt; text-indent: -.25in;">
<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">13.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Pencegahan
<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .5in; margin-right: 0in; margin-top: 0in; mso-add-space: auto; tab-stops: 203.25pt; text-indent: 34.9pt;">
<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Tidak ada upaya
pencegahan khusus yang dapat dilakukan agar terhindar dari kanker ovarium.
Upaya yang dapat dilakukan adalah dengan melakukan pemeriksaan secara berkala
yang meliputi:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .75in; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l19 level1 lfo20; tab-stops: 203.25pt; text-indent: -.25in;">
<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">a.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Pemeriksaan
klinis ginekologik untuk mendeteksi adanya kista atau pembesaran ovarium.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .75in; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l19 level1 lfo20; tab-stops: 203.25pt; text-indent: -.25in;">
<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">b.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Pemeriksaan
Ultrasonografi (USG) bila perlu dengan alat Doppler untuk mendeteksi aliran
darah.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .75in; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l19 level1 lfo20; tab-stops: 203.25pt; text-indent: -.25in;">
<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">c.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Pemeriksaan
petanda tumor (tumor marker).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .75in; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l19 level1 lfo20; tab-stops: 203.25pt; text-indent: -.25in;">
<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">d.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Pemeriksaan
CT Scan/MRI bila dianggap perlu<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Pemeriksaan
tersebut di atas sangat dianjurkan terutama terhadap wanita yang mempunyai
risiko akan terjadinya kanker ovarium, yaitu :<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">a.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Wanita
yang tidak pernah atau sulit hamil<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">b.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Wanita
dengan riwayat keluarga menderita kanker ovarium<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">c.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">Wanita
penderita kanker payudara dan kolon<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;">(berbagisehat.com, 2008, diakses tanggal
26 Mei 2009).<o:p></o:p></span></div>
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<span style="font-family: Arial,sans-serif; font-size: 12pt; line-height: 200%;"><br /></span></div>
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<span class="Apple-style-span" style="font-family: Arial,sans-serif;">Referensi:</span></div>
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<span class="Apple-style-span" style="font-family: Arial,sans-serif;">- </span><span class="Apple-style-span" style="line-height: normal;"><span style="font-family: Arial,sans-serif; font-size: 12pt;"> Anonim, 2008, <i style="mso-bidi-font-style: normal;">A-Z Kanker Indung Telur</i> , </span></span><span class="Apple-style-span" style="line-height: normal;"><span style="font-family: Calibri,sans-serif; font-size: 11pt;"><a href="http://www.conetique.com/"><span style="font-family: Arial,sans-serif; font-size: 12pt;">http://www.Conetique.com</span></a></span></span><span class="Apple-style-span" style="line-height: normal;"><span style="font-family: Arial,sans-serif; font-size: 12pt;"> diakses 28 Mei 2008</span></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 53.5pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; tab-stops: 203.25pt;">
<span class="Apple-style-span" style="line-height: normal;"><span style="font-family: Arial,sans-serif; font-size: 12pt;">- </span></span><span class="Apple-style-span" style="font-family: Arial,sans-serif; font-size: 16px; line-height: normal;">Busmar, Boy, 2006, <i style="mso-bidi-font-style: normal;">Kanker ovarium</i> dalam Aziz, M. Farid,
dkk., <i style="mso-bidi-font-style: normal;">Buku Acuan Nasional Onkologi
Ginekologi,</i> Cetakan I. Yayasan Bina Pustaka Sarwono. Jakarta.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 53.5pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; tab-stops: 203.25pt;">
<span class="Apple-style-span" style="font-family: Arial,sans-serif; font-size: 16px; line-height: normal;">- </span><span class="Apple-style-span" style="line-height: normal;"><span style="font-family: Arial,sans-serif; font-size: 12pt;">Hartini. 2008. <i style="mso-bidi-font-style: normal;">Kista, Tumor, dan Kanker Ovarium Berhubungan
Erat dengan Tingkat Kesuburan yang Rendah</i>. </span></span><span class="Apple-style-span" style="line-height: normal;"><span style="font-family: Calibri,sans-serif; font-size: 11pt;"><a href="http://www.berbagisehat.com/"><span style="font-family: Arial,sans-serif; font-size: 12pt;">http://www.berbagisehat.com</span></a></span></span><span class="Apple-style-span" style="line-height: normal;"><span style="font-family: Arial,sans-serif; font-size: 12pt;"> diakses
tanggal 26 Mei 2009.</span></span></div>
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<span class="Apple-style-span" style="line-height: normal;"><span style="font-family: Arial,sans-serif; font-size: 12pt;">- </span></span><span class="Apple-style-span" style="line-height: normal;"><span style="font-family: Arial,sans-serif; font-size: 12pt;">Ari. 2008. <i style="mso-bidi-font-style: normal;">Karsinoma</i> <i style="mso-bidi-font-style: normal;">Ovarium</i>. </span></span><span class="Apple-style-span" style="line-height: normal;"><span style="font-family: Calibri,sans-serif; font-size: 11pt;"><a href="http://www.detak.org/"><span style="font-family: Arial,sans-serif; font-size: 12pt;">http://www.detak.org</span></a></span></span><span class="Apple-style-span" style="line-height: normal;"><span style="font-family: Arial,sans-serif; font-size: 12pt;"> diakses
tanggal 13 Januari 2009.</span></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 53.5pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; tab-stops: 203.25pt;">
<span class="Apple-style-span" style="line-height: normal;"><span style="font-family: Arial,sans-serif; font-size: 12pt;">- </span></span><span class="Apple-style-span" style="font-family: Arial,sans-serif; font-size: 16px; line-height: normal;">Manuaba, Ida Bagus
Gde. 2005. Dasar-dasar Teknik Operasi Ginekologi. Penerbit Buku Kedokteran ECG.
Jakarta</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 53.5pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; tab-stops: 203.25pt;">
<span class="Apple-style-span" style="font-family: Arial,sans-serif; font-size: 16px; line-height: normal;">- </span><span class="Apple-style-span" style="font-family: Arial,sans-serif; font-size: 16px; line-height: normal;">Rasjidi, Imam, 2007,<i style="mso-bidi-font-style: normal;"> Panduan Penatalaksanaan Kanker Ginekologi
Berdasarkan Evidence Base,</i>Penerbit Buku Kedokteran EGC. Jakarta.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 53.5pt; margin-right: 0in; margin-top: 0in; mso-add-space: auto; tab-stops: 203.25pt;">
<span class="Apple-style-span" style="font-family: Arial,sans-serif; font-size: 16px; line-height: normal;">- </span><span class="Apple-style-span" style="font-family: Arial,sans-serif; font-size: 16px; line-height: normal;">Yatim, Faisal, 2008, <i style="mso-bidi-font-style: normal;">Penyakit</i> <i style="mso-bidi-font-style: normal;">Kandungan</i>, Edisi II. Pustaka Popouler Obor. Jakarta.</span></div>
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<span class="Apple-style-span" style="font-family: Arial,sans-serif; font-size: 16px; line-height: normal;">- </span><span class="Apple-style-span" style="font-family: Arial,sans-serif; font-size: 16px; line-height: normal;">Abeloff, Martin MD,
dkk. 2004. <i style="mso-bidi-font-style: normal;">Clinical Oncology</i> ,Third
Edition. Elsevier Churchill Livingstone. United States of America.</span></div>Anonymoushttp://www.blogger.com/profile/01457688522410015120noreply@blogger.com0tag:blogger.com,1999:blog-2530420443861746556.post-65868955147485784862012-02-12T03:21:00.000-08:002012-02-12T03:21:31.561-08:00Ovarium<br />
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 250%;">Ovarium</span></b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 250%;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 250%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 250%;">Pengertian
<o:p></o:p></span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 250%;">Ovarium atau indung telur adalah kelenjar
kelamin betina pada hewan dan manusia (Wikipedia.org, 2006, diakses tanggal 28
Mei 2009).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 250%; margin-bottom: 0.0001pt; margin-left: 0.5in; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 250%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 250%;">Asal
ovarium<o:p></o:p></span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 250%;">Selama minggu kelima hingga keenam, sel
kelamin primitif bermigrasi dari kantong kuning telur ke dalam rigi kelamin
mesoderm dorsal, yang nantinya menjadi ovarium. Setiap sel kelamin dapat
berkembang menjadi ovum primordial, kemudian menempati bagian luar (korteks).
Tidak lama kemudian sel-sel itu dikelilingi oleh sel-sel yang lebih kecil dan
berdifirensiasi sedang yang akan berkembang menjadi sel granulosa. Sel-sel yang
berada di sekeliling sel granulosa, yang tampak kurang berdifirensiasi tetapi
mempunyai unsur stroma yang sama akan berkembang menjadi sel teka. Jaringan
ikat yang kasar dan pembuluh darah besar menggambarkan medula. Pada minggu kedelapan,
ovarium menjadi organ yang sudah dapat dikenali. (Benson, Raplh C. et all,2009:4
).<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 250%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 250%;">Letak
dan ukuran ovarium<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 250%; margin-bottom: 0.0001pt; margin-left: 0.5in; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: 34.9pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 250%;">Wanita pada umumnya mempunyai dua indung
telur kanan dan kiri, yang dengan mesovarium menggantung di belakang ligamentum
latum kiri dan kanan. Ovarium berukuran kurang lebih sebesar ibu jari tangan
dengan ukuran panjang kira-kira 4 cm, lebar dan tebal kira-kira 1,5 cm (
Wiknjosastro, 2006:41).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 250%; margin-bottom: 0.0001pt; margin-left: 0.5in; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: 34.9pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 250%;">Ovarium memilki asal yang sama (homolog)
dengan testis pada pria. Ukuran dan bemtuk setiap ovarium menyerupai sebuah
almon berukuran besar.<span style="mso-spacerun: yes;"> </span>Saat ovulasi,
ukuran ovarium dapat menjadi dua kali lipat untuk sementara. Ovarium yang berbentuk
oval ini memiliki konsistensi yang padat dan sedikit kenyal. Sebelum menarke,
permukaan ovarium licin. Setelah maturitas seksual, luka parut akibat ovulasi
dan ruptur folikel yang berulang membuat permukaan nodular menjadi kasar<span style="mso-spacerun: yes;"> </span>(Bobak, 2005:32).</span></div>
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<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 250%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 250%;">Struktur
ovarium<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 250%; margin-bottom: 0.0001pt; margin-left: 0.5in; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: 34.9pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 250%;">Struktur ovarium terdiri atas :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 250%; margin-bottom: 0.0001pt; margin-left: 0.75in; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 250%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 250%;">Korteks
di sebelah luar yang diliputi oleh epitelium germativum yang berbentuk kubik
dan di dalam terdiri dari stroma serta folikel-folikel primordial.</span><span style="color: black; font-size: 10.0pt; line-height: 250%;"> </span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 250%; mso-bidi-font-size: 10.0pt;">Sel epitel germinal primordial di lapisan terluar berfungsi
dalam pembentukan dan pematangan folikel menjadi ovum.</span><span style="color: red; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 250%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 250%; margin-bottom: 0.0001pt; margin-left: 0.75in; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 250%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 250%;">Medulla
di sebelah dalam korteks tempat terdapatnya stroma dengan pembuluh-pembuluh
darah, serabut-serabut saraf, dan sedikit otot polos (Wiknjosastro, 2006:42).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 250%; margin-bottom: 0.0001pt; margin-left: 0.5in; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 250%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 250%;">Fungsi
ovarium<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 250%; margin-bottom: 0.0001pt; margin-left: 0.5in; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: 34.9pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 250%;">Ovarium memiliki dua fungsi yaitu :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 250%; margin-bottom: 0.0001pt; margin-left: 0.75in; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 250%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 250%;">Menyimpan
ovum yang dilepaskan satu setiap bulan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 250%; margin-bottom: 0.0001pt; margin-left: 0.75in; margin-right: 0in; margin-top: 0in; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 250%;">Diperkirakan pada wanita terdapat kira-kira100.000
folikel primer. Tiap bulan satu folikel akan keluar, kadang-kadang dua folikel
yang dalam perkembangannya akan menjadi folikel de Graaf. Folikel de Graaf yang
matang terisi dengan likuor follikuli yang mengandung estrogen dan siap untuk
berovulasi. Sel yang berperan memproduksi sel telur adalah g</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 250%; mso-bidi-font-size: 11.0pt; mso-bidi-font-style: italic;">erm cells (sel germinal).</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 250%; mso-bidi-font-size: 11.0pt;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 250%; margin-bottom: 0.0001pt; margin-left: 0.75in; margin-right: 0in; margin-top: 0in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 250%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 250%;">Memproduksi
hormon estrogen dan progesteron <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 250%; margin-bottom: 0.0001pt; margin-left: 0.75in; margin-right: 0in; margin-top: 0in; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 250%; mso-bidi-font-size: 11.0pt; mso-bidi-font-style: italic;">Stromal
cells (stromal sel),</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 250%; mso-bidi-font-size: 11.0pt;"> merupakan sel-sel
yang menghasilkan hormon estrogen dan progesteron. Estrogen dihasilkan </span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 250%; mso-bidi-font-size: 10.0pt;">oleh teka interna folikel</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 250%; mso-bidi-font-size: 11.0pt;">
dan prosgesteron </span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 250%; mso-bidi-font-size: 10.0pt;">oleh korpus luteum.</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 250%; mso-bidi-font-size: 11.0pt;"> </span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 250%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 250%; margin-bottom: 0.0001pt; margin-left: 0.75in; margin-right: 0in; margin-top: 0in; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 250%; mso-bidi-font-size: 10.0pt;"><br /></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 250%; margin-bottom: 0.0001pt; margin-left: 0.75in; margin-right: 0in; margin-top: 0in; text-align: justify;">
<span class="Apple-style-span" style="font-family: Arial, sans-serif;">Referensi:</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 250%; margin-bottom: 0.0001pt; margin-left: 0.75in; margin-right: 0in; margin-top: 0in; text-align: justify;">
<span class="Apple-style-span" style="font-family: Arial, sans-serif;">- Anonim</span><span class="Apple-style-span" style="line-height: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">, 2007, <i style="mso-bidi-font-style: normal;">Ovarium</i>, </span></span><span class="Apple-style-span" style="line-height: normal;"><span style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; mso-ansi-language: EN-US; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin; mso-hansi-theme-font: minor-latin;"><a href="http://www.wikipedia.org/"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">http://www.wikipedia.org</span></a></span></span><span class="Apple-style-span" style="line-height: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;"><span style="mso-spacerun: yes;"> </span>diakses
28 Mei 2009.</span></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 250%; margin-bottom: 0.0001pt; margin-left: 0.75in; margin-right: 0in; margin-top: 0in; text-align: justify;">
<span class="Apple-style-span" style="line-height: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">- </span></span><span class="Apple-style-span" style="font-family: Arial, sans-serif; font-size: 16px; line-height: normal;">Benson, Ralph C, dkk.
2009. <i style="mso-bidi-font-style: normal;">Buku Saku Obstetri dan Ginekologi</i>,
Edisi 9. Penerbit Buku Kedokteran EGC. Jakarta.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 250%; margin-bottom: 0.0001pt; margin-left: 0.75in; margin-right: 0in; margin-top: 0in; text-align: justify;">
<span class="Apple-style-span" style="font-family: Arial, sans-serif; font-size: 16px; line-height: normal;">- </span><span class="Apple-style-span" style="font-family: Arial, sans-serif; font-size: 16px; line-height: normal;">Wiknjosastro, H.
2006. <i style="mso-bidi-font-style: normal;">Ilmu Kandungan</i>. Yayasan
Bina<span style="mso-spacerun: yes;"> </span>Pustaka Sarwono Prawirohardjo.
Jakarta.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 250%; margin-bottom: 0.0001pt; margin-left: 0.75in; margin-right: 0in; margin-top: 0in; text-align: justify;">
<span class="Apple-style-span" style="font-family: Arial, sans-serif; font-size: 16px; line-height: normal;">- </span><span class="Apple-style-span" style="font-family: Arial, sans-serif; font-size: 16px; line-height: normal;">Bobak, Lowdermik,
dkk. 2004. <i style="mso-bidi-font-style: normal;">Buku Ajar Keperawatan
Maternitas,</i> Edisi Bahasa Indonesia. Penerbit Buku Kedokteran EGC. Jakarta.</span></div>Anonymoushttp://www.blogger.com/profile/01457688522410015120noreply@blogger.com0tag:blogger.com,1999:blog-2530420443861746556.post-22936911635839493132012-02-12T03:14:00.000-08:002012-03-15T01:21:19.013-07:00Kanker<span class="Apple-style-span" style="font-family: Arial,Helvetica,sans-serif; line-height: 40px;"><b><span style="font-size: 12pt; line-height: 250%;"> Kanker</span></b></span><br />
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .5in; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l3 level1 lfo2; text-indent: -.25in;">
<span class="Apple-style-span" style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: 12pt; line-height: 200%;">1.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-size: 12pt; line-height: 200%;">Pengertian
kanker<o:p></o:p></span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .75in; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l2 level1 lfo3; text-indent: -.25in;">
<span class="Apple-style-span" style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: 12pt; line-height: 200%;">a.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-size: 12pt; line-height: 200%;">Kanker
adalah segolongan penyakit yang ditandai dengan pembelahan sel yang tidak
terkendali dan kemampuan sel-sel tersebut untuk menyerang jaringan biologis
lainnya, baik dengan pertumbuhan langsung di jaringan bersebelahan (invasi)
atau dengan migrasi sel ke tempat yang jauh (metastasis) (Ghofar, 2009:11).<o:p></o:p></span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: .75in; mso-add-space: auto; mso-list: l2 level1 lfo3; text-indent: -.25in;">
<span class="Apple-style-span" style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: 12pt; line-height: 200%;">b.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-size: 12pt; line-height: 200%;">Kanker
adalah penyakit keganasan dengan perjalanan alaminya yang fatal. Sel-sel
kanker, tidak seperti sel-sel tumor jinak, menunjukkan sifat invasif dan metastastis
dan sangat anaplastik (Dorland, 2002:336).<o:p></o:p></span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 32.2pt; mso-add-space: auto; mso-list: l3 level1 lfo2; text-indent: -.25in;">
<span class="Apple-style-span" style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: 12pt; line-height: 200%;">2.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-size: 12pt; line-height: 200%;">Golongan
utama kanker<o:p></o:p></span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 46.4pt; mso-add-space: auto; mso-list: l1 level1 lfo4; text-indent: -.25in;">
<span class="Apple-style-span" style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: 12pt; line-height: 200%;">a.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-size: 12pt; line-height: 200%;">Sarkoma<o:p></o:p></span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 49.65pt; mso-add-space: auto;">
<span style="font-size: 12pt; line-height: 200%;"><span class="Apple-style-span" style="font-family: Arial,Helvetica,sans-serif;">Tumbuh dari jaringan penyambung dan penyokong
seperti tulang, tulang rawan, saraf, pembuluh darah, otot, dan lemak.</span></span><span class="Apple-style-span" style="font-family: Arial,Helvetica,sans-serif; font-size: 16px;"> </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 46.4pt; mso-add-space: auto; mso-list: l1 level1 lfo4; text-indent: -.25in;">
<span class="Apple-style-span" style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: 12pt; line-height: 200%;">b.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-size: 12pt; line-height: 200%;">Karsinoma<o:p></o:p></span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 49.65pt; mso-add-space: auto;">
<span style="font-size: 12pt; line-height: 200%;"><span class="Apple-style-span" style="font-family: Arial,Helvetica,sans-serif;">Bentuk paling umum yang menyerang manusia,
tumbuh dari jaringan epiteal (jaringan bersel yang menutupi permukaan) seperti
kulit dan lapisan rongga dan organ tubuh, dan jaringan kelenjar.<o:p></o:p></span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 46.4pt; mso-add-space: auto; mso-list: l1 level1 lfo4; text-indent: -.25in;">
<span class="Apple-style-span" style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: 12pt; line-height: 200%;">c.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-size: 12pt; line-height: 200%;">Limfoma<o:p></o:p></span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 49.65pt; mso-add-space: auto; tab-stops: 49.65pt;">
<span style="font-size: 12pt; line-height: 200%;"><span class="Apple-style-span" style="font-family: Arial,Helvetica,sans-serif;">Merupakan bentuk kanker yang
menyerang jaringan pembentuk darah (satumed.com, 2000, diakses tanggal 28 Mei
2009).<o:p></o:p></span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 32.2pt; mso-add-space: auto; mso-list: l3 level1 lfo2; text-indent: -.25in;">
<span class="Apple-style-span" style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: 12pt; line-height: 200%;">3.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-size: 12pt; line-height: 200%;">Faktor-faktor
pemicu kanker<o:p></o:p></span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 46.4pt; mso-add-space: auto; mso-list: l4 level1 lfo5; text-indent: -.25in;">
<span class="Apple-style-span" style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: 12pt; line-height: 200%;">a.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-size: 12pt; line-height: 200%;">Umur
<o:p></o:p></span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 49.65pt; mso-add-space: auto;">
<span style="font-size: 12pt; line-height: 200%;"><span class="Apple-style-span" style="font-family: Arial,Helvetica,sans-serif;">Kebanyakan kanker menyerang orang yang
berumur di atas 60 tahun.<o:p></o:p></span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 46.4pt; mso-add-space: auto; mso-list: l4 level1 lfo5; text-indent: -.25in;">
<span class="Apple-style-span" style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: 12pt; line-height: 200%;">b.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-size: 12pt; line-height: 200%;">Tembakau
<o:p></o:p></span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 49.65pt; mso-add-space: auto;">
<span style="font-size: 12pt; line-height: 200%;"><span class="Apple-style-span" style="font-family: Arial,Helvetica,sans-serif;">Asap rokok atau tembakau yang dihirup baik
oleh perokok aktif atau perokok pasif dapat menyebakan kanker paru-paru, kanker
pita suara, kanker mulut, tenggorokan, ginjal, kandung kencing, kerongkongan,
perut, pankreas, leukemia, dan leher rahim.<o:p></o:p></span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 46.4pt; mso-add-space: auto; mso-list: l4 level1 lfo5; text-indent: -.25in;">
<span class="Apple-style-span" style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: 12pt; line-height: 200%;">c.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-size: 12pt; line-height: 200%;">Sinar
matahari<o:p></o:p></span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 49.65pt; mso-add-space: auto;">
<span style="font-size: 12pt; line-height: 200%;"><span class="Apple-style-span" style="font-family: Arial,Helvetica,sans-serif;">Sinar matahari siang yang banyak mengandung
sinar ultraviolet dapat menyebabkan kanker kulit.</span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 46.4pt; mso-add-space: auto; mso-list: l4 level1 lfo5; text-indent: -.25in;">
<span class="Apple-style-span" style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: 12pt; line-height: 200%;">d.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-size: 12pt; line-height: 200%;">Zat-zat
kimia<o:p></o:p></span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 49.65pt; mso-add-space: auto;">
<span style="font-size: 12pt; line-height: 200%;"><span class="Apple-style-span" style="font-family: Arial,Helvetica,sans-serif;">Zat kimia yang ditambahkan dalam makanan dan
minuman serta zat kimia lain yang masuk ke dalam tubuh melalui udara dapat
menjadi pemicu kanker. <o:p></o:p></span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 46.4pt; mso-add-space: auto; mso-list: l4 level1 lfo5; text-indent: -.25in;">
<span class="Apple-style-span" style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: 12pt; line-height: 200%;">e.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-size: 12pt; line-height: 200%;">Infeksi
virus dan bakteri<o:p></o:p></span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 49.65pt; mso-add-space: auto;">
<span style="font-size: 12pt; line-height: 200%;"><span class="Apple-style-span" style="font-family: Arial,Helvetica,sans-serif;">Beberapa jenis virus dan kuman dapat
meningkatkan risiko kanker diantaranya virus Human Papilloma (HPV), virus
hepatitis B dan C.<o:p></o:p></span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 46.4pt; mso-add-space: auto; mso-list: l4 level1 lfo5; text-indent: -.25in;">
<span class="Apple-style-span" style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: 12pt; line-height: 200%;">f.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-size: 12pt; line-height: 200%;">Diet,
kegemukan, dan kurang gerak<o:p></o:p></span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 49.65pt; mso-add-space: auto;">
<span style="font-size: 12pt; line-height: 200%;"><span class="Apple-style-span" style="font-family: Arial,Helvetica,sans-serif;">Telalu banyak mengkomsumsi daging merah dan
garam serta kegemukan dan kurang gerak dapat memicu timbulnya kanker tertentu.<o:p></o:p></span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 46.4pt; mso-add-space: auto; mso-list: l4 level1 lfo5; text-indent: -.25in;">
<span class="Apple-style-span" style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: 12pt; line-height: 200%;">g.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-size: 12pt; line-height: 200%;">Alkohol<o:p></o:p></span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 49.65pt; mso-add-space: auto;">
<span style="font-size: 12pt; line-height: 200%;"><span class="Apple-style-span" style="font-family: Arial,Helvetica,sans-serif;">Komsumsi alkohol dapat memicu kanker mulut,
tenggorokan, pita suara, liver, dan payudara.<o:p></o:p></span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 46.4pt; mso-add-space: auto; mso-list: l4 level1 lfo5; text-indent: -.25in;">
<span class="Apple-style-span" style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: 12pt; line-height: 200%;">h.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-size: 12pt; line-height: 200%;">Hormon<o:p></o:p></span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 49.65pt; mso-add-space: auto;">
<span style="font-size: 12pt; line-height: 200%;"><span class="Apple-style-span" style="font-family: Arial,Helvetica,sans-serif;">Hormon estrogen yang berlebihan di dalam
tubuh dapat meningkatkan kemungkinan
terjangkitnya kanker kandungan dan kanker payudara. Sedang hormon progesteron
jika digunakan jangka panjang dapat menimbulkan kanker payudara dan kanker
liver.</span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 46.4pt; mso-add-space: auto; mso-list: l4 level1 lfo5; text-indent: -.25in;">
<span class="Apple-style-span" style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: 12pt; line-height: 200%;">i.<span style="font: 7pt 'Times New Roman';"> </span></span><span style="font-size: 12pt; line-height: 200%;">Riwayat
keluarga <o:p></o:p></span></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-left: 49.65pt; mso-add-space: auto;">
<span style="font-size: 12pt; line-height: 200%;"><span class="Apple-style-span" style="font-family: Arial,Helvetica,sans-serif;">Hanya kanker jenis tertentu yang memiliki
kecenderungan diturunkan yakni kanker kulit, kanker payudara, kanker kandungan,
kanker prostat, dan kanker usus besar (Ghofar, 2009:13).</span><span class="Apple-style-span" style="font-family: Arial,sans-serif;"><o:p></o:p></span></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-left: 49.65pt; mso-add-space: auto;">
<span style="font-size: 12pt; line-height: 200%;"><span class="Apple-style-span" style="font-family: Arial,Helvetica,sans-serif;"><br /></span></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-left: 49.65pt; mso-add-space: auto;">
<span style="font-size: 12pt; line-height: 200%;"><span class="Apple-style-span" style="font-family: Arial,Helvetica,sans-serif;">Referensi:</span></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-left: 49.65pt; mso-add-space: auto;">
<span style="font-size: 12pt; line-height: 200%;"><span class="Apple-style-span" style="font-family: Arial,Helvetica,sans-serif;">- </span></span><span class="Apple-style-span" style="font-family: Arial,sans-serif; font-size: 16px; line-height: normal;">Dorland, W. 2002. <i style="mso-bidi-font-style: normal;">Kamus kedokteran Dorland</i>, Edisi Bahasa
Indonesia. Penerbit Buku Kedokteran EGC. Jakarta.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-left: 49.65pt; mso-add-space: auto;">
<span class="Apple-style-span" style="font-family: Arial,sans-serif; font-size: 16px; line-height: normal;">- Anonim</span><span class="Apple-style-span" style="line-height: normal;"><span style="font-family: Arial,sans-serif; font-size: 12pt;"> , 2000, <i style="mso-bidi-font-style: normal;">Kanker</i>, (</span></span><span class="Apple-style-span" style="line-height: normal;"><span style="font-family: Calibri,sans-serif; font-size: 11pt;"><a href="http://www.satumed.com/"><span style="font-family: Arial,sans-serif; font-size: 12pt;">http://www.satumed.com</span></a></span></span><span class="Apple-style-span" style="line-height: normal;"><span style="font-family: Arial,sans-serif; font-size: 12pt;"> diakses 28 Mei 2009.</span></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-left: 49.65pt; mso-add-space: auto;">
<span class="Apple-style-span" style="line-height: normal;"><span style="font-family: Arial,sans-serif; font-size: 12pt;">- </span></span><span class="Apple-style-span" style="font-family: Arial,sans-serif; font-size: 16px; line-height: normal;">Dorland, W. 2002. <i style="mso-bidi-font-style: normal;">Kamus kedokteran Dorland</i>, Edisi Bahasa
Indonesia. Penerbit Buku Kedokteran EGC. Jakarta.</span></div>Anonymoushttp://www.blogger.com/profile/01457688522410015120noreply@blogger.com0tag:blogger.com,1999:blog-2530420443861746556.post-28644824818970194062012-02-11T19:43:00.000-08:002012-02-11T19:54:36.710-08:00Pubertas<br />
<div class="MsoListParagraphCxSpFirst" style="line-height: 250%; margin-left: 21.3pt; text-align: center; text-indent: -21.3pt;">
<span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;"><b><span style="line-height: 250%;">Pube</span></b><b><span lang="IN" style="line-height: 250%;">r</span></b><b><span style="line-height: 250%;">tas<o:p></o:p></span></b></span></div>
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<b style="mso-bidi-font-weight: normal;"><span style="line-height: 250%;"><span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;"><br /></span></span></b></div>
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<span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;"><span lang="IN" style="line-height: 200%;">1.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span lang="IN" style="line-height: 200%;">Pengertian<o:p></o:p></span></span></div>
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<span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;"><span lang="IN" style="line-height: 200%;">Pubertas m</span><span style="line-height: 200%;">erupakan suatu proses
perubahan fisik yang ditandai dengan perkembangan fisik seks sekunder</span><span lang="IN" style="line-height: 200%;"> (Kaplan & Sadock, 2001). Pubertas tidak sama dengan
remaja, bagi sebagian besar diantara kita, masa pubertas berakhir jauh sebelum
masa remaja selesai. Meskipun demikian, masa pubertas merupakan awal penting
yang menandai masa remaja. Pubertas <i style="mso-bidi-font-style: normal;">(puberty)</i>
adalah sebuah periode dimana kematangan fisik berlangsung pesat, yang
melibatkan perubahan hormonal dan tubuh, yang terutama berlangsung di masa
remaja awal. Meskipun kita tidak mengetahui secara persis hal-hal yang
mengawali pubertas, terdapat sejumlah faktor kompleks yang cenderung
dilibatkan. Pubertas diiringi dengan berbagai perubahan yang berlangsung di
dalam sistim endokrin, berat tubuh, lemak tubuh, meskipun kita tidak mengetahui
apakah semua perubahan ini merupakan penyebab atau konsekuensi dari pubertas.<o:p></o:p></span></span></div>
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<span lang="IN" style="line-height: 200%;"><span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;">Pubertas merupakan periode singkat, namun bagi sebagian
orang dianggap sebagai periode yang sulit bagi remaja dan mempengaruhi keadaan
fisik dan psikologis remaja di masa selanjutnya, sehingga membutuhkan
penyesuaian diri yang baik. Di Indonesia, pentingnya pemberian pendidikan seks
pada remaja masih di pengaruhi mitos tradisional yaitu dapat meningkatkan
perilaku seksual. Sedangkan (Kuther, 2000), menyatakan persiapan secara
psikologis yang diberikan pada remaja sebelum mereka memasuki masa pubertas
menentukan sikap dan perasaan mereka terhadap peristiwa yang terjadi pada masa
tersebut. Selain itu ketika membicarakan pubertas, anak perempuan cenderung
untuk memperolah perhatian lebih besar. Oleh karena itu, agar dapat memberikan
informasi sebagai persiapan memasuki pubertas yang tepat dan sesuai kebutuhan
remaja, perlu diketahui perasaan dan harapan yang timbul pada mereka saat
memasuki pubertas.<o:p></o:p></span></span></div>
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<span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;"><span lang="IN" style="line-height: 200%;">2.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span lang="IN" style="line-height: 200%;">Penyebab perubahan pubertas</span></span></div>
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<span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;"> Penyebab utama terjadinya perubahan pubertas yaitu
hormon. Di balik munculnya kumis untuk pertama kalinya pada anak laki–laki dan
melebarnya pinggul pada anak perempuan, terdapat aliran hormon–hormon, yaitu
zat kimia yang kuat yang di ciptakan oleh kelenjar endokrin dan di bawah
keseluruh tubuh melalui aliran darah. Terdapat
dua jenis hormon yang memiliki kadar kepekaan yang berbeda pada laki – laki dan
perempuan, yaitu : <i style="mso-bidi-font-style: normal;">androgen</i> jenis
utama hormon seks laki–laki, dan <i style="mso-bidi-font-style: normal;">estrogen</i>
jenis utama dari hormon perempuan. Testosteron adalah androgen yang berperan
penting bagi perkembangan pubertas laki–laki, selama masa pubertas, munculnya
kadar testosteron berkaitan dengan sejumlah perubahan fisik pada laki–laki,
termaksud perkembangan genital eksternal, bertambah tingginya badan, dan
perubahan suara. Kadar testosteron pada remaja laki–laki juga berkaitan dengan
hasrat dan aktivitas seksual. Ekstradiol adalah estrogen yang berperan penting
dalam perkembangan pubertas perempuan. Ketika kadar ekstradiol meningkat,
terjadilah perkembangan payudara, perkembangan rahim dan perubahan kerangka.</span></div>
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<span lang="IN" style="line-height: 200%;"><span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;"> Identitas hormon
berkonstribusi terhadap hasrat seksual dan aktivitas pada remaja perempuan
kurang terlihat jelas di bandingkan remaja laki–laki. Dalam sebuah studi di
temukan bahwa kadar testosteron meningkat sebesar 18 kali lipat pada laki–laki
dan 2 kali lipat pada perempuan, kadar ekstradiol meningkat 8 kali lipat pada
perempuan dan 2 kali lipat pada laki–laki selama masa pubertas .<o:p></o:p></span></span></div>
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<span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;"><span lang="IN" style="line-height: 200%;">a.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span lang="IN" style="line-height: 200%;">Sistem endokrin<o:p></o:p></span></span></div>
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<span lang="IN" style="line-height: 200%;"><span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;">Peran sistem endokrin di masa pubertas melibatkan
interaksi dari hipotalamus, kelenjat <i style="mso-bidi-font-style: normal;">pituitari</i>,
dan gonad (kelenjar seks). Hipotalamus (<i style="mso-bidi-font-style: normal;">hypothalamus</i>)
adalah sebuah struktur yang terletak di bagian atas otak yang memonitori
kegiatan makan, minum, dan seks. Kelenjar pituitari (<i style="mso-bidi-font-style: normal;">pituitary gland</i>) adalah kelenjar endokrin yang mengontrol
pertumbuhan dan meregulasi kelenjar–kelenjar lain. Gonad adalah kelenjar seks,
testis pada laki–laki, indung telur pada perempuan. Kelenjar <i style="mso-bidi-font-style: normal;">pituitari </i>mengirimkan sebuah signal melalui
gonadotropin (hormon yang merangsang kelenjar seks) ke testis dan indung telur
untuk menghasilkan hormon, kemudian melalui interaksi hipotalamus, kelenjar <i style="mso-bidi-font-style: normal;">pituitari</i> berusaha mendeteksi kapan
dicapai kadar yang optimal dari hormon dicapai dan berusaha mempertahankannya
melalui sekresi gonadotropin tambahan .<o:p></o:p></span></span></div>
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<span lang="IN" style="line-height: 200%;"><span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;">Kadar hormon seks diatur oleh dua hormon yang dihasilkan
oleh kelenjar pituitari, yaitu : FSH (<i style="mso-bidi-font-style: normal;">follicle
stimulating hormone)</i> dan LH <i style="mso-bidi-font-style: normal;">(luteinzing
hormone)</i>. FSH merangsang perkembangan kantung rambut <i style="mso-bidi-font-style: normal;">(follicle)</i> pada perempuan, dan sperma pada laki–laki. LH meregulasi
sekresi estrogen dan perkembangan ovum pada perempuan serta testosteron pada
laki–laki. <o:p></o:p></span></span></div>
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<span lang="IN" style="line-height: 200%;"><span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;">Di samping itu, Hipotalamus mengeluarkan sebuah zat yang
disebut GnRH (<i style="mso-bidi-font-style: normal;">gonadotropin – releasing
hormone)</i>. Hormon–hormon ini diatur oleh sisterm umpan–balik negatif <i style="mso-bidi-font-style: normal;">(negative feedback system)</i>. Apabila
munculnya kadar hormon seks terlalu tinggi, Hipotalamus dan <i style="mso-bidi-font-style: normal;">pituitari</i> akan mengurangi stimulasinya
pada gonad, mengurangi produksi hormon–hormon seks. Apabila kadar hormon
terlalu rendah, Hipotalamus dan kelenjar pituitari akan meningkatkan produksi
hormon seks. Pada laki–laki, produksi kelenjar pituitaria dari LH akan
merangsang testis untuk menghasilkan testosteron, ketika kadar testosteron
terlalu tinggi, Hipotalamus akan mengurangi produksi GnRH, yang selanjutnya
akan mengurangi produksi LH. Ketika kadar testosteron gagal sebagai dampaknya,
Hipotalamus akan menghasilkan GnRH lebih banyak lagi, dan siklus tersebut
dimulai lagi. Pada perempuan, sistem umpan-balik negatif tersebut bekerja
dengan serupa, kecuali bahwa LH dan GnRH meregulasi indung telur dan
menghasilkan.<o:p></o:p></span></span></div>
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<span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;"><span lang="IN" style="line-height: 200%;">b.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span lang="IN" style="line-height: 200%;">Hormon pertumbuhan<o:p></o:p></span></span></div>
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<span lang="IN" style="line-height: 200%;"><span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;">Kita telah menyimak bahwa kelenjar <i style="mso-bidi-font-style: normal;">pituitari</i> melepaskan gonadotropin yang dapat merangsang testis dan
indung telur. Disamping itu melalui interaksi hipotalamus, kelenjar pituitari
juga mengeluarkan hormon yang dapat mendorong pertumbuhan dan kematangan
kerangka, baik secara langsung ataupun melalui interaksi dengan kelenjar tiroid
<i style="mso-bidi-font-style: normal;">(tyroid gland</i>), yang terletak di
bawah leher. Di awal pubertas, hormon pertumbuhan dikeluarkan di malam hari.
Selanjutnya di masa pubertas, hormon pertumbuhan juga di keluarkan di siang
hari. Meskipun dalam kadar yang umumnya sangat rendah. Kortisol, hormon yang di
keluarkan oleh korteks adrenal, juga mempengaruhi pertumbuhan seperti
testosteron dan estrogen. <i style="mso-bidi-font-style: normal;">Adrenarche dan
Gonadarche</i> merupakan dua tahap dari pubertas berkaitan dengan perubahan
hormonal. <i style="mso-bidi-font-style: normal;">Adrenache</i> melibatkan
perubahan hormon yang berlangsung di kelenjar adrenal dan terletak di atas
ginjal. Perubahan ini terjadi secara tiba–tiba antara usia 6 sampai 9 tahun,
sebelum masa pubertas dimulai. <i style="mso-bidi-font-style: normal;">Gonadarche</i>,
yang mengikuti <i style="mso-bidi-font-style: normal;">adrenarche</i> selama dua
tahun adalah sebuah periode yang oleh sebagian besar orang dianggap sebagai
masa pubertas karena melibatkan kematangan seksual dan perkembangan kematangan
reproduktif (Kaplan & Sadock, 2001).<o:p></o:p></span></span></div>
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<span lang="IN" style="line-height: 200%;"><span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;"> Di Amerika
Serikat, periode ini dimulai usia 9 samapi 10 tahun pada anak perempuan kulit
putih non- latin, dan 8 sampai 9 tahun pada anak perempuan
Afrika-Amerika.Gonadarche pada anak laki–laki terjadi pada usia 10 hingga 11
tahun. Di masa pertengahan hingga akhir <i style="mso-bidi-font-style: normal;">gonadarche</i>
pada anak perempuan terjadi <b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;">Menarche</i></b> pertama (periode menstruasi
pertama), sedangkan diawal hingga pertengahan <i style="mso-bidi-font-style: normal;">gonadarche</i> pada anak laki–laki terjadi <b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;">spermache</i></b> (ejakulasi dari
air mani yang pertama) (Kaplan & Sadock, 2001).<o:p></o:p></span></span></div>
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<span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;"><span lang="IN" style="line-height: 200%;">Beberapa peneliti berpendapat bahwa seorang anak harus
meraih suatu massa tubuh yang kritis sebelum masa pubertas, khususnya <i style="mso-bidi-font-style: normal;">menarche</i>. Sebuah studi yang dilakukan
menemukan bahwa berat tubuh yang lebih tinggi memiliki kaitan kuat dengan
dicapainya <i style="mso-bidi-font-style: normal;">menarch</i></span></span><span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;"><span lang="IN" style="line-height: 200%;">e. Para ilmuwan
lain berhipotesis bahwa munculnya menachre dipengaruhi oleh persentase lemak
tubuh dikaitkan dengan berat tubuh total. Menurut mereka, sejak menarche
berlangsung, minimal 17 persen berat tubuh perempuan tediri dari lemak tubuh.
Apabila ditinjau dari target berat tubuh, persentase ini tidak terbukti secara
konsisten. Meskipun demikian, para remaja anoreksia yang berat tubuhnya menurun
secara drastis dan para perempuan yang berpartisipasi dalam olahraga tertentu
mungkin tidak mengalami menstuasi. Pada laki – laki kekurangan nutrisi dapat
menunda dimulainya masa pubertas. </span></span></div>
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<span class="Apple-style-span" style="font-family: Arial, sans-serif; font-size: 16px; line-height: 18px;"><br /></span></div>
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<span class="Apple-style-span" style="font-family: Arial, sans-serif; font-size: 16px; line-height: 18px;">Referensi :</span><span class="Apple-style-span"><span lang="IN"></span></span></div>
<div class="MsoNormal" style="font-family: Arial, Helvetica, sans-serif; line-height: 200%; text-align: justify;">
<span class="Apple-style-span"><span lang="IN" style="font-family: Arial, sans-serif; font-size: 12pt; line-height: 115%;">Santrock, J.W. 2007.
Remaja. Edisi XI.Jiid I. Jakarta :Erlangga.<o:p></o:p></span></span></div>
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<span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif;"><span lang="IN" style="line-height: 200%;"><span lang="IN" style="font-family: Arial, sans-serif; font-size: 12pt; line-height: 115%;"><span lang="IN" style="font-family: Arial, sans-serif; font-size: 12pt; line-height: 115%;"><br /></span></span></span></span></div>Anonymoushttp://www.blogger.com/profile/01457688522410015120noreply@blogger.com0