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    OBGYN

    SEMINAR BATCH 4

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    .KEHAMILAN

    WHOGuid

    elinesfor

    theTreat m

    entofM

    alaria,

    2 nd

    ed.

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    WHOGuid

    elinesfor

    theTreat m

    entofM

    alaria,

    2 nd

    ed.

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    Thediagn

    osisandtre

    atment

    ofmalari a

    in

    pregnancy ,

    RCOG

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    .PERDARAHAN

    POSTPARTUM

    www.d

    oh.g

    o.!

    a"docs"policy"2#$$"haemorr

    hage

    .pdf

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    246. KANDIDIASISVULVOVAGINAL

    http%""www.phac&aspc.gc.ca"std&mts"sti&its"cgsti&ldcits"section&'&(&eng.php

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    247. IVA Pemeri!""# i#!$e!i %i!&"' (e#)"# "!"m "!e*"* +IVA, "("'"-

    $emeri!""# "#) $emeri!"#" +(/*er01i("#0$"r"me(i!,me#)"m"*i 'e-er r"-im "#) *e'"- (i1eri "!"m "!e*"*0"!"m &" 35 !e"r" i#!$e&'/ ("# (i'i-"* (e#)"# $e#)'i-"*"# m"*" *e'"#"#).

    Pri#!i$ me*/(e IVA "("'"- me'i-"* $er&1"-"# "r#" me#"(i $&*i-+acetowhite, $"(" 'e!i $r""#er "ri#)"# e*/!er%i! r"-im "#)(i/'e!i '"r&*"# "!"m "!e*/"!e*"* +"!"m &",.

    Bi'" (i*em&"# 'e!i m"r/!/$i! "#) (i&ri)"i "#er8 $e#)/'e!"#"!"m "!e*"* *i(" (i'"&"# #"m !e)er" (ir&& e !"r"#" "'e1i-'e#)"$.

    Le-er r"-im "#) #/rm"' ""# *e*"$ 1er"r#" mer"- m&("8!eme#*"r" -"!i' $/!i*i9 1i'" (i*em&"# "re"8 $'" "*"& &'&! "#)1er"r#" $&*i-

    Le!i $r""#er ri#)"#0i#" +NIS :, me#&"# 'e!i $&*i- $&"* "#)1i!" 1er1"*"!"# (e#)"# !"m1)"# !&"m//'&m#"r.

    Le!i "#) 'e1i- $"r"- +NIS 23 !e*er&!#", me#&"# 'e!i $&*i-*e1"' (e#)"# 1"*"! "#) *e)"!8 (im"#" !"'"- !"*& *e$i#" !e'"'&1er1"*"!"# (e#)"# !"m1)"# !&"m//'&m#"r +SSK,

    H)*+TH T)CHO+OG- *)M)T /0O)/* 0)1*RT)M) ))H*T*

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    24;. USIA KEHAMILAN

    3? @ Me#!*r&"' A)e i# ("!.

    Crownrumplength

    The length of the embryo on the longest axis (excluding the yolk sac)constitutes the crown-rump length. This is among the best documentedparameters to date the embryo, with accuracy of +- !-" days. #s a roughrule of thumb, the C$% + &." ' enstrual #ge in eeks* # pregnancyultrasound measurement that measures the length in centimeters fromthe top of the babys head to the bottom of the buttocks* Can bemeasured by around seen weeks of pregnancy

    Bi$"rie*"'(i"me*er

    "m/#) *-e m/!* "&r"*e 2#( *rime!*er me"!&re! /9 )e!*"*i/#"' ")e. Me"!&re(9r/m *-e 1e)i##i#) /9 *-e 9e*"' !&'' */ *-e i#!i(e "!$e* /9 *-e (i!*"' 9e*"' !&''+/&*er */ i##er, "* *-e 'e%e' /9 *-e "%&m !e$*&m $e'&i(&m8 *-i! i! /#e /9 *-e1"!i 9e*"' me"!&reme#*!. U!i#) *-i! !"me im")e8 *-e 9r/#*"' /i$i*"' (i"me*er+

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    24. USIA KEHAMILAN DAN TINGGI

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    .ANTUNG

    http%""www.rcog.org.u6"cardiac&disease&and&pregnancy&good&

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    P"r" "-'i "#()"# "*"& $"r" $e#"i $er""*"# "#) '"i# me#)"#&r"# sectiocaesarea "$"1i'" e'"-ir"# me'"'&i %")i#" m)i# mem1"" re!i/ $"(" i1& ("#

    "#i#. I#(i"!i *& sectio caesarea "#*"r" '"i# me'i$&*i

    :. I#(i"!i Me(i! A(" 3 9"*/r $e#e#*& ("'"m $r/!e! $er!"'i#"# "i*&

    ", 1ower Y"#) mem)i#"# (i'"&"# /$er"!i "e!"r8 mi!"'#" ("" me#)e"#

    'em"-8 i1& 1er$e#"i* "#*) "*"& $e#"i* me#"- '"i# "#) mem$e#)"r&-i*e#")".

    1, 1assanger Di"#*"r"#"8 "#" *er'"'& 1e!"r8 "#" m"-"'F (e#)"# e'"i#"# 'e*"'i#*"#)8 $rimi )r"%i(" (i"*"! 35 *"- (e#)"# 'e*" !)!"#)8 "#" *er*e"# *er'"'&'"m" $"(" $i#*& "*"! $"#))&'8 ("# "#" me#(eri*" fetal distress syndrome +(e#&*

    "#*) "#i# ""& ("# me'em"-,.

    , 1assage Ke'"i#"# i#i mer&$""# $"#))&' !em$i*8 *r"&m" $er!"'i#"# !eri&!$"(" "'"# '"-ir "*"& $"(" "#"8 "("#" i#9e!i $"(" "'"# '"-ir "#) (i(&)" 1i!"me#&'"r e "#"8 &m$"m"#" -er$e! e'"mi# +herpes genitalis,8 condyloma lota+/#(i'/m" !i='i*i "#) 'e1"r ("# $i$i-,8 condyloma acuminata +$e#"i* i#9e!i"#) me#im1&'"# m"!!" miri$ em1"#) /' (i &'i* '&"r e'"mi# "#i*",8 -e$"*i*i!B ("# -e$"*i*i! C.

    2. I#(i"!i I1& ", U!i" I1& "#) me'"-ir"# *& $er*"m" "'i $"(" &!i" !ei*"r 35 *"-

    memi'ii re!i/ me'"-ir"# (e#)"# /$er"!i. A$"'")i $"(" "#i*" (e#)"# &!i" 4?*"- e "*"!. P"(" &!i" i#i8 1i"!"#" !e!e/r"#) memi'ii $e#"i* "#) 1ere!i/8mi!"'#" *e"#"# ("r"- *i#))i8 $e#"i* "#*)8 e#i#) m"#i!8 ("# $ree'"m!i".E'"m$!i" +er""# e-"mi'"#, ("$"* me#e1"1"# i1& e"#) !e-i#))" (/*ermem&*&!"# $er!"'i#"# (e#)"# sectio caesarea.

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    1, T&'"#) P"#))&' Cephalopelic diproportion +CPD, "("'"- &&r"#'i#)"r $"#))&' i1& *i(" !e!&"i (e#)"# &&r"# 'i#)"r e$"'" "#i# "#)("$"* me#e1"1"# i1& *i(" me'"-ir"# !e"r" "'"mi. T&'"#) $"#))&'!"#)"* me#e#*&"# m&'&! *i("#" $r/!e! $er!"'i#"#.

    , Per!"'i#"# Se1e'&m#" (e#)"# sectio caesarea Se1e#"r#"8$er!"'i#"# me'"'&i 1e("- "e!"r *i(" mem$e#)"r&-i $er!"'i#"#!e'"#&*#" -"r&! 1er'"#)!) !e"r" /$er"!i "*"& *i(". A$"1i'"mem"#) "(" i#(i"!i "#) me#)-"r&!"# (i'"&"#" *i#(""#$em1e("-"#8 !e$er*i 1"i *er'"'& 1e!"r8 $"#))&' *er'"'& !em$i*8 "*"&

    "'"# '"-ir "#) *i(" m"& mem1&"8 /$er"!i 1i!" !"" (i'"&"#.

    (,

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    3. I#(i"!i "#i#

    ", A#"m"# G""* "#i# +fetal distress8 De*" "#*) "#i#me'"m1"*8 #/rm"'#" (e*" "#*) "#i# 1eri!"r :2? :6?. N"m(e#)"# CTG +cardiotography, (e*" "#*) "#i# me'em"-8 '"&"#!e)er" sectio caesarea !e)"r" *& me#e'em"*"# "#i#.

    1, B"i Be!"r +ma6rosemia8,

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    .KEHAMILAN

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    4M9 :O+3M) 77# $2 M*RCH 2##; 5m

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    EKLAMPSIA E'"m$!i" Pree'"m$!i" "#) (i!er*"i e"#) (i!&!&' (e#)"#

    /m"

    T"*"'"!"#" Ter"$i !&$/r*i9 *& !*"1i'i!"!i i1& P"!*i"# ABC Me#)"*"!i ("# me#e)"- e"#) K/re!i -i$/!emi" ("# "!i(emi" Me#)"*"!i ("# me#e)"- $e#&'i*8 -&!&!#" -i$er*e#!i ri!i!

    Per""*"# Ke"#) Tem$"*"# ("'"m r&"#) -&!&! Si!i$"# !$"*e' 'i("- "#*"r" 'i("- ("# )i)i r"-"#) "*"!

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    252. AMENORRHEA

    Ame#/rr-e" i! *-e "1!e#e /9me#!*r&"*i/#.

    Prim"r

    A1!e#e /9 me#!e! 1 ")e :6 i*-#/rm"' !e/#("r !e&"'-"r"*eri!*i!.

    A1!e#e /9 me#!e! 1 ")e :4 i*-/&*!e/#("r !e&"' (e%e'/$me#*.

    Se/#("r

    A1!e#e /9 me#!e! 9/r 6 m/#*-! i# "$re%i/&!' me#!*r&"*i#) 9em"'e.

    )ssentials of O5stetric and Gynecology 'thed.

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    *nn..-

    . *cad.ci.$$7;%$>

    7?$@(

    =2##(8

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    253. GANGGUAN GIT PADAKEHAMILAN

    C!*i*i! i#"mm"*i/# /9 *-e 1'"((er. M/!* /9 *-e *ime8 *-e i#"mm"*i/# i! "&!e(1 " 1"*eri"' i#9e*i/#8 "#( i*! "''e( " &ri#"r *r"* i#9e*i/# +UTI,.Sm$*/m! A !*r/#)8 $er!i!*e#* &r)e */ &ri#"*e8 A 1&r#i#) !e#!"*i/# -e#&ri#"*i#)8 P"!!i#) 9reJ&e#*8 !m"'' "m/*! /9 &ri#e8 B'//( i# *-e &ri#e+-em"*&ri",8 P"!!i#) '/&( /r !*r/#)!me''i#) &ri#e8 Di!/m9/r* i# *-e$e'%i "re"8 A 9ee'i#) /9 $re!!&re i# *-e '/er "1(/me#8 L/)r"(e 9e%er

    Pe'/#e$-ri*i! "# "!e#(i#) &ri#"r *r"* i#9e*i/# *-"* -"! re"-e( *-epyelum/r $e'%i!/9 *-e i(#e. Sm$*/m! 9e%er8 "e'er"*e( -e"r* r"*e8 $"i#9&' &ri#"*i/#8"1(/mi#"' $"i# r"(i"*i#) */ *-e 1"8 #"&!e"8 "#( *e#(er#e!! "* *-e/!*/%er*e1r"' "#)'e /# *-e "e*e( !i(e

    G'/mer&'/#e$-ri*i!

    !e%er"' re#"' (i!e"!e! +&!&"'' "e*i#) 1/*- i(#e!, i* m" $re!e#* i*-i!/'"*e( -em"*&ri" "#(0/r $r/*ei#&ri" +1'//( /r $r/*ei# i# *-e &ri#e, /r "! "

    #e$-r/*i !#(r/me8 " #e$-ri*i !#(r/me8 "&*e re#"' 9"i'&re8 /r -r/#ire#"' 9"i'&re.

    B"*& %e!i" 1"*& "#) *er("$"* (i %e!i" &ri#"ri"8 1i!" *er1e#*& !e"r" $rimer m"&$!e(er. eala8 r"!" #eri (i "-ir e#i#) "*"& !e!&("- e#i#)+dysuria,. L/"!i #eri 1er"(" (i $"#)"' $e#i! "*"& (i !&$r" $&1i ("# r"!"#eri i#i ""# (i"'"r"# e &) $e#i! "*"& !e$"#"#) $e#i!.

    Ure*er/'i*i"!i! " i(#e !*/#e /r i(#e !*/#e! +"'!/ "''e( "'&'&! 0 "'&'i, "re 9/rme( i#

    *-e &re*er!. Sm$*/m! Ure*er/'i*-i"!i! "&!e! (ere"!e( &ri#e $r/(&*i/#8Er&i"*i#) $"i# r"(i"*i#) 9r/m !i(e8 1" */ )r/i# /r "1(/me#8

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    255. ANENCEPHALY

    #nencephalyi! *-e "1!e#e /9 " m"/r $/r*i/# /9 *-e 1r"i#8!&''8 "#( !"'$ *-"* /&r! (&ri#) em1r/#i (e%e'/$me#*.

    I* i! " e$-"'i (i!/r(er *-"* re!&'*! 9r/m " #e&r"' *&1e (e9e**-"* /&r! -e# *-e r/!*r"' +-e"(, e#( /9 *-e #e&r"' *&1e9"i'! */ '/!e8 &!&"'' 1e*ee# *-e 23r( "#( 26*- (" /9

    /#e$*i/# Ree#* !*&(ie! -"%e !-/# *-"* *-e "((i*i/# /9 folic acid*/

    *-e (ie* /9 /me# /9 -i'(1e"ri#) ")e m" !i)#i="#*'re(&e8 "'*-/&)- #/* e'imi#"*e8 *-e i#i(e#e /9 #e&r"' *&1e(e9e*!.

    T-ere9/re8 i* i! re/mme#(e( *-"* "'' /me# /9 -i'(1e"ri#)")e /#!&me ?.4 m) /9 9/'i "i( ("i'8e!$ei"'' *-/!e"**em$*i#) */ /#ei%e /r -/ m" $/!!i1' /#ei%e8 "!*-i! "# re(&e *-e ri! */ ?.?3

    www.wi6ipedia.or

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    256. TBC ("#Ke-"mi'"#0Me#&!&i

    O1"* "#*i*&1er&'/!i! -"r&! *e*"$ (i1eri"# e&"'istreptomisin8 ("$"* me#em1&! 1"rrier $'"!e#*" e9e!"m$i#) !*re$*/mi!i# $"(" )"#))&"# $e#(e#)"r"# "#i#(ototoksik)

    P"(" $"!ie# TB "#) me#&!&i8 OAT ("# ASI *e*"$ ("$"*

    (i1eri"#8 "'"&$ 1e1er"$" OAT ("$"* m"!& e ("'"m ASI8""# *e*"$i /#!e#*r"!i#" ei' ("# *i(" me#e1"1"# */!i$"(" 1"i

    P"(" $erem$&"# &!i" $r/(&*i9 "#) me#("$"* $e#)/1"*"# TB(e#)"# ri9"m$i!i#8 (i"#&r"# *& *i(" me#))""#

    /#*r"!e$!i -/rm/#"'8 "re#" ("$"* *er"(i i#*er"!i /1"* "#)me#e1"1"# e9e*i%i*"! /1"* /#*r"!e$!i -/rm/#"' 1er&r"#).

    Ti(" "(" i#(i"!i $e#))&)&r"# $"(" $"!ie# TB (e#)"#e-"mi'"#

    onsensus 1erhimpunan 0o6ter 1aru /ndonesia,2##>

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    onsensus 1erhimpunan 0o6ter 1aru /ndonesia,2##>

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    TBC ("#Ke-"mi'"#0Me#&!&i

    E9e *er-"("$ e-"mi'"# ("# 1"i 1"r& '"-ir $rem"*&ri*"!8 $er*&m1&-"# "#i# *er-"m1"*8BBLR ("# $e#i#)"*"# m/r*"'i*"! $eri#"*"'

    I#9e!i i#*r" &*eri +$r"#"*"'0/#)e#i*"', $e#e1"r"# M.*&1er&'/!i! !e"r"-em"*/)e# $'"!e#*"I#9e!i TB $"(" #e/#"*&! "#) *er"(i !""*

    $er!"'i#"# +#"*"', *er*e'"# "*"&*er-i!"$#" "ir"# "m#i/# "#) *eri#9e!iM.*&1er&'/!i!

    WilliamAs O5stetric 22 ed.B sari pediatri /0*/ 2##'

    257O5stetri 1atologi

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    257.LETAK

    SUNGSANG Le*" mem"#"#) (e#)"#1//#) !e1")"i 1")i"#"#) *ere#("- +$re!e#*"!i1//#),

    Di1")i me#"(i Le*" 1//#) m&r#i

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    25;. TBC IN PREGNANCYhttp%""www.hpa.org.u6"we5c"H1*we5ile"H1*we5DC"$$E'E'@'#((@E

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    .KEHAMILAN

    Pree'"m$!i" " me(i"' /#(i*i/# -"r"*erie( 1 -i)- 1'//( $re!!&re "#( !i)#i="#*"m/*! /9 $r/*ei# i# *-e &ri#e /9 " $re)#"#* /m"#.

    Ge!*"*i/#"'-i$er*ir/i(

    H$er*-r/i(i!m re9er! */ *-e !i)#! "#( !m$*/m! -i- "re (&e */ *-e$r/(&*i/# /9 *// m&- *-r/i( -/rm/#e. Sm$*/m! 9ee'i#) "rm8-"%i#) " -"r( /r 9"!* -e"r*1e"*8 #er%/&!#e!!8 *r/&1'e !'ee$i#)8 /r #"&!e"i*- ei)-* '/!!

    Ge!*"*i/#"'(i"1e*i

    " *$e /9 (i"1e*e! *-"* "e*! /me# (&ri#) $re)#"#. D&ri#)$re)#"#8 !/me /me# -"%e -i)-er *-"# #/rm"' 'e%e'! /9 )'&/!e i#*-eir 1'//( "#( *-eir 1/( "##/* $r/(&e e#/&)- i#!&'i# */ *r"#!$/r* i*"'' i#*/ *-e e''!.

    Ge!*"*i/#"'"ri*mi"

    C"r(i" "rr-*-mi" i! /#e /9 *-e m/!* /mm/# re"!/#! 9/r "r(i"/#!&'*"*i/# (&ri#) $re)#"#.

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    26?. OVULASI Ke'&"r#" /%&m ("ri 9/'ie' (e )r""9

    Per'& *& me#e#*&"# m"!" !&1&r8 "re#" e-"mi'"#("$"* *er"(i i" /i*&! *er"(i !ei*"r !""* /%&'"!i

    O%&'"!i *er"(i :4 -"ri !e1e'&m -"i( "#) ""# ("*"#)

    T"#(" /%&'"!i /erubahan mukus seriks 0lebih banyak, ernih, encer, mudah

    diregang, seperti putih telur akibat peningkatan estrogen

    S"i* $i#))"#)0!"i* $i#))"#) !e1e'"-0mi**e'!-mer0r"m ri#)"#

    S&-& 1"!"' 1"("# !e(ii* me#i#)"* !ei*"r ?82?85C ("# 1er!i9"*1i9"!i. S&-& ""# 1er"(" $"(" *i#)"* "#) re#("- !"m$"i (e#)"#*er"(i#" /%&'"!i e*i" $e#i#)"*"# *er"(i !ei*"r ?82 C "*"& 'e1i-.

    Pe#i#)"*"# i#i 1i"!"#" *er"(i !e"r" *i1"*i1" "#*"r" !"*& -"ri(e#)"# -"ri 1eri&*#". Se'"#&*#" !&-& ""# me#e*"$ $"(" *i#)"*"#) 'e1i- *i#))i !"m$"i !e1e'&m "*"& $"(" ""' me#!*r&"!i!e'"#&*#". S&-& (i&&r !e)er" !e*e'"- 1"#) *i(&r !e1e'&mme'"&"# "*i%i*"! '"i#.

    http%""masasu5ur.com

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    26:. TAKSIRAN KEHAMILAN

    R&m&! N"e)e'e +T"!ir"# Per!"'i#"#, ("ri *"#))"' HPHT

    T"#))"' +>7, B&'"# +3, T"- +>:,U#*& !i'&! 2; -"ri8 me#&"# e-"mi'"#4? mi#))&

    P"(" !/"' TP@ 2?+>7, 4+3, 2?:2+>:,@ 27 "#&"ri 2?:3

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    262. E

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    263 MENOPAUSE

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    263. MENOPAUSE Me#/$"&!e i! *-e $erm"#e#* e#( /9 me#!*r&"*i/# "#( 9er*i'i*8 (e=#e(

    "! /&rri#) :2 m/#*-! "9*er /&r '"!* me#!*r&"' $eri/(.

    Me#/$"&!e "# -"$$e# i# /&r 4?! /r 5?!. Si)#! "#( !m$*/m!

    Irre)&'"r $eri/(! V")i#"' (r#e!! H/* "!-e!

    Ni)-* !e"*!

    S'ee$ $r/1'em! M//( -"#)e! Qei)-* )"i# "#( !'/e( me*"1/'i!m T-i##i#) -"ir "#( (r !i#

    L/!! /9 1re"!* 9&''#e!!

    Te!* A $re)#"# *e!* i! (/#e i9 *-ere i! " -"#e *-"* $re)#"#*. A 9/''i'e!*im&'"*i#) -/rm/#e +

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    264. ENDOMETRITIS I#"mm"*i/# /9 *-e e#(/me*ri"'

    'i#i#) /9 *-e &*er&!8 m" i#%/'%e

    *-e m/me*ri&m "#(8/"!i/#"''8 *-e $"r"me*ri&m

    Di%i(e( i#*/ $re)#"#re'"*e(e#(/me*ri*i! "#( e#(/me*ri*i!re'"*e( */ $re)#"# +Pe'%iI#"mm"*/r Di!e"!e,

    A&*e e#(/me*ri*i! i!-"r"*erie( 1 *-e $re!e#e /9mir/"1!e!!e! /r #e&*r/$-i'!i*-i# *-e e#(/me*ri"' )'"#(!

    C-r/#i e#(/me*ri*i! i!

    (i!*i#)&i!-e( 1 %"ri"1'e#&m1er! /9 $'"!m" e''!i*-i# *-e e#(/me*ri"'!*r/m"

    C'i#i"' Pre!e#*"*i/#

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    265. KONTRASEPSI

    1edoman 1elayanan eluarga 4erencana 1asca 1ersalinan di asilitas esehatan =44 dan

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    36/90

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    37/90

    266

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    38/90

    266.

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    39/90

    TUBA

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    .+BRACHIAL PLEUS BIRTHPALSY,

    " $"r"'!i! /9 *-e "rm "&!e( 1 i#&r */ *-e &$$er )r/&$ /9 *-e"rm! m"i# #er%e!8 !$ei="'' *-e !e%eri#) /9 *-e &$$er *r C5C6 #er%e!.

    T-e!e i#&rie! "ri!e m/!* /mm/#'8 1&* #/* e'&!i%e'8 9r/m!-/&'(er (!*/i" (&ri#) " (iW&'* 1ir*-.

    T-e m/!* /mm/#' i#%/'%e( #er%e! "re *-e !&$r"!"$&'"r #er%e8m&!&'/&*"#e/&! #er%e8 "#( *-e "i''"r #er%e

    T-e !i)#! /9 Er1! P"'! i#'&(e '/!! /9 !e#!"*i/# i# *-e "rm "#($"r"'!i! "#( "*r/$- /9 *-e (e'*/i(8 1ie$!8 "#( 1r"-i"'i!m&!'e!.T-e $/!i*i/# /9 *-e 'im18 (er !&- /#(i*i/#!8 i!-"r"*eri!*i *-e "rm -"#)! 1 *-e !i(e "#( i! r/*"*e( me(i"'' *-e

    9/re"rm i! e*e#(e( "#( $r/#"*e(. T-e "rm "##/* 1e r"i!e( 9r/m*-e !i(e "'' $/er /9 ei/# /9 *-e e'1/ i! '/!*8 "! i! "'!/ !&$i#"*i/#/9 *-e 9/re"rmF. T-e re!&'*i#) 1ie$! ("m")e i! *-e m"i# "&!e /9*-i! '"!!i $-!i"' $/!i*i/# /mm/#' "''e( "i*er! *i$.

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    26; HIPEREMESIS

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    26;. HIPEREMESISGRAVIDARUM

    KOMPLIKASI

    M*"- "#) *er&!me#er&! (i!er*"i (e#)"# &r"#) mi#&m "#)1ere$"#"#)"# ("$"* me#e1"1"# (e-i(r"!i. i" *er&! 1er'"#&*8$"!ie# ("$"* me#)"'"mi !/.

    Se'"i# (e-i(r"!i8 "i1"* '"i# m*"- "#) $er!i!*e# "("'"- )"#))&"#e!eim1"#)"# e'e*r/'i* !e$er*i $e#&r"# "("r #"*ri&m8 '/r ("#"'i&m8 !e-i#))" *er"(i e"(""# "'"'/!i! me*"1/'i -i$/'/remi(i!er*"i -i$/#"*remi" ("# -i$/"'emi"

    Hi$ereme!i! )r"%i("r&m "#) 1er"* &)" ("$"* mem1&"* $"!ie# *i("("$"* m""# "*"& mi#&m !"m" !e"'i8 !e-i#))" "("#)"# "r1/-i(r"*("'"m *&1&- i1& ""# -"1i! *er$""i *& $eme#&-"# e1&*&-"#e#er)i "ri#)"#.

    Ai1"*#"8 'em" ""# (i/!i("!i. N"m 'em" *i(" ("$"* (i/!i("!i(e#)"# !em$&r#" ("# *er"(i $e#&m$&"# "!"m "!e*/#"!e*i8 "!"m-i(r/!i1&*iri8 ("# "!e*/#8 !e-i#))" me#e1"1"# e*/!i!. S"'"- !"*&)e"'"#" "("'"- 1"& "!e*/# +1&"-1&"-"#, $"(" #"$"!

    Hiperemesis Graidarum,

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    .UTERUS

    P"r*&! $er/1""# (e#)"# !"r"* Ri""* /$er"!i !e1e'&m#" "("'"- i#!i!i *r"#!%er!" re#("-

    Pre!e#*"!i "#i# "("'- $re!e#*"!i %er*e! #/rm"' i" (i1&*&-"# ("$"* (i'"&"# !e!i/ !e!"ri" ("r&r"*

    i" /#(i!i (i "*"! *i(" *er$e#&-i "*"& i" mem$"i ri""* SC"*"& r&$*&r" &*eri 2 $er!"'i#"# $er "1(/mi#"'

    P"#*"& em"&"# $er!"'i#"# (e#)"# $"r*/)r"9

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    27?. ASUHAN PERSALINANNORMAL

    Me'i-"* *"#(" ("# )e"'" "'" II

    Me#i"$"# $er*/'/#)"# $er!"'i#"#

    emastikan pembukaan lengkap dengan

    anin baik Me#i"$"# i1& ("# e'&"r)" *& $r/!e!

    $im$i#"# me#er"#

    Per!i"$"# $er*/'/#)"# e'"-ir"# 1"i

    Me#/'/#) e'"-ir"# 1"i Pe#"#)"#"# 1"i 1"r& '"-ir

    Me#i'"i $er("r"-"#

    Me'"&"# $r/!e(&r $"!" $er!"'i#"#

  • 7/26/2019 Seminar OBGYN Batch4

    45/90

  • 7/26/2019 Seminar OBGYN Batch4

    46/90

    27:. KONSELING KB

    Tuuan 0

    Me#"m$"i"# i#9/rm"!i ("ri $i'i-"# $/'"re$r/(&!i.

    Memi'i- me*/(e KB "#) (i"i#i.Me#))""# me*/(e KB "#) (i$i'i-!e"r" "m"# ("# e9e*i9.Mem&'"i ("# me'"#&*"# KBMem$e'""ri *&&"#8 e*i("e'"!"#i#9/rm"!i *e#*"#) me*/(e KB "#)*er!e(i".

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    47/90

    1euntungan 0

    K'ie# ("$"* memi'i- me*/(e /#*r"!e$!i "#)!e!&"i (e#)"# e1&*&-"##".P&"! *er-"("$ $i'i-"##" ("# me#)&r"#)i

    e'&-"# "*"& $e#e!"'"#.C"r" ("# '"m" $e#))""# "#) !e!&"i !er*"e9e*i9.Mem1"#) r"!" !"'i#) $er"".

    Me#)/rm"*i -" 'ie# ("# $e*&)"!.Me#"m1"- (&)"# *er-"("$ $e'""#"# KB.Me#)-i'"#)"# r&m/r ("# /#!e$ "#) !"'"-.

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    2ak /asien 0

    Ter")" -"r)" (iri ("# m"r*"1"*Di'""#i !e"r" $ri1"(i ("# *er$e'i-"r"er"-"!i""#Mem$er/'e- i#9/rm"!i *e#*"#) /#(i!i ("#*i#(""# "#) ""# (i'"!"#""#Me#("$"* $e'""#"# ("# e#"m"#"# *er1"iMe#erim" "*"& me#/'" *i#(""# "#) ""#(i'"&"#Ke1e1"!"# ("'"m memi'i- me*/(e "#) ""#(i)""#

    272 HIPERTENSI DALAM

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    49/90

    272. HIPERTENSI DALAMKEHAMILAN

    Hi$er*e#!i Ke-"mi'"# T"#$"

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    50/90

    Hi$er*e#!i Ke-"mi'"# T"#$"Pr/*ei#&ri"

    T"#)"#i !e"r" r""* "'"# P"#*"& *e"#"# ("r"-8 &ri#8 /#(i!i "#i# *i"$ mi#))& i" *e"#"# ("r"- me#i#)"*8 *"#)"#i !e1")"i $ree'"m!i" ri#)"# i" /#(i!i "#i# mem1&r& "*"& *er"(i $er*&m1&-"# "#i#

    *er-"m1"*r""*

    i" *e"#"# (i"!*/'i ::?mmH) "*"& 'e1i-8 1eri"# /1"*"#*i-i$er*e#!i +*&&"# me#e)"- $er("r"-"# !ere1r"',8 /1"*$i'i-"# Hi(r"'"i# 5m) IV8 !e*i"$ 5m#* !"m$"i *e"#"# ("r"- *&r i" *i(" "(" -i(r"'"i#8 1eri"# L"1e*/'/' :? m) IV A*"& #i9e(i$i#e 5m) !&1'i#)&"' Me*i'(/$" 325?m)5??m)0-r

    4u6u panduan pra6tis pelayanan 6esehatan maternal dan

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    51/90

    273. TUMOR UTERUS

    Be#i)#8 &*eri#e #e/$'"!m!8"ri!e! 9r/m *-e m/me*ri&m8$rim"ri' /m$/!e( /9smooth muscle

    A'!/ "''e( 'ei/m/m"! 8=1r/i(! /r =1r/m/m"!.

    Ge#er"'' 1e#i)# "#( 9/( i#&$ */ 2? /9 /me# i# *-ere$r/(&*i%e ")e )r/&$.

    3?5? e"r! /'(

    C'"!!i="*i/# 1"!e( /#"#"*/mi '/"*i/# S&1m&/&! 1e#e"*-

    e#(/me*ri&m I#*r"m&r"'0i#*er!*i*i"' i*-i#

    &*eri#e "'' S&1!er/&!0!&1$eri*/#e"' "* *-e

    !er/!"' !&r9"e /r 1&')e/&*"r( 9r/m m/me*ri&m

    34# 5T6$7

    MYOMA UTERI

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    MYOMA UTERI83/T48 0

    Me#/rr-")i" "#($r/'/#)e( me#!*r&"'$eri/( +/mm/#,

    Pe'%i $"i# /&r! i#$re)#"# i9 (er)/i#)

    (e)e#er"*i/# /r */r!i/#/9 " $e(&'"*e(m/m"

    Pe'%i $re!!&re &ri#"r9reJ&e#8 1/e'(iW&'* +/#!*i$"*i/#,

    S$/#*"#e/&! "1/r*i/# I#9er*i'i*

    8798 0

    A $"'$"1'e "1(/mi#"' *&m/r

    A1(/mi#"' '&m$ "ri!i#) 9r/m$e'%i! 8 e'' (e=#e( m"r)i#! 8=rm i# /#!i!*e# "#( -"%i#)!m//*- !&r9"e8 *&m/r i! m/1i'e9r/m !i(e */ !i(e .

    Pe'%i e"mi#"*i/#

    U*er&! e#'"r)e( "#( irre)&'"r8 -"r(

    :iagnosis Bim"#&"' e"m8USG8 -!*er/!/$8L"$"r"/!$

    Treatment0 O1!er%"*i/# 9/r !m"'' m/m"8

    $reme#/$"&!e

    O$er"*i/# m/me*/m /r-!*ere*/m

    Current O5stetric and Gynecology 0iagnosis

    274 PRETERM LABOR

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    274. PRETERM LABOR

    Pre*erm L"1/r (e'i%er 1e9/re 37 /m$'e*e(ee!

    Si)#! re)&'er /#*r"*i/# i*- er%i ri$$e#i#)"#( (i'"*"*i/#

    Ri!

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    Pre*erm L"1/rM"#")eme#* X 34 ee! i*- #/ m"*er#"' /r 9e*"' i#(i"*i/# 9/r

    (e'i%er '/!e /1!er%"*i/# X 34 ee! )'&//r*i/i(! 9/r e#-"#eme#* /9 9e*"'

    ') m"*&r"*i/#

    X 34 ee! -/ "re #/* i# "(%"#e( '"1/r i#-i1i*i/#

    /9 /#*r"*i/#! */ (e'" (e'i%er )i%e#)'&//r*i/i( *-er"$ "#( )r/&$ B !*re$*//"'$r/$-'"i!

    Z 34 ee! m/#i*/re( 9/r '"1/r $r/)re!!i/# "#(9e*"' e''1ei#)

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    Pre*erm L"1/rS*er/i( U$"" $em"*"#)"# $"r&

    S"r"* $em"*"#)"# $"r& Ke-"mi'"# X 35 mi#))&T" "(" i#9e!i

    T" "(" e'"i#"# "#i#T" "(" -i$er*e#!i "*"& i#!&=!ie#!i $'"!e#*"

    Me(i"me#*/!" De"me*"!/#e 2:2 m)0IM0-"ri (i1eri"#

    ("'"m 2 -"riT//'i!i! *& mem1eri"# e!em$"*"#

    $em"*"#)"# $"r& Ni9e(i$i#e :?m) :2 ("'"m :

    "m em&(i"# 4:?m) !"m$"i -i! -i'"#)

    p ,

    O5stetri 1atologi 3npad

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    275. ANIN BESAR

    M"r/!/mi"0"#i# 1e!"r 1er"* Z 4???)r Se1"1 DM

    Ke*&r"#

    M&'*i$"ri*"! Ke!&'i*"# ("'"m $er!"'i#"# ("$"* *im1&' "re#"

    1e!"r#" e$"'" "*"& 1e!"r#" 1"-&

    Re!i/ ("ri *r"&m" '"-ir "#) *i#))i i" 1"i 'e1i-

    1e!"r (i1"#(i#)"# $"#))&' i1" Per("r"-"# i#*r"r"#i"' Di!*/!i" 1"-& R&$*&r &*eri8!er%i!8 %")i#" R/1e"# $eri#e&m

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    276.MIGRAINE IN

    PREGNANCY

    http%""www.mysurgerywe5site.co.u6"we5site"7#2$("les"1regnancyD91RHCD2##@;4$;0.pdf

    277 CAPTOPRIL IN

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    277. CAPTOPRIL INPREGNANCY

    Dr&)! *-"* act directly on the renin-angiotensin system "# "&!e9e*"' "#( #e/#"*"' m/r1i(i* "#( (e"*- -e# "(mi#i!*ere( (&ri#)$re)#"#.

    A# "!!/i"*i/# 1e*ee# m"/r /#)e#i*"' m"'9/rm"*i/#! "#( *-e &!e /9ACE i#-i1i*/r! (&ri#) *-e =r!* *rime!*er.

    C"$*/$ri' -"! 1ee# "!!i)#e( */ $re)#"# "*e)/r D 1 *-e

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    27;. IN

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    60/90

    G"'"*/re *-e !$/#*"#e/&! / /9 mi' 9r/m *-e 1re"!*8"!!/i"*e( i*- -i'(1ir*- /r #&r!i#)

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    .PERDARAHANUTERUS

    DIS

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    2;?. KISTA BARTHOLIN

    B"r*-/'i#! G'"#(

    R/(e(8 $e"!ie( )'"#(! (ee$i# *-e $eri#e&m

    L/"*e( "* *-e e#*r"#e /9 *-e%")i#" "* 5 /'/ "#( 7 /'/

    N/rm"'' "re #/* $"'$"1'e

    I*! (&* i! "$$r/im"*e' 2 m'/#)8 "#( /$e# i# " )r//%e1e*ee# *-e -me# "#( '"1i"mi#/r" i# *-e $/!*eri/r '"*er"'"'' /9 *-e %")i#"

    B"r*-/'i#! D&* C!* M/!* /mm/# '"r)e !* /9 *-e %&'%"C"&!e( 1 /1!*r&*i/# /9 *-e (&*

    !e/#("r */ #/#!$ei= i#"mm"*i/#/r *r"&m".M/!*' "re "!m$*/m"*iTre"*me#* #/* #ee!!"r i# /me#'e!! *-"# 4? 'e!! i#9e*e( /r!m$*/m"*i

    Tre"*me#* /9 -/ie /9 !m$*/m"*i /ri#9e*e( "!e! i! m"r!&$i"'i"*i/#F.I# /me# /'(er *-"# 4?8 1i/$! i!$er9/rme( */ e'&(e "(e#/"ri#/m"/9 B"r*-/'i#! )'"#(

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    Tre"*me#*

    arsupiali

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    2;:. PREGNANCY AND THYROIDDISEASE

    http%""www.endocrine.nidd6.nih.go"pu5s"pregnancy"F

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    65/90

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    66/90

    1edoman 0iagnosis dan Terapi O5stetri RH

  • 7/26/2019 Seminar OBGYN Batch4

    67/90

    2;3. INKONTINESIA URIN

    S*re!!i#/#*i#e#e

    S*re!! &ri#"r i#/#*i#e#e i! "&!e( 1 '/!! /9 !&$$/r* /9 *-e &re*-r"-i- i! &!&"'' " /#!eJ&e#e /9 ("m")e */ $e'%i !&$$/r* !*r&*&re! "!" re!&'* /9 -i'(1ir*-. I* i! -"r"*erie( 1 'e"i#) /9 !m"'' "m/*! /9&ri#e i*- "*i%i*ie! -i- i#re"!e "1(/mi#"' $re!!&re !&- "! /&)-i#)8!#eei#) "#( 'i9*i#).

    Ur)e i#/#*i#e#e Ur)e &ri#"r i#/#*i#e#e i! "&!e( 1 i#-i1i*e( /#*r"*i/#! /9 *-e(e*r&!/r m&!'e. I* i! -"r"*erie( 1 'e"i#) /9 '"r)e "m/*! /9 &ri#e i#"!!/i"*i/# i*- i#!&Wie#* "r#i#) */ )e* */ *-e 1"*-r//m i# *ime.

    O%er/i#/#*i#e#e

    " 9/rm /9 &ri#"r i#/#*i#e#e8 -"r"*erie( 1 *-e i#%/'*"r re'e"!e /9&ri#e 9r/m "# /%er' 9&'' &ri#"r 1'"((er8 /9*e# i# *-e "1!e#e /9 "# &r)e*/ &ri#"*e. T-i! /#(i*i/# /&r! i# $e/$'e -/ -"%e " 1'/")e /9 *-e1'"((er /&*'e* +1e#i)# $r/!*"*i -$er$'"!i"8 $r/!*"*e "#er8 /r #"rr/i#)/9 *-e &re*-r",8 /r -e# *-e m&!'e *-"* e$e'! &ri#e 9r/m *-e 1'"((er i!*// e" */ em$* *-e 1'"((er #/rm"''. O%er/ i#/#*i#e#e m" "'!/

    1e " !i(e ee* /9 er*"i# me(i"*i/#!.

    O%er"*i%e1'"((er

    i! " $r/1'em i*- 1'"((er!*/r")e 9*i/# *-"* "&!e! " !&((e# &r)e */&ri#"*e. T-e &r)e m" 1e (iW&'* */ !*/$8 "#( /%er"*i%e 1'"((er m"'e"( */ *-e i#%/'*"r '/!! /9 &ri#e +i#/#*i#e#e,.Sm$*/m!

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    2;4. ENDOMETRIOSIS

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    70/90

    www.aafp.com

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    2;5. BLOODY SHOQ

    ;loody showi! *-e $"!!")e /9 " !m"'' "m/* /91'//( /r 1'//(*i#)e( m&&! *-r/&)- *-e %")i#" #e"r*-e e#( /9 $re)#"#.

    I* "# /&r &!* 1e9/re '"1/r /r i# e"r' '"1/r "! *-e

    cerix changes shape8 9reei#) m&&! "#( 1'//(*-"* /&$ie( *-e er%i"' )'"#(! /r er%i"' /!.

    B'//( !-/ i! " re'"*i%e' /mm/# 9e"*&re /9$re)#"#8 "#( i* (/e! #/* !i)#i9 i#re"!e( ri! */*-e m/*-er /r 1"1.

    3 /mm/# !i)#! /9 *-e /#!e* /9 '"1/r "re A 1'//( !-/ R&$*&re /9 mem1r"#e! +Q"*er 1re"i#)F,

    O#!e* /9 *i)-*e#i#)! /r /#*r"*i/#!

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    2;7. CERVICAL DYSPLASIA

  • 7/26/2019 Seminar OBGYN Batch4

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    http%""www.meds c

    ape.co

    m"iewarticle"@$

    E2;#D

    '

    2;; GINGGIVITIS

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    2;;. GINGGIVITISGRAVIDARUM

    Ke-"mi'"# 1i"!"#" (i!er*"i 1er1")"i e'&-"# '"i# !e$er*i #)i("m8m&"'8 m*"- *erm"!& e'&-"# !"i* )i)i ("# $em1e!"r"# )&!i8mer"-8 1e#)" ("# m&("- 1er("r"- 1i'" e#" !e#*&-"# K/#(i!i)&!i "#) !e$er*i i*& (i!e1&* (e#)"# Gingiitis Graidarum "Hyperplasia Graidarum " 1regnancy Gingiitis.

    Pe#e1"1#" "("'"- *i#)"* -/rm/# e!*r/)e# ("# $r/)e!*er/#"#) 'e1i- *i#))i $"(" !""* -"mi'8 !e-i#))" "ri#)"# )&!imere!$/#! !e"r" 1er'e1i-"# *er-"("$ iri*"!i '/"'8 !e$er*i"&m&'"!i $'"8 "r"#) )i)i8 )i)i 1er'&1"#)8 !&!"# )i)i *i(" r"*""*"& "("#" !i!" ""r )i)i "#) *i(" (i"1&*.

    H/rm/# $r/)e!*er/# 1er$e#)"r&- *er-"("$ $r/!e!

    i#"m"!i0$er"("#)"#. Pem1e!"r"# )&!i ""# me#)"'"mi$e#&r"# $"(" e-"mi'"# 1&'"# e ("# 1e1er"$" -"ri !e*e'"-me'"-ir"#. Ke"(""##" ""# em1"'i #/rm"' !e$er*i !e1e'&m-"mi'.

    http%""www.dentiadental.com"2#$2"articles"pregnancy&

    2; CTG

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    75/90

    2;. CTG Br"(i"r(i" +HR X :2?,

    Di!e1"1"# /'e- $e#i#)"*"# %")"' */#e8 !e("#)"# "#) '"i#

    (i!e1"1"# /'e- (e!e'er"!i '"m1"* +*& 1r"(i"r(i" !e%ere, T"-i"r(i" 1i'" HR Z :6? 1e"*0mi#

    T"i"r(i ("$"* *er"(i "re#" 1e1er"$" 9"*/r I#re"!e( 9e*"' "*i%i*8M"*er#"' 9e%er8 D"$"* $&'" (i!e1"1"# /'e- i#9e!i8 -i$/*ir/i(8 (r&)8"#emi"8 -i$/!i"8 9e*"' -e"r* 9"i'&re8 9e*"' "ri*mi"

    V"ri"1'e (ee'er"*i/# V"ri"1'e (ee'er"*i/#! "re %"ri"1'e i# /#!e*8 (&r"*i/# "#( (e$*-. T-e

    m" /&r i*- /#*r"*i/#! /r 1e*ee# /#*r"*i/#!. T$i"''8 *-e -"%e"# "1r&$* /#!e* "#( r"$i( re/%er +i# /#*r"!* */ /*-er *$e! /9(ee'er"*i/#! -i- )r"(&"'' !'/ "#( )r"(&"'' re/%er. V"ri"1'e(ee'er"*i/#! "re *-/&)-* */ re$re!e#* " %")"' re!$/#!e */ !/me (e)ree/9 &m1i'i"' /r( /m$re!!i/#. I9 *-e &m1i'i"' /r( i! /#' !'i)-*'

    /m$re!!e(8 *-i! i'' /1!*r&* *-e &m1i'i"' %ei# +'/ $re!!&re !!*em,-i- re*&r#! re/)e#"*e( 1'//( */ *-e 9e*"' -e"r*.

    Pr/'/#)e( (ee'er"*i/# Pr/'/#)e( (ee'er"*i/#! '"!* m/re *-"# 6? !e/#(! "#( /&r i# i!/'"*i/#.

    C"&!e! i#'&(e m"*er#"' !&$i#e -$/*e#!i/#8 e$i(&r"' "#e!*-e!i"8$"r"er%i"' 1'/8 *e*"#i /#*r"*i/#!8 "#( &m1i'i"' /r( $r/'"$!e.

  • 7/26/2019 Seminar OBGYN Batch4

    76/90

  • 7/26/2019 Seminar OBGYN Batch4

    77/90

    2?. KALA I

    L"m"#" *er)"#*) $"ri*"! i1& $rimi)r"%i(" [ :2 "m8 m&'*i)r"%i(" [ 7 "m

    =. >ase %aten

    Dim&'"i !e" ""' 1er/#*r"!i "#) me#e1"1"# $e#i$i!"#

    ("# $em1&""# !er%i!.

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    ?. >ase #ktif

  • 7/26/2019 Seminar OBGYN Batch4

    78/90

    Me#/$"&!e i! *-e $erm"#e#* e#( /9 me#!*r&"*i/# "#( 9er*i'i*8 (e=#e("! /&rri#) :2 m/#*-! "9*er /&r '"!* me#!*r&"' $eri/(.

    Me#/$"&!e "# -"$$e# i# /&r 4?! /r 5?!.

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    Ni)-* !e"*!

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    L/!! /9 1re"!* 9&''#e!!

    Te!*

    A $re)#"# *e!* i! (/#e i9 *-ere i! " -"#e *-"* $re)#"#*. A 9/''i'e!*im&'"*i#) -/rm/#e +

  • 7/26/2019 Seminar OBGYN Batch4

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    Me#/$"&!e

    M"#")eme#* Re"!!&r"#e "#( !&$$/r* m" 1e "'' *-"*"re #ee(e( +%iei#) me#/$"&!e "! " #/rm"'$eri/( /9 $-!i/'/)i"' "("$*"*i/#,. T-e

    $"*ie#*! m/!* *r/&1'e!/me !m$*/m!!-/&'( 1e i(e#*i=e( "#( m"#")eme#*$/!!i1i'i*ie! !-/&'( *-e# 1e (i!&!!e(.

    He"'*- 'i9e!*'eH/rm/#e re$'"eme#* *-er"$

    Her1"' "#( /m$'eme#*"r me(ii#e

    http%""www.patient.co.u6"doctor"menopause&and&its&

    22. DIABETES

  • 7/26/2019 Seminar OBGYN Batch4

    80/90

    22. DIABETESGESTATIONAL

    :iabetes pragestasional atau oert diabetes ataupreexisting 0 i1& -"mi' "#) !&("- (ie*"-&i me#)i("$(i"1e*e! !e1e'&m e-"mi'"# Ri""* "("r )&'" *i#))i (e#)"# )'&/&ri "*"& e*/"!i(/!i! K"("r )&'" !e"*& \ 2?? m) 0 (' (e#)"# )e"'" *ri"! +$/'i(i$!i8

    $/'i&ri ("# 1er"* 1"("# *&r "#) *i(" 1i!" (ie'"!"# , K"("r )&'" $&"!" \ :25 m)0('Ter)"#*) I#!&'i#

    :iabetes gestasional A("#" i#*/'er"#!i "r1/-i(r"*(e#)"# (er""* 1er%"ri"!i "#) *er"(i "*"& (ie*"-&i$er*"m" "'i $"(" !""* e-"mi'"# *"#$" mem"#("#)"$""- i#!&'i# (i$er)""# "*"& *i(" ("'"m$e#"#)"#"##".

    T * '

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    81/90

    T"*"'"!"#"

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    82/90

    293. PEMERIKSAAN KEHAMILAN

    Leopold I : Pemeriksa berdirimenghadap ke pasien,kemudian dengan keduatangan meraba dengan jari-jariuntuk menentukan tinggi fundusuteri dan bagian apa dari anakyang terdapat dalam fundus.Sifat kepala : keras, bundar,melenting. Sifat bokong

    :lunak, kurang bundar, dankurang melenting. Pada letaklintang fundus uteri kosong

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    Leopold

    Leopold II : posisi masih sama,

    pindahkan tangan ke samping.

    Tentukan dimana punggung

    anak terdapat pihak yangmemberi rintangan terbesar

    kemudian carilah bagian

    bagian kecil yang terletak

    bertentangan

  • 7/26/2019 Seminar OBGYN Batch4

    84/90

    Leopold

    Leopold III : memakai tangan

    saja, rabalah bagian terba!ahnya

    dan tentukan apakah masih bisadigoyangkan untuk menentukan

    apa yang terdapat di bagian ba!ah

    dan apakah sudah " belum

    terpegang oleh pintu atas panggul

  • 7/26/2019 Seminar OBGYN Batch4

    85/90

    Leopold

    Leopold IV : posisi pemeriksa

    menghadap kaki pasien,

    dengan kedua tangan

    tentukan apa yang menjadibagian ba!ah dan apakah

    bagian ini sudah masuk

    kedalam P#P dan berapa

    masuknya

    O5stetri isiologi 3npad

  • 7/26/2019 Seminar OBGYN Batch4

    86/90

    Le*" !)!"#) Le*" mem"#"#) (e#)"# 1//#) !e1")"i 1")i"#"#) *ere#("- +$re!e#*"!i 1//#),

    Le*" 'i#*"#) S&m1& $"#"#) "#" *e)" '&r&! "*"& -"m$ir*e)" '&r&! !&m1& $"#"#) i1&

    Pre!e#*"!i e$"'" B")i"# *ere#("- "("'"- e$"'"

    Pre!e#*"!i m&" Le*" e$"'" (e#)"# (ee!i m"!im"'8 -i#))"/i$&* me#)e#"i $))) ("# m&" *er"r"- e1""-

    Le*" /1'iJ&e S&(&* $"#"#) "#i# "#) "(" *i(" *e)" '&r&!

    !&m1& $"#"#) i1&,!eri#) 1er!i9"* !eme#*"r" /'e-"re#" ""# 1er&1"- me#"(i $re!e#*"!i e$"'""*"& $re!e#*"!i 1//#)

    .PARTOGRA