persalinan sungsang (mahasiswa fkui tk vi) · pdf filepersalinan sungsang kanadi sumapradja...
TRANSCRIPT
![Page 1: PERSALINAN SUNGSANG (Mahasiswa FKUI Tk VI) · PDF filePERSALINAN SUNGSANG Kanadi Sumapradja kanadisuma@yahoo.com Department of Obstetrics and Gynecology Faculty of Medicine University](https://reader036.vdocuments.mx/reader036/viewer/2022082214/5a7f48ff7f8b9a38478b86dc/html5/thumbnails/1.jpg)
PERSALINAN SUNGSANG
Kanadi [email protected]
Department of Obstetrics and Gynecology
Faculty of Medicine University of Indonesia
![Page 2: PERSALINAN SUNGSANG (Mahasiswa FKUI Tk VI) · PDF filePERSALINAN SUNGSANG Kanadi Sumapradja kanadisuma@yahoo.com Department of Obstetrics and Gynecology Faculty of Medicine University](https://reader036.vdocuments.mx/reader036/viewer/2022082214/5a7f48ff7f8b9a38478b86dc/html5/thumbnails/2.jpg)
Insidens
– 3 sampai 4% dari semua kehamilan
– Meningkat seiring dengan berkurangnya – Meningkat seiring dengan berkurangnya
usia gestasi
– 3 - 4% pada aterm
– 7 - 10% pada 32 minggu
– 25 - 35% pada < 28 minggu
![Page 3: PERSALINAN SUNGSANG (Mahasiswa FKUI Tk VI) · PDF filePERSALINAN SUNGSANG Kanadi Sumapradja kanadisuma@yahoo.com Department of Obstetrics and Gynecology Faculty of Medicine University](https://reader036.vdocuments.mx/reader036/viewer/2022082214/5a7f48ff7f8b9a38478b86dc/html5/thumbnails/3.jpg)
Etiologi Presentasi Bokong
– idiopatik
– prematuritas (ukuran kepala-batang tubuh)
– Abnormalitas struktur panggul dan uterus– Abnormalitas struktur panggul dan uterus
– Fibroma uteri
– Abnormalitas atau anomali fetus
– polihidramnion
– Gestasi multipel
![Page 4: PERSALINAN SUNGSANG (Mahasiswa FKUI Tk VI) · PDF filePERSALINAN SUNGSANG Kanadi Sumapradja kanadisuma@yahoo.com Department of Obstetrics and Gynecology Faculty of Medicine University](https://reader036.vdocuments.mx/reader036/viewer/2022082214/5a7f48ff7f8b9a38478b86dc/html5/thumbnails/4.jpg)
Rekomendasi Persalinan Bokong
– Rekomendasi partus percobaan pada ≥ 36 minggu atau ketika TBJ 2500-4000 gram
– Menawarkan partus percobaan pada masa gestasi 31-35 minggu Atau TBJ 1500-2500 gram31-35 minggu Atau TBJ 1500-2500 gram
– Menawarkan SC pada ≤ 30 masa gestasi minggu atau TBJ <1500 gram*
– Tidak ada rekomendasi bila TBJ >4000 gram*
* acknowledged lack of evidence for recommendation
![Page 5: PERSALINAN SUNGSANG (Mahasiswa FKUI Tk VI) · PDF filePERSALINAN SUNGSANG Kanadi Sumapradja kanadisuma@yahoo.com Department of Obstetrics and Gynecology Faculty of Medicine University](https://reader036.vdocuments.mx/reader036/viewer/2022082214/5a7f48ff7f8b9a38478b86dc/html5/thumbnails/5.jpg)
Kriteria Seleksi untuk Partus Pervaginam
– Frank atau bokong komplit– Frank atau bokong komplit
– Kepala fetus tidak hiperekstensi
– TBJ 2500-3500 gram
![Page 6: PERSALINAN SUNGSANG (Mahasiswa FKUI Tk VI) · PDF filePERSALINAN SUNGSANG Kanadi Sumapradja kanadisuma@yahoo.com Department of Obstetrics and Gynecology Faculty of Medicine University](https://reader036.vdocuments.mx/reader036/viewer/2022082214/5a7f48ff7f8b9a38478b86dc/html5/thumbnails/6.jpg)
Kontraindikasi Partus Pervaginam
– Kontraindikasi fetus atau ibu terhadap
persalinan
– Bokong kaki
– Hiperekstensi kepala fetus
– Tidak ada informed consent
– Tidak ada penolong yang berpengalaman
![Page 7: PERSALINAN SUNGSANG (Mahasiswa FKUI Tk VI) · PDF filePERSALINAN SUNGSANG Kanadi Sumapradja kanadisuma@yahoo.com Department of Obstetrics and Gynecology Faculty of Medicine University](https://reader036.vdocuments.mx/reader036/viewer/2022082214/5a7f48ff7f8b9a38478b86dc/html5/thumbnails/7.jpg)
Manajemen Persalinan
– Direncanakan persalinan di RS
– MRS pada persalinan dini atau dengan ROM
– Observasi ketat fetus– Observasi ketat fetus
– Epidural dan ARM sesuai indikasi
– VT segera di ROM untuk menyingkirkan prolaps tali
plasenta
– Partus maju dengan baik (≥ 0,5 cm/jam setelah 3 cm)
– Diijinkan induksi dan augmentasi
![Page 8: PERSALINAN SUNGSANG (Mahasiswa FKUI Tk VI) · PDF filePERSALINAN SUNGSANG Kanadi Sumapradja kanadisuma@yahoo.com Department of Obstetrics and Gynecology Faculty of Medicine University](https://reader036.vdocuments.mx/reader036/viewer/2022082214/5a7f48ff7f8b9a38478b86dc/html5/thumbnails/8.jpg)
![Page 9: PERSALINAN SUNGSANG (Mahasiswa FKUI Tk VI) · PDF filePERSALINAN SUNGSANG Kanadi Sumapradja kanadisuma@yahoo.com Department of Obstetrics and Gynecology Faculty of Medicine University](https://reader036.vdocuments.mx/reader036/viewer/2022082214/5a7f48ff7f8b9a38478b86dc/html5/thumbnails/9.jpg)
Pelvic inlet
Mid-pelvic
Pelvic outlet
![Page 10: PERSALINAN SUNGSANG (Mahasiswa FKUI Tk VI) · PDF filePERSALINAN SUNGSANG Kanadi Sumapradja kanadisuma@yahoo.com Department of Obstetrics and Gynecology Faculty of Medicine University](https://reader036.vdocuments.mx/reader036/viewer/2022082214/5a7f48ff7f8b9a38478b86dc/html5/thumbnails/10.jpg)
![Page 11: PERSALINAN SUNGSANG (Mahasiswa FKUI Tk VI) · PDF filePERSALINAN SUNGSANG Kanadi Sumapradja kanadisuma@yahoo.com Department of Obstetrics and Gynecology Faculty of Medicine University](https://reader036.vdocuments.mx/reader036/viewer/2022082214/5a7f48ff7f8b9a38478b86dc/html5/thumbnails/11.jpg)
Hold the baby by the hips. Do not hold
the baby by the flanks or abdomen as
this may cause kidney or liver damage
![Page 12: PERSALINAN SUNGSANG (Mahasiswa FKUI Tk VI) · PDF filePERSALINAN SUNGSANG Kanadi Sumapradja kanadisuma@yahoo.com Department of Obstetrics and Gynecology Faculty of Medicine University](https://reader036.vdocuments.mx/reader036/viewer/2022082214/5a7f48ff7f8b9a38478b86dc/html5/thumbnails/12.jpg)
![Page 13: PERSALINAN SUNGSANG (Mahasiswa FKUI Tk VI) · PDF filePERSALINAN SUNGSANG Kanadi Sumapradja kanadisuma@yahoo.com Department of Obstetrics and Gynecology Faculty of Medicine University](https://reader036.vdocuments.mx/reader036/viewer/2022082214/5a7f48ff7f8b9a38478b86dc/html5/thumbnails/13.jpg)
![Page 14: PERSALINAN SUNGSANG (Mahasiswa FKUI Tk VI) · PDF filePERSALINAN SUNGSANG Kanadi Sumapradja kanadisuma@yahoo.com Department of Obstetrics and Gynecology Faculty of Medicine University](https://reader036.vdocuments.mx/reader036/viewer/2022082214/5a7f48ff7f8b9a38478b86dc/html5/thumbnails/14.jpg)
![Page 15: PERSALINAN SUNGSANG (Mahasiswa FKUI Tk VI) · PDF filePERSALINAN SUNGSANG Kanadi Sumapradja kanadisuma@yahoo.com Department of Obstetrics and Gynecology Faculty of Medicine University](https://reader036.vdocuments.mx/reader036/viewer/2022082214/5a7f48ff7f8b9a38478b86dc/html5/thumbnails/15.jpg)
Lovset’s maneuver
![Page 16: PERSALINAN SUNGSANG (Mahasiswa FKUI Tk VI) · PDF filePERSALINAN SUNGSANG Kanadi Sumapradja kanadisuma@yahoo.com Department of Obstetrics and Gynecology Faculty of Medicine University](https://reader036.vdocuments.mx/reader036/viewer/2022082214/5a7f48ff7f8b9a38478b86dc/html5/thumbnails/16.jpg)
![Page 17: PERSALINAN SUNGSANG (Mahasiswa FKUI Tk VI) · PDF filePERSALINAN SUNGSANG Kanadi Sumapradja kanadisuma@yahoo.com Department of Obstetrics and Gynecology Faculty of Medicine University](https://reader036.vdocuments.mx/reader036/viewer/2022082214/5a7f48ff7f8b9a38478b86dc/html5/thumbnails/17.jpg)
![Page 18: PERSALINAN SUNGSANG (Mahasiswa FKUI Tk VI) · PDF filePERSALINAN SUNGSANG Kanadi Sumapradja kanadisuma@yahoo.com Department of Obstetrics and Gynecology Faculty of Medicine University](https://reader036.vdocuments.mx/reader036/viewer/2022082214/5a7f48ff7f8b9a38478b86dc/html5/thumbnails/18.jpg)
FLEXED HEAD
NEUTRAL POSITION
DEFLEXED HEAD
![Page 19: PERSALINAN SUNGSANG (Mahasiswa FKUI Tk VI) · PDF filePERSALINAN SUNGSANG Kanadi Sumapradja kanadisuma@yahoo.com Department of Obstetrics and Gynecology Faculty of Medicine University](https://reader036.vdocuments.mx/reader036/viewer/2022082214/5a7f48ff7f8b9a38478b86dc/html5/thumbnails/19.jpg)
![Page 20: PERSALINAN SUNGSANG (Mahasiswa FKUI Tk VI) · PDF filePERSALINAN SUNGSANG Kanadi Sumapradja kanadisuma@yahoo.com Department of Obstetrics and Gynecology Faculty of Medicine University](https://reader036.vdocuments.mx/reader036/viewer/2022082214/5a7f48ff7f8b9a38478b86dc/html5/thumbnails/20.jpg)
![Page 21: PERSALINAN SUNGSANG (Mahasiswa FKUI Tk VI) · PDF filePERSALINAN SUNGSANG Kanadi Sumapradja kanadisuma@yahoo.com Department of Obstetrics and Gynecology Faculty of Medicine University](https://reader036.vdocuments.mx/reader036/viewer/2022082214/5a7f48ff7f8b9a38478b86dc/html5/thumbnails/21.jpg)