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POST NATAL CARE

soetrisno

Bag/SMF Obgin FK UNS/RSUD Dr.

Moewardi Surakarta

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Post Natal Care

Inf. Nifas (Demam uer!erium" #

inf. Da$am K% % N

& 'o

)* + , - ari

Kuman masuk #

0 1ksogen0  2utogen

0 1ndogen (dr 3a$an $air"

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Kuman

-. Stre!.aem aerobik inf. berat

+. Staf aerus inf.sedang

'. 1.)o$i inf.terbatas

4. )$os. 5e$6ii (an aerob" 

sangat baa7a

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Terjadinya Infeksi 

-. Mani!u$asi !eno$ong

+. 2$at8a$at tak steri$

'. Dro!$et (!er$u masker"

4. Nosokomia$ inf.

9. Koitus !ada KD:. Inf. Intra !artum (. $ama% Ket. .

;ama"

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Faktor Predisposisi

-. . $ama% Ket. . $ama

+. <indakan Obs o!eratif (=ag*

abdomina$"'. Sisa8sisa sto$se$% s$!t. Ket

4. Da7a taan menurun (!erdaraan%ke$e$aan% inf. Kronis"

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Infeksi di jalan lahir 

0 >u$=itis # e!isiotimi% robekan

!erineum

0 >aginitis # OK. .

0 Ser=isitis

0 1ndometritis # !ada insersi !$a6.

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Septikemi dan Piemia

0 Se!tik # kuman !eredaran dara 

inf. Umum

0 iemia # trombo!$. >ena

 $e!as

 embo$i inf dan abses ke organ8organ

en7ebab #

Stre!. Beta aemo$itik go$ 2 (9? @ inf.Nifas"

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K$inis 

0 Se!. & akut !iem0 Suu 'A , 4o) * KU 3e$ek* nadi 0 <ensi C% KU menurun0 Sesak nafas% ge$isa0 ada !iemia rasa sakit !ada trombo!$. , st$

!ost !artum suu  menggigi$$ suu C0 ;eukositosis

0 ;o6ia bau dan bernana* in=o$usi 3e$ek

rognosis # 3e$ek% morta$itas

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Peritonitis

<er3adi dari #

-. Me$. emb. ;7m!e dari uterus

+. arametritis !eritoneum

'. Sa$!. , ooforitis !eritoneum

4. ;angsung tindakan abdomina$

 2da + #0 e$=io !eritonitis

0 eritonitis umum

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Klinis & Diagnosis

0 anas

0 N7eri !erut* S$inger !ain (@"

0Kembung% meteorismus% !ara$itik i$eus0 Suu % nadi 6e!at dan ke6i$

0 Defense mus6u$air 

0 Muka !u6at% mata 6ekung% ku$it dingin(fa6ies , i!o6rates"

Diagnosa # dibantu !em. ;ab

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Pencegahan inf nifas

-. K # Mengurangi faktor !redis!osisi

+. # mengurangi faktor8+ !en7ebab

'. N # $uka8$uka dan infeksi diatasi baik

engobatan

-. Ku$tur dan senisitifitas test+. Dosis adekuat 2.B

'. KU ditingkatkan (transfusi% infus"

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Kelainan!" dalam nifas

0 Sub in=o$usi uteriDiagnosis #

 , <FU masi

 ,;o6ia berbau , erdaraan

 2B* Uterotonika* Kuretase

0 ;ate !ost !artum b$eeding

!erdaraan sete$a +4 3am0 F$egmasia a$ba do$ens trombo!$ebis tungkai/

femora$is

suu % n7eri kaki% ka$or% oedem

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Kelainan pada #amma

0 Bendungan 2SI% ok #

 ,en7em!itan du6tus $a6.

 ,Ke$. <idak kosong sem!urna ,Ke$ainan !utting susu

Bengkak% keras% !anas dan n7eri

 2na$getika% massage%

  !engosongan

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0 #astitis

Inf. Ok staf aureus (!utting susu"Bisa ter3adi abses

Suu % menggigi$% mammae bengkak%

keras% n7eri%mera entikan men7usui !ada abses

  2B adekuat% kom!res% massage

  ringan% drainage dan tam!on !ada

  abses