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CPD

CPD. Dr.DIDIK, SpOG. CEPALOPELVIC DISPROPORTION. Ketidaksesuaian kepala janin dg panggul ibu. CPD ada ada 2.mutlak dan relatif TANDA: 1.LEOPOLD>KPL BLM MSK PAP 2.PD>CONJUGATA VERA<10 CM 3.ODEM PORTIO/SERVIKS 4.PARTUS TAK MAJU/LAMA 5.KALA 2 TAK MAJU/MEMANJANG. BAHAYA CPD.

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CPD

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  1. CPD Dr.DIDIK, SpOG

  2. CEPALOPELVICDISPROPORTION • Ketidaksesuaian kepala janin dg panggul ibu. • CPD ada ada 2.mutlak dan relatif • TANDA: • 1.LEOPOLD>KPL BLM MSK PAP • 2.PD>CONJUGATA VERA<10 CM • 3.ODEM PORTIO/SERVIKS • 4.PARTUS TAK MAJU/LAMA • 5.KALA 2 TAK MAJU/MEMANJANG

  3. BAHAYA CPD • 1.PARTUS KASEP/LAMA • 2.RUPTUR UTERI • PENYEBAB: • 1.PANGGUL SEMPIT • 2.HIDROSEPALUS • 3.MALPOSISI • 4.MALPRESENTASI • 5.MAKROSOMIA TERAPI : SECTIO CESAREA

  4. RUPTURA UTERI • ROBEKNYA DINDING UTERUS • PENYEBAB: • 1.CPD • 2.BEKAS OPERASI SC • 3.BEKAS OPERASI MIOMA • 4.INDUKSI/STIMULASI • GEJALA: • A.NYERI ABDOMEN

  5. B.SEGMEN BAWAH RAHIM MEREGANG/CINCIN PATOLOGIS • C.HIS HILANG • D.SHOCK • TERAPI: • 1.BILA ROBEKAN TERATUR,UTERUS BISA DIPERTAHANKAN,HISTERORAPI • 2.BILA ROBEKAN TIDAK TERATUR,UTERUS TIDAK BISA DIPERTAHANKAN ,HISTEREKTOMI.

  6. RUPTUR UTERI

  7. PARTUS MACET/PARTUS LAMA LAMA PERSALINAN LEBIH 18 JAM(MULTI)/24 JAM PRIMI. • PENYEBAB: • 1.CPD • 2.MALPOSISI • 3.MALPRESENTASI/SUNGSANG/ • LINTANG • 4.JANIN BESAR 6.KPD • 5.HIDRAMNION

  8. TANDA PARTUS MACET • 1.DEHIDRASI • 2.DEMAM • 3.KEMBUNG • 4.HIS LEMAH • 5.DJJ TAKIKARDI/BRADIKARDI • 6.KETUBAN KERUH

  9. BAHAYA • RUPTURA UTERI • PERDARAHAN POSPARTUM • INFEKSI POSPARTUM • FETAL DISTRES>ASFIKSIA • PENATALAKSANAAN/TERAPI: • BILA BUKA LENGKAP, TIDAK ADA CPD>VAKUM EXTRAKSI. • CPD>SC

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