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    MODUL OBSTETRI-GINEKOLOGI-REPRODUKSI

    Ny. A, 26 tahun datang untu !"!#"$%&"h "t"$angan t"ntang

    %nt$a'"#'()

    KELOMPOK *

    030.09.030 ARUMTYAS CAHYANING W

    030.09.040 AYUNDA AFDAL

    030.09.060 DELITA SAFIRA DANA

    030.09.070 DIANITA KUSUMA WIJAYA

    030.09.080 EVA MARIS SAHARA

    030.09.090 FIRDHA AQMARINA

    030.09.100 GADISTA ANNISA

    030.09.110 HEN!A AYU RIMALITA

    030.09.111 HERJUN" DARIT"

    030.09.1#1 INDRASTITI RAMITASARI

    030.09.130 KHRISNA ARAMAARTHA

    030.09.131 KIKI HAERA RI!KY

    030.09.138 M. EVAN EWALD"

    030.09.140 MADE AYU INTAN WINAYATI "

    +AKULTAS KEDOKTERAN

    UNIERSITAS TRISAKTI

    aa$ta, 26 anua$( 2/2

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    BAB I

    PENDA0ULUAN

    $%&'(& &)*'$%+,-+( +/% +,'% &,,$%/%%* 2%*+(%. S,%2% ,$%%/

    %%/5 2%*+(% ',% 2,*%*/%&%* (2%(*%+( 2,$,&% *'& 2,*(*/%$( &,%2(%*. T(+%*

    '(+%* &*) 2,*%'%' (*% 180 SM %-($+ K%* 2,$& -%/% ',&*(&

    &)*'$%+,-+( 2,**%&%* %%' -,*,% &,%2(%* :%(*% /%$( &)')$%* %;%

    /%* %/)*%*

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    BAB II

    LAPORAN KASUS

    N;. A5 #6 '%*5 1 2,*/%'%*( &(*(& &,(/%*%* *'& 2,2-,$), &,',$%*%*

    ',*'%* &)*'$%+,-+(. N;. A %$ 2,%($&%* %*%& -,$'%2% 1 %* ;%* % /%* ,$2%&+/

    2,*%$%*&%* &,%2(%*. I% ,$,*%*% 2,**%&%* %%' &)*'$%+,-+( ','%-( 2%+( (**

    2,2(( 2,')/, &)*'$%+,-+( ;%* %&%* /(*%&%*5 2,*(*%' N;. A 2%+( 2,*;+( /%*

    '(/%& (*(* -$)/&+( ASI ,$&$%*.

    3

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    BAB III

    PEMBA0ASAN KASUS

    IDENTITAS PASIEN

    N%2% ,*&%- > N;. A J,*(+ K,%2(* > W%*('%

    U+(% > #6 '%* S& %*+% >

    ,&,$%%* > A%2% >

    A%2%' > ,&,$%%* S%2( >

    S'%'+ ,$*(&%%* > M,*(&% T%*% 2%+& RS >

    -,$ /('%*;%&%* +(&%- %'% %%2% ;%* /(%*' ;%* /%-%' 2,*/&* %'% 2,*)%&

    +%% +%' %'% ,( 2,')/, &)*'$%+,-+( ;%* %/%

    '(*&%' -,*/(/(&%* &(,* /%* +%2(*;% -,$ /('%*;%&%* %%$ /%-%' 2,2%*'

    %%(2%*% %$% 2,2,$(&%* (*

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    S,,2*;% -,$ /((*

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    A-%&% &(,* ,$,*%*% 2,2,$(&%* ASI ,&+&+(< +,%2% 6 %*

    (% ;% /%* &(,* ,2 2,*+'$%+( +,%& 2,%($&%* +,$'% ,2 2,2,$(&%*

    2%&%*%* %'% %($%* +,%(* ASI -%/% %;(*;%5 2%&% 2,')/, %&'%+( %2,*)$, ;%*

    %%2(% ',$+,' &- *'& 2,*,% &,%2(%* +%2-%( +(% %;(*;% 6 %*.

    A&%* ','%-( (% '(/%&5 2%&% -,$ %%' &)*'$%+,-+( %(* +,%%( -,**%*.

    A-%&% &(,* +,$(* -% /%* &$%* /(+(-(* /%%2 2,2(*2 )%'

    (% &(,* +,$(* -% +,%(&*;% '(/%& /(%*$&%* *'& 2,2(( -( ;%* %$+

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    2,2(( +*'(&%* +,'(%- 3 %* ?-,2%&%(%* +,/,$%*% &- 4 +*'(& /%%2 +,'%*

    +,(*% ))& *'& ( ;%* /%%2 2%+% %&'%+( +,$'% &- ,

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    A-%&% &(,* 2,2((&( %,$( ',$',*' A-%&% %,$( ',$%/%- )%2 %'% +,,*(+*;%

    ',$'%2% (% &(,* 2,2(( IUD5 +,% %/% IUD ;%* 2,**%&%* %%* )%2

    +,-,$'( ',2%% ;%* &,2*&(*%* /%-%' 2,*(2&%* $,%&+( (-,$+,*+('(:('%+ (%

    &(,* 2,2((&( %,$(.

    R(7ayat O't"t$( 1K"ha!(&an

    A-%&% &(,* -,$*% 2,*%%2( %)$'+ ?&,$%*@ A-%&% /(+,*%% %'%

    +-)*'%*

    ,$'%* 2,,*&%-( -,*(%(%* G,+'%+(5 %$'+5 A)$'+ ?GA@.

    R(7ayat G(n"%&%g(

    A-%&% &(,* 2,2-*;%( &,%*

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    2,$-%&%* +;%$%' *'& 2,2(( &)*'$%+,-+( 2,')/, %&'%+( %2,*)$,% ;%*

    2,*%*/%&%* -,2,$(%* ASI -%/% %;(*;% *'& 2,*,% &,%2(%* +%2-%(

    %;(*;% ,$+(% 6 %*.

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    (% ,$,+(&) '(*(5 2%&% &(,* '(/%& /(%*$&%* *'& 2,2(( IUD +,% /%-%'

    2,*(*&%'&%* $,+(&) (*

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    (% &(,* ,*/%& 2,2(( &)*'$%+,-+( )$2)*% )$%5 )%' ',$+,' /%-%'

    2,*(*/&+( CY +,(*% %&%* 2,*(*&%'&%* 2,'%)(+2, -$),+',$)* /( ,-%$5

    +,(*% %+)$-+(*;% '$* /%* /%-%' ',$%/( &,%2(%*.

    B. PEMERIKSAAN +ISIK

    S,,2 2,**%&%* %%' &)*'$%+,-+(5 -,$ /(%&&%* -,2,$(&+%%*

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    /%%2 &,%/%%* ,/,$% /%* +,/%* /(-%+%* (-+5 +,%(&*;% %*%* 2,**%&%* %%'

    &)*'$%+,-+( /%.

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    '(/%&. %-%+( ,-%$ /%* (,*5 *'& 2,(%' %-%&% %/% -,2,+%$%* ,-%$ /%* (,*.

    ,2,+%$%* ,-%$ 2,*%*/%&%* %/%*;% -,*;%&(' %'(5 /%* 2,$-%&%* &)*'$%(*/(&%+(

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    '(/%&5 %-%&% ',$/%-%' *;,$( %'% '(/%&. S,%(* (' -%+'(&%* -%+(,* +,/%* /%%2

    &,%/%%* '(/%& %2(.

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    A+&'%+(. D,*%$&%* *;( %*'*5 %-%&% ',$%'$ %'% '(/%&. %/% %+&'%+( -%$5

    %-%&% %/% $)*&( %+% %'% &,$(* %'% '(/%&. L% /,*%$ % %-%&% %/% (+(*++ %'% '(/%&.

    S,%*'*;% /(%&&%* -,2,$(&+%%* G(*,&))(& ?G;*,))( E%2(*%'()*@.

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    %. A/)2,*> (%' %-%&% %/% ,&%+ -%$' -%/% %/)2,* +,-,$'( -%/% ,&%+

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    +($)+(+

    . I*(*%> %-%&% %/% 2%++% +,-,$'( ,$*(% &,,*%$ (2 *)$2% %'% (* *)$2% %'% (-,$'$) %-%&% %/% $%/%*5 &+5 ,2%')25 ,&+&)$(%+(

    (%' =%$*%5 &,&,*'%%* /%* % +,&$,' :%(*%5 %-%&% ',$/%-%' /%$%-%/% +,&$,'

    (. H(2,*> (%' ,*'&*;%5 $),&%**;% ?%-%(% +/% '(/%& '@5 %-%&% %/%

    /%$%

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    -,2,+%$%* &,,*%$ (2

    %. A/)2,*> -,$2&%%* &(' %-%&% $%'%5 ',%*5 ,$,*)5 ,2%+. A-%&% %/%

    *;,$( ',&%* A-%&% %/% '2)$ (% /($(%( %2(5 %-%&% ',$%% %(%*

    %*(* %'% '(/%& /%* % ,$%&%* %*(*. I*(*%> %-%&% %/% 2%++% /%* *;,$( ',&%*

    10

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    . V:%> %-%&% %/% -,2,+%$%* &,,*%$ %$')(*( A-%&% %/% *;,$( ',&%*

    ?%+,+@5 %'% '(/%& *;,$( ?&(+'%@

    /. "$( %-%&% %/% -,*,$'%* /%$(

    /(*/(* /)$+% $,'$%5 &,%$ *%*% %'% '(/%&

    ,. %*&% -%%> %-%&% %/% ,*)%*5 '2)$5 *;,$( ',&%*3. ,2,$(&+%%* (* S-,) ?%*;% *'& =%*('% ;%* +/% ,$*%*5 -,2,$(&+%%*

    2,**%&%* +-,&2@>

    %. V%(*%> %%(2%*% /(*/(**;%5 %-%&% ((* W%$*%*;%5 %-%&% ',$(%' %/%

    *%*%5 +,$%+(. %%(2%*% +,-'2 ,*'&5 ,+%$ &,(*;%5 2,*%/%-*;%

    . "$( ,*'& /%* &$%*5 -,$2&%%* ?%+ %'%

    ,$,*)@

    4. ,2,$(&+%%* (2%*% ?2,**%&%* /% '%*%*5 ,2-%' %$( /( +-$%+(2

    %. V%(*%> /(*/(* ((*5 %-%&% %/% *;,$( ',&%*5 %%(2%*% ,*'& /%* ,+%$ &,(*;%5 2,*%/%-*;% ?$+5 &, /,-%*5 &,

    ,%&%*@5 &)*+(+',*+(*;% ?&,*;%5 *%&5 &,$%+5 $%-@5 -,$2&%%**;% ?((*5

    %-%&% ,$,*)5 %-%&% 2/% ,$/%$%@5 ,$%&%* ?,%+5 &%&5

    2,*(2&%* *;,$( %'% '(/%&@5 %$%& /%$( (*'$)('+ ?2,**&&%* %/%*;%

    -$)%-+ ',$( %'% '(/%&@5 "UE ?',$&%5 ',$''-5 ',$%% %$(*%* %'% '(/%&@.

    . K)$-+ ',$(> ,*'& *)$2% 2,2%' /%* %(%* %'%+ ,( ,+%$. ,*'&

    %*)$2%> ',$+ %$&%'+5 ',$%% /% &)$-+ ?/-,@. )+(+(> %*',

    $%'% %'% ,$,*) ?2()2%@. K)*+(+',*+(> &,*;% *%&5 %'% &,$%+. G,$%&%*>

    ,%+ %'% ',$(&%' ?

    1. U2$

    #. T(*( %/%*

    11

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    3. ,$%' %/%*

    4. L(*&%$ ,*%* %'%+

    . L(*&%$ &,-%%

    6. L(*&%$ /%/%

    7. J%$(*%* *%&18

    9. PEMERIKSAAN PENUNANG

    ,2,$(&+%%* -,**%* ;%* /(%*$&%* -%/% &%++ (*( >

    1. ,2,$(&+%%* /%$% ,*&%-

    U*'& 2,*,'%( +,%$% -%+'( %-%&% -%+(,* +,/%* 2,*/,$('% +%' -,*;%&('

    (*

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    D. PENATALAKSANAAN

    /. Edua'( K%nt$a'"#'( A&a!(ah

    K)*'$%+,-+( ,*(+ (*( /%-%' /(%&&%* '%*-% -,*;*'(&%* %'% -,2%+%*%* %%' ;%*

    ,$+(

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    +,%(%* ,+%$ %&(%&( /%* 2%+( %/% =%&' ,,$%-% /,'(& +,,2 ,%&%+(

    ',$%/(.

    E

    /. $(% /,*%* ,%&%+( /(*(2. $(% ;%* +(' 2,%&&%* +,*%2% ',$-'+8. %+%*%* ;%* '(/%& 2% ,&,$% +%2%.16

    2. Edua'( K%nt$a'"#'( 0%$!%na&

    %. I*,&+(

    S*'(&%* K %/% # ,*(+5 ;%('>

    (. Sunt(an KB 8 Bu&an. S*'(&%* K (*( 2,*%*/* )$2)* D,-)

    M,/$);-$),+',$)*, A,'%', ?)$2)* -$),+'(*@ 10 2. S,+%( /,*%* *%2%*;%5

    +*'(&%* (*( /(,$(&%* +,'(%- 3 %* ?1# M(*@. S*'(&%* -,$'%2% (%+%*;%

    /(,$(&%* 7 %$( -,$'%2% -,$()/, 2,*+'$%+(5 %'% 6 2(* +,',% 2,%($&%*.

    S*'(&%* K 3 %*%* %/% ;%* /(&,2%+ /%%2 %($%* 32 %'% 12

    ((. Sunt(an KB / Bu&an. S*'(&%* K (*( 2,*%*/* &)2(*%+( )$2)*

    M,/$);-$),+',$)*, A,'%', ?)$2)* -$),+'(*@ /%* E+'$%/() C;-()*%', ?)$2)*

    ,+'$),*@. K)2-)+(+( )$2)* /%* %$% &,$% S*'(&%* K 1 %* 2($(- /,*%* (

    K K)2(*%+(. S*'(&%* -,$'%2% /(,$(&%* 7 %$( -,$'%2% -,$()/, 2,*+'$%+(5 %'% 6

    2(* +,',% 2,%($&%* (% =%*('% ',$+,' '(/%& 2,*;+(.1

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    ((. L,*/($ +,$:(&+ ,$'%2% &,*'%5 +,(*% 2,*%2%' -,*,'$%+( +-,$2% 2,%(

    +,$:(&+ ',$(.

    (((. M,*%%*( (2-%*'%+( ):2 /%%2 ,*/)2,'$(2.

    (:. M,*% &,,-%'%* '$%*+-)$' ):2 2,%( '%.

    K"untungan !"t%d" (n( ada&ah

    1. E

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    1. H%2( %'% /($%( %2(

    #. ,$/%$%%* -,$:%(*%2 ;%* ,2 ,%+ -,*;,%*;%

    3. T(/%& /%-%' 2,*,$(2% ',$%/(*;% %*%* %(/

    4. M,*/,$('% &%*&,$ -%;/%$%

    . D(%,',+ 2,('+

    5atu #"!"$(an dan d%'('

    D,-) -$):,$% +%*%' ))& *'& -$)$%2 -)+'-%$'2 ), &%$,*% '(/%& 2,*%*

    %&'%+(5 /%* ',$%/(*;% %2,*)$,% +,',% +*'(&%*+*'(&%* /,-) -$):,$% '(/%& %&%*

    2,*%* (( ;%* 2,*;+( %*%&*;% /%%2 2%+% -)+'-%$'25 &%$,*% /%%2 2%+%

    (*( ',$%/( %2,*)$,% %&$%+(. S*'(&%* -,$'%2% (%+%*;% /(,$(&%* 7 %$( -,$'%2% -,$()/,

    2,*+'$%+(5 %'% 6 2(* +,',% 2,%($&%* ?+,',% ASI ,$,-$)/&+(@. E

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    2,*(2&%* &,&,$(*%* -%/% :%(*%5 2,*$*&%* ((/)5 %*%* ,2)+(5 +%&('

    &,-%%5 /%* ,$%=%'.

    J(&% -,2%&%(%* +*'(&%* K /(,*'(&%*5 +(&+ 2,*+'$%+( ;%* ',$%'$ %&%* &,2%(

    ',$%/( /%%2 =%&' 6 %*1 '%*.

    E

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    -( &)*'$%+,-+( (%% *)$,'(*)/$,5 *)$,'(*/$)* %+,'%'5 ,'(*)/() /(%+,'%'5 /%*

    *)$,+'$,.

    E+'$),* ;%* %*;%& /(-%&%( *'& -( &)*'$%+,-+( (%% ,'(*( ,+'$%/() /%*

    2,+'$%*). M%+(*2%+(* %' (*( 2,2-*;%( ethynil group-%/% %')2 C 17. D,*%*

    %/%*;% ethynil group-%/% %')2 C 17 (*(5 &%+(%'*;% 2,*(*( (&% /(2%&%* -,$ )+

    ), &%$,*% %'%' ',$+,' '(/%& 2/% %'% '(/%& +,,$%-% ,-%' /(% +,=%&'

    2,%( +(+',2 -)$'%5 ,$,/% /%$( +',$)(/ %%2(%. J%/(5 +',$)(/ +(*','(& 2,2-*;%(

    -)',*+( ;%* ,( '(*( -,$ *(' /(%*/(*&%* /,*%* +',$)(/ %%2(% &%% /(',%*

    -,$ )+.

    M"an('!" K"$4a

    (-( &)*'$%+,-+( ',$/($( %'%+ &)2-)*,* ,+'$),* /%* &)2-)*,* -$),+'%,*5

    %'% ), +%% +%' /%$( &)2-)*,* )$2)* ('. H)$2)* +',$)(/ +(*','(& /%%2

    2,'%)(+2,*;% +%*%' ,$,/% /,*%* )$2)* +',$)(/ ;%* /(&,%$&%* ),

    ):%$(2. D%-%' /(&%'%&%* %=% &)2-)*,* ,+'$),* /%%2 -( 2,*,&%* +,&$,+( FSH

    2,*%%*( 2%'$%+(

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    ',$%+% &,2*. R,',*+( %($%* /(+,%&%* ), &$%**;% -,*,%$%* %($ /%*

    *%'$(25 /%* /%-%' 2,*(*&%'&%* ,$'%2%*;% ,$%' %/%*. S%&(' &,-%% +,%(%*

    % /(+,%&%* ), $,',*+( %($%*. ,2,$(%* %$%2 &,-%/% -,*/,$('% -,$

    /(&$%*( /%* /%-%' /(,$(&%* )%' /($,'(&.

    K%/%* ,

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    '$)2)-,(('(+5 '$)2),2)(5 &,%(*%* +,$,$):%+&%$ /(%,',+ 2,('+ /%*

    &,%2(%*.

    K)*'$%(*/(&%+( $,%'(< > /,-$,+( 2($%(* 2()2% ',$( (-,$',*+(

    )()2,*)$,% /%* %2,*)$,%.

    K"&"(han dan K"u$angan P(& K%!(na'(

    (. K,,(%* -( &)2(*%+( %*'%$% %(* (%% >

    E

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    ',$%/( =('/$%=% ,,/(*5 2%&% -( -%/% *&+ &,/% 2%( /(2(*2 7 %$(

    +,',% -( /%%2 *&+ -,$'%2% %(+. ( /%%2 *&+ #8 -( /(2(*2 '(%- %$(

    '(%- 2%%2 ',$+2,*,$+. %/% %$( -,$'%2% %(/ -( ;%* (*%&'(< 2%( /(2(*25

    /%* /(-(( -( 2,*$' %$( ;%* /(',*'&%* /%%2 *&+. K,*'*%* 2(*2 -(

    ,$2% #8 '%,' (%% %=% &%$,*% -( (*( /(2(*2 '(%- %$( ',$+2,*,$+5

    +,(*% 2,*(%*&%*

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    #. T(/%& 2,*%(&%* ',&%*%* /%$%

    3. T,$%/( &,%2(%* ,')-(& ,( &,( (% /(%*/(*&%* /,*%* -,**%%* AKDR

    4. D(*%&%* %*&% -%*%* 5 '%*

    . ,$+(:%' $,:,$+(,

    6. D%-%' ',$%/( &,%2(%* 80 90 +,',% -,*%*&%'%* (2-%*'

    E?" 'a!#(ng

    G%*%* -)% %(/ ?spotting5 2,'$)$$%(% 5 %2,*)$,% @

    M%2%

    A*)$,&+(

    ,*(* /%* +%&(' &,-%%

    T,$&%/%* ',$%/( -,$%%* ((/)

    T,$%/( -,$%%* ,$%' %/%* A/%*;% %&*, B ,$%=%'

    Ind(a'(

    a. W%*('%=%*('% ;%* (*(* 2,**%&%* &)*'$%+,-+( %*&% -%*%* ','%-( '(/%&

    2,*(*(*&%* 2,2%&%( &)*'$%+,-+( 2%*'%- %'%-* AKDR.

    . W%*('%=%*('% ;%* '(/%& ), 2,**%&%* -( K ;%* 2,*%*/* ,+'$),*

    K%nt$a(nd(a'( 3

    a. K,%2(%* %'% /(/% %2(

    b. M,*/,$('% -,*;%&(' %'(

    c. K%*&,$ -%;/%$%

    d. K,%(*%* (=%e. V%$(&)+(+

    f. R(=%;%' &,%2(%* ,')-(&

    g. DM

    . K,%(*%* &%$/():%+&%$

    5atu #"!a'angan

    W%&' -,2%+%*%* -%(* %(& *'& N)$-%*' %/%% +,=%&' %(/ ,$%*+* %'% 2%+%

    -$%):%+( /%$( +(&+ %(/5 +,(*% %/%*;% &,%2(%* /%-%' /(+(*&($&%*. K,,*%2 &%-+

    ;%* 2%+(*2%+(* 2,*%*/* 36 2 ,:)*)$,+'$, /('%*%2&%* -%/% ,*%* &($( %'%+

    ?%'% ,*%* &%*%* %'%+ -%/% %&+,-')$ ;%* &(/% @ &$%* ,( 610 2 /%$( (-%'%* +(& .

    P"ngangatan N%$#&ant

    ,*%*&%'%* N)$-%* /(%&&%* (% %/% (*/(&%+( >

    1. A'%+ -,$2(*'%%* %&+,-')$

    #. T(2*;% ,

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    %/% &%++ (*(5 &(,* /%-%' /(+%$%*&%* *'& 2,**%&%* (2-%*' /(&%$,*%&%*

    -%+(,* 2%+( 2,*;+( /%* % %$% &,$% &)*'$%+,-+( (2-%*' '(/%& ,$,

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    http://emedicine.medscape.com/article/258507-overview.%20Accessed%20on%20January%2021http://www.slideshare.net/iyandri/2pemeriksaan-ginekologihttp://www.slideshare.net/iyandri/2pemeriksaan-ginekologihttp://www.eurekaindonesia.org/http://www.tundakehamilan.com/artikel_Kontrasepsi_metodesuntikan.htmlhttp://medicastore.com/penyakit/3356/Kontrasepsi.htmlhttp://www.emedicinehealth.com/vasectomy/article_em.htm.%20Accessed%20on%20January%2022http://www.emedicinehealth.com/vasectomy/article_em.htm.%20Accessed%20on%20January%2022http://emedicine.medscape.com/article/258507-overview.%20Accessed%20on%20January%2021http://www.slideshare.net/iyandri/2pemeriksaan-ginekologihttp://www.eurekaindonesia.org/http://www.tundakehamilan.com/artikel_Kontrasepsi_metodesuntikan.htmlhttp://medicastore.com/penyakit/3356/Kontrasepsi.htmlhttp://www.emedicinehealth.com/vasectomy/article_em.htm.%20Accessed%20on%20January%2022http://www.emedicinehealth.com/vasectomy/article_em.htm.%20Accessed%20on%20January%2022