perdarahan antepartum

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Text of perdarahan antepartum

DAFTAR ISI Halaman Persetujuan.............................................................................................. i Abstrak...................................................................................................................... ii Daftar Riwayat Hidup............................................................................................. iv Kata Pengantar....................................................................................................... v Daftar Isi.................................................................................................................. viii Daftar Tabel............................................................................................................. xii Daftar Gambar........................................................................................................ xiv BAB 1 PENDAHULUAN....................................................................................... 1 1.1. Latar Belakang....................................................................................... 1 1.2. Rumusan Masalah.................................................................................. 4 1.3. Tujuan Penelitian................................................................................... 5 1.3.1. Tujuan Umum............................................................................ 5 1.3.2. Tujuan Khusus........................................................................... 5 1.4. Manfaat Penelitian................................................................................. 6 BAB 2 TINJAUAN PUSTAKA.............................................................................. 7 2.1. Defenisi.................................................................................................. 7 2.2. Klasifikasi ............................................................................................. 8 2.2.1. Plasenta Previa........................................................................... 8 2.2.2. Solusio Plasenta......................................................................... 9 2.2.3. Perdarahan yang Belum Jelas Sumbernya................................. 10 2.3. Epidemiologi.......................................................................................... 11 2.3.1. Distribusi Frekuensi................................................................... 11 2.3.2. Faktor Determinan..................................................................... 12 2.4. Gambaran Klinis.................................................................................... 16 2.5. Diagnosis................................................................................................ 17 2.5.1. Anamnesis.................................................................................. 17 2.5.2. Inspeksi...................................................................................... 18 2.5.3. Pemeriksaan Fisik Ibu................................................................ 18 2.5.4. Palpasi Abdomen....................................................................... 18 2.5.5. Auskultasi Denyut Jantung Janin (DJJ)..................................... 18 2.5.6. Pemeriksaan Inspekulo.............................................................. 19 2.5.7. Penentuan Letak Plasenta Tidak Langsung............................... 19 2.5.8. Penentuan Letak Plasenta Secara Langsung.............................. 19 2.6. Pencegahan............................................................................................. 19 2.6.1. Pencegahan Primer..................................................................... 19 2.6.2. Pencegahan Sekunder................................................................ 21 2.6.3. Pencegahan Tersier.................................................................... 24 Ernawati Gultom : Karakteristik Penderita Perdarahan Antepartum Yang Dirawat Inap Di Rumah Sakit Santa Elisabeth Medan Tahun 2004-2008, 2009. BAB 3 KERANGKA KONSEP............................................................................. 25 3.1. Kerangka Konsep................................................................................... 25 3.2. Defenisi Operasional.............................................................................. 26 BAB 4 METODE PENELITIAN........................................................................... 32 4.1. Jenis Penelitian....................................................................................... 32 4.2. Lokasi dan Waktu Penelitian................................................................. 32 4.2.1. Lokasi Penelitian........................................................................ 32 4.2.2. Waktu Penelitian........................................................................ 32 4.3. Populasi dan Sampel Penelitian............................................................. 32 4.3.1. Populasi Penelitian..................................................................... 32 4.3.2. Sampel Penelitian....................................................................... 33 4.4. Metode Pengumpulan Data.................................................................... 33 4.5. Pengolahan dan Analisa Data................................................................. 33 BAB 5 HASIL PENELITIAN................................................................................. 34 5.1. Profil Rumah Sakit Santa Elisabeth Medan......................................... 34 5.2. Distribusi Penderita Perdarahan Antepatum Berdasarkan Tahun................................................................................................... 36 5.3. Distribusi Penderita Perdarahan Antepatum Berdasarkan Sosiodemografi.................................................................................... 37 5.4. Distribusi Penderita Perdarahan Antepatum Berdasarkan Mediko Obstetri................................................................................... 38 5.5. Distribusi Penderita Perdarahan Antepatum Berdasarkan Gejala Objektif..................................................................................... 40 5.6. Distribusi Penderita Perdarahan Antepatum Berdasarkan Status Rawatan..................................................................................... 42 5.7. Lama Rawatan Rata-rata Bayi Penderita Perdarahan Antepartum........................................................................................... 43 5.8. Lama Rawatan Rata-rata Ibu yang Mengalami Perdarahan Antepatum ........................................................................................... 43 5.9. Analisa Statistik................................................................................... 44 5.9.1. Paritas Berdasarkan Penyebab Perdarahan.............................. 44 5.9.2. Keadaan Janin Berdasarkan Penyebab Perdarahan.................. 45 5.9.3. Penatalaksanaanan Medis Berdasarkan Penyebab Perdarahan................................................................................ 45 5.9.4. Penatalaksanaan Medis Berdasarkan Keadaan Ibu Sewaktu Pulang........................................................................ 46 5.9.5. Lama Rawatan Rata-rata Ibu Berdasarkan Penyebab Perdarahan................................................................................ 47 5.9.6. Lama Rawatan Rata-rata Ibu Berdasarkan Penatalaksanaan Medis........................................................... 48 5.9.7. Lama Rawatan Rata-rata Ibu Berdasarkan Keadaan Ibu Sewaktu Pulang................................................................. 48 Ernawati Gultom : Karakteristik Penderita Perdarahan Antepartum Yang Dirawat Inap Di Rumah Sakit Santa Elisabeth Medan Tahun 2004-2008, 2009. BAB 6 PEMBAHASAN........................................................................................... 50 6.1. Distribusi dan Trend Kunjungan Penderita Perdarahan Antepartum Berdasarkan Data Tahun 2004-2008................................. 50 6.2. Distribusi Penderita Perdarahan Antepartum Berdasarkan Sosiodemografi..................................................................................... 51 6.2.1. Umur........................................................................................... 51 6.2.2. Suku............................................................................................ 52 6.2.3. Agama......................................................................................... 53 6.2.4. Pekerjaan..................................................................................... 54 6.2.5. Daerah Asal................................................................................. 55 6.3. Distribusi Penderita Perdarahan Antepartum Berdasarkan Mediko Obstetri.................................................................................... 57 6.3.1. Paritas.......................................................................................... 57 6.3.2. Usia Kehamilan........................................................................... 58 6.3.3. Penyebab Perdarahan.................................................................. 59 6.3.4. Riwayat Kehamilan/Persalinan Jelek.......................................... 60 6.3.5. Jenis Riwayat Kehamilan/Persalinan Jelek................................. 61 6.4. Distribusi Penderita Perdarahan Antepartum Berdasarkan Gejala Objektif...................................................................................... 62 6.4.1. Kadar Hb..................................................................................... 62 6.4.2. Anemia........................................................................................ 63 6.4.3. Tekanan Darah Sistolik............................................................... 64 6.4.4. Tekanan Darah Diastolik............................................................. 65 6.4.5. Tinggi Fundus Uteri................................