Partograf Final
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Transcript of Partograf Final
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PARTOGRAF DALAMKEBIDANAN
PARTOGRAF DALAMKEBIDANAN
Dr. Agus Wahyu Widayat, SpOGDr. Agus Wahyu Widayat, SpOG
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PARTOGRAFPARTOGRAF
Pengertian :Alat bantu saat fase aktif persalinan.
Tujuan utama1.Mencatat observasi dan
kemajuan persalinan 2.Deteksi proses persalinan :
partus normal atau partus lama
Pengertian :Alat bantu saat fase aktif persalinan.
Tujuan utama1.Mencatat observasi dan
kemajuan persalinan 2.Deteksi proses persalinan :
partus normal atau partus lama
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Manfaat partograf Manfaat partograf
1.Kemajuan persalinan.2.Kondisi ibu dan janinnya.3.Asuhan yang diberikan selama
persalinan dan kelahiran.4. Identifikasi adanya penyulit.5. Keputusan klinik yang sesuai dan
tepat waktu
1.Kemajuan persalinan.2.Kondisi ibu dan janinnya.3.Asuhan yang diberikan selama
persalinan dan kelahiran.4. Identifikasi adanya penyulit.5. Keputusan klinik yang sesuai dan
tepat waktu
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Pengguna PartografPengguna Partograf
1. Semua ibu hamil fase aktif kala satu persalinan
2. Selama persalinan dan kelahiran di semua tempat
3. Secara rutin oleh semua penolong persalinan yang memberikan asuhan kepada ibu selama persalinan dan kelahiran
1. Semua ibu hamil fase aktif kala satu persalinan
2. Selama persalinan dan kelahiran di semua tempat
3. Secara rutin oleh semua penolong persalinan yang memberikan asuhan kepada ibu selama persalinan dan kelahiran
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KontraindikasiKontraindikasi
●Antepartum hemorrhage
●Severe pre-eclampsia and eclampsia
●Fetal distress●Previous
cesarean section
●Antepartum hemorrhage
●Severe pre-eclampsia and eclampsia
●Fetal distress●Previous
cesarean section
●Multiple pregnancy
●Malpresentation●Very premature
baby●Obvious
obstructed labor
●Multiple pregnancy
●Malpresentation●Very premature
baby●Obvious
obstructed labor
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Lembar partografLembar partograf
1.Lembar depan -Identitas/kondisi ibu dan -Kemajuan persalinan
2. Lembar belakang -Proses persalinan dan kelahiran -Tindakan (kala I -kala IV )dan bayi baru lahir
1.Lembar depan -Identitas/kondisi ibu dan -Kemajuan persalinan
2. Lembar belakang -Proses persalinan dan kelahiran -Tindakan (kala I -kala IV )dan bayi baru lahir
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Gambar Lembar depan Partograf
Gambar Lembar depan Partograf
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Warna dan adanya air ketuban
● U : Ketuban utuh (belum pecah)
● J : Ketuban sudah pecah dan air ketuban jernih
● M:Ketuban sudah pecah dan air ketuban bercampur mekonium
● D : Ketuban sudah pecah dan air ketuban bercampur darah
● K : Ketuban sudah pecah dan tidak ada air ketuban ("kering")
Warna dan adanya air ketuban
● U : Ketuban utuh (belum pecah)
● J : Ketuban sudah pecah dan air ketuban jernih
● M:Ketuban sudah pecah dan air ketuban bercampur mekonium
● D : Ketuban sudah pecah dan air ketuban bercampur darah
● K : Ketuban sudah pecah dan tidak ada air ketuban ("kering")
Molase
● 0 : tulang-tulang kepala janin terpisah, sutura dengan mudah dapat dipalpasi
● 1 : tulang-tulang kepala janin hanya saling bersentuhan
● 2 : tulang-tulang kepala janin saling tumpang tindih, tapi masih dapat dipisahkan
● 3 : tulang-tulang kepala janin tumpang tindih dan tidak dapat dipisahkan
Molase
● 0 : tulang-tulang kepala janin terpisah, sutura dengan mudah dapat dipalpasi
● 1 : tulang-tulang kepala janin hanya saling bersentuhan
● 2 : tulang-tulang kepala janin saling tumpang tindih, tapi masih dapat dipisahkan
● 3 : tulang-tulang kepala janin tumpang tindih dan tidak dapat dipisahkan
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PenurunanKepalaPenurunanKepala
●●
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HisHis
●< 20 detik: ●Antara20 -40 ●>40 detik
●< 20 detik: ●Antara20 -40 ●>40 detik
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Pencatatan pada lembar belakangPencatatan pada lembar belakang
Catatan persalinan●Data dasar●Kala I●Kala II●Kala III●Bayi baru lahir●Kala IV
Catatan persalinan●Data dasar●Kala I●Kala II●Kala III●Bayi baru lahir●Kala IV
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Tujuan Catatan persalinan
Tujuan Catatan persalinan
1. Dokumentasi proses persalinan / kelahiran, dari kala I sampai dengan kal IV, serta bayi baru lahir2. Deteksi apakah kondisi ibu khususnya dalam pemantauan di kala IV berjalan normal3. Sebagai sumber data untuk memantau sejauh mana penatalaksanaan persalinan/kelahiran telah dilakukan sesuai dengan standar APN.
1. Dokumentasi proses persalinan / kelahiran, dari kala I sampai dengan kal IV, serta bayi baru lahir2. Deteksi apakah kondisi ibu khususnya dalam pemantauan di kala IV berjalan normal3. Sebagai sumber data untuk memantau sejauh mana penatalaksanaan persalinan/kelahiran telah dilakukan sesuai dengan standar APN.
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X
Start plotting Start plotting on alert line in on alert line in the intersectionthe intersection corresponding cervical corresponding cervical dilatation findingdilatation finding
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X
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X
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X4pm
Indicate the time the IE was made Indicate the time the IE was made (and therefore, the observation was (and therefore, the observation was plotted)plotted) Write this in the vertical line itself Write this in the vertical line itself
where you plot the where you plot the “X”“X”, NOT the space , NOT the space after itafter it
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X
X
X
4pm 8pm 10pm
Perform internal examination Perform internal examination every 4 hours, or more often if every 4 hours, or more often if necessary, and plot findings each necessary, and plot findings each timetime Also, do not forget to write the time Also, do not forget to write the time
each observation was made each observation was made
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X
X
X
4pm 8pm 10pm
Connect the Connect the “X”s“X”s to to demonstrate the pattern of demonstrate the pattern of laborlabor
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X
X
X
4pm 6pm 8pm 10pm
Progress of labor is Progress of labor is normalnormal if plotting if plotting stays on or to the left of the alert stays on or to the left of the alert lineline (green part)(green part)
X
X
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X
X
X
4pm 6pm 8pm 10pm
Note that based on the structure Note that based on the structure of the partograph as soon as 4 of the partograph as soon as 4 cm is reached the cervix should cm is reached the cervix should dilate dilate normallynormally at a rate of at a rate of ≥ 1 ≥ 1 cm/hourcm/hour..
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X
X
4pm 6pm 8pm 10pm
Plotting that Plotting that passes the alert passes the alert lineline (yellow part)(yellow part) more so more so if it if it reaches or passes the action reaches or passes the action lineline (red part)(red part) indicates indicates abnormal abnormal progress of laborprogress of labor
X
12am 2am
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Yang dikerjakan jika melewati garis waspadaYang dikerjakan jika melewati garis waspada
● Pertimbangkan merujuk● Pikirkan transport ● kosongkan vu● Cukupi cairan adekuat ,hindari
makanan padat● Miring kiri● Monitor itensif. Jika rujukan jauh,
observasi 2 jam and rujuk jika tdk maju
Jika mencapai /melewati garis bertindak segera rujuk ke RS.
● Pertimbangkan merujuk● Pikirkan transport ● kosongkan vu● Cukupi cairan adekuat ,hindari
makanan padat● Miring kiri● Monitor itensif. Jika rujukan jauh,
observasi 2 jam and rujuk jika tdk maju
Jika mencapai /melewati garis bertindak segera rujuk ke RS.
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Kasus 1:A G2P1A0 msk RS jam 2
siang, PD serviks membuka 4cm .
Pkl 6 sore, dilakukan PD … serviks terbuka 8 cm, pendataran 80% , station 0/H 3.
Pkl 8 ,malam, kepala janin crowning
Kasus 1:A G2P1A0 msk RS jam 2
siang, PD serviks membuka 4cm .
Pkl 6 sore, dilakukan PD … serviks terbuka 8 cm, pendataran 80% , station 0/H 3.
Pkl 8 ,malam, kepala janin crowning
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X2am 6am
X
X
8am
Answer to case 4
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Kasus 2: A G4P20 masuk rs pkl 5
sore, PD 4 cm. Pkl 9 malam, PD 6 cm . Pkl 1 malam, PD 8 cm, pendataran 50% , station -1, selket utuh
Kasus 2: A G4P20 masuk rs pkl 5
sore, PD 4 cm. Pkl 9 malam, PD 6 cm . Pkl 1 malam, PD 8 cm, pendataran 50% , station -1, selket utuh
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X5pm 9pm
X
1am
X
Answer to case 5
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Persalinan NormalPersalinan Normal
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Persalinan dengan prolonged latent phasePersalinan dengan prolonged latent phase
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Persalinan dengan obstructed labourPersalinan dengan obstructed labour
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Partograf dengan inersia uteri sekunder dan stimulasi dg oxitosin
Partograf dengan inersia uteri sekunder dan stimulasi dg oxitosin
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TERIMAKASIH
Selamat Menjalankan Ibadah Puasa
TERIMAKASIH
Selamat Menjalankan Ibadah Puasa