Text
Asuhan Kebidanan Kegawatdaruratan Maternal Neonatal
Buku Asuhan Kebidanan Kegawatdaruratan Maternal Neonatal membahas konsep dan penanganan kegawatdaruratan yang dapat terjadi pada ibu dan bayi baru lahir. Pembahasan mencakup pengenalan kondisi darurat, penilaian awal, tindakan pertolongan, serta prinsip asuhan kebidanan yang diperlukan untuk menangani kondisi maternal dan neonatal.\\r\\n\\r\\nBuku ini membantu pembaca memahami langkah-langkah dalam memberikan asuhan secara tepat dan cepat pada situasi kegawatdaruratan. Buku ini cocok digunakan sebagai bahan pembelajaran bagi mahasiswa kebidanan, tenaga kesehatan, maupun pembaca yang ingin memahami dasar penanganan kegawatdaruratan maternal dan neonatal.\\r\\n\\r\\nDAFTAR ISI\\r\\nKATA PENGANTAR........................................................................i\\r\\nDAFTAR ISI......................................................................................ii\\r\\nDAFTAR GAMBAR..........................................................................x\\r\\nDAFTAR TABEL..............................................................................xii\\r\\nBAB 1 KONSEP DASAR KEGAWATDARURATAN\\r\\nMATERNAL NEONATAL................................................................1\\r\\n1.1 Pendahuluan..................................................................................1\\r\\n1.2 Konsep Dasar Kegawatdaruratan Maternal Neonatal. .2\\r\\n1 2.1 Pengertian Kegawatdaruratan Maternal Neonatal 2\\r\\n1.2.2 Cara Mencegah Terjadinya Kegawatdaruratan.......4\\r\\n1.2.3 Cara Merespons Kegawatdaruratan.............................4\\r\\n1.2.4 Penatalaksanaan Awal Kasus\\r\\nKegawatdaruratan Kebidanan........................................4\\r\\n1.2.5 Pengkajian Awal Kasus Kegawatdaruratan\\r\\nKebidanan...............................................................................5\\r\\n1.2.6 Peran Bidan pada Kegawatdaruratan Kebidanan. .6\\r\\n1.2.7 Tujuan Kegawatdaruratan Maternal Neonatal........7\\r\\n1.3 Prinsip Umum Pelayanan Kegawatdaruratan\\r\\nMaternal Neonatal........................................................................7\\r\\n1.3.1 Pencegahan Infeksi..............................................................7\\r\\n1.3.2 Persiapan Fasilitas Kegawatdaruratan.......................8\\r\\n1.3.3 Persiapan Pelayanan Kegawatdaruratan Maternal\\r\\ndan Neonatal..........................................................................8\\r\\n1.4 Analisis Situasi..............................................................................8\\r\\n1.5 Prinsip Pencegahan Kematian Ibu........................................11\\r\\n1.6 Strategi Mencapai Target AKI dan AKB..............................13\\r\\nBAB 2 DETEKSI KEGAWATDARURATAN MATERNAL..........18\\r\\n2.1 Pendahuluan..................................................................................18\\r\\n2.1 Abortus.............................................................................................18\\r\\n2.1.1 Pengertian...............................................................................18\\r\\n2.1.2 Diagnosis dan Masalah Abortus.....................................19\\r\\n2.1.3 Faktor Predisposisi.............................................................19\\r\\n2.1.4 Tatalaksana............................................................................20\\r\\n2.2 Kehamilan Ektopik Terganggu...............................................25\\r\\n2.2.1 Pengertian...............................................................................25 iii\\r\\n2.2.2 Gejala Kliik dan Diagnosis................................................25\\r\\n2.2.3 Sebab Terjadnya Kehamilan Ektopik dan\\r\\nFaktor Predisposisi.............................................................26\\r\\n2.2.4 Pemeriksaan Penunjang....................................................26\\r\\n2.2.5 Tata Laksana..........................................................................27\\r\\n2.3 Mola Hidatidosa............................................................................27\\r\\n2.3.1 Pengertian...............................................................................27\\r\\n2.3.2 Masalah....................................................................................28\\r\\n2.3.3 Diagnosis.................................................................................28\\r\\n2.3.4 Faktor Presdisposisi...........................................................28\\r\\n2.3.5 Tatalaksana............................................................................29\\r\\n2.4 Kehamilan Lewat Waktu...........................................................30\\r\\n2.4.1 Pengertian...............................................................................30\\r\\n2.4.2 Diagnosis.................................................................................30\\r\\n2.4.4 Tatalaksana............................................................................31\\r\\n2.5 Syok Obstetri.................................................................................32\\r\\n2.5.1 Pengertian...............................................................................32\\r\\n2.5.2 Penyebab.................................................................................34\\r\\n2.5.3 Tanda dan Gejala..................................................................34\\r\\n2.5.4 Jenis atau Klasifikasi Syok................................................34\\r\\n2.5.5 Penatalaksanaan..................................................................35\\r\\n2.6 Emboli Air Ketuban.....................................................................40\\r\\n2.6.1 Pengertian...............................................................................40\\r\\n2.6.2 Etiologi.....................................................................................40\\r\\n2.6.3 Faktor Resiko.........................................................................41\\r\\n2.6.4 Tanda dan Gejala..................................................................41\\r\\n2.6.5 Penatalaksanaan..................................................................41\\r\\n2.7 Distosia Bahu................................................................................42\\r\\n2.7.1 Pengertian...............................................................................42\\r\\n2.7.2 Etiologi.....................................................................................42\\r\\n2.7.3 Tanda dan Gejala..................................................................42\\r\\n2.7.4 Penatalaksanaan..................................................................43\\r\\n2.7.5 Komplikasi..............................................................................45\\r\\nBAB 3 DETEKSI KEGAWATDARURATAN NEONATAL...........47\\r\\n3.1 Pendahuluan..................................................................................47\\r\\n3.1.1 Asuhan Kegawatdaruratan Neonatal dengan\\r\\nAsfiksia.....................................................................................48 iv\\r\\n3.1.2 Neonatus dengan Bayi Berat Badan Lahir\\r\\nRendah.....................................................................................49\\r\\n3.1.3 Neonatus Dengan Kejang (Tetanus Neonatorum) .51\\r\\n3.1.4 Neonatus dengan Hypotermi..........................................52\\r\\n3.1.5 Bayi degan HIPERTErMI...................................................53\\r\\n3.1.6 Bayi degan hipoglikemi.....................................................53\\r\\n3.1.7 bayi dengan ikterus.............................................................54\\r\\n3.1.8 bayi degan infeksi................................................................54\\r\\nBAB 4 ASUHAN KEGAWATDARURATAN KEHAMILAN\\r\\nMUDA\\r\\n............................................................................................................\\r\\n57\\r\\n4.1 Pendahuluan..................................................................................57\\r\\n4.2 Abortus.............................................................................................57\\r\\n4.2.1 Penatalaksanaan Abortus.................................................62\\r\\n4.3 Kehamilan Ektopik Terganggu (KET)..................................63\\r\\n4.3.1 Definisi, Lokasi, dan Faktor Risiko................................63\\r\\n4.3.2 Tanda dan Gejala KET........................................................64\\r\\n1. 4.3.3 Patofisiologi................................................................64\\r\\n4.3.4 Diagnosis Kehamilan Ektopik.........................................65\\r\\n4.3.5 Penatalaksanaan KET.........................................................65\\r\\n4.4 Mola Hidatidosa (Kista Vesikular)........................................65\\r\\n4.4.1 Definisi.....................................................................................65\\r\\n4.4.2 Etiologi.....................................................................................66\\r\\n4.4.3 Klasifikasi................................................................................66\\r\\n4.4.4 Tanda dan Gejala..................................................................68\\r\\n4.4.5 Manifestasi Klinis.................................................................68\\r\\n4.4.6 Penatalaksanaan Mola Hidatidosa................................68\\r\\nBAB 5 KEGAWATDARURATAN MASA PERSALINAN KALA I\\r\\nDAN KALA II\\r\\n............................................................................................................\\r\\n71\\r\\n5.1 Pendahuluan..................................................................................71\\r\\n5.2 Distosia Karena Kelainan Presentasi...................................71\\r\\n5.2.1 Presentasi Puncak Kepala................................................72\\r\\n5.2.2 Presentasi Dahi.....................................................................73\\r\\n5.2.3 Presentasi Muka...................................................................74 v\\r\\n5.2.4 Presentasi Oksipito Posterior.........................................75\\r\\n5.2.5 Mekanisme Persalinan.......................................................76\\r\\n5.3 Distosia Karena Kelainan Posisi Janin.................................76\\r\\n5.3.1 Letak Sungsang.....................................................................76\\r\\n5.3.2 Letak Lintang.........................................................................79\\r\\n5.4 Distosia Karena Kelainan Tenaga/His.................................81\\r\\n5.4.1 His Hipotonik.........................................................................82\\r\\n5.4.2 His Hipertonik.......................................................................82\\r\\n5.4.3 His Yang Tidak Terkoordinasi........................................82\\r\\n5.6Distosia Karena Kelainan Alat Kandungan dan Jalan\\r\\nLahir................................................................................................... 83\\r\\n5.6.1 Distosia Karena Kelainan Vulva.....................................83\\r\\n5.6.2 Distosia Karena Kelainan Vagina...................................83\\r\\n5.6.3 Distosia Karena Adanya Kista Vagina..........................84\\r\\n5.6.4 Distosia Karena Kelainan Uterus...................................84\\r\\n5.7 Distosia Karena Kelainan Janin..............................................84\\r\\n5.7.1 Bayi Besar...............................................................................84\\r\\n5.7.2 Hydrochepalus......................................................................85\\r\\n5.7.3 Anencephalus........................................................................87\\r\\n5.7.4 Kembar Siam..........................................................................88\\r\\n5.7.5 Gawat Janin.............................................................................91\\r\\nBAB 6 PENATALAKSANAAN ASUHAN\\r\\nKEGAWATDARURATAN PERSALINAN KALA 1 DAN\\r\\nKALA 2..............................................................................................94\\r\\n6.1 Latar belakang..............................................................................94\\r\\n6.2 Defenisi............................................................................................95\\r\\n6.3 Penatalaksanaan asuhan kegawatdaruratan....................95\\r\\n6.3.1 Pre Eklampsi dan eklampsi..............................................95\\r\\n6.3.2 Penyumbatan Pembuluh darah oleh air\\r\\nketuban / Emboli.................................................................98\\r\\n6.3.3 Distosia.....................................................................................99\\r\\n6.3.4 Malposisi/Malpresentasi..................................................103\\r\\nBAB 7 KEGAWATDARURATAN MASA PERSALINAN\\r\\nKALA III DAN IV.............................................................................113\\r\\n7.1 Pendahuluan..................................................................................113\\r\\n7.2 Perdarahan Pascapersalinan (PPS)......................................113\\r\\n7.2.1 Faktor Predisposisi.............................................................114 vi\\r\\n7.2.2 Gejala dan tanda perdarahan pascapersalinan........115\\r\\n7.3 Tatalaksana perdarahan pasca salin....................................117\\r\\n7.4 Pencegahan perdarahan pascapersalinan.........................119\\r\\nBAB 8 PENATALAKSANAAN ASUHAN\\r\\nKEGAWATDARURATAN PERSALINAN KALA3\\r\\nDAN\\r\\nKALA 4..............................................................................................124\\r\\n8.1 Pendahuluan..................................................................................124\\r\\n8.2 Kegawatdararuratan Kala 3 dan Kala 4..............................125\\r\\n8.2.1 Retensio Plasenta.................................................................125\\r\\n8.2.2 Atonia Uteri............................................................................128\\r\\n8.2.3 Robekan Jalan Lahir............................................................134\\r\\nBAB 9 ASUHAN KEGAWATDARURATAN IBU NIFAS\\r\\nDENGAN PERDARAHAN POSTPARTUM PRIMER\\r\\nDAN SEKUNDER.............................................................................144\\r\\n9.1 Pendahuluan..................................................................................144\\r\\n9.2 Konsep Perdarahan Postpartum...........................................144\\r\\n9.2.1 Definisi Perdarahan Post Partum..................................145\\r\\n9.2.2 Jenis Perdarahan Post partum........................................145\\r\\n9.2.3 Etiologi perdarahan Post partum..................................145\\r\\n9.2.4 Tanda dan Gejala Perdarahan Post partum..............151\\r\\nBAB 10 DETEKSI KEGAWATDARURATAN MATERNAL\\r\\nMASA NIFAS....................................................................................155\\r\\n10.1 Pendahuluan...............................................................................155\\r\\n10.2 Hipertensi Postpartum............................................................156\\r\\n10.2.1 Definisi...................................................................................156\\r\\n10.2.2 Penyebab dan Faktor Risiko.........................................157\\r\\n10.2.3 Tanda dan Gejala...............................................................158\\r\\n10.3 Preeklampsia/Eklampsia Postpartum..............................159\\r\\n10.3.1 Definisi...................................................................................159\\r\\n10.3.2 Tanda dan Gejala...............................................................159\\r\\n10.3.3 Penyebab dan Faktor Risiko.........................................161\\r\\n10.3.4 Klasifikasi Preeklampsia................................................162\\r\\n10.3.5 Komplikasi...........................................................................164\\r\\n10.3.6 Deteksi Dini.........................................................................165\\r\\n10.3.7 Penatalaksanaan................................................................166 vii\\r\\nBAB 11 KEGAWATDARURATAN IBU NIFAS DENGAN\\r\\nSEPSIS PUERPERALIS........................................................................173\\r\\n11.1 Pendahuluan...............................................................................173\\r\\n11.1.1 Pengertian Masa Nifas.....................................................173\\r\\n11.1.2 Periode masa nifas............................................................173\\r\\n11.2 Klasifikasi sepsis puerperalis...............................................175\\r\\n11.3 Kegawatdarutan Ibu Nifas dengan Mastitis....................175\\r\\n11.4 Komplikasi...................................................................................179\\r\\n11.5 Pengkajian....................................................................................179\\r\\n11.4 Pengelolaan ibu nifas dengan sepsis puerperalis...........181\\r\\nBAB 12 KEGAWATDARURATAN IBU NIFAS DENGAN\\r\\nMASTITIS.........................................................................................183\\r\\n12.1 Pendahuluan...............................................................................183\\r\\n12.2 Defenisi Mastitis........................................................................184\\r\\n12.2.1 Etiologi...................................................................................184\\r\\n12.2.2 Patofisiologi.........................................................................186\\r\\n12.2.3 Klasifikasi Mastitis............................................................186\\r\\n12.2.4 Manifestasi Klinis dari Mastitis...................................186\\r\\n12.2.5 Epidemiologi.......................................................................187\\r\\n12.2.6 Penatalaksanaan Medis..................................................188\\r\\n12.2.7 Penatalaksanaan non-medis.........................................189\\r\\n12.2.8 Pemeriksaan Penunjang.................................................190\\r\\n12.2.9 Komplikasi...........................................................................191\\r\\n12.2.10 Pencegahan dan Pengobatan.....................................192\\r\\nBAB 13 NEONATAL DENGAN BBLR...........................................198\\r\\n13.1 Situasi Kesehatan Neonatal..................................................198\\r\\n13.2 Defenisi..........................................................................................198\\r\\n13.3 Gambaran Klinis BBLR Bayi Kurang Bulan.....................201\\r\\n13.4 Faktor Risiko Terjadinya BBLR...........................................202\\r\\n13.5 Asuhan Pada BBLR..................................................................203\\r\\n13.5.1 Persiapan Sebelum Bayi Lahir....................................203\\r\\n13.5.2 Penilaian awal BBLR........................................................204\\r\\n13.5.3 Tatalaksana BBLR saat lahir.........................................204\\r\\n13.5.4 Manajemen Laktasi Pada BBLR...................................206\\r\\n13.5.5 Perawatan Metoda Kanguru (PMK) atau\\r\\nKangaroo Mother Care (KMC)......................................207\\r\\n13.5.6 Perawatan Sehari-hari BBLR........................................210 viii\\r\\n13.5.7 Dokumentasi Kebidanan................................................211\\r\\nBAB 14 NEONATUS DENGAN KEJANG......................................214\\r\\n14.1 Pendahuluan...............................................................................214\\r\\n14.2 Definisi Neonatus Dengan Kejang......................................215\\r\\n14.3 Tanda dan gejala kejang pada neonatus..........................215\\r\\n14.4 Patofisiologis...............................................................................216\\r\\n14.5 Etiologi...........................................................................................217\\r\\n14.6 Klasifikasi Kejang......................................................................219\\r\\n14.7 Diagnosis.......................................................................................221\\r\\n14.8 Prognosis......................................................................................224\\r\\n14.9 Penatalaksanaan........................................................................224\\r\\nBAB 15 SISTEM RUJUKAN...........................................................226\\r\\n15.1 Pengertian....................................................................................226\\r\\n15.2 Jenis Rujukan..............................................................................228\\r\\n15.2.1 Rujukan Kesehatan...........................................................228\\r\\n15.2.2 Rujukan Medis....................................................................228\\r\\n15.3 Jenis Keterlambatan Rujukan...............................................228\\r\\n15.3.1 Keterlambatan Tipe 1......................................................228\\r\\n15.3.2 Keterlambatan Tipe 2......................................................229\\r\\n15.3.3 Keterlambatan Tipe 3......................................................229\\r\\n15.4 Rujukan Maternal Neonatal..................................................230\\r\\n15.4.1 Rujukan Kegawatdaruratan..........................................231\\r\\n15.4.2 Rujukan Berencana..........................................................231\\r\\n15.5 Persiapan Rujukan Maternal Neonatal.............................232\\r\\nBAB 16 KONSELING KASUS KEGAWATDARURATAN...........234\\r\\n16.1 Pendahuluan...............................................................................234\\r\\n16.2 Konseling Pada Kasus Maternal..........................................236\\r\\n16.2 Konseling pada Lingkungan Unit Perawatan\\r\\nIntensif Neonatal.......................................................................239\\r\\nBAB 17 RUJUKAN KASUS KEGAWATDARURATAN\\r\\nMATERNAL NEONATAL................................................................242\\r\\n17.1 Pendahuluan...............................................................................242\\r\\n17.2 Rujukan Kasus Kegawatdaruratan Maternal\\r\\nNeonatal........................................................................................242\\r\\n17.2.1 Pelayanan kebidanan rujukan.....................................242\\r\\n17.2.2 Tujuan rujukan...................................................................243\\r\\n17.2.3 Manfaat Rujukan................................................................244 ix\\r\\n17.2.4 Jenis Rujukan......................................................................245\\r\\n17.2.5 Persiapan Rujukan............................................................247\\r\\n17.2.6 Rujukan Maternal dan Neonatal.................................248\\r\\n17.2.7 Perencanaan Rujukan......................................................248\\r\\n17.2.8 Tahapan Rujukan Maternal dan Neonatal...............251\\r\\n17.2.9 Stabilisasi penderita.........................................................253\\r\\n17.2.10 Indikasi Rujukan.............................................................255\\r\\n17.2.11 Perlengkapan...................................................................256
Tidak tersedia versi lain