tag:blogger.com,1999:blog-14937221324868351082024-02-08T04:50:17.152-08:00ASKEB ll Dian HusadaAnonymoushttp://www.blogger.com/profile/09428371857956484973noreply@blogger.comBlogger24125tag:blogger.com,1999:blog-1493722132486835108.post-5187469853427666172014-02-10T17:14:00.002-08:002014-02-10T17:14:29.940-08:00Makalah Kanker Serviks<!--[if !mso]>
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<span style="font-family: Algerian; font-size: 20.0pt;">Makalah</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Algerian; font-size: 20.0pt;">KANKER SERVIKS</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<img align="left" alt="logo dian husada.gif" height="312" hspace="12" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image002.gif" width="359" /><span style="font-family: Algerian; font-size: 24.0pt;"></span></div>
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<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: "Monotype Corsiva"; font-size: 16.0pt; mso-bidi-font-family: Arial;">Disusun oleh :</span></div>
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<span style="font-family: "Monotype Corsiva"; font-size: 16.0pt; mso-bidi-font-family: Arial;">Anita Della Aviyanty Putri ( 02.12.004 )<br />
Naimatul Husniah ( 02.12.035 )<br />
Eka Herin Priyanti ( 02.12.012 )<br />
Dita Saraswati ( 02.12.010 )<br />
Choiro Nur’Aini ( 02.12.006 )<br />
Nurul Karimah ( 02.12.040 )<br />
Elisabeth Prasetya Novita ( 02.12.013 )<br />
Ina Cahyani ( 02.12.021 )<br />
Ina Dwita ( 02.12.022 )<br />
Ria Nur Azizah ( 02.12.042 )</span></div>
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<span style="font-family: "Monotype Corsiva"; font-size: 16.0pt; mso-bidi-font-family: Arial;">D3 Kebidanan</span></div>
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<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Algerian; font-size: 22.0pt; mso-bidi-font-family: Arial;">Kampus
a stikes DIAN HUSADA MOJOKERTO</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Algerian; font-size: 22.0pt; mso-bidi-font-family: Arial;">2013 –
2014</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Algerian; font-size: 14.0pt; mso-bidi-font-family: Arial;">KATA
PENGANTAR</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt;"><span style="mso-tab-count: 1;"> </span>Puji
syukur kami ucapkan kepada Tuhan Yang Maha Esa. Berkat rahmat, taufiq, dan
hidayah-Nya kami dapat menyelesaikan tugas makalah yang berjudul “ Kanker
Serviks ” ini dengan tepat waktu. </span></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt;"><span style="mso-tab-count: 1;"> </span>Kami
mengucapkan banyak terima kasih kepada seluruh pihak yang telah membantu dalam
penyelesaian makalah ini, dan juga kepada sumber-sumber yang digunakan untuk
menunjang penyelesaian makalah ini. Tidak lupa juga ucapan terima kasih kepada
seluruh anggota kelompok yang telah bekerja sama dalam penyelesaian makalah
ini. </span></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt;"><span style="mso-tab-count: 1;"> </span>Demikianlah
makalah yang telah kami selesaikan. Tiada gading yang tak retak, begitu pula
makalah ini yang tak luput dari kekurangan. Kritik dan saran sangat kami
harapkan untuk menunjang keberhasilan dari makalah ini. Semoga makalah ini
bermanfaat bagi kita semua. Amin.</span></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt;"><span style="mso-tab-count: 8;"> </span>Mojokerto,
27 Februari 2013 </span></div>
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<span style="font-family: Algerian; font-size: 16.0pt; mso-bidi-font-family: Arial;">Daftar
isi </span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Daftar Isi <span style="mso-tab-count: 1 dotted;">............................................................................................................................ </span><span style="mso-spacerun: yes;"> </span>ii</span></div>
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1</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Pengertian
Kanker Serviks<span style="mso-tab-count: 1 dotted;">........................................................................................ </span>
2</span></div>
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3</span></div>
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5</span></div>
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<a href="http://id.wikipedia.org/wiki/Komunikasi_nonverbal#Variasi_budaya_dalam_komunikasi_nonverbal"><span style="color: windowtext; font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; text-decoration: none; text-underline: none;">4. Cara Pencegahan Kanker Serviks</span></a><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt;"><span style="mso-tab-count: 1 dotted;">........................................................................... </span>
6</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
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<span style="font-family: Algerian; font-size: 14.0pt; mso-bidi-font-family: Arial;">BAB i<br />
PENDAHULUAN</span></div>
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<span style="font-family: Algerian; font-size: 12.0pt; mso-bidi-font-family: Algerian; mso-fareast-font-family: Algerian;"><span style="mso-list: Ignore;">1.1<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: Algerian; font-size: 12.0pt; mso-bidi-font-family: Arial;">LATAR
BELAKANG MASALAH</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold;">Kanker leher rahim</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"> atau disebut juga
kanker serviks adalah sejenis </span><a href="http://id.wikipedia.org/wiki/Kanker" title="Kanker"><span style="color: windowtext; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; text-decoration: none; text-underline: none;">kanker</span></a><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">
yang 99,7% disebabkan oleh <i>human papilloma virus</i> (HPV) onkogenik yang
menyerang leher rahim. Kanker ini dapat hadir dengan pendarahan vagina, tetapi
gejala kanker ini tidak terlihat sampai kanker memasuki stadium yang lebih
jauh, yang membuat kanker leher rahim fokus pengamatan menggunakan </span><a href="http://id.wikipedia.org/wiki/Pap_smear" title="Pap smear"><span style="color: windowtext; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; text-decoration: none; text-underline: none;">Pap smear</span></a><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">. Di
negara berkembang, penggunaan secara luas program pengamatan leher rahim
mengurangi insiden kanker leher rahim yang invasif sebesar 50% atau lebih.
Kebanyakan penelitian menemukan bahwa infeksi </span><a href="http://id.wikipedia.org/wiki/Human_papillomavirus" title="Human papillomavirus"><span style="color: windowtext; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; text-decoration: none; text-underline: none;">human papillomavirus</span></a><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"> (HPV) bertanggung
jawab untuk semua kasus kanker leher rahim. Perawatan termasuk </span><a href="http://id.wikipedia.org/wiki/Operasi" title="Operasi"><span style="color: windowtext; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; text-decoration: none; text-underline: none;">operasi</span></a><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">
pada stadium awal dan </span><a href="http://id.wikipedia.org/wiki/Kemoterapi" title="Kemoterapi"><span style="color: windowtext; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; text-decoration: none; text-underline: none;">kemoterapi</span></a><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"> atau
radioterapi pada stadium akhir penyakit. Maka dari itu kami membuat Makalah
Kanker Serviks yang sangat berkaitan dengan kesehatan reproduksi.</span></div>
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<span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Algerian; mso-fareast-font-family: Algerian;"><span style="mso-list: Ignore;">1.2<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Arial;">RUMUSAN MASALAH</span></div>
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<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Apa
itu Kanker Serviks?</span><span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Arial;"></span></div>
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<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Apa
penyebab Kanker Serviks?</span><span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Arial;"></span></div>
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saja gejala – gejala Kanker Serviks?</span><span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Arial;"></span></div>
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<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Bagaimana
cara pencegahan Kanker Serviks?</span><span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Arial;"></span></div>
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<span style="font-family: Algerian; font-size: 14.0pt; mso-bidi-font-family: Arial;">BAB ii<br />
isi</span></div>
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<span style="font-family: Algerian; font-size: 12.0pt; mso-bidi-font-family: Arial;">2.1
PENGERTIAN KANKER SERVIKS</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Kanker
serviks adalah keganasan yang terjadi pada leher rahim. Kanker serviks disebut
juga kanker leher rahim atau kanker mulut rahim dimulai pada lapisan serviks. <br />
Kanker serviks terbentuk sangat perlahan. Pertama, beberapa sel berubah dari
normal menjadi sel-sel pra-kanker dan kemudian menjadi sel kanker. Ini dapat
terjadi bertahun-tahun, tapi kadang-kadang terjadi lebih cepat. Perubahan ini
sering disebut displasia. Mereka dapat ditemukan dengan tes Pap Smear dan dapat
diobati untuk mencegah terjadinya kanker. </span></div>
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<span style="font-family: Algerian; font-size: 12.0pt; mso-bidi-font-family: Arial;">2.2
PENYEBAB KANKER SERVIKS</span></div>
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<span style="font-family: "Arial","sans-serif";">Human papilloma Virus (HPV) merupakan
penyebab dari kanker serviks. Sedangkan penyebab banyak kematian pada kaum
wanita adalah virus HPV tipe 16 dan 18. Virus ini sangat mudah berpindah dan
menyebar, tidak hanya melalui cairan, tapi juga bisa berpindah melalui sentuhan
kulit. Selain itu, penggunaan wc umum yang sudah terkena virus HPV, dapat
menjangkit seseorang yang menggunakannya jika tidak membersihkannya dengan
baik.</span></div>
<div style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Arial","sans-serif";">Selain itu, kebiasaan hidup yang
kurang baik juga bisa menyebabkan terjangkitnya kanker serviks ini. Seperti
kebiasaan merokok, kurangnya asupan vitamin terutama vitamin c dan vitamin e
serta kurangnya asupan asam folat. Kebiasaan buruk lainnya yang dapat
menyebabkan kanker serviks adalah seringnya melakukan hubungan intim dengan
berganti pasangan, melakukan hubungan intim dengan pria yang sering berganti pasangan
dan melakukan hubungan intim pada usia dini (melakukan hubungan intim pada usia
<16 tahun bahkan dapat meningkatkan resiko 2x terkena kanker serviks).
Faktor lain penyebab kanker serviks adalah adanya keturunan kanker, penggunaan
pil KB dalam jangka waktu yang sangat lama, terlalu sering </span><a href="http://bidanku.com/index.php?/tanda-tanda-akan-melahirkan" title="Tanda-tanda Akan Melahirkan"><span style="color: windowtext; font-family: "Arial","sans-serif"; text-decoration: none; text-underline: none;">melahirkan</span></a><span style="font-family: "Arial","sans-serif";">.</span></div>
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<span style="font-family: Algerian; font-size: 12.0pt; mso-bidi-font-family: Arial;">2.3
GEJALA – GEJALA KANKER SERVIKS</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gejala
kanker serviks seringkali disalahartikan oleh wanita sebagai rasa sakit akibat
menstruasi atau ovulasi. Hal ini menyebabkan deteksi kanker serviks menyadi
lebih sulit hingga baru diketahui pada tahap lebih lanjut. Meski begitu, ada
beberapa gejala kanker serviks yang harus diketahui oleh semua wanita, seperti
dilansir oleh <i>Health Me Up</i>.</span></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Wanita yang memiliki kanker serviks
biasanya mengalami pendarahan yang tak normal pada bagian vagina. Dalam
sebulan, pendarahan bisa jadi parah atau hanya sedikit.</span></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Keputihan parah</span></b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gejala
kanker serviks lainnya adalah terjadinya keputihan yang cukup parah. Hal ini
tentu saja berbeda bagi tiap wanita. Beberapa bisa mengalami keputihan yang
berbau tak sedap, tebal, atau sangat berlendir. Jika Anda mendapati keputihan
yang tak biasa sebaiknya segera periksakan diri ke dokter kandungan.</span></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Nyeri panggul</span></b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Seseorang bisa saja mengalami nyeri
panggul saat mengalami menstruasi. Hal ini normal. Namun Anda harus waspada
jika nyeri panggul terjadi di saat-saat lainnya. Wanita yang memiliki kanker
serviks biasa mengalami nyeri panggul selama berjam-jam. Rasa sakit sakit bisa
berupa nyeri yang tajam, ringan, atau sangat parah.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l2 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Nyeri saat buang air kecil</span></b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Merasa sakit dan nyeri saat buang
air kecil bisa dirasakan penderita kanker serviks stadium lanjut. Hal ini biasa
terjadi jika kanker serviks telah menyebar ke kandung kemih.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l2 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial; mso-fareast-language: IN;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pendarahan saat tidak menstruasi, setelah seks, atau
saat pemeriksaan panggul</span></b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Terjadinya pendarahan saat
berhubungan seks atau pemeriksaan panggul adalah salah satu gejala kanker
serviks. Hal ini disebabkan oleh iritasi pada leher rahim selama beraktivitas.
Meski begitu, ada banyak hal yang bisa menyebabkan pendarahan setelah aktivitas
atau seks pada wanita.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="margin-left: 0cm; mso-add-space: auto;">
<span style="font-family: Algerian; font-size: 12.0pt; mso-bidi-font-family: Arial;">2.4
CARA pencegahan KANKER SERVIKS</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Berikut
ini adalah beberapa hal yang dapat dilakukan kaum perempuan dalam hal </span><a href="http://lovira.com/7-cara-efektif-mencegah-kanker-payudara/" title="7 Cara Efektif Mencegah Kanker Payudara"><span style="color: windowtext; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; text-decoration: none; text-underline: none;">mencegah kanker</span></a><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"> serviks agar tidak
menimpa dirinya, antara lain:</span></div>
<ol start="1" type="1">
<li class="MsoNormal" style="line-height: 150%; mso-list: l3 level1 lfo5; tab-stops: list 36.0pt; text-align: justify;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Jalani pola hidup sehat dengan
mengkonsumsi makanan yang cukup nutrisi dan bergizi</span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l3 level1 lfo5; tab-stops: list 36.0pt; text-align: justify;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Selalu menjaga kesehatan tubuh dan
lingkungan</span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l3 level1 lfo5; tab-stops: list 36.0pt; text-align: justify;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Hindari pembersihan bagian genital
dengan air yang kotor</span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l3 level1 lfo5; tab-stops: list 36.0pt; text-align: justify;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Jika anda perokok, segera hentikan
kebiasaan buruk ini</span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l3 level1 lfo5; tab-stops: list 36.0pt; text-align: justify;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Hindari berhubungan intim saat usia dini</span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l3 level1 lfo5; tab-stops: list 36.0pt; text-align: justify;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Selalu setia kepada pasangan anda,
jangan bergonta - ganti apalagi diikuti dengan hubungan intim.</span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l3 level1 lfo5; tab-stops: list 36.0pt; text-align: justify;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Lakukan pemeriksaan pap smear minimal
lakukan selama 2 tahun sekali, khususnya bagi yang telah aktif melakukan
hubungan intim</span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l3 level1 lfo5; tab-stops: list 36.0pt; text-align: justify;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Jika anda belum pernah melakukan
hubungan intim, ada baiknya melakukan vaksinasi HPV</span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l3 level1 lfo5; tab-stops: list 36.0pt; text-align: justify;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Perbanyaklah konsumsi makanan
sayuran yang kandungan beta karotennya cukup banyak, konsumsi
vitamin c dan e.</span></li>
</ol>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Algerian; font-size: 14.0pt; mso-bidi-font-family: Arial;">Penutup</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Algerian; font-size: 12.0pt; mso-bidi-font-family: Arial;">KESIMPULAN</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold;">Kanker leher rahim</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"> atau disebut juga
kanker serviks adalah sejenis </span><a href="http://id.wikipedia.org/wiki/Kanker" title="Kanker"><span style="color: windowtext; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; text-decoration: none; text-underline: none;">kanker</span></a><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">
yang 99,7% disebabkan oleh <i>human papilloma virus</i> (HPV) onkogenik yang
menyerang leher rahim. Kanker ini dapat hadir dengan pendarahan vagina, tetapi
gejala kanker ini tidak terlihat sampai kanker memasuki stadium yang lebih
jauh, yang membuat kanker leher rahim fokus pengamatan menggunakan </span><a href="http://id.wikipedia.org/wiki/Pap_smear" title="Pap smear"><span style="color: windowtext; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; text-decoration: none; text-underline: none;">Pap smear</span></a><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">.
Kanker serviks dapat dicegah dengan vaksinasi HPV. Mencegah lebih baik daripada
mengobati.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span style="font-family: Algerian; font-size: 14.0pt; line-height: 150%; mso-bidi-font-family: Arial;">daftar pustaka</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<a href="http://bidanku.com/index.php?/kanker-serviks-ciri-ciri-penyebab-dan-pencegahan-kanker-serviks#ixzz2M5n9gQvd"><span style="color: windowtext; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; text-decoration: none; text-underline: none;">http://bidanku.com/index.php?/kanker-serviks-ciri-ciri-penyebab-dan-pencegahan-kanker-serviks#ixzz2M5n9gQvd</span></a><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<a href="http://suarabanyuurip.com/kabar/baca/kanker-serviks-ancam-kaum-perempuan"><span style="color: windowtext; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; text-decoration: none; text-underline: none;">http://suarabanyuurip.com/kabar/baca/kanker-serviks-ancam-kaum-perempuan</span></a><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
Anonymoushttp://www.blogger.com/profile/09428371857956484973noreply@blogger.com2tag:blogger.com,1999:blog-1493722132486835108.post-90786883763387722042014-02-10T17:13:00.001-08:002014-02-10T17:13:35.606-08:00Askeb KB<!--[if gte mso 9]><xml>
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<br />
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">BAB III</span></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">TINJAUAN KASUS</span></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">ASUHAN KEBIDANAN KELUARGA BERENCANA</span></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">PADA NY. K P<sub>1 </sub>A<sub>0<span style="mso-spacerun: yes;"> </span></sub>UMUR 38 TAHUN<span style="mso-spacerun: yes;"> </span>DENGAN KB IMPLANT</span></div>
<div align="center" class="MsoNoSpacing" style="line-height: 150%; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">DI PUSKESMAS GEMOLONG SRAGEN</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span lang="SV" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-language: IN;">Tanggal/jam<span style="mso-tab-count: 1;"> </span>: </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">6 Desember 2011/08.30</span><span lang="SV" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-language: IN;"> WIB</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"><span style="mso-tab-count: 3;"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span lang="SV" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-language: IN;">Tempat<span style="mso-tab-count: 1;"> </span>: Puskesmas</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"> Gemolong </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span lang="SV" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-language: IN;">I.
PENGKAJIAN</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Tanggal/jam : 6 Desember 2011/08.35</span><span lang="SV" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-language: IN;"> WIB</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">DATA
SUBJEKTIF</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span lang="SV" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-language: IN;">1.
Identitas Pasien<span style="mso-tab-count: 4;"> </span>Identitas
suami</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span lang="SV" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-language: IN;">Nama<span style="mso-tab-count: 2;"> </span>: Ny. </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">K<span style="mso-tab-count: 4;"> </span>Nama<span style="mso-tab-count: 2;"> </span>: Tn. P</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span lang="SV" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-language: IN;">Umur<span style="mso-tab-count: 2;"> </span>: 3</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">8</span><span lang="SV" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-language: IN;"> tahun</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"><span style="mso-tab-count: 3;"> </span>Umur<span style="mso-tab-count: 2;"> </span>: 40 tahun</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span lang="SV" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-language: IN;">Agama</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"><span style="mso-tab-count: 1;"> </span></span><span lang="SV" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-language: IN;"><span style="mso-tab-count: 1;"> </span>: Islam</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"><span style="mso-tab-count: 4;"> </span>Agama<span style="mso-tab-count: 2;"> </span>: Islam</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span lang="SV" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-language: IN;">Suku/Bangsa<span style="mso-tab-count: 1;"> </span>: Jawa </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">/</span><span lang="SV" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-language: IN;">Indonesia</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"><span style="mso-tab-count: 2;"> </span>Suku/bangsa<span style="mso-tab-count: 1;"> </span>: </span><span lang="SV" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-language: IN;">Jawa</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">/ Indo</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-language: IN;"> </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span lang="SV" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-language: IN;">Pendidikan<span style="mso-tab-count: 1;"> </span>: SM</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">A<span style="mso-tab-count: 4;"> </span></span><span lang="SV" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-language: IN;">Pendidikan<span style="mso-tab-count: 1;"> </span>: SM</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">A<span style="mso-tab-count: 1;"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span lang="SV" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-language: IN;">Alamat</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"><span style="mso-tab-count: 1;"> </span></span><span lang="SV" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-language: IN;"><span style="mso-tab-count: 1;"> </span>: </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Gemolong Permai RT 12 Gemolong</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic; mso-fareast-language: IN;">Kunjungan saat ini </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<table border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="mso-cellspacing: 0cm; mso-padding-alt: 0cm 0cm 0cm 0cm; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0; mso-yfti-lastrow: yes;">
<td style="padding: 0cm 0cm 0cm 0cm;"><br /></td>
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<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic; mso-fareast-language: IN;">Kunjungan pertama</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<table border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="mso-cellspacing: 0cm; mso-padding-alt: 0cm 0cm 0cm 0cm; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0; mso-yfti-lastrow: yes;">
<td style="padding: 0cm 0cm 0cm 0cm;">
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-char-type: symbol; mso-fareast-font-family: Wingdings; mso-fareast-language: IN; mso-symbol-font-family: "Times New Roman";"><span style="mso-char-type: symbol; mso-symbol-font-family: "Times New Roman";"></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"> </span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Kunjungan ulang </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Alasan
datang : Ibu mengatakan ingin memakai alat konrasepsi yang lebih efektif dari
KB pil untuk menunda kehamilannya dan ingin memakai implan</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">2. Data Kebidanan </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; mso-list: l0 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Menarche<span style="mso-tab-count: 2;"> </span>: 14 tahun</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; mso-list: l0 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Lama<span style="mso-tab-count: 2;"> </span><span style="mso-tab-count: 1;"> </span>:
7<span style="mso-spacerun: yes;"> </span>hari</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; mso-list: l0 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Siklus <span style="mso-tab-count: 2;"> </span><span style="mso-tab-count: 1;"> </span>:
28 hari</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; mso-list: l0 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Banyaknya<span style="mso-tab-count: 2;"> </span>: 3 - 4x ganti pembalut/hari</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; mso-list: l0 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">e)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Keluhan<span style="mso-tab-count: 2;"> </span>: tidak ada</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; mso-list: l0 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">f)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Amenorea<span style="mso-tab-count: 2;"> </span>: tidak ada</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">3. Riwayat Perkawinan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">a. Umur waktu
menikah <span style="mso-tab-count: 1;"> </span>: 18 tahun</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">b. Kawin berapa kali<span style="mso-tab-count: 2;"> </span>: Ibu mengatakan 1 kali
menikah</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">c. Lama perkawinan<span style="mso-tab-count: 2;"> </span>: Ibu mengatakan 20 tahun
menikah</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">d. Jumlah anak<span style="mso-tab-count: 3;"> </span>: Ibu mengatakan
mempunyai 1 anak</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">5. Riwayat kesehatan </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">a. Riwayat
kesehatan sekarang</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span>Keluhan utama<span style="mso-tab-count: 3;"> </span><span style="mso-spacerun: yes;"> </span>: Ibu mengatakan ingin melakukan KB Implan.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Riwayat
penyakit yang menderita : Ibu mengatakan tidak menderita penyakit menurun
Pengobatan yang telah didapat<span style="mso-tab-count: 1;"> </span><span style="mso-spacerun: yes;"> </span>: Ibu mengatakan tidak pernah
mendapatkan<span style="mso-spacerun: yes;"> </span>pengobatan yang serius </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Alergi
terhadap obat<span style="mso-tab-count: 3;"> </span><span style="mso-spacerun: yes;"> </span>: Ibu mengatakan tidak Alergi terhadap obat</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">b. Riwayat kesehatan
yang lalu</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penyakit
yang pernah diderita : Ibu mengatakan tidak menderita penyakit menurun</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Operasi
yang pernah dialami<span style="mso-tab-count: 1;"> </span>: ibu mengatakan
belum pernah mengalami operasi.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; tab-stops: 251.25pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">c. Riwayat
kesehatan keluarga</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-char-type: symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN; mso-symbol-font-family: "Times New Roman";"><span style="mso-char-type: symbol; mso-symbol-font-family: "Times New Roman";"></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Riwayat Penyakit yang pernah diderita : Ibu mengatakan
dalam keluarganya tidak menderita penyakit menurun </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-char-type: symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN; mso-symbol-font-family: "Times New Roman";"><span style="mso-char-type: symbol; mso-symbol-font-family: "Times New Roman";"></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Operasi yang pernah dialami<span style="mso-tab-count: 1;"> </span>: ibu mengatakan dalam keluarganya belum pernah mengalami operasi
apapun.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-char-type: symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN; mso-symbol-font-family: "Times New Roman";"><span style="mso-char-type: symbol; mso-symbol-font-family: "Times New Roman";"></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Keturunan Kembar <span style="mso-tab-count: 2;"> </span>:
ibu mengatakan dalam keluarganya tidak ada keturunan kembar.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span lang="SV" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-language: IN;">Data KB</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; mso-list: l2 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-language: IN;">Persalinan terakhir<span style="mso-tab-count: 4;"> </span>:
</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">12 tahun yang lalu</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; mso-list: l2 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-language: IN;">Jenis persalinan<span style="mso-tab-count: 4;"> </span>:
spontan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; mso-list: l2 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="FI" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-language: IN;">Apakah pernah memakai alat kontrasepsi<span style="mso-tab-count: 1;"> </span>: </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">pernah</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; mso-list: l2 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-language: IN;">Kalau ya, metode apa yang digunakan<span style="mso-tab-count: 1;"> </span>: </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">KB susuk</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; mso-list: l2 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-language: IN;">Berapa lama menggunakan<span style="mso-tab-count: 3;"> </span>: </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">12 tahun</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; mso-list: l2 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-language: IN;">Apakah pernah drop out<span style="mso-tab-count: 3;"> </span>: tidak</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; mso-list: l2 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-language: IN;">Metode apa yang diyakini sekarang<span style="mso-tab-count: 2;"> </span>: KB Susuk</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; mso-list: l2 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-language: IN;">Pasien datang atas petunjuk<span style="mso-tab-count: 3;"> </span>: sendiri</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; mso-list: l2 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-language: IN;">Datang pertama mendapat pelayanan KB<span style="mso-tab-count: 1;"> </span>: Bidan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; mso-list: l2 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">10.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-language: IN;">Perencanaan anak
dalam keluarga<span style="mso-tab-count: 2;"> </span>: 2 anak</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; mso-list: l2 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">11.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Tanggapan suami<span style="mso-tab-count: 1;"> </span>: suami mendukung ibu untuk KB Implant.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">7. Data
psiko-sosio-spiritual</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; mso-list: l5 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Pengetahuan ibu
tentang alat kontrasepsi : Ibu mengatakan alat KB<span style="mso-spacerun: yes;"> </span>sebagai alat menjarangkan anak dan menunda
kehamilan.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; mso-list: l5 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Pengetahuan
ibu<span style="mso-spacerun: yes;"> </span>tentang alat kontrasepsi yang
dipakai sekarang : ibu mengatakan KB Implan 3 tahun sekali dan efek ampingnya
tidak begitu memberatkan.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; mso-list: l5 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Dukungan
Suami/keluarga<span style="mso-tab-count: 1;"> </span>:<span style="mso-spacerun: yes;"> </span>suami dan keluarganya sangat mendukung ibu
untuk ber – KB.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="SV" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-language: IN;">DATA OBJEKTIF</span></b><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span lang="SV" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-language: IN;">Pemeriksaan Umum</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span lang="SV" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-language: IN;">a. Keadaan umum<span style="mso-tab-count: 2;"> </span>: Baik<span style="mso-tab-count: 2;"> </span>Kesadaran : composmentis </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span lang="SV" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-language: IN;">b. Tanda – tanda
vital</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; mso-list: l4 level1 lfo4; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-spacerun: yes;"> </span></span><span lang="SV" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-language: IN;">Tensi<span style="mso-tab-count: 2;"> </span>: 1</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">1</span><span lang="SV" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-language: IN;">0/80 mmHg</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; mso-list: l4 level1 lfo4; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-language: IN;">Nadi<span style="mso-tab-count: 2;"> </span>: 8</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">4</span><span lang="SV" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-language: IN;">x/menit</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; mso-list: l4 level1 lfo4; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-language: IN;">Suhu<span style="mso-tab-count: 2;"> </span>: 3</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">7</span><span lang="SV" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-language: IN;">,2 <sup>0 </sup>C</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; mso-list: l4 level1 lfo4; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-spacerun: yes;"> </span></span><span lang="SV" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-language: IN;">Pernafasan <span style="mso-tab-count: 1;"> </span>: 2</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">2</span><span lang="SV" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-language: IN;">x/menit</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">2. Pengukuran fisik </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; mso-list: l3 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Tinggi badan<span style="mso-tab-count: 6;"> </span>:
155 cm</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; mso-list: l3 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Berat badan
sebelum menggunakan kontrasepsi<span style="mso-tab-count: 1;"> </span>:
42 kg</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; mso-list: l3 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Berat badan
sekarang <span style="mso-tab-count: 5;"> </span>:
52 kg</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; mso-list: l3 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Lila<span style="mso-tab-count: 7;"> </span>:
25 cm</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span lang="SV" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-language: IN;">Kepala dan leher</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; mso-list: l1 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Rambut <span style="mso-tab-count: 1;"> </span>:warna hitam, bersih, pertumbuhan
baik, kulit kepala tidak ada lesi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; mso-list: l1 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Wajah <span style="mso-tab-count: 2;"> </span>:tidak ada oedem, simetris</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; mso-list: l1 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Mata <span style="mso-tab-count: 2;"> </span>:konjungtiva tidak anemis, sklera
tidak ikterik, tidak ada sekret</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; mso-list: l1 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Hidung<span style="mso-tab-count: 1;"> </span>:bersih, tidak ada polip, simetris,
tidak ada secret</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; mso-list: l1 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Mulut<span style="mso-tab-count: 2;"> </span>: </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-language: IN;">Bersih, gigi tidak ada caries</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; mso-list: l1 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Telinga<span style="mso-tab-count: 1;"> </span>:bersih,tidak ada serumen</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; mso-list: l1 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Leher<span style="mso-tab-count: 1;"> </span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-language: IN;"><span style="mso-tab-count: 1;"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">: </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-language: IN;"><span style="mso-spacerun: yes;"> </span>tidak ada
pembekakan, </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">kelenjar thyroid</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; margin-left: 36.0pt; mso-list: l1 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">5.
Dada</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-language: IN;"> : Normal</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">6. Payudara</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-language: IN;"><span style="mso-tab-count: 1;"> </span> : simetris normal</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">7. Abdomen</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-language: IN;"> : simetris normal</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">8. Tangan dan kaki</span></div>
<table align="left" border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-bottom: 7.75pt; margin-left: 6.75pt; margin-right: 6.75pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-table-anchor-horizontal: page; mso-table-anchor-vertical: paragraph; mso-table-bspace: 10.0pt; mso-table-left: 184.75pt; mso-table-lspace: 9.0pt; mso-table-rspace: 9.0pt; mso-table-top: 9.45pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="height: 13.15pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid black 1.0pt; height: 13.15pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 30.05pt;" valign="top" width="40">
<div class="MsoNoSpacing" style="line-height: 150%; mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 184.8pt; mso-element-top: 9.45pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">--</span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 13.15pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 30.15pt;" valign="top" width="40">
<div class="MsoNoSpacing" style="line-height: 150%; mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 184.8pt; mso-element-top: 9.45pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">---</span></div>
</td>
</tr>
<tr style="height: 13.15pt; mso-yfti-irow: 1; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid black 1.0pt; height: 13.15pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 30.05pt;" valign="top" width="40">
<div class="MsoNoSpacing" style="line-height: 150%; mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 184.8pt; mso-element-top: 9.45pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">---</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 13.15pt; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 30.15pt;" valign="top" width="40">
<div class="MsoNoSpacing" style="line-height: 150%; mso-element-anchor-horizontal: page; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-left: 184.8pt; mso-element-top: 9.45pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">---</span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"><span style="mso-tab-count: 1;"> </span></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Oedema</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Kuku jari<span style="mso-tab-count: 1;"> </span>:
tidak pucat </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Varises<span style="mso-tab-count: 1;"> </span>:
tidak ada</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Reflek patella<span style="mso-tab-count: 1;"> </span>:
+/+</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">9. Anus<span style="mso-tab-count: 1;"> </span>: tidak haemorroid</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">10. Ekstremitas<span style="mso-tab-count: 2;"> </span>:</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-char-type: symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN; mso-symbol-font-family: "Times New Roman";"><span style="mso-char-type: symbol; mso-symbol-font-family: "Times New Roman";"></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">
</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Atas<span style="mso-tab-count: 2;"> </span>
: teraba 2 kapsul di lengan kiri atas.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-char-type: symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN; mso-symbol-font-family: "Times New Roman";"><span style="mso-char-type: symbol; mso-symbol-font-family: "Times New Roman";"></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">
</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Bawah<span style="mso-tab-count: 2;"> </span><span style="mso-spacerun: yes;"> </span>: </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-char-type: symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN; mso-symbol-font-family: "Times New Roman";"><span style="mso-char-type: symbol; mso-symbol-font-family: "Times New Roman";"></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">
</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Oedem<span style="mso-tab-count: 2;"> </span>:
tidak ada</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-char-type: symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN; mso-symbol-font-family: "Times New Roman";"><span style="mso-char-type: symbol; mso-symbol-font-family: "Times New Roman";"></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">
</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Varices<span style="mso-tab-count: 2;"> </span>:
tidak ada</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-char-type: symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN; mso-symbol-font-family: "Times New Roman";"><span style="mso-char-type: symbol; mso-symbol-font-family: "Times New Roman";"></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">
</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Kuku jari<span style="mso-tab-count: 2;"> </span>:
kemerahan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-char-type: symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN; mso-symbol-font-family: "Times New Roman";"><span style="mso-char-type: symbol; mso-symbol-font-family: "Times New Roman";"></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">
</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Reflek patella<span style="mso-tab-count: 1;"> </span>: +/+<span style="mso-tab-count: 1;"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">11. Genetalia externa</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">a. Vagina<span style="mso-tab-count: 3;"> </span>: Tidak ada varises</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"><span style="mso-spacerun: yes;"> </span>Tidak ada
infeksi</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"><span style="mso-spacerun: yes;"> </span><span style="mso-tab-count: 2;"> </span><span style="mso-spacerun: yes;"> </span>Tidak ada cairan abnormal</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">b. Kelenjar bartholoni<span style="mso-tab-count: 1;"> </span>: Tidak ada oedema </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"><span style="mso-spacerun: yes;"> </span>Tidak ada
massa</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"><span style="mso-spacerun: yes;"> </span>Tidak ada
cairan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">12. Pemeriksaan inspekulo<span style="mso-tab-count: 1;"> </span>: tidak dilakukan pemeriksaan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">13. Pemeriksaan dalam<span style="mso-tab-count: 2;"> </span></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">a. Posisi rahim<span style="mso-tab-count: 2;"> </span>: tidak dilakukan pemeriksaan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">b. Bentuk uterus<span style="mso-tab-count: 2;"> </span>:<span style="mso-spacerun: yes;"> </span>tidak dilakukan pemeriksaan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">c. Cervik<span style="mso-tab-count: 3;"> </span>: tidak dilakukan
pemeriksaan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">14. Pemeriksaan laboratorium </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">a. Glukosa urine<span style="mso-tab-count: 1;"> </span>: </span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">b. Protein urine<span style="mso-tab-count: 1;"> </span>:</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">c. Golongan darah<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>tidak
dilakukan pemeriksaan<span style="mso-tab-count: 1;"> </span></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">d. HB<span style="mso-tab-count: 3;"> </span>: <span style="mso-tab-count: 2;"> </span></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">e. Lain- lain<span style="mso-tab-count: 2;"> </span>:</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">f. </span><span lang="SV" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-language: IN;">PP Test<span style="mso-tab-count: 1;"> </span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"><span style="mso-tab-count: 1;"> </span></span><span lang="SV" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-language: IN;"> : (-) negatif</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<b style="mso-bidi-font-weight: normal;"><span lang="SV" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-bidi-language: AR-SA; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;"><br clear="all" style="mso-special-character: line-break; page-break-before: always;" />
</span></b>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="SV" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-language: IN;">II.
INTERPRETASI DATA</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span lang="SV" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-language: IN;">Tanggal / Jam <span style="mso-tab-count: 2;"> </span>: </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">6 Desember 2011/08.40 WIB</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span lang="SV" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-language: IN;">1.
Diagnosa Kebidanan : Ny. </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">K</span><span lang="SV" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-language: IN;"> umur 3</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">8</span><span lang="SV" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-language: IN;"> tahun P</span><sub><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">1</span></sub><span lang="SV" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-language: IN;">A<sub>0</sub> </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">kunjungan ulang </span><span lang="SV" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-language: IN;">KB Implan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span lang="SV" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-language: IN;">Dasar : </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span lang="SV" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-language: IN;">S :</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-char-type: symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN; mso-symbol-font-family: "Times New Roman";"><span style="mso-char-type: symbol; mso-symbol-font-family: "Times New Roman";"></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">
</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">ibu mengatakan telah memiliki 1 anak.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-char-type: symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN; mso-symbol-font-family: "Times New Roman";"><span style="mso-char-type: symbol; mso-symbol-font-family: "Times New Roman";"></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">
</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Ibu mengatakan telah berumur 38 tahun.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-char-type: symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN; mso-symbol-font-family: "Times New Roman";"><span style="mso-char-type: symbol; mso-symbol-font-family: "Times New Roman";"></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">
</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Ibu mengatakan ingin melepas dan memasang
KB Implant.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span lang="SV" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-language: IN;">O : <span style="mso-tab-count: 1;"> </span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"><span style="mso-tab-count: 1;"> </span></span><span lang="SV" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-language: IN;">KU</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"><span style="mso-tab-count: 1;"> </span></span><span lang="SV" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-language: IN;"> : baik.</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"><span style="mso-tab-count: 3;"> </span>Kesadaran
: </span><span lang="SV" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-language: IN;">C</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">omposmentis</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span lang="SV" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-language: IN;"><span style="mso-spacerun: yes;"> </span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"><span style="mso-tab-count: 1;"> </span></span><span lang="SV" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-language: IN;">VS</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"><span style="mso-tab-count: 1;"> </span></span><span lang="SV" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-language: IN;"> :TD</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"><span style="mso-tab-count: 1;"> </span></span><span lang="SV" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-language: IN;"> : 1</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">1</span><span lang="SV" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-language: IN;">0/80 mmHg<span style="mso-tab-count: 1;"> </span>N : 8</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">4</span><span lang="SV" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-language: IN;">x/menit</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"><span style="mso-tab-count: 1;"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span lang="SV" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-language: IN;"><span style="mso-tab-count: 1;"> </span>S </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"><span style="mso-tab-count: 1;"> </span><span style="mso-spacerun: yes;"> </span></span><span lang="SV" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-language: IN;">: 3</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">7</span><span lang="SV" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-language: IN;">,2<sup>0 </sup>C<span style="mso-tab-count: 1;"> </span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"><span style="mso-tab-count: 1;"> </span></span><span lang="SV" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-language: IN;">R : 2</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">2</span><span lang="SV" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-language: IN;">x/menit</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"><span style="mso-tab-count: 1;"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Pemeriksaan Ekstremitas<span style="mso-tab-count: 1;"> </span>: </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-char-type: symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN; mso-symbol-font-family: "Times New Roman";"><span style="mso-char-type: symbol; mso-symbol-font-family: "Times New Roman";"></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">
</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Atas<span style="mso-tab-count: 1;"> </span>
: teraba 2 kapsul di lengan kiri atas.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-char-type: symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN; mso-symbol-font-family: "Times New Roman";"><span style="mso-char-type: symbol; mso-symbol-font-family: "Times New Roman";"></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">
</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Bawah<span style="mso-spacerun: yes;">
</span>: </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Courier New"; mso-fareast-language: IN;">o
</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Oedem<span style="mso-tab-count: 2;"> </span>:
tidak ada</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Courier New"; mso-fareast-language: IN;">o
</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Varices<span style="mso-tab-count: 2;"> </span>:
tidak ada</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Courier New"; mso-fareast-language: IN;">o
</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Kuku jari<span style="mso-tab-count: 1;"> </span>:
kemerahan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Courier New"; mso-fareast-language: IN;">o
</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Reflek patella<span style="mso-tab-count: 1;"> </span>: +/+<span style="mso-tab-count: 1;"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span lang="SV" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-language: IN;">2.
Masalah : tidak ada</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="SV" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-language: IN;">III.
DIAGNOSA </span></b><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">/ MASALAH </span></b><b style="mso-bidi-font-weight: normal;"><span lang="SV" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-language: IN;">POTENSIAL</span></b><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"> DAN ANTISIPASI </span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span lang="SV" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-language: IN;">Tidak ada</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="SV" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-language: IN;">IV.
TINDAKAN SEGERA</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span lang="SV" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-language: IN;">Tidak ada</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-language: AR-SA; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;"><br clear="all" style="mso-special-character: line-break; page-break-before: always;" />
</span></b>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="SV" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-language: IN;">V.
</span></b><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">PERENCANAAN</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Tanggal/jam : 6 Desember 2011 / 08.45 WIB</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">1. Beritahu ibu
tentang<span style="mso-spacerun: yes;"> </span>hasil pemeriksaannya</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">2. Beritahu ibu
tentang<span style="mso-spacerun: yes;"> </span>KB Implant dan efek sampingnya.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">3. Siapkan alat dan
bahan untuk pelepasan implant dan pemasangan implant.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">4. Lakukan tindakan
pelepasan implant</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">5. Lakukan tindakan
pemasangan implant.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">6. Berikan terapi.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">7. Lakukan dokumentasi
dan isi kartu kunjungan.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">8. Beritahu ibu KB
implant ini efektif selama 3 tahun dan anjurkan ibu untuk datang pada tahun
2014 untuk melepasnya.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">9. Anjurkan ibu untuk
kontrol 1 minggu lagi atau bila ada keluhan ibu boleh datang untuk konsultasi.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="SV" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-language: IN;">VI.
IMPLEMENTASI</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Tanggal/jam : 6 Desember 2011/08.50 WIB</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">1. Memberitahu ibu
tentang<span style="mso-spacerun: yes;"> </span>hasil pemeriksaannya</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">2. Memberitahu ibu
tentang<span style="mso-spacerun: yes;"> </span>KB Implant dan efek sampingnya :
</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">KB<span style="mso-spacerun: yes;"> </span>Implant
yaitu memasukkan 2 kapsul KB Susuk ke dalam lengan kiri atas untuk mencegah
terjadinya kehamilan dan efek sampingnya perdarahan tidak teratur, perdarahan
bercak, dan terjadinya peningkatan berat badan.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">3. Menyiapkan alat dan
bahan untuk pelepasan implant dan pemasangan implant :</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-char-type: symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN; mso-symbol-font-family: "Times New Roman";"><span style="mso-char-type: symbol; mso-symbol-font-family: "Times New Roman";"></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">
</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Tempattidur untuk pasien berbaring pada
ruang periksa,</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-char-type: symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN; mso-symbol-font-family: "Times New Roman";"><span style="mso-char-type: symbol; mso-symbol-font-family: "Times New Roman";"></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">
</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">alat trokar yang berisi 2 batang implant
beserta skapel<span style="mso-spacerun: yes;"> </span>dan bisturi ( Disposible)</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-char-type: symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN; mso-symbol-font-family: "Times New Roman";"><span style="mso-char-type: symbol; mso-symbol-font-family: "Times New Roman";"></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">
</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">duk steril</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-char-type: symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN; mso-symbol-font-family: "Times New Roman";"><span style="mso-char-type: symbol; mso-symbol-font-family: "Times New Roman";"></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">
</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">1 pasang handscoon</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-char-type: symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN; mso-symbol-font-family: "Times New Roman";"><span style="mso-char-type: symbol; mso-symbol-font-family: "Times New Roman";"></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">
</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Pinset dalam bak instrumen sterill</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-char-type: symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN; mso-symbol-font-family: "Times New Roman";"><span style="mso-char-type: symbol; mso-symbol-font-family: "Times New Roman";"></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">
</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">forcep mosquito/klem penjepit</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-char-type: symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN; mso-symbol-font-family: "Times New Roman";"><span style="mso-char-type: symbol; mso-symbol-font-family: "Times New Roman";"></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">kom kecil yang berisi larutan betadin</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-char-type: symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN; mso-symbol-font-family: "Times New Roman";"><span style="mso-char-type: symbol; mso-symbol-font-family: "Times New Roman";"></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">lidocain</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-char-type: symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN; mso-symbol-font-family: "Times New Roman";"><span style="mso-char-type: symbol; mso-symbol-font-family: "Times New Roman";"></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">spuit 5ml</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-char-type: symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN; mso-symbol-font-family: "Times New Roman";"><span style="mso-char-type: symbol; mso-symbol-font-family: "Times New Roman";"></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">band aid atau plester</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-char-type: symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN; mso-symbol-font-family: "Times New Roman";"><span style="mso-char-type: symbol; mso-symbol-font-family: "Times New Roman";"></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">kassa steril dan kassa pembalut</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-char-type: symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN; mso-symbol-font-family: "Times New Roman";"><span style="mso-char-type: symbol; mso-symbol-font-family: "Times New Roman";"></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">bak instrument</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-char-type: symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN; mso-symbol-font-family: "Times New Roman";"><span style="mso-char-type: symbol; mso-symbol-font-family: "Times New Roman";"></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">kain penyangga</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">4. Melakukan tindakan
pelepasan implant</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">a. Mencuci tangan</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">b. Mempersilahkan klien
untuk berbaring dengan lengan kiri diletakkan di atas kain bersih (kain
penyangga)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">c. Menentukan
tempat pemasangan implant 8 cm di atas lipatan siku.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">d. Mendekatkan alat dan
membuka bungkus steril tanpa menyentuh alat – alat di dalamnya.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">e. Memakai
handscoon.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">f. Meraba kapsul
yang berada pada lengan kiri atas.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">g. Menentukan tempat
insisi dengan larutan antiseptik dengan menggunakan klem steril untuk memegang
kassa betadin dengan gerakan melingkar sekitar 8 – 13 cm dan dibiarkan sampai
kering.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">h. Memasukkan lidocain
ke dalam spuit 5 ml, kemudian menyuntikkan tempat insisi yang digunakan untuk
melepas implant di bawah kulit sampai membuat gelembung kecil di bawah kulit
untuk menghilangkan rasa sakit selama memasang kapsul implant.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">i. Menyentuh
tempat insisi dengan bisturi (pisau bedah) untuk memastikan obat anestesi telah
bekerja.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">j. Memegang
bisturi dengan sudut 45<sup>0</sup>, kemudian membuat insisi dangkal untuk
menembus kulit.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">k. Memasukan klem
penjepit kapsul untuk mengambil 2 kapsul yang berada di lengan kiri.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">l.
Mengeluarka kapsul satu per satu jangan sampai ada bagian kapsul yang
tertinggal.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">m. Memberitahu ibu bahwa kapsul yang
berada di lengan kiri atasnya sudah dilepas.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">n. Meletakkan 2 kapsul
implant ke dalam kom kecil.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">5. Lakukan tindakan
pemasangan implant :</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">a. Memasukkan
ujung trokar dengan ujung yang tajam menghadap ke atas melalui luka insisi
dengan sudut kecil sampai ujung tajam seluruhnya berada di bawah kulit (2-3mm
dari akhir ujung tajam)</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">b. Meletakkan kapsul
tepat di bawah kulit bagian yang lain dengan cara mengangkat trokar ke atas
sehinggan kulit terangkat. Trokar harus cukup dangkal sehinga dapat diraba dari
luar dengan jari.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">c. Menggunakan
pendorong untuk mendorong kapsul ke arahujung trokar dengan menggunakan satu
tangan untuk menstabilkan.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">d. Meraba ujung kapsul
denga jari untuk memastikan kapsul sudah keluar seluruhnya dari trokar.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">e. Tanpa
mengeluarkan seluruh trokar, putar ujung trokar ke arah lateral kanan dan
kembali ke posisi semula, menggeser trokar sekitar 15 – 25<sup>0</sup>,
kemudian memasukkan trokar pelan – pelan sambil meraba kapsul yang pertama.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">f. Mengeluarkan
seluruh trokar sambil mendorong alat pendorongnya serta meraba kapsul kedua
untuk memastikan kapsul kedua sudah keluar seluruhnya.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">g. Tekan tempat insisi
dengan jari dengan menggunakan kasa selama 1 menit untuk menhentikan
perdarahan. Membersihkan tempat insisi dengan kassa betadin kemudian menjepit
ujung – ujung tempat insisi dengan menggunakan klem penjepit kemudian
menutupnya dengan band aid atau plester.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">6. Memberikan terapi.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-char-type: symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN; mso-symbol-font-family: "Times New Roman";"><span style="mso-char-type: symbol; mso-symbol-font-family: "Times New Roman";"></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Amoxilin <span style="mso-tab-count: 2;"> </span>3
x 500 mg/hari</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-char-type: symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN; mso-symbol-font-family: "Times New Roman";"><span style="mso-char-type: symbol; mso-symbol-font-family: "Times New Roman";"></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Asam Mefenamat <span style="mso-tab-count: 1;"> </span>3
x 500 mg/hari</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">7. Mendokumentasikan
hasil pemeriksaa, terapi yang telah diberikan dan identitas ibu serta mengisi
kartu kunjungan.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">8. memberitahu ibu KB
implant ini efektif selama 3 tahun dan anjurkan ibu untuk datang pa<span style="mso-spacerun: yes;"> </span>da tahun 2014 untuk melepasnya.</span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span lang="SV" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-language: IN;">9.
</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Menganjurkan ibu untuk kontrol 1 minggu
lagi atau bila ada keluhan.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="SV" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-language: IN;">VII.
EVALUASI</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span lang="SV" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-language: IN;">Tanggal/Jam : </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">6 Desember 2011 / 09.00 WIB</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span lang="SV" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-language: IN;">1.
</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Ibu sudah mengetahui hasil pemeriksaannya.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">TD<span style="mso-tab-count: 1;"> </span>:
110 / 80 mmHg</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">BB<span style="mso-tab-count: 1;"> </span>:
52 kg</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span lang="SV" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-language: IN;">2.
</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Ibu sudah mengerti tentang KB Implant dan
efek sampingnya.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span lang="SV" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-language: IN;">3.
</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Telah dilakukan pelepasan KB Impalnt 2
kapsul.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span lang="SV" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-language: IN;">4.
</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Telah dilakukan pemasangan KB Impalnt 2
kapsul.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span lang="SV" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-language: IN;">5.
</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Ibu sudah mengetahui jika KB Implant ini
efektif selama 3 tahun dan bersedia datang tahun 2014 untuk melepasnya.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span lang="SV" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-language: IN;">6.
</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Ibu bersedia untuk kontrol ulang 1 minggu
lagi atau bila ada keluhan.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoNoSpacing" style="line-height: 150%; text-align: justify;">
<span lang="SV" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-language: IN;">7.
</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Telah dilakukan dokumentasi pada buku
register bidan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
Anonymoushttp://www.blogger.com/profile/09428371857956484973noreply@blogger.com0tag:blogger.com,1999:blog-1493722132486835108.post-29566202134798303342014-02-10T17:11:00.002-08:002014-02-10T17:11:26.827-08:00Askeb Herpes Genetalia<!--[if !mso]>
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<br />
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span style="font-family: "Arial","sans-serif"; font-size: 20.0pt; line-height: 150%;">ASUHAN
KEBIDANAN<br />
Pada Ny “R” Usia th dengan Herpes Genetalia<br />
DI PUSKESMAS MOJOKERTO</span></div>
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<img align="left" alt="logo dian husada.gif" height="326" hspace="12" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image002.gif" width="342" /><span style="font-family: Algerian; font-size: 24.0pt;"></span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: "Monotype Corsiva"; font-size: 16.0pt; mso-bidi-font-family: Arial;">Disusun oleh :</span></div>
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<span style="font-family: "Monotype Corsiva"; font-size: 16.0pt; mso-bidi-font-family: Arial;">Anita Della Aviyanty
Putri<span style="mso-tab-count: 3;"> </span>Ina Cahyani<br />
Naimatul Husniah<span style="mso-tab-count: 5;"> </span>Ria
Nur Azizah<br />
Eka Herin Priyanti `<span style="mso-tab-count: 4;"> </span>Alfina
Nur Faizah<br />
Dita Saraswati <span style="mso-tab-count: 5;"> </span>Clariza
Florensia<br />
Choiro Nur’Aini <span style="mso-tab-count: 5;"> </span>Amalia
Rizky<br />
Nurul Karimah<span style="mso-tab-count: 5;"> </span>Ayu
Rahma<br />
Elisabeth Prasetya Novita <span style="mso-tab-count: 3;"> </span>Debby
Faradilla<br />
Halimah Maya<span style="mso-tab-count: 5;"> </span>Nur
Laili<br />
Nur Laila</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: "Monotype Corsiva"; font-size: 16.0pt; mso-bidi-font-family: Arial;">D3 Kebidanan</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Algerian; font-size: 22.0pt; mso-bidi-font-family: Arial;">Kampus
a stikes DIAN HUSADA MOJOKERTO</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Algerian; font-size: 22.0pt; mso-bidi-font-family: Arial;">2013 –
2014</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 14.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">BAB I</span></b><span style="font-family: "Times New Roman","serif"; font-size: 14.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 14.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">PENDAHULUAN</span></b></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l6 level1 lfo1; text-align: justify; text-indent: -14.2pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial; mso-fareast-language: IN;"><span style="mso-list: Ignore;">A.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Latar
Belakang</span></b></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sebuah <span style="mso-bidi-font-weight: bold;">penyakit menular seksual (PMS),</span> juga
dikenal sebagai <span style="mso-bidi-font-weight: bold;">infeksi menular seksual
(IMS)</span> atau <span style="mso-bidi-font-weight: bold;">penyakit kelamin
(VD),</span> adalah penyakit yang memiliki probabilitas signifikan penularan
antar manusia atau hewan dengan cara perilaku seksual manusia, termasuk hubungan
intim melalui vagina, oral seks, dan seks anal. Sementara di masa lalu,
penyakit ini sebagian besar telah disebut sebagai PMS atau VD, dalam beberapa
tahun terakhir istilah infeksi menular seksual (IMS) telah disukai, karena
memiliki makna lebih luas, seseorang dapat terinfeksi'''' , dan berpotensi
menulari orang lain, tanpa menunjukkan tanda-tanda''penyakit''. Beberapa PMS
juga dapat ditularkan melalui penggunaan jarum suntik obat IV setelah digunakan
oleh orang yang terinfeksi, serta melalui persalinan atau menyusui. Infeksi
menular seksual telah dikenal selama ratusan tahun. </span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Herpes
merupakan salah satu penyakit menular seksual. Herpes kelamin atau herpes
genitalia adalah penyakit menular seksual (PMS) yang disebabkan oleh virus
herpes simpleks (HSV), penyakit ini sangat menular dan mengifeksi daerah
kelamin. Gejala dari herpes disebut wabah. Dan biasanya muncul luka (bisul) di
dekat daerah di mana virus telah memasuki tubuh. Mereka berubah menjadi lepuh,
menjadi gatal dan menyakitkan, dan kemudian sembuh dan kemudian muncul kembali
jika ada faktor pemicunya. Kadang-kadang orang tidak tahu bahwa mereka memiliki
herpes karena mereka tidak menunjukkan gejala atau gejala sangat ringan.
Penyakit ini dapat diobati tetapi tidak dapat disembuhkan dan akan tetap akan
bermukim didalam tubuh. Tetapi obat dapat membantu tubuh melawan virus dalam
tubuh, dapat membantu mengurangi gejala, menurunkan wabah, dan menurunkan
resiko penularan virus kepada orang lain. Herpes genitalis umumnya menyerang
dan menyebabkan luka pada daerah genital Anda atau dubur, bokong, dan paha yang
dapatkan dari berhubungan seks, bahkan seks oral yang terinfeksi virus
ini. Virus dapat menyebar meskipun tidak ada luka/bisul. Bayi baru lahir juga
dapat terinfeksi virus ini jika sang ibu mengidap penyakit yang mengerikan ini.
Wanita kerap kali tidak sadar bahwa ia menderita herpes karena lecet terjadi di
dalam vagina.</span></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial; mso-fareast-language: IN;"><span style="mso-list: Ignore;">B.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tujuan</span></b></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial; mso-fareast-language: IN;"><span style="mso-list: Ignore;">A.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mengetahui
definisi infeksi Herpes Genital</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial; mso-fareast-language: IN;"><span style="mso-list: Ignore;">B.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mengetahui
epidemiologi infeksi Herpes Genital</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial; mso-fareast-language: IN;"><span style="mso-list: Ignore;">C.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mengetahui
penyebab infeksi Herpes Genital</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial; mso-fareast-language: IN;"><span style="mso-list: Ignore;">D.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mengetahui
gejala infeksi Herpes Genital</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial; mso-fareast-language: IN;"><span style="mso-list: Ignore;">E.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mengetahui
pengaruh infeksi Herpes Genital pada kehamilan</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial; mso-fareast-language: IN;"><span style="mso-list: Ignore;">F.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mengetahui
diagnosa infeksi Herpes Genital</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial; mso-fareast-language: IN;"><span style="mso-list: Ignore;">G.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mengetahui
pengobatan infeksi Herpes Genital</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial; mso-fareast-language: IN;"><span style="mso-list: Ignore;">H.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mengetahui
pencegahan infeksi Herpes Genital</span></div>
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<b><span style="font-family: "Times New Roman","serif"; font-size: 14.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">BAB II</span></b><span style="font-family: "Times New Roman","serif"; font-size: 14.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
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<b><span style="font-family: "Times New Roman","serif"; font-size: 14.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">TINJAUAN PUSTAKA</span></b><span style="font-family: "Times New Roman","serif"; font-size: 14.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
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<b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">A. Definisi</span></b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Genital
herpes, juga umumnya disebut "herpes" adalah infeksi virus oleh <span style="mso-bidi-font-weight: bold;">herpes<span style="color: #333333;"> simplex
virus (HSV)</span></span><span style="color: #333333;"> yang ditularkan
melalui kontak intim dengan lapisan-lapisan yang ditutupi lendir dari mulut
atau vagina atau kulit genital. Virus memasuki lapisan-lapisan atau kulit
melalui robekan-robekan mikroskopik. Sekali didalam, virus berjalan ke
akar-akar syaraf dekat sumsum tulang belakang (spinal cord) dan berdiam disana
secara permanen.</span></span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"></span></div>
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<span style="color: #333333; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Ketika seseorang yang terinfeksi mempunyai perjangkitan herpes,
virus berjalan menuruni serabut-serabut syaraf ke tempat dari asal infeksi.
Ketika ia mencapi kulit, kemerahan dan lepuhan-lepuhan <span style="mso-spacerun: yes;"> </span>(blisters ) yang khas terjadi. Setelah
perjangkitan awal, perjangkitan-perjangkitan yang berikut cenderung menjadi
sporadik. Mereka mungkin terjadi mingguan atau bahkan tahunan berpisahan.</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"></span></div>
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<span style="color: #333333; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Dua tipe-tipe dari virus-virus herpes berhubungan dengan
luka-luka genital: herpes simplex virus-1 (HSV-1) dan herpes simplex virus-2
(HSV-2). HSV-1 lebih sering menyebabkan blisters dari area mulut sementara
HSV-2 lebih sering menyebabkan luka-luka genital pada area sekitar anus.
Perjangkitan dari herpes berhubungan erat pada berfungsinya sistim imun.
Wanita-wanita yang mempunyai sistim-sistim imun yang ditekan, karena stress,
infeksi, atau obat-obat, mempunyai perjangkitan-perjangkitan (outbreaks) lebih
seringkali dan bertahan lebih lama.</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"></span></div>
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<span style="color: #333333; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Diperkirakan bahwa sebanyak 50 juta orang-orang di Amerika
terinfeksi dengan genital HSV. Genital herpes disebar hanya dengan kontak
langsung orang ke orang. Dipercayai bahwa 60% dari kaum dewasa yang aktif
secara seksual membawa virus herpes. Sebagian dari sebab untuk angka infeksi
tinggi yang berlanjut adalah bahwa kebanyakan wanita-wanita yang terinfeksi
dengan virus herpes tidak mengetahui bahwa mereka terinfeksi karena mereka
mempunyai sedikit atau tidak mempunyai gejala-gejala. Pada banyak
wanita-wanita, ada perjangkitan-perjangkitan "atypical" dimana
satu-satunya gejala mungkin adalah gatal yang ringan atau ketidaknyamanan yang
minimal. Lebih dari itu, lebih lama wanita itu telah mempunyai virus, lebih
sedikit gejala-gejala mereka punyai dengan perjangkitan-perjangkitan mereka.
Akhirnya, virus dapat melepaskan diri dari cervix kedalam vagina pada
wanita-wanita yang tidak mengalami segala gejala-gejala.</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"></span></div>
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<span style="color: #333333; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Wanita hamil terkeserang herpes bayi mempunyai risiko tinggi
tertular. Virus dapat ditularkan kepada janin melalui placenta selama kehamilan
atau selama persalinan vaginal. Pada infeksi selama kehamilan dapat
meningkatkan risiko keguguran, ketuban penurunan pertumbuhan. Sekitar 30-50%
bayi yang lahir melalui vagina dengan seorang ibu yang terinfeksi virus herpes.
Bayi yang dilahirkan perempuan mengalami serangan pada saat lahir, satu sampai
empat persen menjadi terinfeksi dengan herpes-simplex virus.</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"></span></div>
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<span style="color: #333333; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Setelah infeksi, virus herpes membentuk suatu masa yang disebut
latency, saat virus yang ada dalam tubuh dari sel saraf dapat muncul (misalnya
alat kelamin, mulut, dan bibir) virus menjadi aktif lagi. Meskipun aktif, virus
mulai kali (disebut peluruhan) dan menjadi transmittable lagi. Peluruhan ini
mungkin tidak disertai oleh gejala. Selama reaktivasi, virus berpindah dari
dalam sel saraf dan diangkut melalui saraf ke kulit. Kemampuan virus herpes
menjadi laten dan reaktif menjelaskan jangka panjang, sifat herpes infeksi yang
berulang.</span><span style="color: #333333; font-family: "Georgia","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"></span></div>
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<b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">B.
Epidemiologi</span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penyakit ini
tersebar di seluruh dunia dan menyerang baik pria dan wanita dengan frekuensi
yang tidak berbeda. Infeksi virus herpes simpleks tipe I biasanya dimulai pada
usia anak-anak, sedangkan infeksi virus herpes simpleks tipe II biasanya
terjadi pada usia dewasa dan berhubungan dengan peningkatan aktivitas seksual.</span></div>
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<b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">C. Penyebab</span></b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Terdapat 2
jenis virus herpes simpleks yang menginfeksi kulit, yaitu HSV-1 dan HSV-2. HSV-1
merupakan penyebab dari luka di bibir (herpes labialis) dan luka di kornea mata
(keratitis herpes simpleks); biasanya ditularkan melalui kontak dengan sekresi
dari atau di sekitar mulut. HSV-2 biasanya menyebabkan herpes genitalis dan
terutama ditularkan melalui kontak langsung dengan luka selama melakukan
hubungan seksual.</span></div>
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<b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">D. Gejala</span></b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">timbul
erupsi bintik kemerahan disertai rasa panas dan gatal pada kulit region
genitalis.</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kadang
disertai demam seperti influenza dan setelah 2-3 hari bintik kemerahan tersebut
berubah menjadi vesikel disertai rasa nyeri.</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">5-7 hari
kemudian, vesikel pecah dan keluar cairan jernih dan pada lokasi vesikel yang
pecah timbul koropeng (atau ditutupi lapisan kekuningan bila terkena infeksi
sekunder).</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bila
mengenai region genetalia yang cukup luas dapar menyebabkan gangguan mobilitas,
vaginitis, urethritis, sistitis, dan fisura ani hepetika.</span></div>
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<b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">E. Pengaruh
herpes genital pada kehamilan</span></b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
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<span style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Virus dapat sampai ke sirkulasi fetal melalui plasenta
dan dapat menyebabkan kerusakan dan kematian janin.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l3 level1 lfo3; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Infeksi neonatal ( 0-20 hari) angka mortalitasnya 60%,
jika dapat bertahan hidup setengahnya mempunyai kemungkinan cacat neurologis
yang nantinya juga berpengaruh pada pertumbuhan dan perkembangan serta
menyebabkan kelainan mata.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l1 level1 lfo4; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dapat menyebabkan kelainan ensefalitis,
mikro/hidrosephalus, koriodorenitis, keratokonjungtivitis.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l5 level1 lfo5; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dapat menyebabkan abortus dan prematuritas</span></div>
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<b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">F. Diagnosa</span></b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 42.55pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diagnosis
ditegakkan berdasarkan gejala-gejalanya yang timbul di bagian tubuh tertentu
dan khas untuk herpes simpleks. Untuk memperkuat diagnosis bisa dilakukan
pembiakan virus, pemeriksaan darah untuk mengetahui adanya peningkatan kadar
antibodi serta biopsi. Pada stadium yang sangat dini, diagnosis ditegakkan
dengan menggunakan teknik terbaru yaitu reaksi rantai polimerase, yang bisa digunakan
untuk mengenali DNA dari virus herpes simpleks di dalam jaringan atau cairan
tubuh.</span></div>
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<br /></div>
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<b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">G.
Pengobatan </span></b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 42.55pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Untuk
mengobati herpes simpleks, dokter dokter biasanya memberikan pengobatan
antivirus dalam bentuk krim atau pil. Pengobatan ini tidak dapat menyembuhkan
herpes simpleks, namun dapat mengurangi durasi terjadinya penyakit dan
mengurangi beratnya penyakit. Antivirus yang diakui oleh FDA (badan pengawas
obat-obatan Amerika Serikat) antara lain: Acyclovir, Valacyclovir dan
Famcyclovir. Jika seseorang sedang mendapat pengobatan untuk herpes simpleks,
maka pasangan seksualnya disarankan untuk diperiksa, dan bila perlu, diobati
juga walaupun tidak ada gejala. Hal ini akan mengurangi resiko terjadinya
komplikasi yang serius pada infeksi herpes simpleks yang tidak terdiagnosis
atau mencegah penyebaran infeksi ini ke orang lain. Mereka juga disarankan
untuk tidak berhubungan seksual sampai selesai pengobatan.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">H.
Pencegahan </span></b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Beberapa hal
yang dapat dilakukan untuk mencegah penyebaran herpes simpleks antara lain:</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">- Hindari
berhubungan seksual dengan orang lain bila masih terdapat vesikel</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">- Hindari
pinjam meminjam barang pribadi seperti handuk</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">- Hindari
pencetus terjadinya episode rekuren seperti kurang tidur, stress berlebihan.</span></div>
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<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
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<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 14.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">BAB III</span></b><span style="font-family: "Times New Roman","serif"; font-size: 14.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 14.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">ASUHAN KEBIDANAN</span></b><span style="font-family: "Times New Roman","serif"; font-size: 14.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Asuhan
Kebidanan pada Ibu hamil</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ny. R umur
26 tahun umur kehamilan 15 minggu dengan herpes genital.</span></div>
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<b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">DATA
SUBJEKTIF</span></b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Seorang ibu
hami pertama, HPMT tanggal 14 Desember 2009, HPL tanggal 21 September
2010, umur kehamilan 15 minggu. Ibu mengeluh terasa gatal, kemerahan dan
terdapat lepuhan yang bergerombol di daerah kemaluannya. Ibu mengatakan
pekerjaanya hanya di rumah mengurus rumah tangga dan suaminya bekerja sebagai
supir dan jarang di rumah.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">DATA
OBJEKTIF </span></b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l4 level1 lfo6; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Keadaan umum
ibu lemas, status emosional:stabil</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l4 level1 lfo6; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tekanan
darah 110/80 mmHg, nadi 74 kali/menit, pernafasan 23 kali/menit, suhu 37,3 <sup>0
</sup>C</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l4 level1 lfo6; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Terdapat
lepuhan bergerombol di sekitar kemaluannya.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l4 level1 lfo6; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Palpasi
leopold I teraba TFU setinggi pertengahan antara simpisis dengan pusat.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">ASSESMENT</span></b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l1 level2 lfo4; text-align: justify; text-indent: -14.2pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diagnosis
Kebidanan</span></b></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Seorang ibu
usia 25 tahun, UK 15 minggu dengan herpes genital</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l1 level2 lfo4; text-align: justify; text-indent: -14.2pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Masalah</span></b></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ibu
mengatakan merasa terasa gatal, kemerahan dan terdapat lepuhan yang bergerombol
di daerah kemaluannya.</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l1 level2 lfo4; text-align: justify; text-indent: -14.2pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kebutuhan</span></b></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">KIE tentang
herpes genetalia dalam kehamilan</span></div>
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<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l1 level2 lfo4; text-align: justify; text-indent: -14.2pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diagnosis potensial</span></b></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Herpes
genital pada kehamilan potensial terjadi terjadi kelainan ensefalitis,
mikro/hidrosephalus, koriodorenitis, keratokonjungtivitis, kecacatan janin,
prematuritas, dan abortus. </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l1 level2 lfo4; text-align: justify; text-indent: -14.2pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial; mso-fareast-language: IN;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Masalah
potensial</span></b></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tidak ada</span></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial; mso-fareast-language: IN;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kebutuhan
tindakan segera </span></b></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mandiri</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l1 level2 lfo4; text-align: justify; text-indent: -14.2pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial; mso-fareast-language: IN;"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kolaborasi</span></b></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Laboratorium
Pramita untuk pembiakan virus dan pemeriksaan darah</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l1 level2 lfo4; text-align: justify; text-indent: -14.2pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial; mso-fareast-language: IN;"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Merujuk</span></b></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dirujuk ke
Dr. Ardian, SpOg untuk mendapatkan terapi obat</span></div>
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<b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">PLANNING </span></b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">( tanggal 28
Maret 2010, jam 15.00 )</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l3 level2 lfo3; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Memberi tahu
ibu bahwa saat ini sedang terkena infeksi Herpes genital, memberi tahu ibu
resiko bagi janin kemungkinan bisa terjadi kecacatan, lahir prematur, maupun
keguguran.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l3 level2 lfo3; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ibu mengerti
dan merasa khawatir dengan janinnya.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l3 level2 lfo3; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menganjurkan
ibu untuk tetap tenang, dan mengahadapi keadaanya dengan berpikiran positif, meminta
bantuan suami dan keluarga untuk mendukung ibu.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l3 level2 lfo3; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Keluarga
bersedia mendampingi dan kecemasan ibu berkurang.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l3 level2 lfo3; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial; mso-fareast-language: IN;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menganjurkan
ibu untuk melakukan pemeriksaan laboratorium agar mendapatkan hasil pemeriksaan
yang lebih akurat.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l3 level2 lfo3; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial; mso-fareast-language: IN;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ibu bersedia
untuk melakukan pemeriksaan di laboratorium.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l3 level2 lfo3; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial; mso-fareast-language: IN;"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Memberitahu
ibu bahwa dirinya akan dirujuk ke dokter spesialis kebidanan untuk mendapatkan
penanganan lebih lanjut, memberitahu suami ibu untuk turut memeriksakan
dirinya, dan jika terbukti terkena Herpes juga disarankan untuk menjalani
pengobatan.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l3 level2 lfo3; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial; mso-fareast-language: IN;"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ibu bersedia
untuk dirujuk ke dokter.</span></div>
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<b><span style="color: #333333; font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">EVALUASI</span></b><b style="mso-bidi-font-weight: normal;"><span style="color: #333333; font-family: "Arial","sans-serif"; font-size: 10.5pt; mso-fareast-font-family: "Times New Roman";"></span></b></div>
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<span style="color: #333333; font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Ibu telah mengetahui
keadaan dan kehamilannya dalam keadaan baik, ibu paham dan mengerti tentang
segala penjelasan yang telah disampaikan.</span></div>
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<b><span style="font-family: "Times New Roman","serif"; font-size: 14.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">DAFTAR PUSTAKA</span></b><span style="font-family: "Times New Roman","serif"; font-size: 14.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Saifuddin, Abdul
Bari.<i>Buku Acuan Nasional Pelayanan Kesehatan Maternal dan Neonatal</i>.2006.Jakarta:Yayasan
Bina Pustaka Sarwono Prawiroharjo</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><a href="http://www.klikdokter.com/illness/detail/137"><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; text-decoration: none; text-underline: none;">http://www.klikdokter.com/illness/detail/137</span></a><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> diunduh tanggal 29 Maret 2010 jam
19.05</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><a href="http://medicastore.com/penyakit/186/Herpes_Simpleks.html"><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; text-decoration: none; text-underline: none;">http://medicastore.com/penyakit/186/Herpes_Simpleks.html</span></a><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> duinduh tanggal 29 Maret 2010 jam
19.15</span></div>
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<a href="http://www.google.co.id/#hl=id&sclient=psy-ab&q=contoh+asuhan+kebidanan+pada+harpes&oq=contoh+asuhan+kebidanan+pada+harpes&gs_l=hp.3...0.0.1.507.0.0.0.0.0.0.0.0..0.0...0.0...1c..5.psy-ab.KGD1QDnDfYc&pbx=1&bav=on.2,or.r_gc.r_pw.r_qf.&bvm=bv.43148975,d.bmk&fp=2b3d97e1c9f80b46&biw=1"><span style="color: windowtext; font-size: 12.0pt; text-decoration: none; text-underline: none;">http://www.google.co.id/#hl=id&sclient=psy-ab&q=contoh+asuhan+kebidanan+pada+harpes&oq=contoh+asuhan+kebidanan+pada+harpes&gs_l=hp.3...0.0.1.507.0.0.0.0.0.0.0.0..0.0...0.0...1c..5.psy-ab.KGD1QDnDfYc&pbx=1&bav=on.2,or.r_gc.r_pw.r_qf.&bvm=bv.43148975,d.bmk&fp=2b3d97e1c9f80b46&biw=1024&bih=436</span></a><span style="font-size: 12.0pt;"></span></div>
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<a href="http://ssyafiatus.blogspot.com/2010/05/tugas-askeb-ibu-iv-herpes-simplek-dosen.html"><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; text-decoration: none; text-underline: none;">http://ssyafiatus.blogspot.com/2010/05/tugas-askeb-ibu-iv-herpes-simplek-dosen.html</span></a><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
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Anonymoushttp://www.blogger.com/profile/09428371857956484973noreply@blogger.com0tag:blogger.com,1999:blog-1493722132486835108.post-10559476562217207122014-02-10T17:09:00.002-08:002014-02-10T17:09:39.840-08:00Kespro<!--[if gte mso 9]><xml>
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<br />
<div class="MsoNormal" style="tab-stops: 42.55pt;">
<span style="font-family: Algerian; font-size: 12.0pt;">NAMA <span style="mso-tab-count: 1;"> </span>: Naimatul
husniah<br />
NIM<span style="mso-tab-count: 1;"> </span>: 02.12.035 / 1A</span></div>
<div class="MsoNormal" style="tab-stops: 42.55pt;">
<span style="font-family: Algerian; font-size: 12.0pt;">Soal !</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l1 level1 lfo1; tab-stops: 42.55pt; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Cari definisi demografi dan kependudukan
dalam pelayanan Keluarga Berencana !</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l1 level1 lfo1; tab-stops: 42.55pt; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Cari angka kelahiran dan angka kematian
di wilayah masing-masing !</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l1 level1 lfo1; tab-stops: 42.55pt; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Analisa
mengapa terjadi peledakan penduduk !</span></div>
<div class="MsoNormal" style="tab-stops: 42.55pt;">
<span style="font-family: Algerian; font-size: 12.0pt;">JAWAB !</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l0 level1 lfo2; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">a.</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"> </span><b><i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Menurut Multilingual Demographic
Dictionary : </span></i></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Demografi
adalah ilmu yang mempelajari penduduk (suatu wilayah) terutama mengenai jumlah,
struktur (komposisi penduduk) dan perkembangannya (perubahannya)</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b. <b><i>Menurut Philip M Hauser dan
Duddley Duncan (1959): </i></b>Demografi mempelajari jumlah, persebaran,
territorial, dan komposisi penduduk serta perubahan-perubahannya dan
sebab-sebab perubahan itu yang biasanya timbul dari natalitas (fertilitas),
mortalitas, gerak territorial (migrasi) dan mobilitas social (perubahan status)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c. demografi mempelajari struktur
dan proses penduduk di suatu wilayah. Struktur penduduk meliputi jumlah
persebaran dan komposisi penduduk. Struktur penduduk ini selalu berubah-ubah
karena disebabkan oleh proses demografi yakni kelahiran (fertilitas), kematian
(mortalitas) dan juga adanya migrasi penduduk.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">d. </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Demografi
berasal dari kata yunani yaitu “<i style="mso-bidi-font-style: normal;">demos</i>”
artinya penduduk, dan “<i style="mso-bidi-font-style: normal;">grafien</i>”
artinya tulisan tentang kependudukan. Kependudukan adalah studi ilmiah tentang
jumlah, persebaran, komposisi kependudukan serta bagaimana ketiga faktor
tersebut berubah dari waktu ke waktu.<br />
Kependudukan/Demografi adalah ilmu yang mempelajari dinamika kependudukan dan
manusia meliputi didalamnya ukuran struktur dan distribusi penduduk serta
jumlah penduduk berubah setiap waktu akibat kelahiran, kematian, migrasi serta
penuaan. </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify;">
<br /></div>
<div style="margin-left: 14.2pt; mso-list: l0 level1 lfo2; text-indent: -14.2pt;">
<span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span>Angka Kematian Ibu Berdasarkan Penyebab Kematiannya
Tahun 2011</div>
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No</div>
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Penyebab Kematian</div>
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Jumlah</div>
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1</div>
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Perdarahan<br />
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10</div>
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2</div>
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PEB/Eklamsia<br />
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10</div>
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3</div>
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Infeksi/Sepsis<br />
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5</div>
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4</div>
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Jantung<br />
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14</div>
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</tr>
<tr style="mso-yfti-irow: 5;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 33.75pt;" valign="top" width="45">
<div align="center" style="text-align: center;">
5</div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 171.8pt;" valign="top" width="229">
KP 1<br />
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 168.2pt;" valign="top" width="224">
<div align="center" style="text-align: center;">
1</div>
</td>
</tr>
<tr style="mso-yfti-irow: 6;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 33.75pt;" valign="top" width="45">
<div align="center" style="text-align: center;">
6</div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 171.8pt;" valign="top" width="229">
Ginjal<br />
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 168.2pt;" valign="top" width="224">
<div align="center" style="text-align: center;">
0</div>
</td>
</tr>
<tr style="mso-yfti-irow: 7;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 33.75pt;" valign="top" width="45">
<div align="center" style="text-align: center;">
7</div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 171.8pt;" valign="top" width="229">
Encepalitis<br />
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 168.2pt;" valign="top" width="224">
<div align="center" style="text-align: center;">
0</div>
</td>
</tr>
<tr style="mso-yfti-irow: 8;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 33.75pt;" valign="top" width="45">
<div align="center" style="text-align: center;">
8</div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 171.8pt;" valign="top" width="229">
Illius Paralitik<br />
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 168.2pt;" valign="top" width="224">
<div align="center" style="text-align: center;">
1</div>
</td>
</tr>
<tr style="mso-yfti-irow: 9;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 33.75pt;" valign="top" width="45">
<div align="center" style="text-align: center;">
9</div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 171.8pt;" valign="top" width="229">
Anemia, diare<br />
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 168.2pt;" valign="top" width="224">
<div align="center" style="text-align: center;">
1</div>
</td>
</tr>
<tr style="mso-yfti-irow: 10;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 33.75pt;" valign="top" width="45">
<div align="center" style="text-align: center;">
10</div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 171.8pt;" valign="top" width="229">
Irreversible Syok<br />
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 168.2pt;" valign="top" width="224">
<div align="center" style="text-align: center;">
1</div>
</td>
</tr>
<tr style="mso-yfti-irow: 11;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 33.75pt;" valign="top" width="45">
<div align="center" style="text-align: center;">
11</div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 171.8pt;" valign="top" width="229">
Sesak<br />
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 168.2pt;" valign="top" width="224">
<div align="center" style="text-align: center;">
2</div>
</td>
</tr>
<tr style="mso-yfti-irow: 12;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 33.75pt;" valign="top" width="45">
<div align="center" style="text-align: center;">
12</div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 171.8pt;" valign="top" width="229">
Mola Parsial<br />
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 168.2pt;" valign="top" width="224">
<div align="center" style="text-align: center;">
1</div>
</td>
</tr>
<tr style="mso-yfti-irow: 13; mso-yfti-lastrow: yes;">
<td colspan="3" style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 373.75pt;" valign="top" width="498">
Total : 46<br />
</td>
</tr>
</tbody></table>
<div style="text-indent: 14.2pt;">
Sumber : Data Sekunder Dinkes Jember 2011</div>
<div style="text-indent: 14.2pt;">
Angka Kematian Bayi Berdasarkan Penyebab
Kematiannya Tahun 2011</div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; margin-left: 19.6pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 35.45pt;" valign="top" width="47">
<div align="center" style="margin-left: -5.4pt; text-align: center; text-indent: 5.4pt;">
No</div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 4.0cm;" valign="top" width="151">
<div align="center" style="text-align: center;">
Penyebab Kematian</div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 2.0cm;" valign="top" width="76">
<div align="center" style="text-align: center;">
0 – 7 hari</div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 63.75pt;" valign="top" width="85">
<div align="center" style="text-align: center;">
8 – 28 hari</div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 92.15pt;" valign="top" width="123">
<div align="center" style="text-align: center;">
9 hari – 11 bulan</div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" style="text-align: center;">
Jumlah</div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 35.45pt;" valign="top" width="47">
<div align="center" style="text-align: center;">
1</div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 4.0cm;" valign="top" width="151">
Trauma Lahir<br />
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 2.0cm;" valign="top" width="76">
<div align="center" style="text-align: center;">
4</div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 63.75pt;" valign="top" width="85">
<div align="center" style="text-align: center;">
2</div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 92.15pt;" valign="top" width="123">
<div align="center" style="text-align: center;">
0</div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" style="text-align: center;">
6</div>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 35.45pt;" valign="top" width="47">
<div align="center" style="text-align: center;">
2</div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 4.0cm;" valign="top" width="151">
Asfiksia<br />
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 2.0cm;" valign="top" width="76">
<div align="center" style="text-align: center;">
65</div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 63.75pt;" valign="top" width="85">
<div align="center" style="text-align: center;">
3</div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 92.15pt;" valign="top" width="123">
<div align="center" style="text-align: center;">
0</div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" style="text-align: center;">
68</div>
</td>
</tr>
<tr style="mso-yfti-irow: 3;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 35.45pt;" valign="top" width="47">
<div align="center" style="text-align: center;">
3</div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 4.0cm;" valign="top" width="151">
BBLR<br />
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 2.0cm;" valign="top" width="76">
<div align="center" style="text-align: center;">
83</div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 63.75pt;" valign="top" width="85">
<div align="center" style="text-align: center;">
28</div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 92.15pt;" valign="top" width="123">
<div align="center" style="text-align: center;">
0</div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" style="text-align: center;">
111</div>
</td>
</tr>
<tr style="mso-yfti-irow: 4;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 35.45pt;" valign="top" width="47">
<div align="center" style="text-align: center;">
4</div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 4.0cm;" valign="top" width="151">
Infeksi<br />
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 2.0cm;" valign="top" width="76">
<div align="center" style="text-align: center;">
12</div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 63.75pt;" valign="top" width="85">
<div align="center" style="text-align: center;">
12</div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 92.15pt;" valign="top" width="123">
<div align="center" style="text-align: center;">
32</div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" style="text-align: center;">
56</div>
</td>
</tr>
<tr style="mso-yfti-irow: 5;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 35.45pt;" valign="top" width="47">
<div align="center" style="text-align: center;">
5</div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 4.0cm;" valign="top" width="151">
TN<br />
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 2.0cm;" valign="top" width="76">
<div align="center" style="text-align: center;">
0</div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 63.75pt;" valign="top" width="85">
<div align="center" style="text-align: center;">
1</div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 92.15pt;" valign="top" width="123">
<div align="center" style="text-align: center;">
0</div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" style="text-align: center;">
1</div>
</td>
</tr>
<tr style="mso-yfti-irow: 6;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 35.45pt;" valign="top" width="47">
<div align="center" style="text-align: center;">
6</div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 4.0cm;" valign="top" width="151">
Kelainan bawaan<br />
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 2.0cm;" valign="top" width="76">
<div align="center" style="text-align: center;">
25</div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 63.75pt;" valign="top" width="85">
<div align="center" style="text-align: center;">
13</div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 92.15pt;" valign="top" width="123">
<div align="center" style="text-align: center;">
16</div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" style="text-align: center;">
54</div>
</td>
</tr>
<tr style="mso-yfti-irow: 7;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 35.45pt;" valign="top" width="47">
<div align="center" style="text-align: center;">
7</div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 4.0cm;" valign="top" width="151">
Diare<br />
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 2.0cm;" valign="top" width="76">
<div align="center" style="text-align: center;">
0</div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 63.75pt;" valign="top" width="85">
<div align="center" style="text-align: center;">
0</div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 92.15pt;" valign="top" width="123">
<div align="center" style="text-align: center;">
8</div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" style="text-align: center;">
8</div>
</td>
</tr>
<tr style="mso-yfti-irow: 8;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 35.45pt;" valign="top" width="47">
<div align="center" style="text-align: center;">
8</div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 4.0cm;" valign="top" width="151">
Lain-lain<br />
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 2.0cm;" valign="top" width="76">
<div align="center" style="text-align: center;">
23</div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 63.75pt;" valign="top" width="85">
<div align="center" style="text-align: center;">
6</div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 92.15pt;" valign="top" width="123">
<div align="center" style="text-align: center;">
11</div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" style="text-align: center;">
40</div>
</td>
</tr>
<tr style="mso-yfti-irow: 9;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 35.45pt;" valign="top" width="47">
<div align="center" style="text-align: center;">
9</div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 4.0cm;" valign="top" width="151">
ISPA<br />
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 2.0cm;" valign="top" width="76">
<div align="center" style="text-align: center;">
0</div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 63.75pt;" valign="top" width="85">
<div align="center" style="text-align: center;">
0</div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 92.15pt;" valign="top" width="123">
<div align="center" style="text-align: center;">
9</div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" style="text-align: center;">
9</div>
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</tr>
<tr style="mso-yfti-irow: 10;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 35.45pt;" valign="top" width="47">
<div align="center" style="text-align: center;">
10</div>
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<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 4.0cm;" valign="top" width="151">
Kecelakaan<br />
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 2.0cm;" valign="top" width="76">
<div align="center" style="text-align: center;">
0</div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 63.75pt;" valign="top" width="85">
<div align="center" style="text-align: center;">
0</div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 92.15pt;" valign="top" width="123">
<div align="center" style="text-align: center;">
12</div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" style="text-align: center;">
12</div>
</td>
</tr>
<tr style="mso-yfti-irow: 11;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 35.45pt;" valign="top" width="47">
<div align="center" style="text-align: center;">
11</div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 4.0cm;" valign="top" width="151">
Gizi buruk<br />
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 2.0cm;" valign="top" width="76">
<div align="center" style="text-align: center;">
0</div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 63.75pt;" valign="top" width="85">
<div align="center" style="text-align: center;">
0</div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 92.15pt;" valign="top" width="123">
<div align="center" style="text-align: center;">
3</div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" style="text-align: center;">
3</div>
</td>
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<tr style="mso-yfti-irow: 12;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 35.45pt;" valign="top" width="47">
<div align="center" style="text-align: center;">
12</div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 4.0cm;" valign="top" width="151">
DBD<br />
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 2.0cm;" valign="top" width="76">
<div align="center" style="text-align: center;">
0</div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 63.75pt;" valign="top" width="85">
<div align="center" style="text-align: center;">
0</div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 92.15pt;" valign="top" width="123">
<div align="center" style="text-align: center;">
1</div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 45.5pt;" valign="top" width="61">
<div align="center" style="text-align: center;">
1</div>
</td>
</tr>
<tr style="mso-yfti-irow: 13; mso-yfti-lastrow: yes;">
<td colspan="6" style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 406.95pt;" valign="top" width="543">
<div style="text-align: justify;">
Total : 369</div>
</td>
</tr>
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<div style="margin-left: 14.2pt;">
Sumber : Data Sekunder Dinkes Jember 2011</div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Angka Kelahiran Bayi Tahun 2011<span style="mso-tab-count: 1;"> </span>: 31.667<br />
Angka Kematian Bayi Tahun 2011<span style="mso-tab-count: 1;"> </span>:
369<br />
Angka Kematian Ibu Tahun 2011<span style="mso-tab-count: 2;"> </span>:
46</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l0 level1 lfo2; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Faktor terjadinya ledakan penduduk
antara lain adalah :<br />
1. Jumlah penduduk yang besar.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.
Pertumbuhan penduduk yang cepat.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3.
Penyebaran penduduk yang tidak merata.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4.
Banyaknya yang menikah di usia dini.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5.
Program KB tidak terlaksana dengan baik.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">6.
Menurunnya angka kematian yang disebabkan oleh berkembangnya bidang kesehatan.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">7. Banyak
penduduk desa yang bertransmigrasi, sehingga pusat kota menjadi lebih padat.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Masalah
yang akan di timbulkan dengan pertumbuhan penduduk yang sangat cepat
seperti banyaknya pengangguran disebabkan oleh kurangnya lapangan
pekerjaan,banyak terjadinya tindakan kriminal, angka kemiskinan menjadi lebih
tinggi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Faktor
terbesar yang mempengaruhi peledakan penduduk di wilayah Jember adalah
meningkatnya minat menikah di usia dini. Semakin berkembangnya zaman bukan
penurunan pernikahan dini yang terjadi tetapi peningkatan yang semakin tinggi.
Hal ini dikarenakan kurangnya pengetahuan dan informasi mengenai apa saja
dampak negatif akibat pernikahan dini. Dengan meningkatnya pernikahan dini
dapat mengakibatkan banyak wanita hamil di usia muda dan meningkatnya
kelahiran.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Selain
itu kurangnya kepedulian masyarakat terhadap program KB juga menjadi faktor
kedua dalam peledakan penduduk. Sebagian penduduk tidak mau menggunakan KB
karena alasan-alasan tertentu akibatnya penigkatan kelahiran bayi di wilayah Jember
meningkat. </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Untuk
mengatasi masalah ini diharapkan pemerintah lebih memfokuskan terhadap upaya –
upaya pencegahan dan cara mengatasi masalah – masalah tersebut. Pemerintah juga
harus dapat menjamin terpenuhinya kebutuhan hidupnya dan juga menyediakan
lapangan kerja, sarana dan prasarana kesehatan dan pendidikan serta fasilitas
sosial lainnya, dibanyakan penyuluhan tentang program KB. </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-indent: 1.0cm;">
<br /></div>
Anonymoushttp://www.blogger.com/profile/09428371857956484973noreply@blogger.com0tag:blogger.com,1999:blog-1493722132486835108.post-35469779163104413142014-02-10T17:05:00.000-08:002014-02-10T17:05:23.946-08:00Derajat Luka Bakar<!--[if gte mso 9]><xml>
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<div class="MsoNormal" style="line-height: 150%;">
<b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Derajat Luka Bakar</span></b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Derajat 1</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Derajat 2</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Terkena pada lapisan epidermis dan sebagian dermis,
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sangat nyeri.</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Derajat 3</span></div>
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<b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Perhitungan Luas Luka Bakar</span></b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Perhitungan pada anak dan orang dewasa berbeda. Pada
anak-anak dihitung menurut rumus Lund dan Browder (dalam %),
sedangkan dewasa dihitung menurut rumus Rule of Nine</span></div>
<div style="line-height: 150%; text-align: justify;">
<span style="color: black; font-family: "Arial","sans-serif";">Luka Bakar merupakan luka yang terjadi akibat sentuhan permukaan
tubuh dengan benda-benda yang menghasilkan kalor atau zat-zat yang bersifat
membakar.</span><span style="font-family: "Arial","sans-serif";"></span></div>
<div style="line-height: 150%; text-align: justify;">
<strong><span style="color: black; font-family: "Arial","sans-serif";">Berat Luka Bakar </span></strong><span style="font-family: "Arial","sans-serif";"></span></div>
<div style="line-height: 150%;">
<span style="color: black; font-family: "Arial","sans-serif";">Derajat dan Luas Kulit yang Terkena</span><span style="font-family: "Arial","sans-serif";"></span></div>
<div style="line-height: 150%;">
<span style="color: black; font-family: "Arial","sans-serif";">Ringan :</span><span style="font-family: "Arial","sans-serif";"></span></div>
<div style="line-height: 150%;">
<span style="color: black; font-family: "Arial","sans-serif";">luka bakar derajat I atau II seluas <> 20% atau
derajat III seluas > 10% mengenai wajah, tangan-kaki, alat
kelamin/persendian sekitar ketiak. Akibat listrik tegangan tinggi > 1000 V
atau dengan komplikasi patah tulang/kerusakan jaringan lunak/gangguan jalan
nafas.</span></div>
Anonymoushttp://www.blogger.com/profile/09428371857956484973noreply@blogger.com0tag:blogger.com,1999:blog-1493722132486835108.post-10676830684236826132014-02-10T17:01:00.000-08:002014-02-10T17:01:15.217-08:00SOAP PADA Ny. “a” G1P00000 6 JAM POST PARTUM<!--[if gte mso 9]><xml>
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<br />
<div style="line-height: 150%; tab-stops: 49.65pt;">
<span style="font-family: Algerian; font-size: 14.0pt; line-height: 150%;">NAMA<span style="mso-tab-count: 1;"> </span>:
NAIMATUL HUSNIAH<br />
NIM<span style="mso-tab-count: 1;"> </span>: 02.12.035 / 1A</span></div>
<div align="center" style="line-height: 150%; tab-stops: 49.65pt; text-align: center;">
<span style="font-family: Stencil;">SOAP PADA Ny. “a” G1P00000 6 JAM POST PARTUM <br />
DI BPM NY. Nayra azzahra<br />
Desa jogodayoh jabon mojokerto</span></div>
<div style="line-height: 150%; text-align: justify;">
<span style="font-family: "Arial","sans-serif";">Ny.
A berumur 28 tahun datang ke BPM Ny. Nayra Azzahra untuk periksa hamil tanggal
7 Maret 20013. hamil ini adalah kehamilan yang pertama, HPHT : 28 Mei 2012. Ibu
mengatakan nyeri dan pedih pada bagian vulva, susah BAK dan BAB selama 6 jam
post partum. Dari hasil pemeriksaan</span></div>
<div style="line-height: 150%;">
<span style="font-family: "Arial","sans-serif";">TD
: 120/80 mmHg<br />
RR
: 20 x/mnt<br />
Suhu
: 37<sup>0</sup>C<br />
Pols
: 82 x/mnt</span></div>
<div style="line-height: 150%; text-align: justify;">
<span style="font-family: "Arial","sans-serif";">Keluhan
yang dirasakan ibu saat ini. Ibu mengatakan nyeri dan pedih pada bagian vulva,
susah BAK dan BAB selama 6 jam post partum.</span></div>
<div style="line-height: 150%;">
<strong><u><span style="font-family: "Arial","sans-serif";">S
= Subjek</span></u></strong><span style="font-family: "Arial","sans-serif";"><br />
Ny. A umur 28 tahun, periksa hamil tanggal 7 Maret 20013.<br />
Ibu mengatakan nyeri dan pedih pada bagian vulva, susah BAK dan BAB selama 6 jam
post partum . Diketahui HPHT : 28 Mei 20012.<br />
<strong><u><span style="font-family: "Arial","sans-serif";">O = Objektif</span></u></strong><br />
K/U ibu baik, kesadaran composmentis.<br />
Pemeriksaan TTV<br />
Keadaan umum<span style="mso-tab-count: 1;"> </span>: Baik<br />
Kesadaran<span style="mso-tab-count: 2;"> </span>: Composmentis<br />
Emosi<span style="mso-tab-count: 3;"> </span>: Stabil<br />
TD<span style="mso-tab-count: 3;"> </span>: 120/80
mmHg<br />
N<span style="mso-tab-count: 3;"> </span>: 80x/
menit<br />
R <span style="mso-tab-count: 3;"> </span>:
20x/ menit<br />
S <span style="mso-tab-count: 3;"> </span>:
37,5 c</span></div>
<div style="line-height: 150%;">
<br /></div>
<div style="line-height: 150%;">
<span style="font-family: "Arial","sans-serif";">a.
TFU 3 jari bawah pusat, kontraksi uterus baik<br />
b. Lochea rubra, jumlah dan bau normal<br />
c. Belum bisa BAK</span></div>
<div style="line-height: 150%;">
<span style="font-family: "Arial","sans-serif";">Pemeriksaan
Fisik</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l1 level1 lfo2; text-indent: -14.2pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Kepala</span></div>
<div style="line-height: 150%;">
<span style="font-family: "Arial","sans-serif";">Distribusi
merata, warna hitam, rambut lurus. Tidak ada ketombe, Tidak ada benjolan
dan tidak ada nyeri tekan</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l1 level1 lfo2; text-indent: -14.2pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Muka
dan Mata</span></div>
<div style="line-height: 150%;">
<span style="font-family: "Arial","sans-serif";">Muka
tidak pucat, pada mata konjungtiva tidak anemi, sclera tidak ikterus, Tidak ada
oedema</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l1 level1 lfo2; text-indent: -14.2pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Mulut
dan Gigi</span></div>
<div style="line-height: 150%;">
<span style="font-family: "Arial","sans-serif";">Bibir
lembab, warna bibir merah muda, lidah dan mukosa bersih. Gigi tidak ada karies
dan tidak berlubang</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l1 level1 lfo2; text-indent: -14.2pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Leher</span></div>
<div style="line-height: 150%;">
<span style="font-family: "Arial","sans-serif";">Tidak
ada bendungan vena jugularis, tidak ada pembesaran kelenjar thyroid, tidak ada
pembesaran kelenjar limfe</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l1 level1 lfo2; text-indent: -14.2pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Payudara</span></div>
<div style="line-height: 150%;">
<span style="font-family: "Arial","sans-serif";">Bentuk
simetris, putting susu menonjol, areola bersih, terdapat hyperpigmentasi, tidak
ada benjolan, tidak ada nyeri tekan, tidak ada retraksi/dimpling, ada
pengeluaran kolostrum</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l1 level1 lfo2; text-indent: -14.2pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Abdomen</span></div>
<div style="line-height: 150%;">
<span style="font-family: "Arial","sans-serif";">Tidak
ada luka bekas operasi, linea nigra ada, striae tidak ada, kandung kemih penuh,
kontraksi baik, TFU 3 jari dibawah pusat</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l1 level1 lfo2; text-indent: -14.2pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Genetalia</span></div>
<div style="line-height: 150%;">
<span style="font-family: "Arial","sans-serif";">terdapat
luka jahitan, luchea rubra</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l1 level1 lfo2; text-indent: -14.2pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Ekstermitas
atas</span></div>
<div style="line-height: 150%;">
<span style="font-family: "Arial","sans-serif";">Kuku
bersih, tidak pucat, tidak ada oedema, tidak ada kekauan sandi</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l1 level1 lfo2; text-indent: -14.2pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Ekstermitas
bawah</span></div>
<div style="line-height: 150%;">
<span style="font-family: "Arial","sans-serif";">Kuku
bersih, tidak pucat, kemerahan tidak ada, tidak ada varises, tidak ada oedema,
tidak ada tanda hoffmen<br />
<br />
<strong><u><span style="font-family: "Arial","sans-serif";">A = Assesment</span></u></strong></span></div>
<div style="line-height: 150%;">
<span style="font-family: "Arial","sans-serif";">G<sub>1</sub>P<sub>00000</sub>
6 jam post partum</span></div>
<div style="line-height: 150%;">
<span style="font-family: "Arial","sans-serif";">Dasar<span style="mso-tab-count: 1;"> </span><span style="mso-tab-count: 1;"> </span>:
Ibu partus tanggal 21 November 2007, pengeluaran pervagina loceharubra, TFU 3
jari bawah pusat</span></div>
<div style="line-height: 150%;">
<span style="font-family: "Arial","sans-serif";">Masalah<span style="mso-tab-count: 1;"> </span>: Gangguan pola eliminasi</span></div>
<div style="line-height: 150%;">
<span style="font-family: "Arial","sans-serif";">Kebutuhan<span style="mso-tab-count: 1;"> </span>: Makanan berserat, buah-buahan, minum air
putih 8 gelas / hari, mobilisasi dini G1P00000 lahir pada 32 minggu umur 28
tahun<br />
Janin hidup tunggal intra uterin, letak memanjang, presentasi kepala, PUKL 5/5
bagian</span></div>
<div style="line-height: 150%;">
<strong><u><span style="font-family: "Arial","sans-serif";">P
= Planning</span></u></strong><span style="font-family: "Arial","sans-serif";"></span></div>
<div style="line-height: 150%;">
<span style="font-family: "Arial","sans-serif";">Ibu
post partum dengan gangguan eliminasi</span></div>
<div style="line-height: 150%;">
<span style="font-family: "Arial","sans-serif";">a. Menjelaskan
kondisi ibu saat ini bahwa ibu dalam proses involusi</span></div>
<div style="line-height: 150%; margin-left: 14.2pt; text-indent: -14.2pt;">
<span style="font-family: "Arial","sans-serif";">b. Menjelaskan tentang pentingnya
makanan bersama</span></div>
<div style="line-height: 150%; margin-left: 14.2pt; text-indent: -14.2pt;">
<span style="font-family: "Arial","sans-serif";">b. Menjelaskan tentang pentingya
kecukupan gizi di masa nifas</span></div>
<div style="line-height: 150%; margin-left: 14.2pt; text-indent: -14.2pt;">
<span style="font-family: "Arial","sans-serif";">c. Libatkan keluarga dalam pemenuhan
nutrisi dan cairan pada ibu</span></div>
<div style="line-height: 150%; margin-left: 14.2pt; text-indent: -14.2pt;">
<span style="font-family: "Arial","sans-serif";">d. Evaluasi apakah kebutuhan ibu telah
terpenuhi</span></div>
<div style="line-height: 150%; margin-left: 14.2pt; text-indent: -14.2pt;">
<span style="font-family: "Arial","sans-serif";">e. Observasi apakah ibu masih
mengalami gangguan pada eliminasi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l0 level1 lfo1; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Menganjurkan
ibu untuk banyak makan, makanan yang banyak mengandung serat, buah-buahan dan
banyak minum air putih minimal 8 gelas sehari</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l0 level1 lfo1; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Menganjurkan
ibu untuk mobilisasi dini agar ibu cepat sehat dan kuat dan mempercepat faal
usus dan kandung kemih</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l0 level1 lfo1; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Memberikan
informasi pada ibu dan keluarga tentang tanda-tanda bahaya</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l0 level1 lfo1; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Teruskan
mobilisasi dini seperti berjalan ringan dan senam nifas</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l0 level1 lfo1; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Banyak
makan-makanan berserat seperti sayur-sayuran, buah-buahan seperti pepaya, jeruk
juga perbanyak minum air putih minimal 8 gelas per hari</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l0 level1 lfo1; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Anjurkan
ibu untuk melakukan personal hygiene</span></div>
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<div style="line-height: 150%; tab-stops: 49.65pt;">
<span style="font-family: Algerian; font-size: 14.0pt; line-height: 150%;">NAMA<span style="mso-tab-count: 1;"> </span>:
ANITA DELLA AVIYANTY PUTRI<br />
NIM<span style="mso-tab-count: 1;"> </span>: 02.12.004 / 1A<br style="mso-special-character: line-break;" />
<br style="mso-special-character: line-break;" />
</span></div>
<div align="center" style="line-height: 150%; tab-stops: 49.65pt; text-align: center;">
<span style="font-family: Stencil;">SOAP PADA Ny. “R” G5P3A2 ANTENATAL CARE<br />
DI BPM NY. DERA TRIANNA PUTRI<br />
KAJARHARJO KALIBARU BANYUWANGI<br style="mso-special-character: line-break;" />
<br style="mso-special-character: line-break;" />
</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">IDENTITAS KLIEN <br />
NAMA<span style="mso-tab-count: 3;"> </span>: NY.
R<br />
UMUR<span style="mso-tab-count: 3;"> </span>:
31 tahun <br />
SUKU BANGSA<span style="mso-tab-count: 1;"> </span>: Sunda <br />
AGAMA <span style="mso-tab-count: 2;"> </span>: Islam <br />
PENDIDIKAN<span style="mso-tab-count: 1;"> </span>: SMA <br />
PEKERJAAN <span style="mso-tab-count: 1;"> </span>: Ibu Rumah Tangga <br />
ALAMAT <span style="mso-tab-count: 2;"> </span>: Jl. Cipinang <br />
<br />
<br />
ANAMNESA TANGGAL 3 AGUSTUS 2013<br />
<br />
</span><span style="font-family: Stencil; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Arial;">S : Subjek<br />
</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">•
Ibu mengatakan ini adalah kehamilan yang kelima dan pernah keguguran satu kali<br />
• Ibu mengatakan haid terakhirnya tanggal 1 januari 2013, lamanya 5 hari,
banyaknya 3X ganti pembalut / hari, konsistensi cair dan stosel<br />
• Pergerakan janin dirasakan ibu pertamakali pada umur kehamilan 18 minggu.<br />
• Pergerakan janin 12 jam terakhir 10 kali<br />
• Ibu mengatakan tidak ada keluhan.<br />
• Ibu mengatakan tidak menderita penyakit seperti jantung, DM, hipertensi dan
asma.<br />
• Ibu mengatakan makan sehari 3 kali dan tidak ada perubahan seperti sebelum
hamil.<br />
• Ibu mengatakan kontrasepsi yang dipergunakan KB suntik. <br style="mso-special-character: line-break;" />
<br style="mso-special-character: line-break;" />
</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"><br />
<br />
</span><span style="font-family: Stencil; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Arial;">O : Objektif<br />
</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">•
KU : baik, kesadaran composmetis, keadaan emosional stabil.<br />
• TTV= TD : 110/60 mmHg, S: 37,0, N: 60X/menit, RR: 23X/menit <br />
• Muka tidak odem, tidak ada kloasma gravidarum dan tidak pucat.<br />
• Kelopak mata tidak oedem, conjungtiva tidak tidak pucat, sklera tidak
ikterik.<br />
• Posisi tulang belakang lordosis.<br />
• Abdomen<br />
Leopold I<span style="mso-tab-count: 1;"> </span>: Difundus uteri terasa bulat,
keras, melenting (kepala)</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Leopold II<span style="mso-tab-count: 1;"> </span>: Kanan<span style="mso-tab-count: 1;"> </span>:
panjang keras seperti papan (punggung)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 78.0pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Kiri<span style="mso-tab-count: 2;"> </span>: terasa bagian ektremitas</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Leopold III<span style="mso-tab-count: 1;"> </span>: Bagian terendah janin teraba bulat lunak
tidak melenting (bokong)<br />
<br />
• Auskultasi : DJJ (+)<br />
• Punctum maksimum : terdengar disalah satu tempat sebelah kanan atas pusat ibu<br />
• Kaki tidak oedem, kekuatan sendi (+), karies (+), reflek pathela (+).<br />
• Pemeriksaan penunjang<span style="mso-tab-count: 1;"> </span>:<br />
Lab = Hb: 11, <br />
Urin: protein: (-)<br />
Reduksi:(-)<br />
<br />
</span><span style="font-family: Stencil; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Arial;">A : Asessment<br />
</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">•
Diagnose ibu: ibu umur 33 tahun G 5 P3 A1, hamil 28 minggu<br />
• Dasar: -ibu mengatakan ini kehamilan yang kelima dan pernah keguguran <br />
• -hpht tanggal 1 januari 2013, tfu 25 cm<br />
• Diagnose janin: - janin hidup intrauterine, presentasi bokong<br />
-DJJ (+)<br />
-pemeriksaan Leopold</span></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"><br style="mso-special-character: line-break;" />
<br style="mso-special-character: line-break;" />
</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: Stencil; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Arial;">P : Planning<br />
</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">•
Memberitahukan hasil pemeriksaan bahwa ibu dan bayi dalam keadaan baik.<br />
• Memberitahukan tanda-tanda bahaya kehamilan seperti sakit kepala yang hebat,
nyeri perut hebat, gerakan janin berkurang dan oedem.<br />
• Menganjurkan ibu untuk makan makanan giji seimbang dan banyak serat seperti
sayur dan buah –buahan dan tinggi proein seperti telur daging dan ikan.<br />
• Menganjurkan ibu personal hygiene seperti mengganti celana dalam bila lembab
atau basah dan mandi 3 kali sehari.<br />
• Menganjurkan ibu oral hygiene seperti menggosok gigi sebelum tidur dan
sesudah makan<br />
• Mengajarkan ibu perawatan payudara seperti sering membersihkan putting susu.<br />
• Menganjurkan ibu untuk minum suplemen Fe dan Ca.<br />
• Menganjurkan ibu untuk sujud agar kepala janin turun ke bawah.<br />
• Menganjurkan ibu untuk jadwal kunjungan ulang 1 bulan kemudian atau bila ada
keluhan atau komplikasi.<br />
• Mendokumentasikan hasil pemeriksaan. </span></div>
<div class="MsoNormal">
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Anonymoushttp://www.blogger.com/profile/09428371857956484973noreply@blogger.com0tag:blogger.com,1999:blog-1493722132486835108.post-663363793590466272014-02-10T16:56:00.001-08:002014-02-10T16:56:33.407-08:00Penyuluhan KPD<!--[if !mso]>
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<br />
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Algerian; font-size: 16.0pt;">PENYULUHAN TENTANG BAHAYA KETUBAN
PECAH DINI <br />
PADA IBU HAMIL</span><span style="font-family: Algerian; font-size: 16.0pt; mso-bidi-font-family: "Times New Roman";"> <br />
DESA JOGODAYOH JABON MOJOKERTO<br />
MINGGU 11 JUNI 2013</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<img align="left" alt="logo dian husada.gif" height="386" hspace="12" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image002.gif" width="393" /><span style="font-family: Algerian; font-size: 16.0pt;"></span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: "Monotype Corsiva"; font-size: 24.0pt; mso-bidi-font-family: Arial;">Oleh :</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<u style="text-underline: thick;"><span style="font-family: "Monotype Corsiva"; font-size: 20.0pt; mso-bidi-font-family: Arial;">Naimatul Husniah<br />
</span></u><span style="font-family: "Monotype Corsiva"; font-size: 20.0pt; mso-bidi-font-family: Arial;">NIM : 02.12.035</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: "Monotype Corsiva"; font-size: 20.0pt; mso-bidi-font-family: Arial;">D3 Kebidanan</span><span style="font-family: "Arial","sans-serif"; font-size: 20.0pt;"></span></div>
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<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Algerian; font-size: 22.0pt; mso-bidi-font-family: Arial;">Kampus
a stikes DIAN HUSADA MOJOKERTO</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Algerian; font-size: 22.0pt; mso-bidi-font-family: Arial;">2013 –
2014</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Hari/tanggal<span style="mso-tab-count: 2;"> </span>: Minggu, 11 Juni 2013</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jam/waktu<span style="mso-tab-count: 2;"> </span>: 14.00 - selesai WIB</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pokok
Bahasan<span style="mso-tab-count: 1;"> </span>: Bahaya Ketuban Pecah Dini
pada Ibu Hamil</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sub Bahasan<span style="mso-tab-count: 1;"> </span>: Bahaya Ketuban Pecah Dini pada Ibu
Hamil</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sasaran<span style="mso-tab-count: 2;"> </span>: Ibu - ibu hamil dengan
usia kandungan 2 – 20 Minggu</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penyuluhan<span style="mso-tab-count: 2;"> </span>: Kelompok</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tempat<span style="mso-tab-count: 2;"> </span>: Balai Dusun Jogodayoh
Jabon Mojokerto</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">I. Tujuan
Instruksional Umum ( TIU )</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Setelah mendapatkan penjelasan tentang Bahaya Ketuban
Pecah Dini pada Ibu Hamil diharapkan ibu - ibu hamil dengan usia kandungan yang
masih dini dapat menjaga kandungannya dengan baik.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">II. Tujuan
Instruksional Khusus ( TIK )</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-indent: 36.0pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Setelah mendapatkan penjelasan tentang Bahaya Ketuban
Pecah Dini pada Ibu Hamil, diharapkan ibu - ibu mampu:</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1. Mengetahui apa penyebab ketuban pecah dini</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.</span><span style="font-family: "Arial","sans-serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mengetahui tanda dan gejala ketuban pecah dini</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3. Memahami akibat dari ketuban pecah dini</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">4. Mencegah terjadinya ketuban pecah dini</span></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">III. Metode </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1.</span><span style="font-family: "Arial","sans-serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ceramah</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.</span><span style="font-family: "Arial","sans-serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tanya jawab</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3.<span style="mso-spacerun: yes;"> </span>Penyebaran Leaflet</span></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">IV. Media
dan Alat Peraga </span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1.</span><span style="font-family: "Arial","sans-serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Laptop</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.</span><span style="font-family: "Arial","sans-serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">LCD</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3.</span><span style="font-family: "Arial","sans-serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Leaflet</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
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<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">V. Proses Kegiatan Penyuluhan</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; margin-left: 5.4pt; mso-padding-alt: 0cm 0cm 0cm 0cm; mso-yfti-tbllook: 1184; width: 624px;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid black 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.9pt;" valign="top" width="37">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="color: #1d1b11; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">No</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-left-alt: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 202.35pt;" valign="top" width="270">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="color: #1d1b11; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kegiatan</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-left-alt: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 179.9pt;" valign="top" width="240">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="color: #1d1b11; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Respon</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-left-alt: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 57.65pt;" valign="top" width="77">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="color: #1d1b11; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Waktu</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
</tr>
<tr style="height: 91.75pt; mso-yfti-irow: 1;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 91.75pt; mso-border-top-alt: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.9pt;" valign="top" width="37">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="color: #1d1b11; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1.</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 91.75pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 202.35pt;" valign="top" width="270">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="color: #1d1b11; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pendahuluan</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="color: #1d1b11; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menyampaikan salam</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="color: #1d1b11; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menjelaskan tujuan</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="color: #1d1b11; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kontrak waktu</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-indent: -18.0pt;">
<span style="color: #1d1b11; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">d.</span><span style="color: #1d1b11; font-family: "Arial","sans-serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 91.75pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 179.9pt;" valign="top" width="240">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="color: #1d1b11; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Membalas salam</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="color: #1d1b11; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mendengarkan</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="color: #1d1b11; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Memberi respon</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 91.75pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 57.65pt;" valign="top" width="77">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="color: #1d1b11; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">5 menit</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.9pt;" valign="top" width="37">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="color: #1d1b11; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 202.35pt;" valign="top" width="270">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="color: #1d1b11; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Inti</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-indent: -21.3pt;">
<span style="color: #1d1b11; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">a</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 179.9pt;" valign="top" width="240">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="color: #1d1b11; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mendengarkan materi dengan penuh perhatian</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 57.65pt;" valign="top" width="77">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="color: #1d1b11; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">10 menit</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 3; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.9pt;" valign="top" width="37">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="color: #1d1b11; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3.</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 202.35pt;" valign="top" width="270">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="color: #1d1b11; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penutup</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="color: #1d1b11; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tanya jawab</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="color: #1d1b11; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menyimpulkan hasil penyuluhan</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="color: #1d1b11; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Memberi salam penutup</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 179.9pt;" valign="top" width="240">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="color: #1d1b11; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menanyakan yang belum jelas</span><span style="color: #1d1b11; font-family: "Arial","sans-serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="color: #1d1b11; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Aktif bersama menyimpulkan</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="color: #1d1b11; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Membalas salam</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 57.65pt;" valign="top" width="77">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="color: #1d1b11; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">15 menit</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal">
<span style="font-size: 12.0pt;"><span style="mso-tab-count: 1;"> </span></span></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Stencil; font-size: 14.0pt;">KETUBAN PECAH DINI</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 1.0cm;">
<span style="color: black; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ketuban pecah dini adalah pecahnya ketuban
sebelum terdapat tanda persalinan, dan ditunggu satu jam belum dimulainya tanda
persalinan. Waktu sejak ketuban pecah sampai terjadi kontraksi rahim disebut
ketuban pecah dini (Manuaba, 1998).</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Air ketuban merembes sebelum waktu melahirkan atau
sebelum adanya tanda-tanda persalinan adalah merupakan gejala ketuban pecah
dini. Kondisi ini dapat memberikan beberapa permasalahan kesehatan, baik untuk
Ibu maupun untuk bayi, sehingga perlu dipantau dan mendapat pertolongan tenaga
medis.<span style="color: black;"></span></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ada dua macam ketuban pecah dini (KPD). Yang pertama
KPD prematur, yaitu ketuban pecah sebelum usia kehamilan mencapai 37 minggu.
Yang kedua KPD aterm, yaitu ketuban pecah setelah usia kehamilan mencapai 37
minggu tetapi belum ada tanda-tanda persalinan.<span style="color: black;"></span></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pada janin, KPD dapat menyebabkan kelahiran prematur,
sindroma gangguan pernapasan, sepsis (infeksi darah), dan kematian. Sedangkan
pada Ibu, KPD menimbulkan risiko infeksi, abrupsio plasenta (plasenta terlepas
dari dinding rahim) dan infeksi darah (sepsis).<span style="color: black;"></span></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Wanita perokok, wanita yang pernah menderita infeksi
menular seksual, pernah melahirkan prematur, pernah mengalami perdarahan vagina
atau pernah melahirkan bayi kembar, rentan untuk mengalami KPD.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 1.0cm;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Stencil; font-size: 14.0pt;">PENYEBAB KETUBAN PECAH DINI</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 1.0cm;">
<span style="color: black; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penyebab ketuban pecah dini masih belum
jelas, maka preventif tidak dapat dilakukan kecuali dalam usaha penekanan infeksi.
Menurut Manuaba (1998), penyebab ketuban pecah dini adalah :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="color: black; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1. Serviks inkompeten</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="color: black; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2. Ketegangan rahim
berlebihan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="color: black; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3. Polihidramnion</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="color: black; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">4. Gemeli</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="color: black; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">5. Kelainan letak janin
dalam rahim</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="color: black; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">6. Riwayat KPD
sebelumnya</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="color: black; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">7. Kelainan bawaan dari selaput
ketuban</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="color: black; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">8. Infeksi vagina</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Stencil; font-size: 14.0pt;">TANDA DAN GEJALA KETUBAN PECAH
DINI</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 1.0cm;">
<span style="color: black; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kadang – kadang agak sulit atau meragukan
kita apakah ketuban benar sudah pecah atau belum apabila pembukaan kanalis
servikalis belum ada atau kecil. Menurut Mochtar (1998) cara menentukannya
sebagai berikut :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="color: black; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1. Adanya cairan berisi
mekonium, verniks caseosa, rambut lanugo</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="color: black; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2. Adanya cairan ketuban
dari vagina</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="color: black; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3. Perubahan warna
kertas lakmus dari merah menjadi biru</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="color: black; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">4. Cairan berbau khas,
tidak seperti bau urin</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Stencil; font-size: 14.0pt;">AKIBAT DARI KETUBAN PECAH DINI</span></div>
<div style="line-height: 150%; text-align: justify;">
<strong><span style="color: black; font-family: "Arial","sans-serif";">Infeksi</span></strong> : <span style="color: black; font-family: "Arial","sans-serif";">Ini karena selaput ketuban
yang robek menjadi pintu masuk bagi kuman kuman, ibu menjadi demam dan bayi
terinfeksi</span></div>
<div style="line-height: 150%; text-align: justify;">
<strong><span style="color: black; font-family: "Arial","sans-serif";">Kelahiran prematur</span></strong> : <span style="color: black; font-family: "Arial","sans-serif";">Pada kehamilan yang masih
belum cukup bulan, pecahnya ketuban akan merangsang kontraksi sehingga terjadi
pembukaan jalan lahir dan bayi terlahir sebelum aktunya. Bila ketuban sudah
dinyatakan habis oleh dokter atau bidan, maka kondisi bayi dalam keadaan
waspada infeksi, oleh karena itu bayi sebaiknya dilahirkan jika sudah memenuhi
ketentuan untuk mengakhiri kehamilan dengan dirangsang ( induksi ) obat
atau infus, bahkan ada beberapa kasus yang harus dilakukan seksio sesarea. </span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Stencil; font-size: 14.0pt;">PENCEGAHAN KETUBAN PECAH DINI</span></div>
<div style="line-height: 150%; text-align: justify;">
<span style="color: black; font-family: "Arial","sans-serif";">1.Hindari perjalanan jauh yang melelahkan dan menimbulkan
ketegangan fisik maupun mental bagi ibu hamil</span></div>
<div style="line-height: 150%; text-align: justify;">
<span style="color: black; font-family: "Arial","sans-serif";">2. Hindari makan - makanan yang bisa merangsang terjadinya
kontraksi rahim, misalnya minuman beralkohol kadar tinggi, makanan yang
mengandung zat fermentasi berlebihan</span></div>
<div style="line-height: 150%; text-align: justify;">
<span style="color: black; font-family: "Arial","sans-serif";">3. Hindari trauma atau benturan fisik pada daerah perut</span></div>
<div style="line-height: 150%; text-align: justify;">
<span style="color: black; font-family: "Arial","sans-serif";">4. Pada ibu hamil kembar, kurangi aktifitas yang berlebihan,
karena kehamilan kembar sendiri sudah beresiko ketuban pecah sebelum waktunya
akibat pereganagan rahim.</span></div>
<div style="line-height: 150%; text-align: justify;">
<span style="color: black; font-family: "Arial","sans-serif";">5. Jaga tubuh ibu hamil dari infeksi terutama infeksi pada daerah
alat kelamin</span></div>
<div style="line-height: 150%; text-align: justify;">
<span style="color: black; font-family: "Arial","sans-serif";">6. Hindari stress berlebihan yang akan merangsang hormon
tubuh untuk menimbulkan kontraksi pada rahim</span></div>
<div style="line-height: 150%; text-align: justify;">
<span style="color: black; font-family: "Arial","sans-serif";">7.Lakukan hubungan seksual secara hati - hati terutama pada
kehamilan yang memasuki trimester 2, hentikan hubungan seksual bila ketuban
pecah.</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Stencil; font-size: 14.0pt;">hal yang harus dilakukan ketika
ketuban pecah</span></div>
<div style="line-height: 150%; text-align: justify;">
<span style="color: black; font-family: "Arial","sans-serif";">1. Suami istri jangan panik</span></div>
<div style="line-height: 150%; text-align: justify;">
<span style="color: black; font-family: "Arial","sans-serif";">2 Segera datang ke klinik bersalin terdekat bila dalam
perjalanan atau bila masih memungkinkan datang ke bidan atau dokter yang
merawat ke rumah sakit.</span></div>
<div style="line-height: 150%; text-align: justify;">
<span style="color: black; font-family: "Arial","sans-serif";">3. Jangan menunda, upayakan bisa segera mendapat pertolongan dari
tenaga kesehatan.</span></div>
<div style="line-height: 150%; text-align: justify;">
<span style="color: black; font-family: "Arial","sans-serif";">4.Tidak diperkenankan meminum ramuan apapun baik telur mentah dan
madu, minyak , rendamann akar rumput fatima dan jamu lainnya.</span></div>
<div style="line-height: 150%; text-align: justify;">
<span style="color: black; font-family: "Arial","sans-serif";">5. Bila sudah bersama tenaga medis maka keadaan ibu sudah dapat
terpantau jadi berusahalah rileks dan mengikuti saran bidan atau dokter yang
merawat. Hal ini sangat penting untuk membantu mengurangi kontraksi.</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
Anonymoushttp://www.blogger.com/profile/09428371857956484973noreply@blogger.com0tag:blogger.com,1999:blog-1493722132486835108.post-65129274724755710382014-02-10T16:54:00.000-08:002014-02-10T16:54:16.901-08:00Pemberdayaan Masyarakat<!--[if !mso]>
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<span style="font-family: Algerian; font-size: 20.0pt;">Makalah</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Algerian; font-size: 20.0pt;">PEMBERDAYAAN MASYARAKAT</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<img align="left" alt="logo dian husada.gif" height="331" hspace="12" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image002.gif" width="357" /><span style="font-family: Algerian; font-size: 24.0pt;"></span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: "Monotype Corsiva"; font-size: 16.0pt; mso-bidi-font-family: Arial;"><br />
Disusun oleh :</span></div>
<div class="MsoNormal" style="margin-left: 72.0pt;">
<span style="font-family: "Monotype Corsiva"; font-size: 16.0pt; mso-bidi-font-family: Arial;">Anita Della AP <span style="mso-tab-count: 4;"> </span>Ina Cahyani<br />
Naimatul Husniah <span style="mso-tab-count: 3;"> </span>Clariza
Florensia<br />
Eka Herin Priyanti <span style="mso-tab-count: 3;"> </span>Amalia
Rizky<br />
DitaSaraswati <span style="mso-tab-count: 4;"> </span>Ria
Nur Azizah<br />
Choiro Nur’Aini <span style="mso-tab-count: 4;"> </span>Alfina
Nur Faizah<br />
Nurul Karimah <span style="mso-tab-count: 4;"> </span>Debby
Faradilla<br />
Elisabeth Prasetya Novita <span style="mso-tab-count: 2;"> </span>Puput
Candra<br />
Linda Wahyu<span style="mso-tab-count: 4;"> </span>Diah
Hardianti<br />
Ina Dwita <span style="mso-tab-count: 5;"> </span>Irmatus
Sayida</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: "Monotype Corsiva"; font-size: 16.0pt; mso-bidi-font-family: Arial;">1A D3 Kebidanan</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Algerian; font-size: 22.0pt; mso-bidi-font-family: Arial;">Kampus
a stikes DIAN HUSADA MOJOKERTO</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Algerian; font-size: 22.0pt; mso-bidi-font-family: Arial;">2013 –
2014</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Algerian; font-size: 14.0pt; mso-bidi-font-family: Arial;">KATA
PENGANTAR</span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: 35.45pt; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span>Puji syukur kami ucapkan kepada
Tuhan Yang Maha Esa. Berkat rahmat, taufiq, dan hidayah-Nya kami dapat
menyelesaikan tugas makalah yang berjudul “ Pemberdayaan Masyarakat ” ini
dengan tepat waktu. </span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: 35.45pt; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span>Kami mengucapkan banyak terima kasih
kepada seluruh pihak yang telah membantu dalam penyelesaian makalah ini, dan
juga kepada sumber-sumber yang digunakan untuk menunjang penyelesaian makalah
ini. Tidak lupa juga ucapan terima kasih kepada seluruh anggota kelompok yang
telah bekerja sama dalam penyelesaian makalah ini. </span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: 35.45pt; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span>Demikianlah makalah yang telah kami
selesaikan. Tiada gading yang tak retak, begitu pula makalah ini yang tak luput
dari kekurangan. Kritik dan saran sangat kami harapkan untuk menunjang
keberhasilan dari makalah ini. Semoga makalah ini bermanfaat bagi kita semua.
Amin.</span></div>
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<div class="MsoNormal">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt;"><span style="mso-tab-count: 8;"> </span>Mojokerto,
13 April 2013 </span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt;"><span style="mso-tab-count: 7;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-tab-count: 2;"> </span><span style="mso-spacerun: yes;"> </span>Penyusun</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
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<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
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<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Algerian; font-size: 14.0pt; mso-bidi-font-family: Arial;">BAB i<br />
PENDAHULUAN</span></div>
<div class="MsoListParagraph" style="margin-left: 20.25pt; mso-add-space: auto; mso-list: l13 level2 lfo1; text-indent: -20.25pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.1<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">PENGERTIAN PEMBERDAYAAN MASYARAKAT</span></b></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Gerakan pemberdayaan (<i>empowerment</i>)
adalah proses pemberian informasi secara terus-menerus dan berkesinambungan
mengikuti perkembangan sasaran, serta proses membantu sasaran, agar sasaran
tersebut berubah dari tidak tahu menjadi tahu atau sadar (aspek <i>knowledge</i>),
dari tahu menjadi mau (aspek <i>attitude</i>), dan dari mau menjadi mampu
melaksanakan perilaku yang diperkenalkan (aspek <i>practice</i>).</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Gerakan pemberdayaan masyarakat juga
merupakan cara untuk menumbuhkan dan mengembangkan norma yang membuat
masyarakat mampu untuk berperilaku hidup bersih dan sehat. Strategi ini
tepatnya ditujukan pada sasaran primer agar berperan serta secara aktif.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Gerakan pemberdayaan masyarakat
merupakan suatu upaya dalam peningkatan kemampuan masyarakat guna mengangkat
harkat hidup, martabat dan derajat kesehatannya. Peningkatan keberdayaan
berarti peningkatan kemampuan dan kemandirian masyarakat agar dapat
mengembangkan diri dan memperkuat sumber daya yang dimiliki untuk mencapai
kemajuan.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Para ilmuwan sosial dalam memberikan
pengertian pemberdayaan mempunyai rumusan yang berbeda-beda dalam berbagai
konteks dan bidang kajian, artinya belum ada definisi yang tegas mengenai
konsep tersebut. Namun demikian, bila dilihat secara lebih luas, pemberdayaan
sering disamakan dengan perolehan daya, kemampuan dan akses terhadap sumber
daya untuk memenuhi kebutuhannya. <a href="https://www.blogger.com/blogger.g?blogID=1493722132486835108" name="more"></a></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Oleh karena itu, agar dapat memahami
secara mendalam tentang pengertian pemberdayaan maka perlu mengkaji beberapa
pendapat para ilmuwan yang memiliki komitmen terhadap pemberdayaan
masyarakat. </span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Robinson (1994) menjelaskan bahwa
pemberdayaan adalah suatu proses pribadi dan sosial; suatu pembebasan kemampuan
pribadi, kompetensi, kreatifitas dan kebebasan bertindak. Sedangkan Ife (1995)
mengemukakan bahwa pemberdayaan mengacu pada kata “empowerment,” yang berarti
memberi daya, memberi ”power” (kuasa), kekuatan, kepada pihak yang kurang
berdaya. </span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Payne (1997) menjelaskan bahwa
pemberdayaan pada hakekatnya bertujuan untuk membantu klien mendapatkan daya,
kekuatan dan kemampuan untuk mengambil keputusan dan tindakan yang akan
dilakukan dan berhubungan dengan diri klien tersebut, termasuk mengurangi
kendala pribadi dan sosial dalam melakukan tindakan.. Orang-orang yang telah
mencapai tujuan kolektif diberdayakan melalui kemandiriannya, bahkan merupakan
“keharusan” untuk lebih diberdayakan melalui usaha mereka sendiri dan akumulasi
pengetahuan, ketrampilan serta sumber lainnya dalam rangka mencapai tujuan
tanpa tergantung pada pertolongan dari hubungan eksternal. </span></div>
<div class="MsoListParagraph" style="margin-left: 20.25pt; mso-add-space: auto; mso-list: l13 level2 lfo1; text-indent: -20.25pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.2<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">METODE GERAKAN PEMBERDAYAAN</span></b></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pengorganisasian masyarakat sebagai
salah satu metode pemberdayaan masyarakat yang bersifat komprehensif perlu
dikembangkan di desa-desa/kelurahan-kelurahan/nagari-nagari secara bertahap.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pendekatan yang dilakukan adalah
melalui pengembangan daerah-daerah percontohan sesuai dengan program kesehatan
yang didukung (misalnya Desa Siaga untuk KIA). Daerah-daerah Percontohan
ini selain dapat digunakan sebagai alat untuk advokasi guna replikasinya ke
daerah-daerah (desa-desa/kelurahan-kelurahan/nagari-nagari lain), juga dapat
digunakan sebagai lahan kerja lapangan dalam pelatihan petugas.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Sebelum petugas kesehatan melakukan
upaya pemberdayaan di masyarakat, terlebih dahulu dilakukan upaya pemberdayaan
petugas kesehatan. Metode yang paling efektif untuk pemberdayaan petugas adalah
pelatihan yang dilaksanakan secara berselang-seling antara kegiatan di kelas
dan kegiatan di lapangan (<i>interrupted training</i>). Dengan <i>interrupted
training </i>sekaligus dapat diperoleh dua hasil, yaitu petugas-petugas yang
terampil dan adanya daerah percontohan.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pelatihan semacam ini dapat
diselenggarakan oleh Dinas Kesehatan Kabupaten /Kota terhadap petugas-petugas
promosi kesehatan di Puskesmas wilayah kerjanya, atau oleh Dinas Kesehatan
Provinsi terhadap petugas-petugas promosi kesehatan Kabupaten/Kota dan
Puskesmas di wilayah kerjanya.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Untuk memberikan gambaran yang lebih
jelas tentang <i>interrupted training</i>, berikut ini disajikan contoh
pelaksanaan-nya di bidang KIA.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<br /></div>
<div class="MsoListParagraph" style="margin-left: 20.25pt; mso-add-space: auto; mso-list: l13 level2 lfo1; text-indent: -20.25pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.3<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">PROSES PEMBERDAYAAN</span></b></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pranarka & Vidhyandika (1996)
menjelaskan bahwa ”proses pemberdayaan mengandung dua kecenderungan. Pertama,
proses pemberdayaan yang mene-kankan pada proses memberikan atau mengalihkan
sebagian kekuatan, kekuasaan atau kemampuan kepada masyarakat agar individu
lebih berdaya.Kecenderungan pertama tersebut dapat disebut sebagai kecenderungan
primer dari makna pemberdayaan. Sedangkan kecenderungan kedua atau
kecenderungansekunder menekankan pada proses menstimulasi, mendorong atau
memotivasi individu agar mempunyai kemampuan atau keberdayaan untuk menentukan
apayang menjadi pilihan hidupnya melalui proses dialog”.<br />
Sumardjo (1999) menyebutkan ciri-ciri warga masyarakat berdaya
yaitu: </span></div>
<ol start="1" type="1">
<li class="MsoNormal" style="line-height: 150%; mso-list: l4 level1 lfo2; tab-stops: list 36.0pt;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Mampu
memahami diri dan potensinya,mampu merencanakan (mengantisipasi kondisi
perubahan ke depan)</span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l4 level1 lfo2; tab-stops: list 36.0pt;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Mampu
mengarahkan dirinya sendiri</span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l4 level1 lfo2; tab-stops: list 36.0pt;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Memiliki
kekuatan untuk berunding</span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l4 level1 lfo2; tab-stops: list 36.0pt;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Emiliki
bargaining power yang memadai dalam melakukan kerjasama yang saling
menguntungkan, dan </span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l4 level1 lfo2; tab-stops: list 36.0pt;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Bertanggungjawab
atas tindakannya.</span></li>
</ol>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Slamet (2003) menjelaskan lebih
rinci bahwa yang dimaksud denganmasyarakat berdaya adalah masyarakat yang tahu,
mengerti, faham termotivasi,berkesempatan, memanfaatkan peluang, berenergi,
mampu bekerjasama, tahu berbagai alternative, mampu mengambil keputusan, berani
mengambil resiko, mampu mencari dan menangkap informasi dan mampu bertindak
sesuai dengansituasi. Proses pemberdayaan yang melahirkan masyarakat yang
memiliki sifat seperti yang diharapkan harus dilakukan secara berkesinambungan
dengan mengoptimalkan partisipasi masyarakat secara bertanggungjawab.</span></div>
<div class="MsoListParagraph" style="margin-left: 20.25pt; mso-add-space: auto; mso-list: l13 level2 lfo1; text-indent: -20.25pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.4<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">TUJUAN DAN TAHAPAN PEMBERDAYAAN MASYARAKAT</span></b></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Jamasy (2004) mengemukakan bahwa
konsekuensi dan tanggungjawab utama dalam program pembangunan melalui
pendekatan pe mberdayaan adalah masyarakat berdaya atau memiliki daya, kekuatan
atau kemampuan. Kekuatan yang dimaksud dapat dilihat dari aspek fisik dan
material, ekonomi, kelembagaan, kerjasama, kekuatan intelektual dan komitmen
bersama dalam menerapkan prinsip-prinsip pemberdayaan. </span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Terkait dengan tujuan pemberdayaan,
Sulistiyani (2004) menjelaskan bahwa tujuan yang ingin dicapai dari <span style="mso-bidi-font-weight: bold;">pemberdayaan masyarakat </span>adalah untuk
membentuk individu dan masyarakat menjadi mandiri. Kemandirian tersebut
meliputi kemandirian berpikir, bertindak dan mengendalikan apa yang mereka
lakukan. Kemandirian masyarakat merupakan suatu kondisi yang dialami oleh
masyarakat yang ditandai dengan kemampuan memikirkan, memutuskan sertamelakukan
sesuatu yang dipandang tepat demi mencapai pemecahan masalah yang dihadapi
dengan mempergunakan daya/kemampuan yang dimiliki. </span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Daya kemampuan yang dimaksud adalah
kemampuan kognitif, konatif, psikomotorik dan afektif serta sumber daya lainnya
yang bersifat fisik/material. Kondisi kognitif pada hakikatnya merupakan
kemampuan berpikir yang dilandasi oleh pengetahuan dan wawasan seseorang dalam
rangka mencari solusi atas permasalahan yang dihadapi. Kondisi konatif merupakan
suatu sikap perilaku masyarakat yang terbentuk dan diarahkan pada perilaku yang
sensitif terhadap nilai-nilai pemberdayaan masyarakat. Kondisi afektif adalah
merupakan perasaan yang dimiliki oleh individu yang diharapkan dapat
diintervensi untuk mencapai keberdayaan dalam sikap dan perilaku. Kemampuan
psikomotorik merupakan kecakapan keterampilan yang dimiliki masyarakat sebagai
upaya mendukung masyarakat dalam rangka melaku-kan aktivitas pembangunan. P<span style="mso-bidi-font-weight: bold;">emberdayaan Masyarakat</span></span></div>
<div class="MsoListParagraph" style="margin-left: 20.25pt; mso-add-space: auto; mso-list: l13 level2 lfo1; text-indent: -20.25pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.5<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">KUNCI KEBERHASILAN GERAKAN PEMBERDAYAAN</span></b></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pemberdayaan akan lebih berhasil
jika dilaksanakan melalui kemitraan serta menggunakan metode dan teknik yang
tepat. Pada saat ini banyak dijumpai Lembaga-lembaga Swadaya Masyarakat (LSM)
yang bergerak di bidang kesehatan atau peduli terhadap kesehatan. LSM ini harus
digalang kerjasamanya, baik di antara mereka maupun antara mereka dengan
pemerintah, agar upaya pember-dayaan masyarakat dapat berdayaguna dan
berhasilguna. Setelah itu, sesuai dengan ciri-ciri sasaran serta situasi dan
kondisi, lalu ditetapkan, diadakan dan digunakanlah metode dan sarana
komunikasi yang tepat.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kunci keberhasilan gerakan
pemberdayaan adalah membuat orang tersebut memahami bahwa sesuatu (misalnya
diare) adalah masalah baginya dan bagi masyarakatnya. Sepanjang orang yang
bersangkutan belum mengetahui dan menyadari bahwa sesuatu itu merupakan
masalah, maka orang tersebut tidak akan bersedia menerima informasi apa pun
lebih lanjut. Manakala ia telah menyadari masalah yang diha-dapinya, maka
kepadanya harus diberikan informasi umum lebih lanjut tentang masalah yang
bersangkutan.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Perubahan dari tahu ke mau pada
umumnya dicapai dengan menyajikan fakta-fakta dan mendramatisasi masa-lah.
Tetapi selain itu juga dengan mengajukan harapan bahwa masalah tersebut bisa
dicegah dan atau diatasi. Di sini dapat dikemukakan fakta yang berkaitan dengan
para tokoh masyarakat sebagai panutan (misalnya tentang seo-rang tokoh agama
yang dia sendiri dan keluarganya tak per-nah terserang diare karena perilaku
yang dipraktikannya).</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Bilamana sasaran sudah akan
berpindah dari mau ke mampu melaksanakan, boleh jadi akan terkendala oleh
dimensi ekonomi. Dalam hal ini kepada yang bersangkutan dapat diberikan bantuan
langsung, tetapi yang seringkali dipraktikkan adalah dengan mengajaknya ke
dalam proses pengorganisasian masyarakat (<i>community organization</i>) atau
pembangunan masyarakat (<i>community development</i>). Untuk itu, sejumlah
individu yang telah mau, dihimpun dalam suatu kelompok untuk bekerjasama
memecahkan kesulitan yang dihadapi. Tidak jarang kelompok ini pun masih juga
memerlukan bantuan dari luar (misalnya dari pemerintah atau dari dermawan). Di
sinilah letak pentingya sinkronisasi promosi kesehatan dengan program kesehatan
yang didukungnya. Hal-hal yang akan diberikan kepada masya-rakat oleh program
kesehatan sebagai bantuan, hendaknya disampaikan pada fase ini, bukan
sebelumnya. Bantuan itu hendaknya juga sesuai dengan apa yang dibutuhkan
masyarakat.</span></div>
<div class="MsoListParagraph" style="margin-left: 20.25pt; mso-add-space: auto; mso-list: l13 level2 lfo1; text-indent: -20.25pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.6<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">KEGIATAN GERAKAN PEMBERDAYAAN</span></b></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Dalam melaksanakan gerakan
pemberdayaan masyarakat perlu memperhatikan kondisi, situasi, khususnya sosial
budaya masyarakat setempat serta karateristik masyarakat setempat yang dapat
dikelompokkan sebagai berikut:</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a) Masyarakat
pembina ( <i>Caring Community </i>)</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Yaitu masyarakat yang peduli
kesehatan misalnya : LSM kesehatan, organisasi profesi yang bergerak dibidang
kesehatan.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b) Masyarakat
setara ( <i>Coping Community</i> )</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Yaitu masyarakat yang karena
kondisinya kurang memadai sehingga tidak dapat memelihara kesehatannya.
Misalnya seorang ibu sadar akan pentingnya memeriksakan kehamilan, tetapi
karena keterbatasan ekonomi dan tidak adanya transportasi ibu tidak pergi ke
sarana pelayanan kesehatan.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">c) Masyarakat
pemula ( <i>Crisis Response Community</i>)</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Yaitu masyarakat yang tidak tahu
akan pentingnya kesehatan dan belum didukung oleh fasilitas yang
tersedia. Misalnya masyarakat dilingkungan kumuh dan daerah terpencil</span></div>
<div class="MsoListParagraph" style="margin-left: 20.25pt; mso-add-space: auto; mso-list: l13 level2 lfo1; text-indent: -20.25pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.7<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">CARA PENDEKATAN GERAKAN PEMBERDAYAAN MASYARAKAT</span></b></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">a) Makro: </span></b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l0 level1 lfo3; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Membangun
komitmen disetiap jenjang</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l0 level1 lfo3; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Mengembangkan
masyarakat (<i>critical mass</i>)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l0 level1 lfo3; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">menyediakan
petujuk pelaksnaan dan biaya operasional</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l0 level1 lfo3; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">monitoring
dan evaluasi serta koordinasi</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">b) Mikro :</span></b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l11 level1 lfo4; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Menggali
potensi yang belum disadari masyarakat. Potensi dapat muncul dari adanya
kebutuhan masyarakat(demand creation) yang diperoleh melalui pengarahan,
pemberian masukan, dialog, kerjasama dan pendelegasian.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l11 level1 lfo4; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Membuat
model model percontohan dan prototipe pengembangan masyarakat, seperti
menerapkan pendekatan edukatif dan manajemen ARRIF (Analisis, Rumusan,Rencana,
Intervensi, Forum komunikasi)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l11 level1 lfo4; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Beberapa
tolok ukur keberhasilan gerakan masyarakat dapat disebutkan antara lain :
peningkatan perilaku hidup bersih dan sehat, peningkatan kampnye kesehatan oleh
masyarakat dan peningkatan dana sehat /JPKM</span></div>
<div class="MsoListParagraph" style="margin-left: 20.25pt; mso-add-space: auto; mso-list: l13 level2 lfo1; text-indent: -20.25pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.8<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">KEGIATAN POKOK GERAKAN PEMBERDAYAAN MASYARAKAT </span></b></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Melakukan KIE, kampanye dan kegiatan
gerakan pemberdayaan masyarakat di bidang upaya pelayanan kesehatan yang
bertujuan untuk meningkatkan kemandirian individu, keluarga dan masyarakat
dalam memelihara, mengatasi serta meningkatkan kesehatannya</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Mengembangkan, mengadakan serta
mendistribusikan media KIE untuk mendukung kegiatan gerakan pemberdayaan
masyarakat di bidang upaya pelayanan kesehatan. Melakukan kegiatan fasilitasi,
bimbingan teknis atau asistensi terhadap pelaksanaan kegiatan PHBS di
masyarakat. Bersama dengan masyarakat melakukan kegiatan pendekatan edukatif
atau penerapan konsep PKMD penghargaan (insentif), serta peningkatan ekonomi
produktif ( <i>income generating</i>). Melakukan pemantauan dan penilaian
kegiatan gerakan pemberdayaan masyarakat di bidang upaya pelayanan kesehatan.</span></div>
<div class="MsoListParagraph" style="margin-left: 20.25pt; mso-add-space: auto; mso-list: l13 level2 lfo1; text-indent: -20.25pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.9<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">JENIS KEGIATAN GERAKAN PEMBERDAYAAN </span></b></div>
<ul type="disc">
<li class="MsoNormal" style="line-height: 150%; mso-list: l2 level1 lfo5; tab-stops: list 36.0pt; text-align: justify;"><b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pemberdayaan
Individu</span></b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></li>
</ul>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pemberdayaan individu dilakukan oleh
setiap petugas institusi kesehatan terhadap individu-individu yang datang
memanfaatkan pelayanan kesehatan. Selain itu juga terhadap individu-individu
yang menjadi sasaran kunjungan (misal-nya dalam upaya keperawatan kesehatan
masyarakat atau usaha kesehatan sekolah).</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Tujuan dilakukannya pemberdayaan
individu terutama adalah untuk memperkenalkan perilaku baru kepada individu
(yang mungkin juga merupakan pengganti dari peri-laku yang selama ini
dipraktikkan oleh individu tersebut). Misalnya saja perilaku menimbang balita
secara berkala untuk mengetahui perkembangan dan pertumbuhan balita. Perilaku
ini dapat diperkenalkan kepada individu-individu ibu yang membawa balitanya
berobat ke Puskesmas. Kepada setiap ibu, setelah selesai diberi pelayanan
pengobatan untuk balitanya, dapat disampaikan informasi tentang manfaat
menimbang balita secara berkala, bagaimana mencatat dan menggunakan catatan
(yaitu KMS), dan di mana si ibu dapat melakukan penimbangan yang dimaksud
(yaitu di Posyandu).</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Ibu yang dikunjungi ke rumahnya,
mungkin karena berhenti memeriksakan kandungannya ke Puskesmas, padahal
seharusnya masih harus melakukan hal itu (<i>drop out</i>). Atau karena
sebab-sebab lain.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Seorang Bapak yang dikunjungi ke
rumahnya, mungkin karena yang bersangkutan tidak memberikan kabar sepulang dari
konsultasi tentang jamban. Atau tidak datang mengambil obat TBC ke Puskesmas.
Atau karena sebab-sebab lain.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Murid sekolah atau madrasah atau
santri pesantren yang ditangani secara individu, mungkin karena menderita
karies gigi atau gizi kurang, atau masalah kesehatan lain. Saat kunjungan ini
dilakukan proses Pemberdayaan sesuai dengan masalah yang dihadapi.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Metode yang digunakan dalam hal ini
dapat berupa pilihan atau kombinasi dari: dialog, demonstrasi, konseling, dan
bimbingan.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Media komunikasi yang digunakan
dapat berupa pilihan atau kombinasi dari: lembar balik, gambar/ foto, dan
skema, atau media lain yang mudah digunakan dan dibawa (jika dipakai
kunjungan).</span></div>
<ul type="disc">
<li class="MsoNormal" style="line-height: 150%; mso-list: l14 level1 lfo6; tab-stops: list 36.0pt; text-align: justify;"><b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pemberdayaan
Keluarga </span></b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></li>
</ul>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pemberdayaan keluarga dilakukan oleh
petugas intitusi kesehatan yang melaksanakan kunjungan rumah terhadap keluarga.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Yaitu keluarga dari individu
pengunjung Puskesmas, atau keluarga-keluarga lain yang berada di wilayah kerja
Puskesmas.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Tujuan dilakukannya pemberdayaan
keluarga adalah untuk memperkenalkan perilaku baru (yang mungkin sebagai
pengganti dari perilaku yang selama ini dipraktikkan keluarga tersebut).
Misalnya buang air besar di jamban, mengonsumsi garam beryodium, memelihara
taman obat keluarga, menguras bak mandi-menutup persediaan air-mengubur
benda-benda buangan yang dapat menahan/menampung air (3M), mengonsumsi makanan
berserat.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pada saat kunjungan rumah ini semua
anggota keluarga dikumpulkan dan diberikan informasi berkaitan dengan perilaku
yang diperkenalkan. Pemberian informasi dilakukan secara sistematis sehingga
anggota-anggota keluarga itu bergerak dari tidak tahu ke tahu, dan dari tahu ke
mau. Bila sarana untuk melaksanakan perilaku yang bersangkutan tersedia,
diharapkan juga sampai tercapai fase mampu melaksanakan (misalnya: mencuci
tangan pakai sabun, BAB di jamban, minum air yang matang, dll).</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Metode yang digunakan dapat berupa
salah satu atau kombinasi dari: dialog, demonstrasi, diskusi kelompok terarah,
dan bimbingan.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Media komunikasi yang digunakan juga
dapat berupa pilihan atau kombinasi dari: poster, lembar balik, gambar/foto,
dan skema, atau media lain yang mudah digunakan dan dibawa.</span></div>
<ul type="disc">
<li class="MsoNormal" style="line-height: 150%; mso-list: l7 level1 lfo7; tab-stops: list 36.0pt; text-align: justify;"><b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pemberdayaan
Masyarakat Umum</span></b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></li>
</ul>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Gerakan pemberdayaan juga dapat
dilakukan terhadap sekelompok individu anggota masyarakat, melalui upaya
penggerakan atau pengorganisasian masyarakat (<i>community
organization/community development</i>).</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Sasarannya dapat berupa orang
dewasa, dapat juga murid-murid sekolah atau santri-santri. Salah satu hasil
dari upaya ini dapat berujud upaya-upaya kesehatan bersumber masyarakat (UKBM)
seperti Pos Pelayanan Terpadu (Posyandu), Pondok Bersalin Desa (Polindes), Bina
Keluarga Balita (BKB), Warung Obat Desa (WOD), Panti Pemulihan Gizi, Dokter
Kecil, Saka Bhakti Husada (SBH), Pos Kesehatan Pesantren (Poskestren), Kelompok
Pemakai Air (Pokmair), Desa Percontohan Kesehatan Lingkungan, Posyandu Usila,
Panti Wreda, Pos Upaya Kesehatan Kerja (Pos UKK), Tim Pelaksana Kesehatan Jiwa
Masyarakat (TPKJM), Taman Obat Keluarga (Toga), Dana Sehat, Tabungan Ibu
Bersalin (Tabulin), dan lain-lain. Melalui metode yang sama (yaitu
pengorganisasian masyarakat) dapat pula dibentuk Badan Penyantun Puskesmas
(BPP). Yaitu suatu badan yang menghimpun berbagai potensi masyarakat seperti
tokoh masyarakat, LSM, dan dunia usaha, yang berperan sebagai mitra Puskesmas
dalam pembangunan kesehatan di wilayah kecamatan.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Penggerakan atau pengorganisasian
masyarakat diawali dengan membantu kelompok masyarakat tertentu untuk mengubah
masalah yang dihadapi individu-individu menjadi masalah bersama. Setelah itu,
lalu dirumuskan upaya bersama yang dapat dilaksanakan oleh kelompok untuk
mengatasi masalah tersebut. Tidak jarang, untuk lebih meyakinkan kelompok dan
dalam rangka perencanaan yang baik dalam mengatasi masalah, kelompok dibantu
untuk melakukan survei sederhana (C<i>ommunity Self Survey </i>atau<i> CSS</i>).</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Dalam pelaksanaan pemecahan masalah,
petugas kesehatan memberikan bantuan teknis dan sebaiknya juga material seperti
obat, KMS, dan lain-lain. Jika petugas kesehatan tidak mampu memberikan bantuan
material, kiranya, bekerja-sama dengan mitra potensial terkait.</span></div>
<ul type="disc">
<li class="MsoNormal" style="line-height: 150%; mso-list: l6 level1 lfo8; tab-stops: list 36.0pt; text-align: justify;"><b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Gerakan
pemberdayaan di Rumah Sakit</span></b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></li>
</ul>
<ul type="disc">
<li class="MsoNormal" style="line-height: 150%; mso-list: l8 level1 lfo9; tab-stops: list 36.0pt; text-align: justify;"><b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pemberdayaan
Individu Pasien</span></b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></li>
</ul>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Terdapat tiga kategori pasien, yaitu
(1) pasien yang sedang sakit akut, (2) pasien yang dalam penyembuhan, dan (3)
pasien dengan penyakit kronis. Selama pasien sakit akut, semua perhatian dan
tenaga pasien serta petugas kesehatan dipusatkan pada upaya untuk menyelamatkan
pasien dari ancaman maut dan dari penderitaan. Suasana seperti ini tidak tepat
untuk melakukan promosi kesehatan. Namun petugas kesehatan sudah dapat mulai
merencanakan upaya Pemberdayaan yang nanti akan dilakukannya. Pada saat pasien
sudah memasuki masa penyembuhan, umumnya ia sangat ingin mengetahui seluk-beluk
tentang penyakitnya. Walaupun tidak tertutup kemungkinan adanya pasien yang
acuh-tak acuh karena mereka sudah terbebas dari penya-kitnya. Bagi pasien yang
seperti ini, Pemberdayaan memang harus dimulai dari awal, yaitu dari
menciptakan kesadaran akan adanya masalah. Adapun pasien dengan penyakit kronis
dapat menunjukkan reaksi yang berbeda-beda seperti misalnya agresif, apatis,
atau menarik diri. Hal ini karena penyakit kronis umumnya memberikan pengaruh
fisik dan kejiwaan serta dampak sosial ekonomi kepada penderita-nya. Kepada
pasien yang seperti ini, kesabaran dari petugas kesehatan sungguh sangat
diharapkan, khususnya dalam pelaksanaan promosi kesehatan atau Pemberdayaan.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Tujuan pemberdayaan terhadap
individu-individu pasien adalah agar yang bersangkutan:</span></div>
<ol start="1" type="1">
<li class="MsoNormal" style="line-height: 150%; mso-list: l5 level1 lfo10; tab-stops: list 36.0pt; text-align: justify;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Mengembangkan
pengertian dan sikap tentang penyakit yang dideritanya, sehingga tahu apa
yang harus dilakukan dan kemudian terdorong untuk:</span></li>
</ol>
<ul type="disc">
<li class="MsoNormal" style="line-height: 150%; mso-list: l1 level1 lfo11; tab-stops: list 36.0pt; text-align: justify;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Membantu
mempercepat penyembuhan penyakit dan pemulihan kesehatannya. Misalnya
dengan selalu mengikuti secara tekun anjuran petugas kesehatan Rumah
Sakit dalam pengobatan penyakitnya.</span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l1 level1 lfo11; tab-stops: list 36.0pt; text-align: justify;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Mencegah
terserang kembali oleh penyakit yang sedang dideritanya.</span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l1 level1 lfo11; tab-stops: list 36.0pt; text-align: justify;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Mencegah
terjadinya penularan penyakitnya kepada orang lain.</span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l1 level1 lfo11; tab-stops: list 36.0pt; text-align: justify;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Memberi
penjelasan (penyuluhan) kepada orang lain agar tidak terserang oleh
penyakit yang sedang dideritanya.</span></li>
</ul>
<ol start="1" type="1">
<li class="MsoNormal" style="line-height: 150%; mso-list: l10 level1 lfo12; tab-stops: list 36.0pt; text-align: justify;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Mengembangkan
pengertian dan sikap tentang peman-faatan sarana kesehatan secara benar
(sesuai dengan kaidah rujukan). Yaitu jika sakit sebaiknya tidak lang-sung
ke Rumah Sakit, melainkan ke Puskesmas terdekat terlebih dulu.
Selanjutnya, Puskesmaslah yang akan menentukan apakah ia perlu dikirim ke
Rumah Sakit atau tidak.</span></li>
</ol>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Metode yang digunakan dalam hal ini
dapat berupa pi-lihan atau kombinasi dari: dialog, demonstrasi, konseling, dan
bimbingan, yang dilakukan di samping tempat tidur pasien (<i>bedside health
promotion</i>). Bagi pasien-pasien yang sudah hampir sembuh, metode-metode yang
dipilih dapat dilakukan secara berkelompok dalam satu ruangan. Media komunikasi
yang digunakan dapat berupa pilihan atau kombinasi dari: lembar balik,
gambar/foto, dan skema, atau media lain yang mudah digunakan dan dibawa (bila
digunakan untuk <i>bedside health promotion</i>).</span></div>
<ul type="disc">
<li class="MsoNormal" style="line-height: 150%; mso-list: l12 level1 lfo13; tab-stops: list 36.0pt; text-align: justify;"><b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pemberdayaan
Keluarga/Kelompok</span></b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></li>
</ul>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pemberdayaan terhadap
keluarga/kelompok ditujukan untuk mengembangkan pengertian dan kemauan guna
mendukung pasien dalam bentuk:</span></div>
<ol start="1" type="1">
<li class="MsoNormal" style="line-height: 150%; mso-list: l9 level1 lfo14; tab-stops: list 36.0pt; text-align: justify;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Dukungan
moral dan atau material dalam penyem-buhan penyakit.</span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l9 level1 lfo14; tab-stops: list 36.0pt; text-align: justify;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Upaya
mencegah agar penyakit yang diderita pasien tidak menular kepada orang
lain.</span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l9 level1 lfo14; tab-stops: list 36.0pt; text-align: justify;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Upaya
mencegah agar jika pasien sudah sembuh tidak terserang kembali oleh
penyakit yang sama.</span></li>
</ol>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Jadi pemberdayaan keluarga/kelompok
yang dilakukan di Rumah Sakit ini dapat pula disebut sebagai Bina Suasana di
lingkungan Rumah Sakit. Pemberdayaan keluarga/kelompok di Rumah Sakit biasanya
dilakukan sebelum atau sesudah keluarga/kelompok itu menjenguk pasien. Yaitu
dengan jalan mengelompokan serta mengumpulkan mereka dalam ruangan-ruangan,
sesuai dengan penyakit pasien yang dijenguknya.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Metode yang digunakan dapat berupa
salah satu atau kombinasi dari: dialog, demonstrasi, diskusi dan bimbingan.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Media komunikasi yang digunakan juga
dapat berupa pilihan atau kombinasi dari: slide, radio spot, poster,
gambar/foto, dan skema, atau media lain.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<br /></div>
<div class="MsoListParagraph" style="margin-left: 20.25pt; mso-add-space: auto; mso-list: l13 level2 lfo1; text-indent: -20.25pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.10<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">PENGEMBANGAN KEGIATAN PEMBERDAYAAN MASYARAKAT</span></b></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pengembangan dilakukan apabila
kegiatan di wilayah uji coba telah seperti yang diharapkan, maka perlu
dilakukan kegiatan perluasan atau pengembangan ke daerah terutama di wilayah
sekitarnya. Kegiatan yang dilakukan adalah:</span></div>
<ul type="disc">
<li class="MsoNormal" style="line-height: 150%; mso-list: l3 level1 lfo15; tab-stops: list 36.0pt; text-align: justify;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pertama-tama
wilayah uji coba menyiapkan dokumentasi kegiatan serta hasil yang
diperoleh</span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l3 level1 lfo15; tab-stops: list 36.0pt; text-align: justify;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Selanjutnya
mengundang tokoh masyarakat yang ada di wilayah sekitar daerah uji coba
untuk mengikuti pertemuan serta melakukan peninjauan di wilayah yang sudah
berhasil. Pada acara pertemuan para tamu ditunjukkan dokumentasi (slide,
film atau foto) yang telah berhasil beserta gambaran proses kegiatannya.</span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l3 level1 lfo15; tab-stops: list 36.0pt; text-align: justify;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pada
akhir pertemuan atau kunjungan dilakukan pembahasan kemungkinan menerapkan
kegiatan serupa di wilayah sekitarnya.</span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l3 level1 lfo15; tab-stops: list 36.0pt; text-align: justify;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pengembangan
kegiatan pemberdayaan ada dua macam yaitu: pengembangan daerah dan
pengembangan program.</span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l3 level1 lfo15; tab-stops: list 36.0pt; text-align: justify;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Dalam
pengembangan kegiatan ke daerah lain harus dicegah adanya “penjiplakan”,
namun harus berdasarkan kebutuhan, kemampuan serta karakteristik wilayah
tersebut.</span></li>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
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<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
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<span style="font-family: Algerian; font-size: 14.0pt; mso-bidi-font-family: Arial;">Penutup</span></div>
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<span style="font-family: Algerian; font-size: 12.0pt; mso-bidi-font-family: Arial;">KESIMPULAN</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Dalam melakukan gerakan pemberdayaan
terlebih dahulu kegiatan harus difokuskan pada upaya pemberdayaan petugas agar
siap dan mampu berperan secara tepat dalam membangun masyarakat.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Mengembangkan masyarakat itu sendiri
agar siap dan mampu berpartisipasi, memecahkan masalah yang dihadapinya secara
mandiri.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Setelah kegiatan di masyarakat
berlangsung, tidak berarti pemberdayaan petugas sudah berakhir, namun interaksi
timbal balik antara petugas dan masyarakat masih terus berlangsung.
Artinya, masih banyak tatangan maupun permasalahan yang bervariasi harus
dihadapi oleh petugas dalam melestarikan maupun mengembangkan kegiatan yang
telah dibangun. Untuk itu proses pemberdayaan petugas harus terus dilakukan,
sehingga tetap semangat dan mampu berperan dengan tepat dalam membantu masyarakat.</span></div>
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<br /></div>
Anonymoushttp://www.blogger.com/profile/09428371857956484973noreply@blogger.com0tag:blogger.com,1999:blog-1493722132486835108.post-79255541241843989502014-02-09T16:55:00.002-08:002014-02-09T16:55:38.692-08:00Gizi Masyarakat<!--[if !mso]>
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<span style="font-family: Algerian; font-size: 20.0pt;">Makalah</span></div>
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<span style="font-family: Algerian; font-size: 20.0pt;">Gizi masyarakat</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
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<span style="font-family: "Monotype Corsiva"; font-size: 16.0pt; mso-bidi-font-family: Arial;">Disusun oleh :<br />
<br />
Naimatul Husniah<br />
Eka Herin Priyanti<br />
Vivi Rahma<br />
Choiro Nur’Aini<br />
Yuli Setia Ningsih<br />
Irmatus Sa’diyah<br />
Ziyan Jamila</span></div>
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<span style="font-family: "Monotype Corsiva"; font-size: 16.0pt; mso-bidi-font-family: Arial;">D3 Kebidanan 1A</span></div>
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<span style="font-family: Algerian; font-size: 22.0pt; mso-bidi-font-family: Arial;">Kampus
a stikes DIAN HUSADA MOJOKERTO</span></div>
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<span style="font-family: Algerian; font-size: 22.0pt; mso-bidi-font-family: Arial;">2013 –
2014</span></div>
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<span style="font-family: Algerian; font-size: 14.0pt; mso-bidi-font-family: Arial;">KATA
PENGANTAR</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt;"><span style="mso-tab-count: 1;"> </span>Puji
syukur kami ucapkan kepada Tuhan Yang Maha Esa. Berkat rahmat, taufiq, dan
hidayah-Nya kami dapat menyelesaikan tugas makalah yang berjudul “ Gizi
Masyarakat ” ini dengan tepat waktu. </span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt;"><span style="mso-tab-count: 1;"> </span>Kami
mengucapkan banyak terima kasih kepada seluruh pihak yang telah membantu dalam
penyelesaian makalah ini, dan juga kepada sumber-sumber yang digunakan untuk
menunjang penyelesaian makalah ini. Tidak lupa juga ucapan terima kasih kepada
seluruh anggota kelompok yang telah bekerja sama dalam penyelesaian makalah
ini. </span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt;"><span style="mso-tab-count: 1;"> </span>Demikianlah
makalah yang telah kami selesaikan. Tiada gading yang tak retak, begitu pula
makalah ini yang tak luput dari kekurangan. Kritik dan saran sangat kami
harapkan untuk menunjang keberhasilan dari makalah ini. Semoga makalah ini
bermanfaat bagi kita semua. Amin.</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt;"><span style="mso-tab-count: 8;"> </span>Mojokerto,
25 Februari 2013 </span></div>
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<span style="font-family: Algerian; font-size: 16.0pt; mso-bidi-font-family: Arial;">Daftar
isi </span></div>
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1</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Rumusan Masalah<span style="mso-tab-count: 1 dotted;">.......................................................................................................... </span>
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2</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">2.2
Faktor- Faktor Yang Mempengaruhi Tingkat Gizi Masyarakat<span style="mso-tab-count: 1 dotted;">........................... </span> 3</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.3 Program Perbaikan Gizi dan Kesehatan Masyarakat<span style="mso-tab-count: 1 dotted;">......................................... </span>
7</span></div>
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<span style="font-family: Algerian; font-size: 14.0pt; mso-bidi-font-family: Arial;">BAB i<br />
PENDAHULUAN</span></div>
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<span style="font-family: Algerian; font-size: 12.0pt; mso-bidi-font-family: Algerian; mso-fareast-font-family: Algerian;"><span style="mso-list: Ignore;">1.1<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: Algerian; font-size: 12.0pt; mso-bidi-font-family: Arial;">LATAR
BELAKANG MASALAH</span></div>
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<span style="font-family: "Arial","sans-serif";">Keadaan gizi dan kesehatan masyarakat
tergantung pada tingkat konsumsi, Dewasa ini Indonesia menghadapi masalah gizi
ganda, yakni masalah gizi kurang dan masalah gizi lebih. Masalah gizi kurang
umumnya disebabkan oleh kemiskinan, kurangnya persediaan pangan, kurang baiknya
kualitas lingkungan (sanitasi), kurangnya pengetahuan masyarakat tentang gizi,
menu seimbang dan kesehatan, dan adanya daerah miskin gizi. Sebaliknya masalah
gizi lebih disebabkan oleh kemajuan ekonomi pada lapisan masyarakat tertentu
yang disertai dengan minimnya pengetahuan tentang gizi, menu seimbang, dan
kesehatan. Dengan demikian, sebaiknya masyarakat meningkatkan perhatian
terhadap kesehatan guna mencegah terjadinya gizi salah (malnutrisi) dan risiko
untuk menjadi kurang gizi.</span></div>
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<span style="font-family: "Arial","sans-serif";">Tingginya angka kematian ini juga
dampak dari kekurangan gizi pada penduduk. Mulai dari bayi dilahirkan, masalahnya
sudah mulai muncul, yaitu dengan banyaknya bayi lahir dengan berat badan rendah
(BBLR<2.5 Kg). Masalah ini berlanjut dengan tingginya masalah gizi kurang
pada balita, anak usia sekolah, remaja, dewasa sampai dengan usia lanjut.</span></div>
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<span style="font-family: "Arial","sans-serif";">Masalah gizi pada hakikatnya adalah
masalah kesehatan masyarakat, namun penanggulangannya tidak dapat dilakukan
dengan pendekatan medis dan pelayanan kesehatan saja. Penyebab timbulnya
masalah gizi adalah multifaktor, oleh karena itu pendekatan penanggulangannya
harus melibatkan berbagai sektor yang terkait.</span></div>
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<span style="font-family: "Arial","sans-serif";">Suatu penyakit timbul karena tidak
seimbangnya berbagai faktor, baik dari sumber penyakit (agens), pejamu (host)
dan lingkungan (environment). Hal itu disebut juga dengan istilah penyebab
majemuk (multiple causation of diseases) sebagai lawan dari peyebab tunggal
(single causation).</span></div>
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<span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Algerian; mso-fareast-font-family: Algerian;"><span style="mso-list: Ignore;">1.2<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Arial;">RUMUSAN MASALAH</span></div>
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<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Apa
yang dimaksud gizi?</span><span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Arial;"></span></div>
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<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Apa
saja faktor – faktor yang mempengaruhi status gizi masyarakat?</span><span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Arial;"></span></div>
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<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Apa
saja rencana <strong><span style="font-family: "Arial","sans-serif"; font-weight: normal; mso-bidi-font-weight: bold;">program perbaikan gizi dan kesehatan di masa
depan</span></strong>?</span></div>
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<span style="font-family: Algerian; font-size: 14.0pt; mso-bidi-font-family: Arial;">BAB ii<br />
isi</span></div>
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<span style="font-family: Algerian; font-size: 12.0pt; mso-bidi-font-family: Arial;">2.1 PENGERTIAN GIZI</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gizi adalah<b> </b>suatu proses organisme menggunakan
makanan yang dikonsumsi secara normal melalui proses digesti, absobsi,
transportasi, penyimpanan, metabolisme dan pengeluaran zat-zat yang tidak
digunakan untuk mempertahankan kehidupan, pertumbuhan dan fungsi normal dari
organ-organ, serta menghasilkan energi. </span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Makan
makanan yang beranekaragam sangat bermanfaat bagi kesehatan. Makanan yang
beraneka ragam yaitu makanan yang mengandung unsur-unsur zat gizi yang
diperlukan tubuh baik kualitas maupun kuantintasnya, dalam pelajaran ilmu gizi
biasa disebut <span style="mso-bidi-font-weight: bold;">triguna makanan</span> <span style="mso-bidi-font-weight: bold;">yaitu, makanan yang mengandung zat tenaga,
pembangun dan zat pengatur</span>. Apabila terjadi kekurangan atas kelengkapan
salah satu zat gizi tertentu pada satu jenis makanan, akan dilengkapi oleh zat
gizi serupa dari makanan yang lain. Jadi makan makanan yang beraneka ragam akan
menjamin terpenuhinya kecukupan sumber zat tenaga, zat pembangun dan zat
pengatur.</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Makanan
sumber zat tenaga antara lain: beras, jagung, gandum, ubi kayu, ubi jalar, kentang,
sagu, roti dan mi. Minyak, margarin dan santan yang mengandung lemak juga dapat
menghasilkan tenaga. Makanan sumber zat tenaga menunjang aktivitas sehari-hari.</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Makanan
sumber zat pembangun yang berasal dari bahan makanan nabati adalah
kacang-kacangan, tempe, tahu. Sedangkan yang berasal dari hewan adalah telur,
ikan, ayam, daging, susu serta hasil olahan, seperti keju. Zat pembangun
berperan sangat penting untuk pertumbuhan dan perkembangan kecerdasan
seseorang.</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Makanan
sumber zat pengatur adalah semua sayur-sayuran dan buah-buahan. Makanan ini
mengandung berbagai vitamin dan mineral, yang berperan untuk melancarkan
bekerjanya fungsi organ-organ tubuh.</span></div>
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<span style="font-family: Algerian; font-size: 12.0pt; mso-bidi-font-family: Arial;">2.2 Faktor – faktor yang mempengaruhi status gizi
masyarakat</span></div>
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<span style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif";">Faktor
Lingkungan</span></b></div>
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<span style="font-family: "Arial","sans-serif";">Lingkungan yang buruk seperti air
minum yang tidak bersih, tidak adanya saluran penampungan air limbah, tidak
menggunakan kloset yang baik, juga kepadatan penduduk yang tinggi dapat
menyebabkan penyebaran kuman patogen.<br />
Lingkungan yang mempunyai iklim tertentu berhubungan dengan jenis tumbuhan yang
dapat hidup sehingga berhubungan dengan produksi tanaman.</span></div>
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<span style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif";">Faktor
Ekonomi</span></b></div>
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<span style="font-family: "Arial","sans-serif";">Di banyak negara yang secara ekonomis
kurang berkembang, sebagian besar penduduknya berukuran lebih pendek karena
gizi yang tidak mencukupi dan pada umunya masyarakat yang berpenghasilan rendah
mempunyai ukuran badan yang lebih kecil.</span></div>
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<span style="font-family: "Arial","sans-serif";">Masalah gizi di negara-negara miskin
yang berhubungan dengan pangan adalah mengenai kuantitas dan kualitas.
Kuantitas menunjukkan penyediaan pangan yang tidak mencukupi kebutuhan energi
bagi tubuh. Kualitas berhubungan dengan kebutuhan tubuh akan zat gizi khusus
yang diperlukan untuk petumbuhan, perbaikan jaringan, dan pemeliharaan tubuh
dengan segala fungsinya.</span></div>
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<span style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif";">Faktor
Sosial-Budaya</span></b></div>
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<span style="font-family: "Arial","sans-serif";">Indikator masalah gizi dari sudut
pandang sosial-budaya antara lain stabilitas keluarga dengan ukuran frekuensi
nikah-cerai-rujuk, anak-anak yang dilahirkan di lingkungan keluarga yang tidak
stabil akan sangat rentan terhadap penyakit gizi kurang. Juga indikator
demografi yang meliputi susunan dan pola kegiatan penduduk, seperti peningkatan
jumlah penduduk, tingkat urbanisasi, jumlah anggota keluarga, serta jarak
kelahiran.</span></div>
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<span style="font-family: "Arial","sans-serif";">Tingkat pendidikan juga termasuk dalam
faktor ini. Tingkat pendidikan berhubungan dengan status gizi karena dengan
meningkatnya pendidikan seseorang, kemungkinan akan meningkatkan pendapatan
sehingga dapat meningkatkan daya beli makanan.</span></div>
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<span style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif";">Faktor
Biologis/Keturunan</span></b></div>
<div style="line-height: 150%; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Arial","sans-serif";">Sifat yang diwariskan memegang kunci
bagi ukuran akhir yang dapat dicapai oleh anak. Keadaan gizi sebagian besar
menentukan kesanggupan untuk mencapai ukuran yang ditentukan oleh pewarisan
sifat tersebut. Di negara-negara berkembang memperlihatkan perbaikan gizi pada
tahun-tahun terakhir mengakibatkan perubahan tinggi badan yang jelas.</span></div>
<div style="line-height: 150%; margin-left: 1.0cm; mso-list: l1 level1 lfo4; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif";">Faktor
Religi</span></b></div>
<div style="line-height: 150%; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Arial","sans-serif";">Religi atau kepercayaan juga berperan
dalam status gizi masyarakat, contohnya seperti tabu mengonsumsi makanan
tertentu oleh kelompok umur tertentu yang sebenarnya makanan tersebut justru
bergizi dan dibutuhkan oleh kelompok umur tersebut. Seperti ibu hamil yang tabu
mengonsumsi ikan.</span></div>
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<br /></div>
<div style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Arial","sans-serif";"><span class="msoIns"><ins>Secara umum
masalah kurang gizi disebabkan oleh banyak faktor. Pada tahun 1988 UNICEF telah
mengembangkan kerangka konsep makro, sebagai salah satu strategi untuk
menanggulangi masalah kurang gizi. </ins></span></span></div>
<div style="line-height: 150%; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif";"><span class="msoIns"><ins>Penyebab
langsung</ins></span></span></b><span style="font-family: "Arial","sans-serif";"><span class="msoIns"><ins> : Makanan dan penyakit dapat secara langsung menyebabkan <a href="http://helpingpeopleideas.com/publichealth/index.php/2012/06/metode-penentuan-status-gizi-balita/"><span style="color: windowtext; text-decoration: none; text-underline: none;">gizi kurang</span></a>.
Timbulnya gizi kurang tidak hanya dikarenakan asupan makanan yang kurang,
tetapi juga penyakit. Anak yang mendapat cukup makanan tetapi sering menderita
sakit, pada akhirnya dapat menderita gizi kurang. Demikian pula pada anak yang
tidak memperoleh cukup makan, <span class="loading">maka daya tahan tubuhnya akan
melemah dan akan mudah terserang penyakit. </span></ins></span></span></div>
<div style="line-height: 150%; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif";"><span class="msoIns"><ins>Penyebab
tidak langsung</ins></span></span></b><span style="font-family: "Arial","sans-serif";"><span class="msoIns"><ins> <strong><span style="font-family: "Arial","sans-serif";">:</span></strong>
Terdapat tiga<strong><span style="font-family: "Arial","sans-serif";"> </span></strong>penyebab
tidak langsung yang menyebabkan gizi kurang yaitu : </ins></span></span></div>
<ol start="1" type="1">
<li class="MsoNormal" style="line-height: 150%; mso-list: l0 level1 lfo6; tab-stops: list 36.0pt; text-align: justify;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"><span class="msoIns"><ins>Ketahanan pangan
keluarga yang kurang memadai. Setiap keluarga diharapkan mampu untuk
memenuhi kebutuhan pangan seluruh anggota keluarganya dalam jumlah yang
cukup baik jumlah maupun mutu gizinya.</ins></span></span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l0 level1 lfo6; tab-stops: list 36.0pt; text-align: justify;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"><span class="msoIns"><ins>Pola pengasuhan
anak kurang memadai. Setiap keluarga dan mayarakat diharapkan dapat
menyediakan waktu, perhatian, dan dukungan terhadap anak agar dapat tumbuh
kembang dengan baik baik fisik, mental dan sosial.</ins></span></span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l0 level1 lfo6; tab-stops: list 36.0pt; text-align: justify;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"><span class="msoIns"><ins>Pelayanan
kesehatan dan lingkungan kurang memadai. Sistim pelayanan kesehatan yang
ada diharapkan dapat menjamin penyediaan air bersih dan sarana pelayanan
kesehatan dasar yang terjangkau oleh setiap keluarga yang membutuhkan.</ins></span></span></li>
</ol>
<div style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Arial","sans-serif";"><span class="msoIns"><ins>Ketiga
faktor tersebut berkaitan dengan tingkat pendidikan, pengetahuan dan
ketrampilan keluarga. Makin tinggi tingkat pendidikan, pengetahuan dan
ketrampilan, makin baik tingkat ketahanan pangan keluarga, makin baik pola
pengasuhan maka akan makin banyak keluarga yang memanfaatkan pelayanan
kesehatan. </ins></span></span></div>
<div style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Arial","sans-serif";"><span class="msoIns"><ins>Kurangnya
pemberdayaan keluarga dan kurangnya pemanfaatan sumber daya masyarakat
berkaitan dengan berbagai faktor langsung maupun tidak langsung diprediksi
sebagai pokok masalah di masyarakat. Sedangkan akar masalahnya berupa kurangnya
pemberdayaan wanita dan keluarga serta kurangnya pemanfaatan sumber daya
masyarakat terkait dengan meningkatnya pengangguran, inflasi dan kemiskinan.
Keadaan tersebut telah memicu munculnya kasus-kasus <a href="http://helpingpeopleideas.com/publichealth/index.php/2012/06/metode-penentuan-status-gizi-balita/"><span style="color: windowtext; text-decoration: none; text-underline: none;">gizi buruk</span></a>
akibat kemiskinan dan ketahanan pangan keluarga yang tidak memadai. </ins></span></span></div>
<div style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Arial","sans-serif";"><span class="msoIns"><ins>Masalah gizi
terbagi menjadi masalah gizi makro dan mikro. Masalah gizi makro adalah masalah
yang utamanya disebabkan kekurangan atau ketidakseimbangan asupan <strong><span style="font-family: "Arial","sans-serif";">energi dan protein</span></strong>.
Manifestasi dari masalah gizi makro bila terjadi pada wanita usia subur dan ibu
hamil yang Kurang Energi Kronis (KEK) adalah berat badan bayi baru lahir yang
rendah (BBLR). Bila terjadi pada anak balita akan mengakibatkan marasmus,
kwashiorkor atau marasmic-kwashiorkor dan selanjutnya akan terjadi gangguan
pertumbuhan pada anak usia sekolah. </ins></span></span></div>
<div style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Arial","sans-serif";"><span class="msoIns"><ins>Anak balita
yang sehat atau kurang gizi secara sederhana dapat diketahui dengan
membandingkan antara berat badan menurut umur atau berat badan menurut tinggi,
apabila sesuai dengan standar anak disebut <strong><span style="font-family: "Arial","sans-serif";"><a href="http://helpingpeopleideas.com/publichealth/index.php/2012/06/metode-penentuan-status-gizi-balita/"><span style="color: windowtext; font-weight: normal; mso-bidi-font-weight: bold; text-decoration: none; text-underline: none;">Gizi Baik</span></a></span></strong>.
Kalau <strong><span style="font-family: "Arial","sans-serif"; font-weight: normal; mso-bidi-font-weight: bold;">sedikit di bawah standar </span></strong>disebut <strong><span style="font-family: "Arial","sans-serif"; font-weight: normal; mso-bidi-font-weight: bold;">Gizi Kurang</span></strong>, sedangkan jika <strong><span style="font-family: "Arial","sans-serif"; font-weight: normal; mso-bidi-font-weight: bold;">jauh di bawah standar</span></strong><strong><span style="font-family: "Arial","sans-serif";"> </span></strong>disebut <strong><span style="font-family: "Arial","sans-serif"; font-weight: normal; mso-bidi-font-weight: bold;">Gizi Buruk</span></strong>.
Bila gizi buruk disertai dengan <strong><span style="font-family: "Arial","sans-serif"; font-weight: normal; mso-bidi-font-weight: bold;">tanda</span></strong></ins></span><strong><span style="font-family: "Arial","sans-serif"; font-weight: normal; mso-bidi-font-weight: bold;"> - <span class="msoIns"><ins>tanda</ins></span></span></strong><strong><span style="font-family: "Arial","sans-serif";"><span class="msoIns"><ins> <a href="http://helpingpeopleideas.com/publichealth/index.php/2009/05/penentuan-status-gizi/"><span style="color: windowtext; font-weight: normal; mso-bidi-font-weight: bold; text-decoration: none; text-underline: none;">klinis</span></a> </ins></span></span></strong><span class="msoIns"><ins>seperti ; wajah sangat kurus, muka seperti orang tua, perut
cekung, kulit keriput disebut <strong><span style="font-family: "Arial","sans-serif"; font-weight: normal; mso-bidi-font-weight: bold;">Marasmus</span></strong><b style="mso-bidi-font-weight: normal;">,</b> dan bila ada bengkak terutama pada
kaki, wajah membulat dan sembab disebut <strong><span style="font-family: "Arial","sans-serif"; font-weight: normal; mso-bidi-font-weight: bold;">Kwashiorkor</span></strong><b style="mso-bidi-font-weight: normal;">.</b> Marasmus dan Kwashiorkor atau
Marasmus Kwashiorkor dikenal di masyarakat sebagai <strong><span style="font-family: "Arial","sans-serif"; font-weight: normal; mso-bidi-font-weight: bold;">“busung lapar”</span></strong><b style="mso-bidi-font-weight: normal;">.</b>
Gizi mikro (khususnya Kurang Vitamin A, Anemia Gizi Besi, dan Gangguan Akibat
Kurang Yodium). </ins></span></span></div>
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<div class="MsoNormal">
<span style="font-family: Algerian; font-size: 14.0pt; mso-bidi-font-family: Arial;">2.3<b style="mso-bidi-font-weight: normal;"> </b></span><strong><span style="font-family: Algerian; font-size: 14.0pt; font-weight: normal; mso-bidi-font-weight: bold;">Program Perbaikan Gizi Dan Kesehatan Masa Depan</span></strong><b style="mso-bidi-font-weight: normal;"><span style="font-family: Algerian; font-size: 14.0pt;"></span></b></div>
<div style="line-height: 150%; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Arial","sans-serif";">Dilihat dari besarnya masalah gizi dan
kesehatan serta bervariasinya faktor penyebab masalah ini antar wilayah, maka
diperlukan program yang komprehensif dan terintegrasi baik di tingkat
kabupaten, provinsi, maupun nasional. Jelas sekali kerja sama antar sektor
terkait menjadi penting, selain mengurangi aktivitas yang tumpang tindih dan
tidak terarah.</span></div>
<div style="line-height: 150%; text-align: justify;">
<span style="font-family: "Arial","sans-serif";">Berikut
ini merupakan pemikiran untuk program yang akan datang, antara lain:</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Banyak
hal yang harus diperkuat untuk melaksanakan program perbaikan gizi, mulai dari
ketersediaan data dan informasi secara periodik untuk dapat digunakan dalam
perencanaan program yang benar dan efektif. Kajian strategi program yang
efisien untuk masa yang datang mutlak diperlukan, mulai dari tingkat nasional
sampai dengan kabupaten.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l3 level1 lfo5; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Melakukan
penanggulangan program perbaikan gizi dan kesehatan yang bersifat preventif
untuk jangka panjang, sementara kuratif dapat diberikan pada kelompok
masyarakat yang benar-benar membutuhkan. Bentuk program efektif seperti
perbaikan perilaku kesehatan dan gizi tingkat keluarga dilakukan secara
professional mulai dipikirkan, dan tentunya dengan ketentuan atau kriteria yang
spesifik lokal.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l3 level1 lfo5; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Melakukan
strategi program khusus untuk penanggulangan kemiskinan, baik di daerah
perkotaan maupun perdesaan dalam bentuk strategi pemberdayaan keluarga dan
menciptakan kerja sama yang baik dengan swasta.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l3 level1 lfo5; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Secara
bertahap melakukan peningkatan pendidikan, strategi ini merupakan strategi
jangka panjang yang dapat mengangkat Indonesia dari berbagai masalah gizi dan
kesehatan.</span></div>
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<span style="font-family: Algerian; font-size: 14.0pt; mso-bidi-font-family: Arial;">BAB
iii<br />
PENUTUP</span></div>
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<span style="font-family: Algerian; font-size: 12.0pt; mso-bidi-font-family: Arial;">KESIMPULAN</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gizi adalah<b> </b>suatu proses organisme menggunakan
makanan yang dikonsumsi secara normal melalui proses digesti, absobsi,
transportasi, penyimpanan, metabolisme dan pengeluaran zat-zat yang tidak
digunakan untuk mempertahankan kehidupan, pertumbuhan dan fungsi normal dari
organ-organ, serta menghasilkan energi. </span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Indikator
status gizi yaitu tanda-tanda yang dapat memberikan gambaran tentang keadaan
keseimbangan antara asupan dan kebutuhan zat gizi oleh tubuh. Beberapa faktor
yang memengaruhi status gizi seseorang yaitu faktor lingkungan, faktor ekonomi,
faktor sosial-budaya, faktor biologis/keturunan, dan faktor religi.</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Akibat
yang ditimbulkan karena gizi salah (malnutrisi) akan berpengaruh negatif
terhadap perkembangan mental, perkembangan fisik, produktivitas, dan
kesanggupan kerja manusia. Cara-cara perbaikan status gizi yaitu dengan
pengaturan makanan yang bertujuan untuk meningkatkan status gizi.</span></div>
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<span style="font-family: Algerian; font-size: 14.0pt; mso-bidi-font-family: Arial;">daftar
pustaka<br style="mso-special-character: line-break;" />
<br style="mso-special-character: line-break;" />
</span></div>
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<a href="http://depkes.go.id/index.php/component/content/article/43-newsslider/2136-menkes-ada-tiga-kelompok-permasalahan-gizi-di-indonesia.html"><u style="text-underline: white dot-dash;"><span style="color: windowtext; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">http://depkes.go.id/index.php/component/content/article/43-newsslider/2136-menkes-ada-tiga-kelompok-permasalahan-gizi-di-indonesia.html</span></u></a><u style="text-underline: white dot-dash;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"></span></u></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">http://helpingpeopleideas.com/publichealth/index.php/2012/10/permasalahan-gizi-masyarakat/</span></div>
Anonymoushttp://www.blogger.com/profile/09428371857956484973noreply@blogger.com0tag:blogger.com,1999:blog-1493722132486835108.post-45286356546900176812014-02-09T16:53:00.000-08:002014-02-09T16:53:16.194-08:00Makalah Tempat Nakes<!--[if !mso]>
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<br />
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Algerian; font-size: 20.0pt;">TUGAS Makalah</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Algerian; font-size: 20.0pt;">RUMAH SAKIT</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<img align="left" alt="logo dian husada.gif" height="360" hspace="12" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image002.gif" width="381" /><span style="font-family: Algerian; font-size: 24.0pt;"></span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: "Monotype Corsiva"; font-size: 16.0pt; mso-bidi-font-family: Arial;">Disusun oleh :</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: "Monotype Corsiva"; font-size: 16.0pt; mso-bidi-font-family: Arial;">Anita Della Aviyanty Putri ( 02.12.004 )<br />
Naimatul Husniah ( 02.12.035 )<br />
Eka Herin Priyanti ( 02.12.012 )<br />
Dita Saraswati ( 02.12.010 )<br />
Nurul Karimah ( 02.12.040 )<br style="mso-special-character: line-break;" />
<br style="mso-special-character: line-break;" />
</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: "Monotype Corsiva"; font-size: 16.0pt; mso-bidi-font-family: Arial;">1A D3 Kebidanan</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Algerian; font-size: 22.0pt; mso-bidi-font-family: Arial;">Kampus
a stikes DIAN HUSADA MOJOKERTO</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Algerian; font-size: 22.0pt; mso-bidi-font-family: Arial;">2013 –
2014</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Algerian; font-size: 16.0pt; mso-bidi-font-family: Arial;">KATA
PENGANTAR</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span>Puji syukur kami ucapkan kepada
Tuhan Yang Maha Esa. Berkat rahmat, taufiq, dan hidayah-Nya kami dapat
menyelesaikan tugas makalah yang berjudul “ Rumah Sakit ” ini dengan tepat
waktu. </span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span>Kami mengucapkan banyak terima kasih
kepada seluruh pihak yang telah membantu dalam penyelesaian makalah ini, dan
juga kepada sumber-sumber yang digunakan untuk menunjang penyelesaian makalah
ini. Tidak lupa juga ucapan terima kasih kepada seluruh anggota kelompok yang
telah bekerja sama dalam penyelesaian makalah ini. </span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span>Demikianlah makalah yang telah kami
selesaikan. Tiada gading yang tak retak, begitu pula makalah ini yang tak luput
dari kekurangan. Kritik dan saran sangat kami harapkan untuk menunjang
keberhasilan dari makalah ini. Semoga makalah ini bermanfaat bagi kita semua.
Amin.</span></div>
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<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt;"><span style="mso-tab-count: 8;"> </span>Mojokerto,
14 Mei 2013 </span></div>
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<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt;"><span style="mso-tab-count: 7;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-tab-count: 2;"> </span><span style="mso-spacerun: yes;"> </span>Penyusun</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Algerian; font-size: 16.0pt; mso-bidi-font-family: Arial;">Daftar
isi </span></div>
<div class="MsoNormal" style="tab-stops: dotted 15.0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Kata Pengantar <span style="mso-tab-count: 1 dotted;">................................................................................................................ </span><span style="mso-spacerun: yes;"> </span>i</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Daftar Isi <span style="mso-tab-count: 1 dotted;">............................................................................................................................ </span><span style="mso-spacerun: yes;"> </span>ii</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Bab I <span style="mso-tab-count: 1 dotted;">................................................................................................................................... </span><span style="mso-spacerun: yes;"> </span>1</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Latar Belakang Masalah<span style="mso-tab-count: 1 dotted;">................................................................................................. </span>
1</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Rumusan Masalah<span style="mso-tab-count: 1 dotted;">.......................................................................................................... </span>
2</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Bab II <span style="mso-tab-count: 1 dotted;">.................................................................................................................................. </span><span style="mso-spacerun: yes;"> </span>3</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; mso-list: l1 level2 lfo1; tab-stops: dotted 15.0cm; text-indent: -18.0pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">2.1<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span>Pengertian tentang pelayanan kesehatan <span style="mso-tab-count: 1 dotted;">.......................................................... </span><span style="mso-spacerun: yes;"> </span>3</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; mso-list: l1 level2 lfo1; tab-stops: dotted 15.0cm; text-indent: -18.0pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">2.2<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-spacerun: yes;"> </span>Pelayanan di rumah sakit</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"> <span style="mso-tab-count: 1 dotted;">....................................................................................... </span><span style="mso-spacerun: yes;"> </span>6</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; mso-list: l1 level2 lfo1; tab-stops: dotted 15.0cm; text-indent: -18.0pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">2.3<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pelayanan yang berkualitas di rumah sakit </span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1 dotted;">........................................................ </span><span style="mso-spacerun: yes;"> </span>15</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; mso-list: l1 level2 lfo1; tab-stops: dotted 15.0cm; text-indent: -18.0pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">2.4<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Apa saja bentuk tingkat pelayanan</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1 dotted;">........................................................................ </span>
16</span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: dotted 15.0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Bab
III <span style="mso-tab-count: 1 dotted;">................................................................................................................................. </span><span style="mso-spacerun: yes;"> </span>17<br />
Penutup <span style="mso-tab-count: 1 dotted;">............................................................................................................................ </span><span style="mso-spacerun: yes;"> </span>17<br />
Daftar Pustaka <span style="mso-tab-count: 1 dotted;">................................................................................................................. </span><span style="mso-spacerun: yes;"> </span>18</span></div>
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<div class="MsoNormal">
<br /></div>
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<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Algerian; font-size: 14.0pt; mso-bidi-font-family: Arial;">BAB i<br />
PENDAHULUAN</span></div>
<div class="MsoListParagraph" style="margin-left: 1.0cm; mso-add-space: auto; mso-list: l3 level2 lfo2; text-indent: -1.0cm;">
<span style="font-family: Algerian; font-size: 14.0pt; mso-bidi-font-family: Algerian; mso-fareast-font-family: Algerian;"><span style="mso-list: Ignore;">1.1<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: Algerian; font-size: 14.0pt; mso-bidi-font-family: Arial;">LATAR
BELAKANG MASALAH</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rumah sakit
sebagai salah satu fasilitas pelayanan kesehatan memiliki peran yang sangat
strategis dalam upaya mempercepat derajat kesehatan masyarakat Indonesia.
Pemerintah telah bersungguh-sungguh dan terus-menerus berupaya untuk
meningkatkan mutu pelayanan baik yang bersifat promotif, preventif, kuratif dan
rehabilitasi. Peran tersebut pada dewasa ini semakin dituntut akibat adanya
perubahan-perubahan epidemiologik penyakit, perubahan struktur organisasi,
perkembangan ilmu pengetahuan dan teknologi, perubahan sosio-ekonomi masyarakat
dan pelayanan yang lebih efektif, ramah dan sanggup memenuhi kebutuhan mereka.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Era
reformasi yang sedang kita jalani, telah membawa perubahan yang mendasar dalam
berbagai bidang kehidupan termasuk masalah pelayanan kesehatan. Salah satu
perubahan yang mendasar dalam berbagai bidang kehidupan termasuk masalah
pelayanan kesehatan. Salah satu perubahan mendasar yang sedang digulirkan saat
ini adalah manajemen negara yaitu dari manajemen berbasis pusat menjadi
manajemen berbasis daerah secara resmi perubahan manajemen ini diwujudkan dalam
bentuk Undang-Undang RI Nomor 22 tahun 1999 tentang pemerintah daerah yang
kemudian diikuti pedoman pelaksanaannya berupa Peraturan Pemeritah RI Nomor 25
tahun 2000 tentang kewenangan propinsi sebagai daerah otonomi konsekuensi logis
dari undang-undang dan peraturan pemerintah tersebut adalah bahwa efektivitas
pelayanan kesehatan harus disesuaikan dengan jiwa dan semangat otonomi sesuai
dengan peraturan tersebut maka disusunlah tugas pokok dan fungsinya yakni; (1)
menyelenggarakan, melaksanakan pelayanan kesehatan meliputi promotif, pemulihan
rehabilitasi. (2) penyelenggaraan pelayanan medik, penyelenggaraan sistem
rujukan, penyelenggaraan pelayanan penunjang dan non medik, penyelenggaraan pelayanan
asuhan keperawatan, penyelenggaraan pendidikan dan pelatihan serta penelitian
dan pengembangan. </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dalam rangka
meningkatkan derajat kesehatan masyarakat banyak hal yang perlu diperhatikan.
Salah satu diantaranya yang dianggap mempunyai peranan yang cukup penting
adalah penyelenggaraan pelayanan kesehatan. Sesuai dengan peraturan
Undang-Undang No. 23 Tahun 1999 tentang Pelayanan Kesehatan. Agar
penyelenggaraan pelayanan kesehatan dapat mencapai tujuan yang diinginkan maka
pelayanan harus memenuhi berbagai syarat diantaranya; tersedia dan
berkesinambungan, dapat diterima dan wajar, mudah dicapai, mudah dijangkau, dan
bermutu (Azwar, 1996).</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pelayanan
kesehatan yang bermutu merupakan salah satu tolak ukur kepuasan yang berefek
terhadap keinginan pasien untuk kembali kepada institusi yang memberikan
pelayanan kesehatan yang efektif. Untuk memenuhi kebutuhan dan keinginan pasien
sehingga dapat memperoleh kepuasan yang ada pada akhirnya dapat meningkatkan
kepercayaan pada rumah sakit melalui pelayanan prima. Melalui pelayanan prima,
rumah sakit diharapkan akan menghasilkan keunggulan kompetitif (<i>competitive
advantage</i>) dengan pelayanan bermutu, efisien, inovatif dan menghasilkan
sesuai dengan Undang-Undang No. 8 Tahun 1999 tentang perlindungan
pasien. </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bentuk
pelayanan yang efektif antara pasien dan pemberi pelayanan (<i>provider</i>)
disadari sering terjadi perbedaan persepsi. Pasien mengartikan pelayanan yang
bermutu dan efektif jika pelayanannya nyaman, menyenangkan dan petugasnya ramah
yang mana secara keseluruhan memberikan kesan kepuasan terhadap pasien.
Sedangkan provider mengartikan pelayanan yang bermutu dan efesien jika
pelayanan sesuai dengan standar pemerintah. Adanya perbedaan persepsi tersebut
sering menyebabkan keluhan terhadap pelayanan (Aswar,1996).</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Adapun
kondisi yang menunjukkan masalah mutu dan keefektifan yang ada di rumah sakit
yakni adanya keluhan yang sering terdengar dari pihak pemakai layanan kesehatan
yang biasanya menjadi sasaran ialah sikap dan tindakan dokter atau perawat,
sikap petugas administrasi, selain itu juga tentang sarana yang kurang memadai,
kelambatan pelayanan, persediaan obat, tarif pelayanan kesehatan, peralatan
medis dan lain-lain.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpFirst" style="margin-left: 1.0cm; mso-add-space: auto; mso-list: l3 level2 lfo2; text-indent: -1.0cm;">
<span style="font-family: Algerian; font-size: 14.0pt; mso-bidi-font-family: Algerian; mso-fareast-font-family: Algerian;"><span style="mso-list: Ignore;">1.2<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: Algerian; font-size: 14.0pt; mso-bidi-font-family: Arial;">Rumusan
MASALAH<br style="mso-special-character: line-break;" />
<br style="mso-special-character: line-break;" />
</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo3; text-indent: -21.25pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Apa
pengertian tentang pelayanan kesehatan ?</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo3; text-indent: -21.25pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bagaimana
pelayanan di rumah sakit ?</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo3; text-indent: -21.25pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bagaimana
pelayanan yang berkualitas di rumah sakit ?</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo3; text-indent: -21.25pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Apa saja
bentuk tingkat pelayanan ?</span></div>
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<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Algerian; font-size: 16.0pt; mso-bidi-font-family: Arial;">BAB iI<br />
ISI</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: Algerian; font-size: 14.0pt; line-height: 150%; mso-bidi-font-family: Arial;">2.1
pengertian tentang pelayanan kesehatan</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kegiatan
pelayanan dalam suatu organisasi mempunyai peranan yang sangat strategis,
terutama pada organisasi yang aktivitas pokoknya adalah pemberian jasa.</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"> </span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sebelum
membahas pengertian pelayanan kesehatan, ada baiknya jika dikemukakan
pengertian efektivitas. Secara umum telah dikemukakan bahwa konsep efektivitas
itu sendiri paling baik jika dari sudut sejauh mana organisasi berhasil
mendapatkan sumber daya dalam usahanya mengejar tujuan strategi dan operasional
(Steers, 1985: 205).</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sama halnya
yang dikemukakan oleh Georgopoulos dan Tannenbaum (dalam Steers, 1985:50) yang
meninjau efektivitas dari sudut pencapaian tujuan, berpendapat bahwa rumusan
keberhasilan suatu organisasi harus mempertimbangkan bukan saja sasaran
organisasi tetapi juga mekanisme mempertahankan diri dan mengejar sasarannya.
Dengan lain perkataan, penilaian efektivitas harus berkaitan dengan masalah
sarana maupun tujuan-tujuan organisasi.</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">S.B. Hari
Lubis dan Martani Husaini (1987:54) bahwa pengertian yang memadai mengenai
tujuan ataupun sasaran organisasi merupakan langkah pertama dalam membahas
mengenai efektivitas tersebut seringkali berhubungan sangat erat dengan tujuan
maupun sasaran yang ingin dicapai oleh organisasi. Menurut Amitai Etzioni yang
dikutip Lubis dan Husaini (1987:55), pengertian efektivitas organisasi dapat
dinyatakan sebagai tingkat keberhasilan organisasi dalam usaha untuk mencapai
tujuan atau sasarannya. Sedangkan Soewarno Handayaningrat (1983:16) memberikan
defenisi efektivitas adalah pengukuran dalam arti tercapainya sasaran atau
tujuan yang telah ditentukan sebelumnya.</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dengan
demikian efektivitas merupakan konsep yang sangat penting dalam teori
organisasi, karena mampu memberikan gambaran mengenai keberhasilan organisasi
dalam mencapai sasaran atau tujuannya. Oleh karena itu, pengukuran efektivitas
organisasi memerlukan ketepatan tergantung pendekatan yang digunakan</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dari
beberapa pengertian efektivitas yang telah dikemukakan, defenisi lain
dalam tulisan ini adalah kesehatan. Undang-undang Nomor 23 Tahun 1992 tentang
Kesehatan, pasal 1 ayat 1 menyatakan bahwa kesehatan adalah keadaan sejahtera
dari badan, jiwa, dan sosial yang memungkinkan setiap orang produktif secara
sosial-ekonomi. Jadi pengertian kesehatan cakupannya sangat luas, mencakup
sehat fisik maupun non fisik (jiwa, sosial, ekonomi).</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pelayanan
kesehatan adalah setiap upaya yang diselenggarakan secara sendiri atau secara
bersama-sama dalam suatu organisasi untuk memelihara, meningkatkan kesehatan,
mencegah dan menyembuhkan penyakit serta memulihkan kesehatan perorangan,
keluarga, kelompok, dan ataupun masyarakat (Azwar, 1998). Pelayanan oleh Moenir
(1995) dirumuskan setiap kegiatan yang dilakukan oleh pihak lain yang ditujukan
untuk memenuhi kepentingan orang banyak. </span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pengertian
pelayanan kesehatan lainnya, dikemukakan oleh Gani (1995) bahwa pelayanan
kesehatan dalam memenuhi kebutuhan masyarakat berupa tindakan penyembuhan,
pencegahan, pengobatan, dan pemulihan fungsi organ tubuh seperti sedia kala.</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berdasarkan
rumusan pengertian di atas, dapat dipahami bahwa bentuk dan jenis pelayanan kesehatan
tergantung dari beberapa faktor yakni:</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1.
Pengorganisasian pelayanan; pelayanan kesehatan dapat dilaksanakan secara
sendiri atau bersama-sama sebagai anggota dalam suatu organisasi.</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2. Tujuan
atau ruang lingkup kegiatan; pencegahan penyakit, memelihara dan meningkatkan
derajat kesehatan, penyembuhan/ pengobatan dan pemulihan kesehatan.</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3. Sasaran
pelayanan; perorangan, keluarga, kelompok, dan masyarakat.</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pelayanan
rumah sakit merupakan salah satu bentuk upaya yang diselenggarakan untuk
memenuhi kebutuhan masyarakat. Pelayanan rumah sakit berfungsi untuk memberikan
pelayanan kesehatan secara menyeluruh dan terpadu yang dilakukan dalam upaya
peningkatan kesehatan, pencegahan penyakit, penyembuhan penyakit, dan pemulihan
kesehatan yang bermutu dan terjangkau dalam rangka meningkatkan derajat
kesehatan masyarakat. (Suparto, 1994)</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rumah sakit
sebagai salah satu bentuk fasilitas pelayanan kesehatan harus memberikan
pelayanan yang baik dan berkualitas. Manajemen rumah sakit harus berupaya
memuaskan pasiennya, dalam hal ini masyarakat dengan berbagai tingkat
kebutuhannya.</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sebuah rumah
sakit didirikan dan dijalankan dengan tujuan untuk memberikan pelayanan
kesehatan dalam bentuk perawatan, pemeriksaan, pengobatan, tindakan medis atau
non medis, dan tindakan diagnosis lainnya yang dibutuhkan oleh masing-masing
pasien dalam batas-batas kemampuan teknologi dan sarana yang disediakan di
rumah sakit (Wijono, 1999).</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Disamping
itu rumah sakit harus dapat memberikan pelayanan kesehatan yang cepat, akurat,
dan sesuai dengan kemajuan teknologi kedokteran sehingga dapat berfungsi
sebagai rujukan rumah sakit sesuai dengan tingkat rumah sakitnya.</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pelayanan
kesehatan di rumah sakit adalah kegiatan pelayanan berupa pelayanan rawat
jalan, pelayanan rawat inap, pelayanan administrasi, pelayanan gawat darurat
yang mencakup pelayanan medik dan penunjang medik.</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">S</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">edangkan
untuk dapat disebut sebagai bentuk pelayanan kesehatan, baik dari jenis
pelayanan kesehatan kedokteran maupun dari jenis pelayanan kesehatan masyarakat
harus memiliki berbagai syarat pokok. Syarat pokok yang dimaksud adalah:</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tersedia dan
berkesinambungan</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Syarat yang
pertama pelayanan kesehatan yang baik adalah pelayanan kesehatan tersebut harus
tersedia di masyarakat serta bersifat berkesinambungan.</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dapat diterima
dan wajar</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Syarat pokok
kedua pelayanan kesehatan yang baik adalah dapat diterima oleh masyarakat serta
bersifat wajar. Artinya pelayanan kesehatan tersebut tidak bertentangan dengan
keyakinan dan kepercayaan masyarakat.</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mudah
dicapai</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Syarat pokok
yang ketiga pelayanan kesehatan yang baik adalah mudah dicapai oleh masyarakat
(dari sudut lokasi).</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mudah
dijangkau</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Syarat pokok
keempat pelayanan kesehatan yang baik adalah mudah dijangkau oleh masyarakat.
Pengertian keterjangkauan yang dimaksud disini termasuk dari sudut biaya. Untuk
dapat mewujudkan keadaan yang seperti ini harus dapat diupayakan pelayanan
kesehatan tersebut sesuai dengan kemampuan ekonomi masyarakat.</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bermutu</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Syarat pokok
pelayanan kesehatan yang baik adalah bermutu. Pengertian yang dimaksud disini
adalah yang menunjuk pada tingkat kesempurnaan pelayanan kesehatan yang
diselenggarakan, yang disatu pihak dapat memuaskan para pemakai jasa pelayanan,
dan dipihak lain tata cara penyelenggaraannya sesuai dengan kode etik serta
standar yang telah ditetapkan.</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dalam upaya
pelayanan di rumah sakit, maka pasien yang memperoleh jasa pelayanan memiliki
harapan tertentu. Bila jasa rumah sakit yang diterimanya dapat memenuhi bahkan
melebihi dari apa yang diharapkan dalam waktu ke waktu tumbuh pemikiran dalam
diri pasien bahwa inilah suatu jasa pelayanan rumah sakit yang efektif dan
memiliki mutu.</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: Algerian; font-size: 14.0pt; line-height: 150%; mso-bidi-font-family: Arial;">2.2 pelayanan
kesehatan DI RUMAH SAKIT</span></div>
<div class="MsoNormal" style="line-height: 150%; text-indent: 1.0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rumah sakit
adalah suatu organisasi yang melalui tenaga medis profesional yang
terorganisasi serta sarana kedokteran yang permanen menyelenggarakan pelayanan
kedokteran, asuhan perawatan yang berkesinambungan, diagnosis, serta pengobatan
yang diderita oleh pasien (American Hospital Association, 1974; dalam Azwar,
1996). Sementara itu, dalam Sistem Kesehatan Nasional (1992) dinyatakan bahwa
rumah sakit mempunyai fungsi utama menyelenggarakan kesehatan bersifat
penyembuhan dan pemulihan penderita serta memberikan pelayanan yang tidak
terbatas pada perawatan di dalam rumah sakit saja, tetapi memberikan pelayanan
rawat jalan, serta perawatan di luar rumah sakit.</span><span style="font-family: Algerian; font-size: 14.0pt; line-height: 150%; mso-bidi-font-family: Arial;"></span></div>
<div class="MsoNormal" style="line-height: 150%; text-indent: 1.0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pengertian
serupa dikemukakan oleh Association of Hospital Care (Azwar, 1996) bahwa rumah
sakit adalah pusat pelayanan kesehatan masyarakat, pendidikan serta penelitian
kedokteran diselenggarakan.</span><span style="font-family: Algerian; font-size: 14.0pt; line-height: 150%; mso-bidi-font-family: Arial;"></span></div>
<div class="MsoNormal" style="line-height: 150%; text-indent: 1.0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Batasan
pengertian rumah sakit di atas, menunjukkan bahwa fungsi kegiatan rumah sakit
sangat bervariasi, sesuai dengan perkembangan zaman. Artinya rumah sakit tidak
hanya berfungsi sebagai tempat penyembuhan penyakit, tempat pengasuhan, tempat
pelayanan, pendidikan dan penelitian sederhana, dan bersifat sosial. Dewasa
ini, rumah sakit fungsinya berkembang sesuai dengan tuntunan perkembangan ilmu
pengetahuan dan teknologi, antara lain; sebagai pengembangan pendidikan dan
penelitian, spesialistik/subspesialistik, dan mencari keuntungan.</span><span style="font-family: Algerian; font-size: 14.0pt; line-height: 150%; mso-bidi-font-family: Arial;"></span></div>
<div class="MsoNormal" style="line-height: 150%; text-indent: 1.0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Implikasinya
adalah setiap rumah sakit dituntut untuk senantiasa meningkatkan mutu pelayanan
kesehatan pasiennya dalam semua aspek pelayanan, baik yang bersifat fisik
maupun non fisik agar efektivitas pelayanan kesehatan dapat terwujud.</span><span style="font-family: Algerian; font-size: 14.0pt; line-height: 150%; mso-bidi-font-family: Arial;"></span></div>
<div class="MsoNormal" style="line-height: 150%; text-indent: 1.0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Konsep mutu
merupakan konsep multi dimensi. Konsep ini merupakan pengembangan teori yang
terpijak pada prinsip-prinsip efektivitas pelayanan, yakni; <i>costumer focus,
process improvement</i>, dan <i>total improvement</i>. Mutu pelayanan lebih
mengacu pada konsep <i>costumer focus</i>, dimana mutu pelayanan merupakan
penilaian terhadap kepuasan pelanggan (pasien) yang harus dipenuhi setiap saat,
baik pelanggan internal maupun pelanggan eksternal. </span><span style="font-family: Algerian; font-size: 14.0pt; line-height: 150%; mso-bidi-font-family: Arial;"></span></div>
<div class="MsoNormal" style="line-height: 150%; text-indent: 1.0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ada beberapa
ahli yang mengemukakan pendapatnya tentang mutu, baik dilihat dari produk maupun
dari segi pelayanannya. Salah satu pendapat tersebut yakni;</span><span style="font-family: Algerian; font-size: 14.0pt; line-height: 150%; mso-bidi-font-family: Arial;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1. Mutu adalah tingkat kesempurnaan dari penampilan
sesuatu yang sedang diamati (Winson Dictionary, 1956).</span><span style="font-family: Algerian; font-size: 14.0pt; line-height: 150%; mso-bidi-font-family: Arial;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2. Mutu adalah sifat yang memiliki oleh sesuatu
program (Donabedian, 1980).</span><span style="font-family: Algerian; font-size: 14.0pt; line-height: 150%; mso-bidi-font-family: Arial;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3. Mutu adalah totalitas dari wujud serta ciri dari
suatu barang atau jasa, yang didalamnya terkandung sekaligus pengertian rasa
aman atau pemenuhan kebutuhan para pengguna (DIN ISO 8402, 1986).</span><span style="font-family: Algerian; font-size: 14.0pt; line-height: 150%; mso-bidi-font-family: Arial;"></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">4. Mutu
adalah kepatuhan terhadap standar yang telah ditetapkan (Crosby, 1984).</span><span style="font-family: Algerian; font-size: 14.0pt; line-height: 150%; mso-bidi-font-family: Arial;"></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menurut <i>American
society for quality control, mutu adalah keseluruhan ciri-ciri karakteristik
dari suatu produk/jasa dalam hal kemampuannya untuk memenuhi
kebutuhan-kebutuhan yang telah ditentukan bersifat laten</i>. (Lupiyoadi, 2001)</span><span style="font-family: Algerian; font-size: 14.0pt; line-height: 150%; mso-bidi-font-family: Arial;"></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Efektivitas
pelayanan kesehatan dalam bentuk pemberian dan pengobatan pasien bila semua
pihak terkait dan mendukung kegiatan ini tidak berada dalam posisi sebagai
“unit dari suatu system” menuju tercapainya yang telah disepakati. Mengacu pada
pengelolaan rumah sakit yang senantiasa berusaha memberi pelayanan dan
pengobatan sebaik-baiknya, <i>“EHS IN HOSPITAL”</i> dapat secara operasional
didefinisikan sebagai “suatu sistem pengelolaan pelayanan di rumah sakit
melalui jalur komunikasi untuk membentuk prilaku institusi guna tercapainya
efektivitas serta mutu pelayanan yang optimal”. (Ngatimin, 2000).</span><span style="font-family: Algerian; font-size: 14.0pt; line-height: 150%; mso-bidi-font-family: Arial;"></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Untuk
mencapai tujuan yang optimal, jalur komunikasi memegang peranan yang sangat
penting dimana hal ini tidak terlepas dari faktor petugas pelayanan, sehingga
menurut Ngatimin (1987) dalam Ngatimin (2000) mengemukakan seorang petugas
kesehatan ideal adalah mereka yang memiliki <i>ability</i> (kemampuan), <i>performance</i>
(kinerja), <i>personality</i> (kepribadian), <i>credibility</i> (kepercayaan)
dan <i>maturity</i> (kematangan).</span><span style="font-family: Algerian; font-size: 14.0pt; line-height: 150%; mso-bidi-font-family: Arial;"></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dari
beberapa unsur di atas, dapat didefinisikan sebagai berikut:</span><span style="font-family: Algerian; font-size: 14.0pt; line-height: 150%; mso-bidi-font-family: Arial;"></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1. Ability
: Petugas kesehatan memiliki kemampuan teori dan pengalaman lapangan sehingga
pada pelaksanaan tugasnya, petugas kesehatan yang dimaksud mampu menunjukkan
prestasi.</span><span style="font-family: Algerian; font-size: 14.0pt; line-height: 150%; mso-bidi-font-family: Arial;"></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.
Performance : Membina dan memelihara kinerja dari petugas
dan institusi yang diwakilinya merupakan kewajiban petugas yang ideal.</span><span style="font-family: Algerian; font-size: 14.0pt; line-height: 150%; mso-bidi-font-family: Arial;"></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3.
Personality : Seorang petugas
kesehatan sangat erat hubungannya dengan rasa tanggung jawab sebagai petugas
kesehatan serta memelihara tugas-tugas dibidang kesehatan yang berkaitan dengan
keselamatan jiwa orang lain yang menjadikan kepribadian yang sangat penting.</span><span style="font-family: Algerian; font-size: 14.0pt; line-height: 150%; mso-bidi-font-family: Arial;"></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">4.
Credibility : Merupakan batu
ujian bagi para petugas kesehatan yang berusaha mendukung upaya kesehatannya,
tanpa memiliki rasa ragu dalam menangani masalah yang diberikan.</span><span style="font-family: Algerian; font-size: 14.0pt; line-height: 150%; mso-bidi-font-family: Arial;"></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">5.
Maturity
: Mampu mengendalikan kondisi, dalam hal ini kemampuan jiwa yang dewasa
dan cukup matang untuk mengendalikan diri orang lain.</span><span style="font-family: Algerian; font-size: 14.0pt; line-height: 150%; mso-bidi-font-family: Arial;"></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sedangkan
pengertian mutu adalah faktor keputusan mendasar dari pasien, mutu adalah
penentuan pelanggan, bukan ketetapan insinyur, pasar atau ketetapan manajemen,
ia berdasarkan atas pengalaman nyata pelanggan terhadap produk dan jasa
pelayanan, mengukurnya, mengharapkannya, dijanjikan atau tidak, sadar atau hanya
dirasakan, operasional teknik atau subjektif sama sekali dan selalu
menggambarkan target yang bergerak dalam pasar kompetitif. (Wijono, 1993: 3)</span><span style="font-family: Algerian; font-size: 14.0pt; line-height: 150%; mso-bidi-font-family: Arial;"></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mutu
pelayanan kesehatan menurut WHO 1998 dalam Wijono (1999) adalah “penampilan
yang pantas atau sesuai yang berhubungan dengan standar-standar dari suatu
intervensi yang diketahui aman, yang dapat memberikan hasil kepada masyarakat
yang bersangkutan yang telah mempunyai kemampuan untuk menghasilkan dampak pada
kematian, kesakitan, ketidakmampuan, dan kekurangan gizi.</span><span style="font-family: Algerian; font-size: 14.0pt; line-height: 150%; mso-bidi-font-family: Arial;"></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pengertian
lain dari mutu pelayanan kesehatan mengenai keefektifan pelayanan kesehatan
dapat dilihat dari beberapa sudut pandang adalah sebagai berikut:</span><span style="font-family: Algerian; font-size: 14.0pt; line-height: 150%; mso-bidi-font-family: Arial;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1. Untuk pasien dan masyarakat, mutu pelayanan berarti suatu empathy,
respect dan tanggapan akan kebutuhannya, pelayanan harus sesuai dengan
kebutuhan mereka, diberikan dengan cara ramah pada waktu berkunjung ke rumah
sakit.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2. Dari sudut pandang petugas kesehatan, “mutu pelayanan berarti bebas
melakukan segala sesuatu secara profesional untuk meningkatkan derajat
kesehatan pasien dan masyarakat sesuai dengan ilmu pengetahuan dan keterampilan
yang maju, mutu peralatan yang baik dan memenuhi standar yang baik (state of
the art).</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3. Dari sudut pandang manajer (administrator), mutu pelayanan tidak berhubungan
langsung dengan tugas mereka sehari-hari, namun tetap sama pentingnya. Untuk
para manajer focus pada mutu akan mendorongnya untuk mengatur staf, pasien dan
masyarakat dengan baik.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">4. Bagi yayasan atau pemilik rumah sakit, mutu dapat berarti memiliki
tenaga profesional yang bermutu dan cukup. Pada umumnya para manajer dan
pemilik institusi mengharapkan efesiensi dan kewajaran penyelenggaraan
pelayanan, minimal tidak merugikan dipandang dari berbagai aspek seperti
tiadanya pemborosan tenaga, peralatan, biaya dan waktu.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menurut Tenner dan De Torro (1993: 3), <i>“quality is
a basic business strategy that provides goods and services the completely both
internal and external costumer. By meeting their explicit and implicit
expectation”</i>. Mutu adalah strategi dasar untuk menghasilkan barang atau
jasa untuk memuaskan pelanggan internal dan eksternal dengan memenuhi kebutuhan
yang nampak dan tersembunyi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pengertian tentang mutu pemeliharaan kesehatan
(quality of health care) sering diartikan sebagai mutu pelayanan kesehatan,
mutu asuhan kesehatan, mutu perawatan kesehatan yang menjadi acuan dalam
pelaksanaan operasional sehari-hari adalah sebagai berikut; derajat terpenuhi
standar profesi atau standar <i>operating procedure</i> dalam pelayanan pasien
dan terwujudnya hasil-hasil <i>out-comes</i> yang diharapkan oleh profesi
maupun pasien yang menyangkut dengan pelayanan diagnosa, terapi, prosedur atau
tindakan pemecahan masalah klinis. Jadi defenisi ini berorientasi pada proses
dari hasil. (Wijono, 1999: 34)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l0 level1 lfo4; text-indent: -14.2pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penilaian
Mutu dan Efektifitas Pelayanan Rumah Sakit</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Untuk melihat tingkat keberhasilan pelayanan rumah
sakit dapat dilihat dari berbagai aspek, Dep.Kes. RI (1999) antara lain:<br />
a. Pemanfaatan sarana pelayanan<br />
b. Mutu pelayanan<br />
c. Tingkat efesiensi pelayanan<br />
Untuk mengetahui tingkat pemanfaatan mutu pelayanan dan efesiensi pelayanan
rumah sakit diperlukan berbagai indikator agar informasi yang ada dapat
dijadikan sebagai acuan yang bermakna ada parameter yang dipakai sebagai
pembanding antara fakta dan standar.</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l0 level1 lfo4; text-indent: -14.2pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dimensi Mutu
(kualitas) Pelayanan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menurut Wijono (1999: 35) ada 8 (delapan) dimensi mutu
pelayanan kesehatan yang dapat membantu pola pikir dalam menetapkan masalah
yang ada untuk mengukur sampai sejauh mana telah dicapai standar dan
efektivitas pelayanan kesehatan. Kedelapan dimensi mutu tersebut adalah:</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1. Kompetensi teknis; kompetensi teknis terkait dengan keterampilan dan
penampilan petugas, manager dan staf pendukung. Kompetensi teknis berhubungan
dengan bagaimana cara petugas mengikuti standar pelayanan yang telah
ditetapkan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2. Akses terhadap pelayanan kesehatan, akses berarti bahwa pelayanan
kesehatan tidak terhalang oleh keadaan social, ekonomi, budaya, organisasi, dan
hambatan bahasa.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3. Efektivitas mutu pelayanan kesehatan tergolong dari efektivitas yang menyangkut
norma pelayanan kesehatan dan petunjuk klinis sesuai standar yang ada. Menilai
dimensi efektivitas akan tanggung jawab pertanyaan apakah prosedur atau
pengobatan bila ditetapkan dengan benar akan menghasilkan hasil yang
diinginkan. Bila memilih standar, relative resiko yang dipertimbangkan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">4. Hubungan antar manusia, adalah interaksi antar petugas dan pasien,
manajer dan petugas, dan antara tim kesehatan dengan masyarakat. Hubungan
antara manusia yang baik menanamkan kepercayaan dengan cara menghargai, menjaga
rahasia, responsif dan memberikan perhatian, mendengarkan keluhan, dan
berkomunikasi secara efektif juga penting. Hubungan antara manusia yang kurang
baik akan mengurangi efektivitas dan kompetensi teknis pelayanan kesehatan.
Pasien yang diperlakukan kurang baik cenderung mengabaikan saran dan nasehat
petugas kesehatan, atau tidak mau berobat ditempat tersebut.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">5. Efesiensi, efesiensi pelayanan kesehatan merupakan dimensi yang penting
dari mutu karena efesiensi akan mempengaruhi hasil pelayanan kesehatan, apalagi
sumber daya pelayanan kesehatan pada umumnya terbatas. Pelayanan yang efesien
akan memberikan perhatian yang optimal dan memaksimalkan pelayanan kesehatan
kepada pasien dan masyarakat. Petugas akan memberikan pelayanan yang baik
sesuai dengan sumber daya yang dimiliki. Pelayanan yang tidak baik karena norma
yang tidak efektif atau pelayanan yang salah harus dikurangi atau dihilangkan.
Dengan cara ini mutu dapat ditingkatkan sambil menekan biaya serta peningkatan
mutu memerlukan tambahan sumber daya. Dengan menganalisis efesiensi, manajer
program kesehatan dapat memilih interaksi yang <i>pig cost effective</i>.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">6. Kelangsungan pelayanan, berarti klien akan menerima pelayanan yang
lengkap sesuai yang dibutuhkan (termasuk rujukan) tanpa intrupsi, berhenti atau
mengurangi prosedur diagnosa dan terapi yang tidak perlu. Klien harus mempunyai
akses terhadap pelayanan rutin dan preventif yang diberikan oleh petugas
kesehatan yang mengetahui riwayat penyakitnya. Kelangsungan pelayanan kadang
dapat diketahui dengan cara klien tersebut mengunjungi petugas yang sama, atau
dapat diketahui dari rekan medis secara lengkap dan akurat, sehingga petugas
lain mengerti riwayat penyakit dan diagnosa serta pengobatan yang pernah
diberikan sebelumnya, tidak adanya kelangsungan akan mengurangi efesiensi dan
mutu hubungan antar manusia.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">7. Keamanan, sebagai salah satu dimensi mutu, keamanan berarti mengurangi
resiko cidera, infeksi, efek samping atau bahaya lain yang berkaitan dengan
pelayanan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">8. Kenyamanan, kenikmatan ini berhubungan langsung dengan efektivitas
klinis, tetapi dapat mempengaruhi kepuasan pasien dan tersedianya untuk kembali
kefasilitas kesehatan untuk memperoleh pelayanan berikutnya. </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penelitian oleh Lem Berry dan Vielere Zeltham pada awal tahun 1990-an mengajukan
sepuluh mutu pelayanan sebagai dasar untuk memahami mutu dan efektivitas
pelayanan. Kategori adalah sebagai berikut:</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1. Keterandalan (reliability), konsistensi kinerja dan kemampuan terlihat,
dimana kinerja yang baik diberikan pada saat pertama kali memberikan janji yang
menggiurkan dan tepat.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2. Ketanggapan (responsiveness), keinginan atau kesesuaian pemberi
pelayanan untuk memberikan pelayanan tepat waktu.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3. Pengetahuan dan keahlian (competence), ilmu pengetahuan dan keahlian
yang dibutuhkan untuk memberikan pelayanan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">4. Keterjangkauan (access), keterjangkauan dapat dicapai dan mudah
dijangkau, waktu tunggu dan jam operasional.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">5. Kesopan santunan (courtesy), meliputi sikap sopan santun, aspek
perhatian dan keramahan individu yang langsung berhubungan dengan pelanggan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">6. Komunikasi (communication), petugas dapat memberikan informasi dan
bahasa yang mudah dipahami dan didengarkan oleh pelanggan, sehingga dapat
membedakan kebutuhan pelanggan yang berbeda-beda.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">7. Kepercayaan (credibility), kepercayaan, kejujuran, reputasi perusahaan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">8. Keamanan (security), bebas dari bahaya resiko atau yang hilang, keamanan
fisik, keamanan keuangan, keamanan data dan arsip, dan kepercayaan diri.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">9. Memahami pelanggan (understanding the costumer), perusahaan memahami
kebutuhan pelanggan, mendengarkan keinginan spesifik pelanggan memberikan
perhatian pada setiap pelanggan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">10. Bukti fisik (tangible), pelayanan fisik, penampilan tenaga kerja alat
atau peralatan yang digunakan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dari berbagai penilaian dimensi mutu pelayanan, maka dalam penelitian ini
menggunakan dimensi mutu pelayanan menurut Serqual Parasuraman dengan lima
indikator penilaian.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menurut Zeithaml dan Bitner (2000: 81), mutu pelayanan ditentukan oleh
persepsi konsumen dalam dua hal; <i>Pertama</i>, persepsi mutu pelayanan dalam
arti hasil teknis (technical outcome) yang diberikan oleh penyedia jasa. <i>Kedua</i>,
mutu dalam arti hasil dari suatu proses jasa (outcomer process) yang diwujudkan
dalam bentuk bagaimana jasa itu itu diberikan. </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penilaian terhadap mutu pelayanan dilahirkan oleh perbandingan antara apa
yang seharusnya diterima (expectation), sebagaimana yang pernah dirasakan
dengan kinerja mutu pelayanan yang diterima (performance) dalam Kadir, 2000.
Dari perbandingan tersebut maka mutu pelayanan pada prinsipnya adalah derajat
atau tingkatan yang membedakan antara pengalaman menerima atau pelayanan
dibandingkan dengan mutu pelayanan yang diterima. Menurut New south Wales Heath
Department (1999) dalam Soejitno (2000) mutu pelayanan kesehatan meliputi; safety,
effectiveness, consumer participation, access dan efficiency. Dari keenam
dimensi mutu pelayanan kesehatan ini terdapat lima dimensi silang yang
berhubungan dengan efektivitas pelayanan kesehatan yaitu:</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1. Kompetensi dari petugas </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2. Kontinuitas dari pelayanan </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3. Manajemen informasi yang mendukung kearah pengambilan keputusan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">4. Pendidikan dan pelatihan untuk mutu </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">5. Akreditasi dan penyelenggaraan pelayanan kesehatan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rumah sakit di Indonesia yang semula adalah bersifat sosial, dalam proses
selanjutnya mengalami perubahan menjadi badan usaha yang bersifat sosial
ekonomi, sebagai satu badan usaha rumah sakit harus menciptakan dan
memperhatikan para pelanggannya. Dengan memahami pelanggannya maka organisasi
akan bertahan hidup dan meningkatkan keuntungannya. Hampir semua
aktivitas dalam rumah sakit di Indonesia sekarang ini banyak diarahkan kepada
program-program untuk meningkatkan kepuasan pelanggan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dari yang telah diuraikan suatu penilaian yang dapat dilihat bahwa persepsi
tentang mutu pelayanan dilahirkan suatu penilaian yang menyeluruh (global
judgment) berdasarkan pengalaman yang diperoleh pasien, antara lain pengalaman
dalam kontak jasa melalui services encounters (moment of truth) the evidence of
service, image and price. Kemudian dibandingkan dengan pelayanan yang
diterimanya. Pengalaman tersebut menjadi pembanding yang pada akhirnya
menentukan tingkat efektivitas dari pelayanan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Secara umum untuk menilai mutu pelayanan kesehatan di rumah sakit, maka
indikator yang digunakan untuk mencakup kepuasan pelayanan kesehatan yang
dirasakan pasien. Menurut Jacobalis (1982) pada umumnya nilai mutu pelayanan
kesehatan mencakup 4 (empat) hal pokok, yakni:</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1. Kesejahteraan pasien</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kesejahteraan pasien biasanya dihubungkan dengan perasaan senang dan aman,
cara dan sikap serta tindakan tenaga kesehatan dalam memberikan pelayanan.
Dengan kata lain, kesejahteraan pasien dihubungkan dengan kualitas pelayanan
kedokteran atau kualitas pelayanan keperawatan. Selain itu, dihubungkan dengan
fasilitas yang memadai, terpelihara dengan baik, sehingga segala macam
peralatan yang digunakan selalu dapat berfungsi dengan baik.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2. Kenyamanan dan kondisi kamar</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kenyamanan pasien merupakan salah satu variabel yang digunakan untuk dapat
terselenggaranya pelayanan yang bermutu. Suasana tersebut harus dapat
dipertahankan, sehingga pasien merasa puas (nyaman) atas pelayanan yang
diberikan. Tetapi yang terpenting adalah sikap dan tindakan para pelaksana
terutama dokter dan perawat ketika memberikan pelayanan kesehatan. Demikian
pula kondisi kamar pasien merupakan aspek yang dapat memberikan kenyamanan dan
ketenangan serta kepuasan pasien selama dirawat di rumah sakit.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3. Keadaan ruang perawatan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Keadaan ruang perawatan akan mempengaruhi tanggapan pasien dari keluarganya
tentang mutu pelayanan kesehatan yang diberikan di rumah sakit. Oleh karena
itu, pada setiap unit perawatan seyogyanya terdapat sarana atau fasilitas yang
menunjang penyelenggaraan pelayanan kesehatan, disertai pemeliharaannya agar
selalu dapat berfungsi dengan baik.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">4. Catatan atau rekam medik.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pengertian catatan rekam medik di Indonesia mengacu pada peraturan Menteri
Kesehatan Nomor 749 Tahun 1989, yang menyatakan bahwa rekam medik adalah berkas
yang berisi catatan dan dokumen tentang identitas pasien, pemeriksaan,
pengobatan, tindakan dan pelayanan lain kepada pasien pada sarana pelayanan
kesehatan (Siswati, 2000).</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berdasarkan uraian tersebut di atas, tercermin segala informasi yang
menyangkut seorang pasien yang akan dijadikan dasar dalam menentukan tindakan
lebih lanjut dalam pelayanan kesehatan maupun tindakan medik lain yang
diberikan kepada pasien yang akan datang ke instansi penyedia layanan kesehatan
(rumah sakit).</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Donabedian (1993) menyatakan, perlengkapan rekam medik menunjukkan baik
buruknya kualitas dan efektivitas pelayanan medik yang diberikan. Sedangkan
menurut Cabban et.al. (1979), setiap indikator pelayanan kesehatan tersebut
merupakan faktor konversi yaitu persentase yang ditentukan bagi suatu kategori
atau suatu kelompok indikator terhadap keseluruhan pelayanan. Faktor konversi
tersebut akan dikaitkan dengan indeks pelayanan yang didapatkan dari jawaban
pasien. Indeks mutu pelayanan rumah sakit didapatkan dari rata-rata indeks
unit. </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Nilai dari faktor konversi tersebut adalah sebagai berikut:</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1. Kesejahteraan pasien
= 25%</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2. Kenyamanan dan kondisi kamar pasien = 25%</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3. Keadaan ruang perawatan
= 10%</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">4. Catatan medis pasien
= 40%</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Adapun salah satu efektivitas Pelayanan Rumah Sakit Umum Kabupaten Polman
harus menciptakan dan meningkatkan mutu pelayanan kesehatan di rumah sakit agar
dapat melayani kebutuhan dan keinginan serta memberikan kepuasan kepada pasien
yang penerapannya harus dilaksanakan oleh semua elemen organisasi rumah sakit
secara komprehensif dan berkelanjutan termasuk pula pasien sebagai pihak
pemakai. </span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: Algerian; font-size: 14.0pt; line-height: 150%; mso-bidi-font-family: Arial;">2.3 pelayanan
yang berkualitas DI RUMAH SAKIT</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Zeithmalh, dkk (1990: 23)
menyatakan bahwa dalam menilai kualitas jasa/pelayanan, terdapat sepuluh ukuran
kualitas jasa/ pelayanan, yaitu :</span></div>
<div class="MsoNormal" style="line-height: 115%;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">1) <i>Tangible </i>(nyata/berwujud)</span></div>
<div class="MsoNormal" style="line-height: 115%;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">2) <i>Reliability </i>(keandalan)</span></div>
<div class="MsoNormal" style="line-height: 115%;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">3) <i>Responsiveness </i>(Cepat
tanggap)</span></div>
<div class="MsoNormal" style="line-height: 115%;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">4) <i>Competence </i>(kompetensi)</span></div>
<div class="MsoNormal" style="line-height: 115%;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">5) Access (kemudahan)</span></div>
<div class="MsoNormal" style="line-height: 115%;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">6) <i>Courtesy </i>(keramahan)</span></div>
<div class="MsoNormal" style="line-height: 115%;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">7) <i>Communication </i>(komunikasi)</span></div>
<div class="MsoNormal" style="line-height: 115%;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">8) <i>Credibility </i>(kepercayaan)</span></div>
<div class="MsoNormal" style="line-height: 115%;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">9) <i>Security </i>(keamanan)</span></div>
<div class="MsoNormal" style="line-height: 115%;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">10) <i>Understanding the
Customer </i>(Pemahaman pelanggan)</span></div>
<div class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<br /></div>
<div style="line-height: 150%;">
<br /></div>
<div style="line-height: 150%;">
<br /></div>
<div style="line-height: 150%;">
<br /></div>
<div style="line-height: 150%;">
<span style="font-family: "Arial","sans-serif";">Pelayan
yang cepat, tanggap dan ramah merupakan kriteria bagus seluruh <em><span style="font-family: "Arial","sans-serif";">pelayanan umum yang menjadi fasilitas
bagi masyarakat</span></em> terutama kesehatan. Sebagai seorang yang bekerja
dalam bidang pelayanan kesehatan ada baiknya harus mengetahui pengertian
pelayanan kesehatan masyarakat supaya dalam melayani menjadi optimal.</span></div>
<div style="line-height: 150%;">
<span style="font-family: "Arial","sans-serif";"><span style="mso-spacerun: yes;"> </span><strong><span style="font-family: "Arial","sans-serif";">Pelayanan
kesehatan</span></strong> adalah upaya yang memang diselenggarakan sendiri atau
bersama dalam suatu lingkup badan atau organisasi yang beguna untuk pencegahan,
pemeliharaan, penyembuhan dan pemulihan kesehatan seseorang, atau kelompok.
Dari definisi ini menjelaskan bahwa <em><span style="font-family: "Arial","sans-serif";">pelayanan
kesehatan bersifat mutlak</span></em> untuk melayani masyarakat yang ingin
mendapatkan penanganan hingga sembuh dari penyakit yang diderita.</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: Algerian; font-size: 14.0pt; line-height: 150%; mso-bidi-font-family: Arial;">2.4 bentuk
pelayanan berdasarkan tingkatan pelayanannya</span></div>
<div style="line-height: 150%;">
<strong><span style="font-family: "Arial","sans-serif";">-
Pelayanan kesehatan primer atau tingkat pertama</span></strong><span style="font-family: "Arial","sans-serif";"><br />
Dibutuhkan pada masyarakat yang sakit ringan atau sebagai sarana masyaratkat
untuk meningkatkan kesehatan mereka<br />
Contoh: puskesmas dan klinik</span></div>
<div style="line-height: 150%;">
<strong><span style="font-family: "Arial","sans-serif";">-
Pelayanan kesehatan sekunder atau tingkat kedua</span></strong><span style="font-family: "Arial","sans-serif";"><br />
Dibutuhkan pada masyarakat yang memerlukan perawatan inap dimana tidak bisa
ditangani oleh bagian pelayanan kesehatan primer.<br />
Contoh: rumah sakit tipe C dan tipe D</span></div>
<div style="line-height: 150%;">
<strong><span style="font-family: "Arial","sans-serif";">-
Pelayanan kesehatan tersier atau tingkat ketiga</span></strong><span style="font-family: "Arial","sans-serif";"><br />
Dibutuhkan pada masyarakat yang membutuhkan operasi besar yang dimana sudah
tidak dapat dilakukan oleh pelayanan kesehatan tingkat kedua. Biasanya operasi
bedah organ dalam.<br />
Contoh : rumah sakit tipe A dan tipe B</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Algerian; font-size: 16.0pt; mso-bidi-font-family: Arial;">BAB
iii<br />
PENutup</span></div>
<div class="MsoNormal">
<span style="font-family: Algerian; font-size: 14.0pt; mso-bidi-font-family: Arial;">kesimpulan</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Untuk
memberikan pelayanan berkualitas yang berorentasi pada kebutuhan pelanggan dan
citra rumah sakit yang baik dimasyarakat maka pihak rumah sakit perlu melakukan
upaya perbaikan yang berkesinambungan dengan langkah-langkah sbb :</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">1)
Meningkatkan pelayanan kepada pasien dengan sikap yang ramah dan juga
bisa mengerti dan memahami keadaan pasien.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">2)
Meningkatkan kedisiplinan dan kometmen dalam bekerja pada seluruh petugas Rumah
Sakit agar bisa memberikan pelayanan yang cepat, tepat, akurat, dan dapat
melaksanakan tugas, fungsi serta peranannya dengan baik sesuai dengan visi dan
misi.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">3)
Untuk meningkatkan kualitas teknis, perlu dilaksanakan program pendidikan dan
pelatihan yang sesuai dengan standar pelayanan prima sehingga mampu memberikan
pelayanan yang dapat memenuhi kebutuhan dan kepuasan bagi pasien.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">4)
Untuk meningkatkan kualitas fungsional, perlu dilaksanakan pelatihan terutama
yang berkaitan dengan hubungan manusia yaitu mengenai sikap dan cara komunikasi
yang baik guna memberikan karakter kepribadian pada sumber daya manusia.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">5)
Pihak Rumah Sakit diharapkan terus meningkatkan sarana, prasarana dan kesehatan
lingkungan Rumah Sakit serta memelihara dan memperbaiki fasilitas yang telah
ada, seperti pengadaan alat-alat medis dan penunjang medis, perbaikan fasilitas
di ruang rawat inap dan kebersihan lingkungan Rumah Sakit.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
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Anonymoushttp://www.blogger.com/profile/09428371857956484973noreply@blogger.com0tag:blogger.com,1999:blog-1493722132486835108.post-59125033683883954342014-02-07T17:22:00.001-08:002014-02-07T17:22:25.575-08:00Obat Antibiotik<!--[if !mso]>
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<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Algerian; font-size: 20.0pt;">Makalah</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Algerian; font-size: 20.0pt;">OBAT ANTIBIOTIK</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<img align="left" alt="logo dian husada.gif" height="335" hspace="12" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image002.gif" width="346" /><span style="font-family: Algerian; font-size: 24.0pt;"></span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
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<br /></div>
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<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: "Monotype Corsiva"; font-size: 16.0pt; mso-bidi-font-family: Arial;">Disusun oleh :</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: "Monotype Corsiva"; font-size: 16.0pt; mso-bidi-font-family: Arial;">Millah Banizain ( 02.12.033 )<br />
Muthmainnah ( 02.12.034 )<br />
Naimatul Husniah ( 02.12.035 )<br />
<span style="mso-spacerun: yes;"> </span>( 02.12.036 )<br />
<span style="mso-spacerun: yes;"> </span>( 02.12.037 )<br />
<span style="mso-spacerun: yes;"> </span>( 02.12.038 )<br />
( 02.12.039 )<br />
Nurul Karimah ( 02.12.040 )<br />
<span style="mso-spacerun: yes;"> </span>( 02.12.041 )<br />
( 02.12.042 )</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: "Monotype Corsiva"; font-size: 16.0pt; mso-bidi-font-family: Arial;">D3 Kebidanan</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Algerian; font-size: 22.0pt; mso-bidi-font-family: Arial;">Kampus
a stikes DIAN HUSADA MOJOKERTO</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Algerian; font-size: 22.0pt; mso-bidi-font-family: Arial;">2013 –
2014</span></div>
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<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Algerian; font-size: 14.0pt; mso-bidi-font-family: Arial;">KATA
PENGANTAR</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span>Puji syukur kami ucapkan kepada
Tuhan Yang Maha Esa. Berkat rahmat, taufiq, dan hidayah-Nya kami dapat
menyelesaikan tugas makalah yang berjudul “ Obat Antibiotik ” ini dengan tepat
waktu. </span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span>Kami mengucapkan banyak terima kasih
kepada seluruh pihak yang telah membantu dalam penyelesaian makalah ini, dan
juga kepada sumber-sumber yang digunakan untuk menunjang penyelesaian makalah
ini. Tidak lupa juga ucapan terima kasih kepada seluruh anggota kelompok yang
telah bekerja sama dalam penyelesaian makalah ini. </span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span>Demikianlah makalah yang telah kami
selesaikan. Tiada gading yang tak retak, begitu pula makalah ini yang tak luput
dari kekurangan. Kritik dan saran sangat kami harapkan untuk menunjang
keberhasilan dari makalah ini. Semoga makalah ini bermanfaat bagi kita semua.
Amin.</span></div>
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<br /></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt;"><span style="mso-tab-count: 8;"> </span>Mojokerto,
19 Februari 2013 </span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt;"><span style="mso-tab-count: 7;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-tab-count: 2;"> </span><span style="mso-spacerun: yes;"> </span>Penyusun</span></div>
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<span style="font-family: Algerian; font-size: 16.0pt; mso-bidi-font-family: Arial;">Daftar
isi </span></div>
<div class="MsoNormal" style="tab-stops: dotted 15.0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Kata Pengantar <span style="mso-tab-count: 1 dotted;">................................................................................................................ </span><span style="mso-spacerun: yes;"> </span>i</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Daftar Isi <span style="mso-tab-count: 1 dotted;">............................................................................................................................ </span><span style="mso-spacerun: yes;"> </span>ii</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Latar Belakang Masalah<span style="mso-tab-count: 1 dotted;">................................................................................................. </span>
1</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Rumusan Masalah<span style="mso-tab-count: 1 dotted;">.......................................................................................................... </span>
1</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Isi<span style="mso-tab-count: 1 dotted;">......................................................................................................................................... </span>
2</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Pengertian Antibiotik <span style="mso-tab-count: 1 dotted;">...................................................................................................... </span><span style="mso-spacerun: yes;"> </span>2</span></div>
<div class="MsoNormal" style="tab-stops: dotted 15.0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jenis – Jenis Antibiotik <span style="mso-tab-count: 1 dotted;">.................................................................................................. </span><span style="mso-spacerun: yes;"> </span>2</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Indikasi Pemakaian Antibiotika <span style="mso-tab-count: 1 dotted;">.................................................................................... </span><span style="mso-spacerun: yes;"> </span>4</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Efek Samping Antibiotika <span style="mso-tab-count: 1 dotted;">.............................................................................................. </span><span style="mso-spacerun: yes;"> </span>6</span></div>
<div class="MsoNormal" style="tab-stops: dotted 15.0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Hal-Hal yang Perlu Diperhatikan Saat Mengkonsumsi
Antibiotika <span style="mso-tab-count: 1 dotted;">....................... </span><span style="mso-spacerun: yes;"> </span>7</span></div>
<div class="MsoNormal" style="tab-stops: dotted 15.0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Penutup<span style="mso-tab-count: 1 dotted;">............................................................................................................................. </span>
8</span></div>
<div class="MsoNormal" style="tab-stops: dotted 15.0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Daftar Pustaka <span style="mso-tab-count: 1 dotted;">................................................................................................................. </span><span style="mso-spacerun: yes;"> </span>9</span></div>
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<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Algerian; font-size: 14.0pt; mso-bidi-font-family: Arial;">BAB i<br />
PENDAHULUAN</span></div>
<div class="MsoListParagraph" style="margin-left: 20.25pt; mso-add-space: auto; mso-list: l2 level2 lfo1; text-indent: -20.25pt;">
<span style="font-family: Algerian; font-size: 12.0pt; mso-bidi-font-family: Algerian; mso-fareast-font-family: Algerian;"><span style="mso-list: Ignore;">1.1<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: Algerian; font-size: 12.0pt; mso-bidi-font-family: Arial;">LATAR
BELAKANG MASALAH</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Saat tubuh
terserang penyakit, tak jarang dokter memberikan resep antibiotik. Idealnya
antibiotik ini juga dikonsumsi sampai habis. Antibiotik terbukti mampu mencegah
dan mengobati pertumbuhan bakteri dalam tubuh, tetapi tidak semua penyakit
membutuhkan antibiotik. Tak hanya itu, penggunaan yang tidak tepat juga
menyebabkan tubuh resistensi terhadap antibiotik. Ketika kita mengonsumsi
antibiotik, saat itu juga antibiotik bekerja dengan memproduksi antibodi guna
melawan infeksi dan bakteri. Oleh karena itu, ada beberapa hal yang patut kita
ketahui saat mengonsumi antibiotik. </span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 20.25pt; mso-add-space: auto; mso-list: l2 level2 lfo1; text-indent: -20.25pt;">
<span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Algerian; mso-fareast-font-family: Algerian;"><span style="mso-list: Ignore;">1.2<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Arial;">RUMUSAN MASALAH</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; mso-list: l0 level1 lfo2; text-indent: -7.05pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Apa
antibiotik itu?</span><span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Arial;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; mso-list: l0 level1 lfo2; text-indent: -7.05pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Apa
saja jenis antibiotika?</span><span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Arial;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; mso-list: l0 level1 lfo2; text-indent: -7.05pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Bagaimana
indikasi pemakaian antibiotika?</span><span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Arial;"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; mso-list: l0 level1 lfo2; text-indent: -7.05pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Apa
saja efek samping dari antibiotika?</span><span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Arial;"></span></div>
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<span style="font-family: Algerian; font-size: 14.0pt; mso-bidi-font-family: Arial;">BAB ii<br />
isi</span></div>
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<span style="font-family: Algerian; font-size: 12.0pt; mso-bidi-font-family: Arial;">2.1 Pengertian antibiotika</span></div>
<div style="line-height: 150%; text-align: justify; text-indent: 20.25pt;">
<strong><span style="font-family: "Arial","sans-serif"; font-weight: normal; mso-bidi-font-weight: bold;">Antibiotika adalah segolongan senyawa, baik alami maupun sintetik, yang
mempunyai efek menekan atau menghentikan suatu proses biokimia di dalam
organisme, khususnya dalam proses infeksi oleh bakteri. Penggunaan antibiotika
khususnya berkaitan dengan pengobatan penyakit infeksi, meskipun dalam
bioteknologi dan rekayasa genetika juga digunakan sebagai alat seleksi terhadap
mutan atau transforman. Antibiotika bekerja seperti pestisida dengan menekan
atau memutus satu mata rantai metabolisme, hanya saja targetnya adalah bakteri.
Antibiotika berbeda dengan desinfektan karena cara kerjanya. Desifektan
membunuh kuman dengan menciptakan lingkungan yang tidak wajar bagi kuman untuk
hidup.</span></strong></div>
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<span style="font-family: Algerian; font-size: 12.0pt; mso-bidi-font-family: Arial;">2.2 JENIS - JENIS ANTIBIOTIKA</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<em><b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Golongan
sefalosporin. </span></b></em><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Golongan ini hampir sama dengan penisilin
oleh karena mempunyai cincin beta laktam. Secara umum aktif terhadap kuman
Gram positif dan Gram negatif, tetapi spektrum anti kuman dari masing-masing
antibiotika sangat beragam, terbagi menjadi 3 kelompok, yakni:</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; mso-list: l1 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Generasi
pertama yang paling aktif terhadap kuman Gram positif secara in vitro. Termasuk
di sini misalnya sefalotin, sefaleksin, sefazolin, sefradin. Generasi
pertama kurang aktif terhadap kuman Gram negatif.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l1 level1 lfo3; tab-stops: list 36.0pt; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Generasi
kedua agak kurang aktif terhadap kuman Gram positif tetapi lebih aktif terhadap
kuman Gram negatif, termasuk di sini misalnya sefamandol dan sefaklor.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; mso-list: l1 level1 lfo3; tab-stops: list 36.0pt; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Generasi
ketiga lebih aktif lagi terhadap kuman Gram negatif, termasuk
Enterobacteriaceae dan kadang-kadang peudomonas. Termasuk di sini adalah
sefoksitin (termasuk suatu antibiotika sefamisin), sefotaksim
dan moksalatam.</span></div>
<div style="line-height: 150%; text-align: justify;">
<em><b><span style="font-family: "Arial","sans-serif";">Golongan amfenikol</span></b></em><span style="font-family: "Arial","sans-serif";"></span></div>
<div style="line-height: 150%; text-align: justify;">
<span style="font-family: "Arial","sans-serif";">Golongan
ini mencakup senyawa induk kloramfenikol maupun derivat - derivatnya yakni
kloramfenikol palmitat, natrium suksinat dan tiamfenikol. Antibiotika ini
aktif terhadap kuman Gram positif dan Gram negatif maupun ricketsia,
klamidia, spirokaeta dan mikoplasma. Karena toksisitasnya terhadap sumsum
tulang, terutama anemia aplastika, maka kloramfenikol hanya dipakai untuk
infeksi S. typhi dan H. influenzae.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<em><b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Golongan
tetrasiklin </span></b></em><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Merupakan antibiotika spektrum luas bersifat
bakteriostatik untuk kuman Gram positif dan Gram negatif, tetapi indikasi
pemakaiannya sudah sangat terbatas oleh karena masalah resistensi, namun
demikian antibiotika ini masih merupakan pilihan utama untuk
infeksi-infeksi yang disebabkan oleh klamidia, riketsia, dan mikoplasma.
Mungkin juga efektif terhadap N. meningitidis, N. gonorhoeae dan H.
influenzae., termasuk di sini adalah tetrasiklin, klortetrasiklin, oksitetrasiklin,
doksisiklin, minosiklin, metasiklin dan demeklosiklin.</span></div>
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<em><b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Golongan
aminoglikosida </span></b></em><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Merupakan golongan antibiotika yang bersifat
bakterisid dan terutama aktif untuk kuman Gram negatif. Beberapa mungkin
aktif terhadap Gram positif. Streptomisin dan kanamisin juga aktif terhadap
kuman TBC. Termasuk di sini adalah amikasin, gentamisin, kanamisin,
streptomisin, neomisin, metilmisin dan tobramisin, antibiotika ini punya
sifat khas toksisitas berupa nefrotoksik, ototoksik dan neurotoksik.</span></div>
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<em><b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Golongan
makrolida </span></b></em><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Golongan makrolida hampir sama dengan
penisilin dalam hal spektrum antikuman, sehingga merupakan
alternatif untuk pasien-pasien yang alergi penisilin. Bekerja dengan
menghambat sintesis protein kuman. Aktif secara invitro terhadap
kuman-kuman Gram positif, Gram negatif, mikoplasma, klamidia, riketsia dan
aktinomisetes. Selain sebagai alternatif penisilin, eritromisin juga
merupakan pilihan utama untuk infeksi pneumonia atipik (disebabkan oleh
Mycoplasma pneumoniae) dan penyakit Legionnaires (disebabkan Legionella
pneumophilla) termasuk dalam golongan makrolida selain eritromisin juga
roksitromisin, spiramisin, josamisin, rosaramisin, oleandomisin
dan trioleandomisin.</span></div>
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<em><b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Golongan
linkosamid. </span></b></em><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Termasuk di sini adalah linkomisin dan
klindamisin, aktif terhadap kuman Gram positif termasuk stafilokokus
yang resisten terhadap penisilin. Juga aktif terhadap kuman anaerob,
misalnya bakteroides. Sering dipakai sebagai alternatif penisilin
antistafilokokus pada infeksi tulang dan sendi serta infeksi-infeksi abdominal.
Sayangnya, pemakaiannya sering diikuti dengan superinfeksi C. difficile,
dalam bentuk kolitis pseudomembranosa yang fatal.</span></div>
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<em><b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Golongan
polipeptida. </span></b></em><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Antibiotika golongan ini meliputi polimiksin
A, B, C, D dan E. Merupakan kelompok antibiotika yang terdiri dari rangkaian
polipeptida dan secara selektif aktif terhadap kuman Gram negatif, misalnya
psedudomonas maupun kuman-kuman koliform yang lain. Toksisitas polimiksin
membatasi pemakaiannya, terutama dalam bentuk neurotoksisitas dan
nefrotoksisitas. Mungkin dapat berperan lebih penting kembali dengan
meningkatnya infeksi pseudomonas dan enterobakteri yang resisten terhadap
obat-obat lain.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<em><b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Golongan
antimikobakterium </span></b></em><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Golongan antibiotika dan kemoterapetika
ini aktif terhadap kuman mikobakterium. Termasuk di sini adalah
obat-obat anti TBC dan lepra, misalnya rifampisin, streptomisin, INH,
dapson, etambutol dan lain-lain.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<em><b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Golongan
sulfonamida dan trimetropim </span></b></em><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Kepentingan sulfonamida
dalam kemoterapi infeksi banyak menurun karena masalah resistensi. Tetapi
beberapa mungkin masih aktif terhadap bentuk-bentuk infeksi tertentu
misalnya sulfisoksazol untuk infeksi dan infeksi saluran kencing.
Kombinasi sulfamektoksazol dan trimetoprim untuk infeksi saluran kencing,
salmonelosis, kuman bronkitis, prostatitis. Spektrum kuman mencakup
kuman-kuman Gram positif dan Gram negatif.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<em><b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Golongan
kuinolon </span></b></em><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Merupakan kemoterapetika sintetis yang
akhir-akhir ini mulai populer dengan spektrum antikuman yang luas terutama
untuk kuman-kuman Gram negatif dan Gram positif, enterobakteriaceae dan
pseudomonas. Terutama dipakai untuk infeksi-infeksi nosokomial. Termasuk
di sini adalah asam nalidiksat, norfloksasin, ofloksasin, pefloksasin dan
lain-lain.</span></div>
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<em><b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Golongan
lain-lain </span></b></em><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Masih banyak jenis-jenis antibiotika dan
kemoterapetika lain yang tidak tercakup dalam kelompok yang disebutkan
di atas. Misalnya saja vankomisin, spektinomisin, basitrasin,
metronidazol, dan lain-lain. Informasi mengenai pemakaian dan sifat
masing-masing dapat dicari dari sumber pustaka baku. Vankomisin terutama aktif
untuk Gram positif, terutama untuk S. areus, S. epidermidis, S.
pneumoniae. Juga merupakan pilihan untuk infeksi stafilokokus yang
resisten terhadap metisilin. Tetapi karena toksisitasnya, maka vankomisin hanya
dianjurkan kalau antibiotika lain tidak lagi efektif.</span></div>
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<span style="font-family: Algerian; font-size: 12.0pt; mso-bidi-font-family: Arial;">2.3 INDIKASI PEMAKAIAN ANTIBIOTIKA</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Indikasi
yang tepat dan benar dalam pemberian antibiotika pada anak adalah bila penyebab
infeksi tersebut adalah bakteri. Menurut CDC (Centers for Disease Control and
Prevention) indikasi pemberian antibiotika adalah bila batuk dan pilek yang
berkelanjutan selama lebih 10 – 14 hari.yang terjadi sepanjang hari (bukan
hanya pada malam hari dan pagi hari). Batuk malam dan pagi hari biasanya
berkaitan dengan alergi atau bukan lagi dalam fase infeksi dan tidak perlu
antibiotika</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Indikasi
lain bila terdapat gejala infeksi sinusitis akut yang berat seperti panas >
39 C dengan cairan hidung purulen, nyeri, pembengkakan sekitar mata dan wajah.
Pilihan pertama pengobatan antibiotika untuk kasus ini cukup dengan pemberian
Amoxicillin, Amoxicillinm atau Clavulanate. Bila dalam 2 – 3 hari membaik
pengobatan dapat dilanjutkan selama 7 hari setelah keluhan membaik atau
biasanya selama 10 – 14 hari.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Indikasi
lainnya adalah radang tenggorokan karena infeksi kuman streptokokus. Penyakit
ini pada umumnya menyerang anak berusia 7 tahun atau lebih. Pada anak usia 4
tahun hanya 15% yang mengalami radang tenggorokan karena kuman ini. Penyakit
yang lain yang harus mendapatkan antibiotika adalah infeksi saluran kemih dan
penyakit tifus Untuk mengetahui apakah ada infeksi bakteri biasanya dengan
melakukan kultur darah atau urine. Apabila dicurigai adanya infeksi saluran
kemih, dilakukan pemeriksaan kultur urine. Setelah beberapa hari akan diketahui
bila ada infeksi bakteri berikut jenis dan sensitivitas terhadap antibiotika.
Untuk mengetahui penyakit tifus harus dilakukan pemeriksaan darah Widal dan
kultur darah gal. Anak usia di bawah 5 tahun yang mengalami infeksi virus
sering mengalami overdiagnosis penyakit Tifus. Sering terjadi kesalahan
persepsi dalam pembacaan hasil laboratorium. Infeksi virus dengan peningkatan
sedikit pemeriksaan nilai widal sudah divonis gejala tifus dan dihantam dengan
antibiotika.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Sebagian
besar kasus penyakit pada anak yang berobat jalan penyebabnya adalah virus.
Dengan kata lain seharusnya kemungkinan penggunaan antibiotika yang benar tidak
besar atau mungkin hanya sekitar 10 – 15% penderita anak. Penyakit virus adalah
penyakit yang termasuk “self limiting disease” atau penyakit yang sembuh
sendiri dalam waktu 5 – 7 hari. Sebagian besar penyakit infeksi diare, batuk,
pilek dan panas penyebabnya adalah virus. Secara umum setiap anak akan
mengalami 2 hingga 9 kali penyakit saluran napas karena virus. Sebaiknya jangan
terlalu mudah mendiagnosis (overdiagnosis) sinusitis pada anak. Bila tidak
terdapat komplikasi lainnya secara alamiah pilek, batuk dan pengeluaran cairan
hidung akan menetap paling lama sampai 14 hari setelah gejala lainnya membaik</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Sebuah
penelitian terhadap gejala pada 139 penderita pilek(flu) karena virus
didapatkan bahwa pemberian antibiotik pada kelompok kontrol tidak memperbaiki
cairan mucopurulent dari hidung. Antibiotika tidak efektif mengobati Infeksi
saluran napas Atas dan tidak mencegah infeksi bakteri tumpangan. Sebagian besar
infeksi Saluran napas Atas termasuk sinus paranasalis sangat jarang sekali
terjadi komplikasi bakteri.</span></div>
<div class="MsoNormal">
<span style="font-family: Algerian; font-size: 12.0pt; mso-bidi-font-family: Arial;">2.4 EFEK SAMPING ANTIBIOTIKA</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<strong><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">1. Gangguan
pencernaan</span></strong><b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"></span></b></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Salah
satu efek samping antibiotik yang paling umum adalah masalah pencernaan,
seperti diare, mual, kram, kembung dan nyeri.</span></div>
<div style="line-height: 150%;">
<strong><span style="font-family: "Arial","sans-serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: major-fareast;">2.
Gangguan fungsi jantung dan tubuh lainnya</span></strong><span style="font-family: "Arial","sans-serif";"></span></div>
<div style="line-height: 150%; text-align: justify;">
<span style="font-family: "Arial","sans-serif";">Beberapa
orang yang mengonsumsi antibiotik mengalami jantung berdebar-debar, detak
jantung abnormal, sakit kepala parah, masalah hati seperti penyakit kuning,
masalah ginjal seperti air kecing berwarna gelap dan batu ginjal dan masalah
saraf seperti kesemutan di tangan dan kaki.</span></div>
<div style="line-height: 150%;">
<strong><span style="font-family: "Arial","sans-serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: major-fareast;">3.
Infeksi</span></strong><span style="font-family: "Arial","sans-serif";"></span></div>
<div style="line-height: 150%; text-align: justify;">
<span style="font-family: "Arial","sans-serif";">Efek
samping yang paling rentan dirasakan perempuan adalah infeksi jamur pada organ
reproduksi yang dapat menyebabkan keputihan, gatal dan vagina mengeluarkan bau
serta cairan.</span></div>
<div style="line-height: 150%;">
<strong><span style="font-family: "Arial","sans-serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: major-fareast;">4.
Alergi</span></strong><span style="font-family: "Arial","sans-serif";"></span></div>
<div style="line-height: 150%; text-align: justify;">
<span style="font-family: "Arial","sans-serif";">Orang
yang mengonsumsi antibiotik juga sering mengalami alergi, bahkan hingga
bertahun-tahun. Alergi yang sering terjadi adalah gatal-gatal dan pembengkakan
di mulut atau tenggorokan.</span></div>
<div style="line-height: 150%;">
<strong><span style="font-family: "Arial","sans-serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: major-fareast;">5.
Resistensi (kebal)</span></strong><span style="font-family: "Arial","sans-serif";"></span></div>
<div style="line-height: 150%; text-align: justify;">
<span style="font-family: "Arial","sans-serif";">Orang
yang keseringan minum antibiotik bisa mengalami resistensi atau tidak mempan
lagi dengan antibiotik. Ketika seseorang resisten terhadap antibiotik, ada
beberapa penyakit dan infeksi yang tidak dapat lagi diobati, sehingga
memerlukan antibiotik dengan dosis lebih tinggi. Semakin tinggi dosis maka akan
semakin menimbulkan efek samping yang serius dan mengancam jiwa.</span></div>
<div style="line-height: 150%;">
<strong><span style="font-family: "Arial","sans-serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: major-fareast;">6.
Gangguan serius dan mengancam nyawa</span></strong><span style="font-family: "Arial","sans-serif";"></span></div>
<div style="line-height: 150%; text-align: justify;">
<span style="font-family: "Arial","sans-serif";">Penggunaan
antibiotik dosis tinggi dan dalam jangka lama dapat menimbulkan efek sampaing
yang sangat serius, seperti disfungsi atau kerusakan hati, tremor (gerakan
tubuh yang tidak terkontrol), penurunan sel darah putih, kerusakan otak,
kerusakan ginjal, tendon pecah, koma, aritmia jantung (gangguan irama jantung)
dan bahkan kematian. </span></div>
<div class="MsoNormal">
<span style="font-family: Algerian; font-size: 12.0pt; mso-bidi-font-family: Arial;">2.5 HAL – HAL YANG PERLU DIPERHATIKAN SAAT
MENGKONSUMSI ANTIBIOTIKA</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jenis dan Dosis</span></b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pertama,
jangan pernah mengonsumsi antibiotik lebih dari satu jenis. Hal ini dapat
menghilangkan kinerja antibiotik itu sendiri. Selain itu, tuntaskan dosis
sesuai anjuran. Bulan lalu, Pusat Pencegahan dan Pengendalian Penyakit di Eropa
(ECDC) memperkirakan, ada sekitar 25ribu orang meninggal dunia setiap tahunnya
karena resistensi terhadap produk antibiotik.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Perbanyak Cairan</span></b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dilansir <i>Boldsky</i>,
saat mengkonsumsi antibiotik, Anda juga harus memperbanyak cairan untuk
menghindari masalah pencernaan, seperti mual, kram, nyeri, dan kembung. Tak
hanya ini, cairan juga dibutuhkan untuk mengindari masalah ginjal. Air
putih dan jus buah segar sangat dianjurkan untuk membantu kinerja pencernaan
Anda.</span></div>
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<b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Alergi</span></b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pastikan
Anda tidak memiliki riwayat alergi pada beberapa jenis obat-obatan, termasuk
antibiotik. Umumnya mereka yang alergi pada obat antibiotik mengalami gejala
seperti gatal dan terjadi pembengkakan di mulut dan teggorokan.</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Disamping
itu jika digunakan dalam dosis tinggi dan dalam jangka panjang, dapat mengancam
kesehatan dan menimbulkan masalah kesehatan serius. Misal kerusakan ginjal,
otak, dan hati, bahkan kematian.</span></div>
<div style="line-height: 150%; text-align: justify;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Algerian; font-size: 14.0pt; mso-bidi-font-family: Arial;">penutup</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span>Demikian susunan makalah yang kami buat. Tiada gading
yang tak retak, begitu pula makalah ini. Semoga makalah ini bermanfaat. Kurang
lebihnya kami mohon maaf. Terima kasih</span></div>
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<br /></div>
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<br /></div>
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<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Algerian; font-size: 14.0pt; mso-bidi-font-family: Arial;">daftar
pustaka</span></div>
<div class="MsoNormal">
<a href="http://health.detik.com/read/2010/09/17/075559/1442128/763/efek-samping-mengejutkan-dari-antibiotik"><span style="color: windowtext; font-family: "Arial","sans-serif"; font-size: 12.0pt; text-decoration: none; text-underline: none;">http://health.detik.com/read/2010/09/17/075559/1442128/763/efek-samping-mengejutkan-dari-antibiotik</span></a><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt;"></span></div>
<div class="MsoNormal">
<br /></div>
<br />Anonymoushttp://www.blogger.com/profile/09428371857956484973noreply@blogger.com0tag:blogger.com,1999:blog-1493722132486835108.post-28716822740826971952014-02-07T16:58:00.000-08:002014-02-07T16:58:10.795-08:00Proksus Gizi Struma<!--[if !mso]>
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<span style="font-family: Algerian; font-size: 20.0pt;">TUGAS MAKALAH PROKSUS GIZI</span></div>
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<span style="font-family: Algerian; font-size: 20.0pt;">GONDOK ( struma )</span></div>
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<img align="left" alt="logo dian husada.gif" height="360" hspace="12" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image002.gif" width="381" /><span style="font-family: Algerian; font-size: 24.0pt;"></span></div>
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<span style="font-family: "Monotype Corsiva"; font-size: 16.0pt; mso-bidi-font-family: Arial;">Disusun oleh :<br />
<br />
Naimatul Husniah ( 02.12.035 )</span></div>
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<span style="font-family: "Monotype Corsiva"; font-size: 16.0pt; mso-bidi-font-family: Arial;">D3 Kebidanan 1A</span></div>
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<span style="font-family: Algerian; font-size: 22.0pt; mso-bidi-font-family: Arial;">Kampus
B stikes DIAN HUSADA MOJOKERTO</span></div>
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<span style="font-family: Algerian; font-size: 22.0pt; mso-bidi-font-family: Arial;">2013 –
2014</span></div>
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<span style="font-family: Algerian; font-size: 14.0pt; mso-bidi-font-family: Arial;">KATA
PENGANTAR</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span>Puji syukur kami ucapkan kepada
Tuhan Yang Maha Esa. Berkat rahmat, taufiq, dan hidayah-Nya kami dapat
menyelesaikan tugas makalah yang berjudul “ Gondok<span style="mso-spacerun: yes;"> </span>( Struma ) ” ini dengan tepat waktu. </span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span>Saya mengucapkan banyak terima kasih
kepada seluruh pihak yang telah membantu dalam penyelesaian makalah ini, dan
juga kepada sumber-sumber yang digunakan untuk menunjang penyelesaian makalah
ini. Tidak lupa juga ucapan terima kasih kepada dosen pembimbing <span style="mso-spacerun: yes;"> </span>mata kuliah gizi yang telah memberi saran dan
penunjang dalam penyelesaian makalah ini. </span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span>Demikianlah makalah yang telah saya
selesaikan. Tiada gading yang tak retak, begitu pula makalah ini yang tak luput
dari kekurangan. Kritik dan saran sangat saya harapkan untuk menunjang
keberhasilan dari makalah ini. Semoga makalah ini bermanfaat bagi kita semua.
Amin.</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 8;"> </span>Mojokerto,
18 Mei 2013 </span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 7;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-tab-count: 2;"> </span>Penyusun</span></div>
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<span style="font-family: Algerian; font-size: 16.0pt; mso-bidi-font-family: Arial;">Daftar
isi </span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Kata Pengantar <span style="mso-tab-count: 1 dotted;">................................................................................................................ </span><span style="mso-spacerun: yes;"> </span>i</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Daftar Isi <span style="mso-tab-count: 1 dotted;">............................................................................................................................ </span><span style="mso-spacerun: yes;"> </span>ii</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">BAB I</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">1.1 Latar Belakang Masalah<span style="mso-tab-count: 1 dotted;">........................................................................................... </span>
1</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">1.2 Rumusan Masalah<span style="mso-tab-count: 1 dotted;">.................................................................................................... </span>
1</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">BAB II</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">ISI<span style="mso-tab-count: 1 dotted;">........................................................................................................................................ </span>
2</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">2.1 Pengertian Tentang Penyakit Gondok<span style="mso-tab-count: 1 dotted;">.................................................................. </span>
2</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%;">2.2 Gejala
Penyakit Gondok<span style="mso-tab-count: 1 dotted;">........................................................................................... </span>
2</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.3 Penyebab
Penyakit Gondok<span style="mso-tab-count: 1 dotted;">.................................................................................... </span>
3</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.4 Jenis –
Jenis Penyakit Gondok<span style="mso-tab-count: 1 dotted;">............................................................................... </span>
3</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.5
Pengobatan Penyakit Gondok<span style="mso-tab-count: 1 dotted;">................................................................................ </span>
4</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.6
Pencegahan Penyakit Gondok<span style="mso-tab-count: 1 dotted;">............................................................................... </span>
4</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.7 Permasalahan<span style="mso-tab-count: 1 dotted;">............................................................................................................ </span>
5</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">BAB III</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Penutup<span style="mso-tab-count: 1 dotted;">............................................................................................................................. </span>
6</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Daftar Pustaka <span style="mso-tab-count: 1 dotted;">................................................................................................................. </span><span style="mso-spacerun: yes;"> </span>7</span></div>
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<span style="font-family: Algerian; font-size: 16.0pt; mso-bidi-font-family: Arial;">BAB i<br />
PENDAHULUAN</span></div>
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<span style="font-family: Algerian; font-size: 14.0pt; mso-bidi-font-family: Algerian; mso-fareast-font-family: Algerian;"><span style="mso-list: Ignore;">1.1<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: Algerian; font-size: 14.0pt; mso-bidi-font-family: Arial;">LATAR
BELAKANG MASALAH</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penyakit gondok atau struma</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> merupakan suatu pembengkakan atau munculnya benjolan
yang cukup besar pada leher bagian depan atau samping (pada tenggorokan).
Gondok terjadi akibat pertumbuhan kelenjar gondok yang tidak normal. Penyakit
gondok dikenal sebagi penyakit yang diakibatkan oleh kurangnya yodium dalam
makanan sehari-hari. Akibat kekurangan yodium, terutama bila terjadi pada ibu
hamil yang dapat berakibat pada kematian bayi atau bayi yang akan dilahirkan
mengalami keterlambatan mental dan atau tuli. Meski sang ibu tidak menderita
penyakit gondok sekalipun.</span></div>
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<span style="font-family: Algerian; font-size: 14.0pt; mso-bidi-font-family: Algerian; mso-fareast-font-family: Algerian;"><span style="mso-list: Ignore;">1.2<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: Algerian; font-size: 14.0pt; mso-bidi-font-family: Arial;">Rumusan
MASALAH<br style="mso-special-character: line-break;" />
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<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo2; text-indent: -21.25pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Apa yang
dimaksud dengan gondok ?</span></div>
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<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Apa saja
gejala penyakit gondok ?</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo2; text-indent: -21.25pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Apa penyebab
penyakit gondok?</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo2; text-indent: -21.25pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ada berapa
jenis penyakit gondok ?</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo2; text-indent: -21.25pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bagaimana
cara pengobatan penyakit gondok ?</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo2; text-indent: -21.25pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bagaimana
cara pencegahan penyakit gondok ?</span></div>
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<span style="font-family: Algerian; font-size: 16.0pt; mso-bidi-font-family: Arial;">BAB iI<br />
ISI</span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: 1.0cm;">
<span style="font-family: Algerian; font-size: 14.0pt; line-height: 150%; mso-bidi-font-family: Arial;">2.1<span style="mso-tab-count: 1;"> </span>pengertian tentang penyakit
gondok</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penyakit gondok atau struma</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> merupakan suatu pembengkakan atau munculnya benjolan
yang cukup besar pada leher bagian depan atau samping (pada tenggorokan) atau
pembesaran kelenjar tiroid. Gondok terjadi akibat pertumbuhan kelenjar gondok
yang tidak normal. Penyakit gondok dikenal sebagi penyakit yang diakibatkan
oleh kurangnya yodium dalam makanan sehari-hari. Akibat kekurangan yodium,
terutama bila terjadi pada ibu hamil yang dapat berakibat pada kematian bayi
atau bayi yang akan diahirkan mengalami keterlambatan mental dan atau tuli.
Meski sang ibu tidak menderita penyakit gondok sekalipun. </span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: 1.0cm;">
<span style="font-family: Algerian; font-size: 14.0pt; line-height: 150%; mso-bidi-font-family: Arial;">2.2<span style="mso-tab-count: 1;"> </span>GEJALA penyakit gondok</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Paroid peradangan (
parotitis ) di 60-70% dari infeksi dan 95% dari pasien dengan gejala. Parotitis
menyebabkan rasa sakit pembengkakan dan lokal, terutama ketika mengunyah. Hal
ini dapat terjadi pada satu sisi, tetapi lebih umum pada kedua sisi pada
sekitar 90 % kasus.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l1 level1 lfo3; tab-stops: list 1.0cm; text-align: justify; text-indent: -21.8pt;">
<span style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Terjadi pembengkakan pada kelenjar ludah</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l1 level1 lfo3; tab-stops: list 1.0cm; text-align: justify; text-indent: -21.8pt;">
<span style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mulut terasa tegang dan nyeri, terutama saat mengunyah
dan menelan makanan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l1 level1 lfo3; tab-stops: list 1.0cm; text-align: justify; text-indent: -21.8pt;">
<span style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Selera makan menjadi berkurang</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l1 level1 lfo3; tab-stops: list 1.0cm; text-align: justify; text-indent: -21.8pt;">
<span style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sering merasa mual bahkan sampai terjadi muntah yang
berulang kali</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l1 level1 lfo3; tab-stops: list 1.0cm; text-align: justify; text-indent: -21.8pt;">
<span style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Suhu badan menjadi tinggi ( demam )</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l1 level1 lfo3; tab-stops: list 1.0cm; text-align: justify; text-indent: -21.8pt;">
<span style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Seringkali merasakan dengungan ditelinga</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l1 level1 lfo3; tab-stops: list 1.0cm; text-align: justify; text-indent: -21.8pt;">
<span style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sakit kepala</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jika sudah
masuk kategori Gondok beracun selain gejala di atas, si penderita juga akan
mengalami keringat dingin, mata menonjol, jantung sering berdebar-debar dan
selalu cemas. Gejala lain dari gondong dapat termasuk mulut kering, wajah sakit
dan telinga. Kadang – kadang dalam kasus yang lebih serius, kehilangan suara.
Selain itu sampai dengan 20% dari orang yang terinfeksi dengan virus gondong
tidak menimbulkan gejala, sehigga memungkinkan untuk menjadi terinfeksi dan
menyebarkan virus tanpa menyadarinya. </span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: 1.0cm;">
<span style="font-family: Algerian; font-size: 14.0pt; line-height: 150%; mso-bidi-font-family: Arial;">2.3<span style="mso-tab-count: 1;"> </span>PENYEBAB penyakit gondok</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span>Banyak
faktor atau penyebab terjadinya penyakit gondok ( struma ). Penyakit gondok
bisa disebabkan oleh infeksi virus gondong dan kekurangan yodium. </span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pada keadaan
tertentu struma disebabkan oleh zat goitrogenik seperti PAS, sulfonilurea,
litium atau iodium dosis tinggi. Beberapa penyebab inilah yang bisa menimbulkan
penyakit gondok dan pembesaran pada kelenjar tiroid.</span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: 1.0cm;">
<span style="font-family: Algerian; font-size: 14.0pt; line-height: 150%; mso-bidi-font-family: Arial;">2.4<span style="mso-tab-count: 1;"> </span>jenis - jenis penyakit gondok</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">GRAVES DISEASE (STRUMA TOKSIK DIFUSA)</span></b></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penyakit
Graves lazim juga disebut penyakit Basedow yang merupakan hipertiroidi yang
sering dijumpai, penyakit graves merupakan sindrom autoimun sistemik dengan
penampilan bervariasi yang meliputi goiter dengan hipertiroidisme,
eksolftalmas, miksudema pretibia dan acropachy. Walaupun etiologi penyakit
graves tidak diketahui, tampaknya terdapat peran antibodi terhadap reseptor
TSH, yang menyebabkan peningkatan produksi tiroid. Penyakit ini ditandai dengan
peninggian penyerapan Iodium radio aktif oleh kelenjar tiroid (1, 2, 3, 7).</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">STRUMA
NODOSA</span></b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Struma
nodosa atau struma adenomentosa terutama ditemukan di daerah pegunungan karena
defisiensi yodium. Struma endemik ini dapat dicegah dengan substitusi yodium
(1, 3, 5, 7).</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">TIROIDITIS
HASIMOTO</span></b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Adalah
peradangan kronik kelenjar tiroid yang diduga merupakan fenomena oto-imun, nama
lainnya ialah struma limfomatosa. Tiroiditis autoimun yang terserang terutama
wanita berusia antara 30 – 50 tahun dan dicirikan dengan adanya kelenjar tiroid
yang keras. Membesar difus, tak nyeri. Pasien biasanya eutiroid atau hipotiroid
dan jarang hipertiroid. Titer antibodi biasanya tinggi dan ada imunitas yang
cell mediated terhadap antigen tiroid. Kelainan histopatologis dapat
bermacam-macam yaitu antara lain infiltrasi limfosit yang difus, obliterasi
folikel tiroid dan fibrosis (6, 8).</span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: 1.0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: 1.0cm;">
<span style="font-family: Algerian; font-size: 14.0pt; line-height: 150%; mso-bidi-font-family: Arial;">2.5<span style="mso-tab-count: 1;"> </span>PENGOBATAN penyakit gondok</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Tidak
ada pengobatan khusus untuk penyakit gondong. Gejala dapat dihilangkan dengan
aplikasi interniten es atau panas untuk daerah leher yang terkena dampak dan
oleh asetaminofen / paraseamol untuk menghilangkan rasa sakit. Aspirin tidak
digunakan karena link hipotetis dengan sindrom Reve Kumur air hangat garam,
makanan lunak, dan cairan ekstra juga dapat membantu meringankan gejala. Pasien
disarankan untuk menghindari jus buah dan makanan asam, karena ini merangsang
kelenjar ludah yang dapat menyakitkan.</span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: 1.0cm;">
<span style="font-family: Algerian; font-size: 14.0pt; line-height: 150%; mso-bidi-font-family: Arial;">2.6<span style="mso-tab-count: 1;"> </span>PENcegahAN penyakit gondok</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ukuran
pencegahan yang paling umum terhadap gondong adalah imunisasi dengan vaksin
gondong. Vaksin dapat diberikan secara terpisah atau sebagai bagian dari vaksin
imunisasi. MMR yang juga melindungi terhadap campak dan rubella. Di AS MMR
sekarang sedang digantikan oleh MMRV yang menambahkan perlindungan terhadap
cacar air. WHO ( World Health Organization ) merekomendasikan penggunaan vaksin
gondok disemua negara dengan yang berfungsi dengan baik program vaksinasi anak.
Di Britania Rava itu rutin deberikan kepada anak – anak pada usia 15 bulan.
American Academy of Pediatrics merekomendasikan pempemberian vaksin MMR rutin
pada usia 12 – 15 bulan dan 4 – 6 tahun. Di beberapa lokasi, vaksin
diberikanlagi antara 4 sampai 6 tahun usia, atau antara 11 dan 12 tahun jika
sebelumnya tidak diberikan. Efektifitas vaksin tergantung pada strain dari
vaksin, tetapi biasanya sekitar 80%. Strain Jeryl Lynn paling umum digunakan de
negara maju tetapi telah terbukti memiliki khasiat mengurangi dalam situasi
epidemi. Strain Leningrad – Zagreb umum digunakan di negara berkembang
tampaknya memiliki khasiat unggul dalam situasi epidemi. </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l0 level1 lfo4; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penyakit Gondok timbul akibat dari kekurangan yodium,
maka langkah utama untuk mencegah penyakit ini adalah dengan mengkonsumsi garam
yang mengandung yodium tinctura (larutan yodium dalam alkohol). </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l0 level1 lfo4; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mengkonsumsi ganggang laut yang dicampurkan pada
makanan serta mengkonsumsi seafood (seperti kepiting, kerang, ikan laut dll)
juga dipercaya bisa mencegah penyakit gondok. </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l0 level1 lfo4; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Hindari makanan yang dapat mengurangi hormone
tiroksin, seperti kol, kacang kedelai, kacang tanah, kacang polong, bayam dan
stroberi.</span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: 1.0cm;">
<span style="font-family: Algerian; font-size: 14.0pt; line-height: 150%; mso-bidi-font-family: Arial;">2.7<span style="mso-tab-count: 1;"> </span>PERMASALAHAN</span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: 1.0cm;">
<span style="font-family: Algerian; font-size: 14.0pt; line-height: 150%; mso-bidi-font-family: Arial;">KASUS </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 12.0pt; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">SURABAYA-Penyakit
gondok (tiroid) identik dengan penyakit orang desa. Namun sekarang, penyakit
tersebut juga menyerang orang-orang kota. </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 12.0pt; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kepala IRD
RSU dr Soetomo, Surabaya, Urip Murtedjo SpBKL mengatakan, orang desa terkena
gondok biasanya disebabkan kekurangan yodium. Namun orang kota terkena gondok
karena stres. “ Stres biasanya mengganggu metabolisme, akhirnya terkena
penyakit tiroid ini. ” kata Urip Murtedjo kemarin. </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 12.0pt; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menurut
Urip, pekerjaan yang biasanya membuat stres orang kota adalah pekerjaan yang
ditarget dan pekerjaan yang membutuhkan ketelitian. Misalnya manajer,
marketing, dan kasir. Ada juga pekerjaan-pekerjaan yang penuh tekanan. Gejala
orang yang terkena gondok bisa dilihat dari benjolan di sekitar leher. Selain
itu, matanya juga meotot dan tremor ( getaran ) pada kedua tangan. “ Bisa
diobati, tapi kalau sudah besar harus operasi,“ katanya. </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 12.0pt; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Urip mengungkapkan penderita penyakit gondok di
Indonesia masih tinggi. Diantara penyakit kanker, gondok masuk dalam urutan
kelima kanker mematikan. Urutan pertama masih dipegang kanker serviks atau
kanker mulut rahim. Di RSU dr Soetomo, penderita yang harus menjalani operasi
sangat banyak. (deny bachtiar) </span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: 1.0cm;">
<span style="font-family: Algerian; font-size: 14.0pt; line-height: 150%; mso-bidi-font-family: Arial;">SOLUSI </span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: 1.0cm; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penyakit gondok atau struma</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> merupakan suatu pembengkakan atau munculnya benjolan
yang cukup besar pada leher bagian depan atau samping ( pada tenggorokan ) atau
pembesaran kelenjar tiroid. Penyakit gondok ini dapat menyebabkan kematian.
Dengan terjadinya kasus diatas dapat di ambil kesimpulan bahwa penyakit gondok
menyerah semua orang di semua kalangan. Dianjurkan untuk ibu – ibu memakai
garam beryodium. Untuk mencegah terjadinya penyakit gondok. Selain itu untuk
anak – anak bisa dilakukan vakinasi gondok. Untuk usia 12 – 15 bulan dan 4 – 6
tahun. Bagi yang telah terkena penyakit gondok </span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">gejala dapat
dihilangkan dengan aplikasi interniten es atau panas untuk daerah leher yang
terkena dampak dan oleh asetaminofen / paraseamol untuk menghilangkan rasa
sakit.</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Algerian; font-size: 16.0pt; mso-bidi-font-family: Arial;">BAB
iii<br />
PENutup</span></div>
<div class="MsoNormal">
<span style="font-family: Algerian; font-size: 14.0pt; mso-bidi-font-family: Arial;">kesimpulan</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penyakit gondok atau struma</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> merupakan suatu pembengkakan atau munculnya benjolan
yang cukup besar pada leher bagian depan atau samping (pada tenggorokan).
Gondok terjadi akibat pertumbuhan kelenjar gondok yang tidak normal. Penyakit
gondok dikenal sebagi penyakit yang diakibatkan oleh kurangnya yodium dalam
makanan sehari-hari. Akibat kekurangan yodium, terutama bila terjadi pada ibu
hamil yang dapat berakibat pada kematian bayi atau bayi yang akan dilahirkan
mengalami keterlambatan mental dan atau tuli. Meski sang ibu tidak menderita
penyakit gondok sekalipun.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penyakit
gondok bisa dicegah dengan berbagai cara yaitu :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l0 level1 lfo4; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penyakit Gondok timbul akibat dari kekurangan yodium,
maka langkah utama untuk mencegah penyakit ini adalah dengan mengkonsumsi garam
yang mengandung yodium tinctura (larutan yodium dalam alkohol). </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l0 level1 lfo4; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mengkonsumsi ganggang laut yang dicampurkan pada
makanan serta mengkonsumsi seafood (seperti kepiting, kerang, ikan laut dll)
juga dipercaya bisa mencegah penyakit gondok. </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l0 level1 lfo4; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Hindari makanan yang dapat mengurangi hormone
tiroksin, seperti kol, kacang kedelai, kacang tanah, kacang polong, bayam dan
stroberi.</span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: 1.0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: 1.0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: 1.0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: 1.0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: 1.0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: 1.0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: 1.0cm; text-align: justify;">
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<span style="font-family: Algerian; font-size: 16.0pt; line-height: 150%; mso-bidi-font-family: Arial;">Daftar pustaka</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1. Widjosono
– Garjitno, Sistem Endokrin : Buku Ajar Ilmu Bedah. Editor Syamsuhidayat R.Jong
WB, Edisi Revisi, EGC,Jakarta, 1997 : 925 – 952.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2. Sachdova
R. K., Tiroid : Catatan Ilmu Bedah, Editor Erlan, Edisi Kelima, Hipokrates,
1996 : 85 – 86.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3. Kariadi
KS Sri hartini, Sumual A., Struma Nodosa Non Toksik & Hipertiroidisme: Buku
Ajar Ilmu Penyakit Dalam, Edisi Ketiga, Penerbit FKUI, Jakarta, 1996 : 757 –
778.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">4. Lyberty
Kim H, Kelenjar Tiroid : Buku Teks Ilmu Bedah, Jilid Satu, Penerbit Binarupa
Aksara, Jakarta, 1997 : 15 – 19.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">5. Allo D.
Maria, L. John Cameron, Goiter Non Toksik Terapi Bedah Mutakhir, Edisi Keempat,
Jilid Dua, Penerbit Binarupa Aksara, Jakarta, 1993 : 146 – 150.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">6. Clark
oila H, Bedah Endoktrin, Ilmu Bedah, Editor Dharma Asdji Petrus L., Edisi
Ketujuh, EGC, Jakarta, 1995 : 146 – 150.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">7.
Schteingert David E., Penyakit Kelenjar Tiroid, Patoksiologi, Edisi Keempat,
Buku Dua, EGC, Jakarta, 1995 : 1071 – 0178.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">8. Sri hartini
KS Kariadi, Struma Nodosa Non Toksik : Buku Ajar Ilmu Penyakit Dalam, Editor
Noor Syaifullah, Edisi Ketiga, Penerbit FKUI, Jakarta, 1996 : 762 – 763.</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
Anonymoushttp://www.blogger.com/profile/09428371857956484973noreply@blogger.com0tag:blogger.com,1999:blog-1493722132486835108.post-60433938424215063102014-02-07T16:56:00.002-08:002014-02-07T16:56:38.724-08:00Gizi Seimbang Bagi Remaja<!--[if !mso]>
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<span style="font-family: Algerian; font-size: 20.0pt;"><span style="mso-spacerun: yes;"> </span>Makalah</span></div>
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<span style="font-family: Algerian; font-size: 20.0pt;">Gizi seimbang bagi remaja</span></div>
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<img align="left" alt="logo dian husada.gif" height="360" hspace="12" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image002.gif" width="381" /><span style="font-family: Algerian; font-size: 24.0pt;"></span></div>
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<span style="font-family: "Monotype Corsiva"; font-size: 16.0pt; mso-bidi-font-family: Arial;">Disusun oleh :</span></div>
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<span style="font-family: "Monotype Corsiva"; font-size: 16.0pt; mso-bidi-font-family: Arial;">Anita Della Aviyanty Putri ( 02.12.004 )<br />
Naimatul Husniah ( 02.12.035 )<br />
Eka Herin Priyanti ( 02.12.012 )<br />
Dita Saraswati ( 02.12.010 )<br />
Nurul Karimah ( 02.12.040 )<br style="mso-special-character: line-break;" />
<br style="mso-special-character: line-break;" />
</span></div>
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<span style="font-family: "Monotype Corsiva"; font-size: 16.0pt; mso-bidi-font-family: Arial;">1A D3 Kebidanan</span></div>
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<span style="font-family: Algerian; font-size: 22.0pt; mso-bidi-font-family: Arial;">Kampus
a stikes DIAN HUSADA MOJOKERTO</span></div>
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<span style="font-family: Algerian; font-size: 22.0pt; mso-bidi-font-family: Arial;">2013 –
2014</span></div>
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<span style="font-family: Algerian; font-size: 16.0pt; mso-bidi-font-family: Arial;">KATA
PENGANTAR</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span>Puji syukur kami ucapkan kepada
Tuhan Yang Maha Esa. Berkat rahmat, taufiq, dan hidayah-Nya kami dapat
menyelesaikan tugas makalah yang berjudul “ Gizi Seimbang Bagi Remaja ” ini
dengan tepat waktu. </span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span>Kami mengucapkan banyak terima kasih
kepada seluruh pihak yang telah membantu dalam penyelesaian makalah ini, dan
juga kepada sumber-sumber yang digunakan untuk menunjang penyelesaian makalah
ini. Tidak lupa juga ucapan terima kasih kepada seluruh anggota kelompok yang
telah bekerja sama dalam penyelesaian makalah ini. </span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span>Demikianlah makalah yang telah kami
selesaikan. Tiada gading yang tak retak, begitu pula makalah ini yang tak luput
dari kekurangan. Kritik dan saran sangat kami harapkan untuk menunjang keberhasilan
dari makalah ini. Semoga makalah ini bermanfaat bagi kita semua. Amin.</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt;"><span style="mso-tab-count: 8;"> </span>Mojokerto,
20 April 2013 </span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt;"><span style="mso-tab-count: 7;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-tab-count: 2;"> </span><span style="mso-spacerun: yes;"> </span>Penyusun</span></div>
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<span style="font-family: Algerian; font-size: 16.0pt; mso-bidi-font-family: Arial;">Daftar
isi </span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Kata Pengantar <span style="mso-tab-count: 1 dotted;">................................................................................................................ </span><span style="mso-spacerun: yes;"> </span>i</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Daftar Isi <span style="mso-tab-count: 1 dotted;">............................................................................................................................ </span><span style="mso-spacerun: yes;"> </span>ii</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Bab I <span style="mso-tab-count: 1 dotted;">................................................................................................................................... </span><span style="mso-spacerun: yes;"> </span>1</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Latar Belakang Masalah<span style="mso-tab-count: 1 dotted;">................................................................................................. </span>
1</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Rumusan Masalah<span style="mso-tab-count: 1 dotted;">.......................................................................................................... </span>
1</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Bab II <span style="mso-tab-count: 1 dotted;">.................................................................................................................................. </span><span style="mso-spacerun: yes;"> </span>2</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; mso-list: l4 level2 lfo12; tab-stops: dotted 15.0cm; text-indent: -18.0pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">2.1<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span>Masalah Gizi Pada Remaja<span style="mso-tab-count: 1 dotted;">..................................................................................... </span>
2</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Obesitas</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Kurang
Energi Kronik</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Anemia</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">2.2<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span>Penyebab Masalah Gizi Pada Remaja <span style="mso-tab-count: 1 dotted;">................................................................. </span><span style="mso-spacerun: yes;"> </span>2</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; mso-list: l4 level2 lfo12; tab-stops: dotted 15.0cm; text-indent: -18.0pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">2.3<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span>Pola Makan dan Kebutuhan Energi pada Masa
Remaja <span style="mso-tab-count: 1 dotted;">................................. </span><span style="mso-spacerun: yes;"> </span>3</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Pola
Makan Masa Remaja</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Kebutuhan
Energi Untuk Remaja</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l9 level1 lfo14; tab-stops: dotted 15.0cm; text-indent: -18.0pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Prilaku
Konsumsi Gizi yang Salah pada Remaja Sekolah</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Kebutuhan
Gizi Seimbang</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Energi</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Protein</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l9 level1 lfo14; tab-stops: dotted 15.0cm; text-indent: -18.0pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Lemak</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Vitamin
dan Mineral</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; mso-list: l9 level1 lfo14; tab-stops: dotted 15.0cm; text-indent: -18.0pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Fe /
Zat Besi</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">2.4
Mengatasi Masalah Gizi pada Remaja agar Tidak Terjadi <span style="mso-tab-count: 1 dotted;">................................. </span><span style="mso-spacerun: yes;"> </span>7<br />
Bab III <span style="mso-tab-count: 1 dotted;">................................................................................................................................. </span><span style="mso-spacerun: yes;"> </span>11<br />
Penutup <span style="mso-tab-count: 1 dotted;">............................................................................................................................ </span><span style="mso-spacerun: yes;"> </span>11<br />
Daftar Pustaka <span style="mso-tab-count: 1 dotted;">................................................................................................................. </span><span style="mso-spacerun: yes;"> </span>12</span></div>
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<span style="font-family: Algerian; font-size: 14.0pt; mso-bidi-font-family: Arial;">BAB i<br />
PENDAHULUAN</span></div>
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<span style="font-family: Algerian; font-size: 14.0pt; mso-bidi-font-family: Algerian; mso-fareast-font-family: Algerian;"><span style="mso-list: Ignore;">1.1<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: Algerian; font-size: 14.0pt; mso-bidi-font-family: Arial;">LATAR
BELAKANG MASALAH</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Masa remaja
merupakan periode dari pertumbuhan dan proses kematangan manusia, pada masa ini
terjadi perubahan yang sangat unik dan berkelanjutan. Perubahan fisik karena
pertumbuhan yang terjadi akan mempengaruhi status kesehatan dan gizinya.
Ketidakseimbangan antara asupan kebutuhan atau kecukupan akan menimbulkan
masalah gizi, baik itu berupa masalah gizi lebih maupun gizi kurang.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Status gizi
dapat ditentukan melalui pemeriksaan laboratorium maupun secara antropometri.
Kekurangan kadar hemoglobin atau anemi ditentukan dengan pemeriksaan darah.
Antropometri merupakan cara penentuan status gizi yang paling mudah dan murah.
Indeks Massa Tubuh (IMT) direkomendasikan sebagai indikator yang baik untuk
menentukan status gizi remaja.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Masalah gizi
pada remaja akan berdampak negatif pada tingkat kesehatan masyarakat, misalnya
penurunan konsentrasi belajar, risiko melahirkan bayi dengan BBLR, penurunan
kesegaran jasmani. Banyak penelitian telah menunjukkan kelompok remaja
mengalami banyak masalah gizi. Masalah gizi tersebut antara lain Anemi dan IMT
kurang dari batas normal atau kurus. Prevalensi anemi berkisar antara 40%,
sedangkan prevalensi remaja dengan IMT kurus berkisar antara 30%. Banyak faktor
yang menyebabkan masalah ini. Dengan mengetahui faktor-faktor penyebab yang
mempengaruhi masalah gizi tersebut membantu upaya penanggulangannya dan lebih
terpengaruh dan terfokus.</span></div>
<div class="MsoListParagraphCxSpFirst" style="margin-left: 1.0cm; mso-add-space: auto; mso-list: l13 level2 lfo1; text-indent: -1.0cm;">
<span style="font-family: Algerian; font-size: 14.0pt; mso-bidi-font-family: Algerian; mso-fareast-font-family: Algerian;"><span style="mso-list: Ignore;">1.2<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: Algerian; font-size: 14.0pt; mso-bidi-font-family: Arial;">Rumusan
MASALAH<br style="mso-special-character: line-break;" />
<br style="mso-special-character: line-break;" />
</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo2; text-indent: -21.25pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Apa saja
masalah gizi pada remaja ?</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo2; text-indent: -21.25pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Apa yang
menyebabkan masalah gizi pada remaja bisa terjadi ?</span></div>
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<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bagaimana
pola makan dan kebutuhan energi pada masa remaja ?</span></div>
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<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bagaimana
cara mengatasi supaya masalah gizi pada remaja tidak terjadi ?</span></div>
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<br /></div>
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<span style="font-family: Algerian; font-size: 16.0pt; mso-bidi-font-family: Arial;">BAB iI<br />
ISI</span></div>
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<span style="font-family: Algerian; font-size: 14.0pt; line-height: 150%; mso-bidi-font-family: Arial;">2.1 MASALAH
GIZI PADA REMAJA</span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1.<span style="mso-tab-count: 1;"> </span>Obesitas</span></b></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Walaupun kebutuhan energi dan zat-zat gizi lebih besar
pada remaja daripada dewasa, tetapi ada sebagian remaja yang makannya terlalu
banyak melebihi kebutuhannya sehingga menjadi gemuk. Aktif berolah raga dan
melakukan pengaturan makan adalah cara untuk menurunkan berat badan. Diet
tinggi serat sangat sesuai untuk para remaja yang sedang melakukan penurunan
berat badan. Pada umumnya makanan yang serat tinggi mengandung sedikit energi,
dengan demikian dapat membantu menurunkan berat badan, disamping itu serat
dapat menimbulkan rasa kenyang sehingga dapat menghindari ngemil
makanan/kue-kue.</span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.<span style="mso-tab-count: 1;"> </span>Kurang Energi
Kronis</span></b></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pada remaja badan kurus atau disebut Kurang Energi
Kronis tidak selalu berupa akibat terlalu banyak olah raga atau aktivitas
fisik. Pada umumnya adalah karena makan terlalu sedikit. Remaja perempuan yang
menurunkan berat badan secara drastis erat hubungannya dengan faktor emosional
seperti takut gemuk seperti ibunya atau dipandang lawan jenis kurang seksi.</span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3.<span style="mso-tab-count: 1;"> </span>Anemia</span></b></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Anemia karena kurang zat besi adalah masalah yang
paling umum dijumpai terutama pada perempuan. Zat besi diperlukan untuk
membentuk sel-sel darah merah, dikonversi menjadi hemoglobin, beredar ke
seluruh jaringan tubuh, berfungsi sebagai pembawa oksigen. Remaja perempuan
membutuhkan lebih banyak zat besi daripada laki-laki. Agar zat besi yang
diabsorbsi lebih banyak tersedia oleh tubuh, maka diperlukan bahan makanan yang
berkualitas tinggi. Seperti pada daging, hati, ikan, ayam, selain itu bahan
maknan yang tinggi vitamin C membantu penyerapan zat besi.</span></div>
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<span style="font-family: Algerian; font-size: 14.0pt; line-height: 150%; mso-bidi-font-family: Arial;">2.2 Penyebab
masalah GIZI PADA REMAJA</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pada usia
sekolah, anak banyak mengikuti aktivitas, fisik maupun mental, seperti bermain,
belajar, berolah raga. Zat gizi akan membantu meningkatkan kesehatan tubuh
anak, sehingga sistem pertahanan tubuhnya pun baik dan tidak mudah terserang
penyakit. Umumnya orangtua kurang memperhatikan kegiatan makan anaknya lagi.
Mereka beranggapan bahwa anak seusia ini sudah tahu kapan ia harus makan. Di
samping itu, anak mulai banyak melakukan kegiatan di luar rumah, sehingga agak
sulit mengawasi jenis makanan apa saja yang mereka makan.</span><span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Arial;"></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Anak usia
sekolah membutuhkan lebih banyak energi dan zat gizi dibanding anak balita.
Diperlukan tambahan energi, protein, kalsium, fluor, zat besi, sebab
pertumbuhan sedang pesat dan aktivitas kian bertambah. Untuk memenuhi kebutuhan
energi dan zat gizi, anak seusia ini membutuhkan 5 kali waktu makan, yaitu
makan pagi (sarapan), makan siang, makan malam, dan 2 kali makan selingan.
Perlu ditekankan pentingnya sarapan supaya dapat berpikir dengan baik dan
menghindari hipoglikemi. Bila jajan harus diperhatikan kebersihan makanan supaya
tidak tertular penyakit tifoid, disentri, dan lain-lain. Anak remaja putri
sudah mulai haid, sehingga diperlukan tambahan zat besi.</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l7 level2 lfo10; text-indent: -21.3pt;">
<span style="font-family: Algerian; font-size: 14.0pt; line-height: 150%; mso-bidi-font-family: Algerian; mso-fareast-font-family: Algerian;"><span style="mso-list: Ignore;">2.3<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: Algerian; font-size: 14.0pt; line-height: 150%; mso-bidi-font-family: Arial;"><span style="mso-spacerun: yes;"> </span>Pola makan dan kebutuhan energi
PADA masa REMAJA</span></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-spacerun: yes;"> </span>Pola Makan Masa
Remaja :</span></b><span style="font-family: Algerian; font-size: 14.0pt; line-height: 150%; mso-bidi-font-family: Arial;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo3; text-indent: -14.2pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pengalaman
baru, kegembiraan di sekolah, rasa takut terlambat sekolah. Mengakibatkan anak
sering menyimpang dari kebiasaan makannya.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo3; text-indent: -14.2pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Anak lebih
aktif memilih makanan yang disukainya.</span></div>
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<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Anak yang
memiliki aktifitas tinggi di luar rumah cenderung melupakan waktu makan.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo3; text-indent: -14.2pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Masa remaja
merupakan masa adoloseence growth spurt ( butuh zat gizi yang relative tinggi
).</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2. Kebutuhan Energi untuk Remaja :</span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1. Putra</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Usia 16
tahun memerlukan energi 3.470 kkal</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Usia 16-19
tahun menurun menjadi 2.900 kkal</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo4; text-indent: -14.2pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Putri</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Usia 12
tahun memerlukan energy 2.550 kkal</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; tab-stops: 54.0pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Usia 18 tahun menurun menjadi 2.200 kkal</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo4; text-indent: -14.2pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Perhitungan
sederhana untuk kebutuhan energi pada remaja</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Wanita = BBI
x 25 kal</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> Pria =
BBI x 30 kal</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> BI = (
TB – 100 ) – 10% ( TB-100)</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo4; text-indent: -14.2pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penilaian
status gizi untuk usia < 18 tahun</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> Status
gizi = BB/BBI x 100 %</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Untuk yang status gizinya kurang dari 90%<span style="mso-spacerun: yes;">
</span>yang status gizinya diantara 90%-100% berarti underweight, untuk normal,
antara 100%-120% berarti overweight, dan yang lebih dari 120% berarti obesitas.</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo5; text-indent: -14.2pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: Arial; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Perilaku
Konsumsi Gizi yang Salah pada Remaja Sekolah</span></b><span style="font-family: "Arial","sans-serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ketidak tahuan akan gizi yang benar pada usia remaja
taupun sekolah, menyebabkan remaja tersebut sering berperilaku konsumsi gizi
yang salah. berikut beberapa perilaku konsumsi gizi yang salah pada remaja/anak
sekolah:</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo6; text-align: justify; text-indent: -14.15pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tidak
Mengonsumsi Menu Gizi Seimbang</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kebiasaan remaja dan anak yang susah makan, ini
biasanya hanya gemar pada makanan seperti mie, padahal jelas mie goreng itu
hanya mengandung karbohidrat dan lemak saja. tidak ada sumber protein, vitamin
dan mineralnya.</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo6; text-align: justify; text-indent: -14.15pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kebiasaan
Tidak Sarapan Pagi</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Makan pagi mempunyai peranan penting bagi anak remaja
yang khususnya sekolah/kuliah, yaitu untuk pemenuhan gizi di pagi hari dimana
para remaja dan anak-anak tersebut mempunyai aktivitas yang sangat padat di
sekolah. Apabila anak-anak terbiasa sarapan pagi, maka akan berpengaruh terhadap
kecerdasan otak, terutama daya ingat sehingga dapat mendukung prestasi belajar
anak/ remaja tersebut ke arah yang baik. Sarapan pagi merupakan pasokan energi
untuk otak yang paling baik agar dapat berkonsentrasi disekolah.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ketika bangun pagi, gula darah dalam tubuh kita rendah karena semalaman
tidak makan. Tanpa sarapan yang cukup, otak akan sulit berkonsentrasi di
sekolah/di kampus.</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo6; text-align: justify; text-indent: -14.15pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jajan tidak
sehat di Sekolah/ di Kampus</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Anak-anak remaja tidak dapat terlepas dari makanan
jajanan di sekolah. hal ini merupakan upaya untuk memenuhi kebutuhan energi
karena aktivitas di sekolah yang tinggi. Biasanya para remaja sekolah ini
menyukai makanan yang tinggi kalori yang bersumber dari lemak dan gula. padahal
makanan tradisional sebetulnya kaya akan serat dan kalorinya tidak terlalu
tinggi.</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo6; text-align: justify; text-indent: -14.15pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kurang
Mengonsumsi Buah dan Sayur</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Anak-anak sekolah atau remaja umumnya susah apa bila
disuruh mengonsumsi buah dan sayur. Padahal buah dan sayur merupakan sumber zat
gizi vitamin, serat dan mineral. yang tentunya sangat baik untuk kesehatan dan
kecerdasan remaja/anak tersebut.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo6; text-align: justify; text-indent: -14.15pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial; mso-fareast-language: IN;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mengonsumsi
Fast Food dan Junk Food</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Para remaja-remaja biasanya sangat suka mengonsumsi
fast food dan junk food karena mereka terpengaruh oleh iklan-iklan yang ada di
televisi sehingga mereka beranggapan bahwa fast food dan junk food menunjukkan
status sosial yang tinggi dan mengandung gizi yang baik. PADAHAL, itu tidak
benar.. fast food tidak baik bagi kesehatan tubuh apabila di konsumsi dalam
jumlah banyak, karena fast food dan junk food merupakan makanan tinggi lemak
dan kolesterol. Bahkan di negara asalnya yaitu amerika ataupun Italia, makanan
fast food dan Junk food ini di anggap sebagai makanan Sampah. Maka dari itu,
mulailah konsumsi makanan tradisional yang kaya akan gizi tentunya.</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo6; text-align: justify; text-indent: -14.15pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial; mso-fareast-language: IN;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Konsumsi
Gula Berlebihan</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Para remaja baik di sekolah maupun di kampus sering
jajan yang serba manis-manis seperti es, gula-gula dan sebagainya. yang pada
umumnya mengguna pemanis yangtidak aman untuk tubuh.</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo6; text-align: justify; text-indent: -14.15pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial; mso-fareast-language: IN;"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Konsumsi
Natrium Berlebihan</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pada saat membeli jajanan juga biasanya para remaja
suka membeli jajanan yang mengandung tinggi garam, seperti makanan ringan yang
rasanya asin. Kelebihan Natrium, menyebabkan kadar natrium dalam darah
meningkat. akibatnya, volume darah juga meningkat karaena kelebihan air
disebabkan osmosis. peningkatan volume darah menyebabkan tekanan darah naik
sehingga terjadi hipertensi.</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo6; text-align: justify; text-indent: -14.15pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial; mso-fareast-language: IN;"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Konsumsi
Lemak Berlebihan</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Para remaja lebih suka makanan jajan seperti bakso,
mie ayam dan soto yang tinggi lemak ketimbang makan makanan yang di masak oleh
orang tuanya di rumah. sehingga tubuh remaja tersebut tinggi akan lemak dan
kolesterol.</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo6; text-align: justify; text-indent: -14.15pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial; mso-fareast-language: IN;"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mengonsumsi
Makanan Beresiko</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mengonsumsi makanan beresiko yaitu MSG berlebihan,
kafein dan pengawet serta pewarna makanan yang berbahaya. untuk kesehatan dan
berdampak untuk masa depannya.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-indent: 18.0pt;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo5; text-indent: -14.2pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: Arial; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kebutuhan
Gizi Seimbang</span></b><span style="font-family: "Arial","sans-serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 14.2pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pada anak remaja kudapan berkontribusi 30 % atau lebih
dari total asupan kalori remaja setiap hari. Tetapi kudapan ini sering
mengandung tinggi lemak, gula dan natrium dan dapat meningkatkan resiko
kegemukan dan karies gigi. Oleh karena itu, remaja harus didorong untuk lebih
memilih kudapan yang sehat. Bagi remaja, makanan merupakan suatu kebutuhan
pokok untuk pertumbuhan dan perkembangan tubuhnya. Kekurangan konsumsi makanan,
baik secara kualitatif maupun kuantitatif, akan menyebabkan metabolisme tubuh
terganggu.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 14.2pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kecukupan gizi merupakan kesesuaian baik dalam hal
kualitas maupun kuantitas zat-zat gizi sesuai dengan kebutuhan faali tubuh.</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo5; text-indent: -14.2pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: Arial; mso-fareast-language: IN;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Energi</span></b><span style="font-family: "Arial","sans-serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 14.2pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kebutuhan energi diperlukan untuk kegiatan sehari-hari
maupun untuk proses metabolisme tubuh. Cara sederhana untuk mengetahui
kecukupan energi dapat dilihat dari berat badan seseorang. Pada remaja
perempuan 10-12 tahun kebutuham energinya 50-60 kal/kg BB/ hari dan usia 13-18
tahun sebesar 40-50 kal/ kg BB/ hari.</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo5; text-indent: -14.2pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: Arial; mso-fareast-language: IN;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Protein</span></b><span style="font-family: "Arial","sans-serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 14.2pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kebutuhan protein meningkat karena proses tumbuh
kembang berlangsung cepat. Apabila asupan energi terbatas/ kurang, protein akan
dipergunakan sebagai energi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 14.2pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kebutuhan protein usia 10-12 tahun adalah 50 g/ hari,
13-15 tahun sebesar 57 g/ hari dan usia 16-18 tahun adalah 55 g/ hari. Sumber
protein terdapat dalam daging, jeroan, ikan, keju, kerang dan udang (hewani).
Sedangkan protein nabati pada kacang-kacangan, tempe dan tahu.</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo5; text-indent: -14.2pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: Arial; mso-fareast-language: IN;"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Lemak</span></b><span style="font-family: "Arial","sans-serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 14.2pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Lemak dapat diperoleh dari daging berlemak, jerohan
dan sebagainya. Kelebihan lemak akan disimpan oleh tubuh sebagai lemak tubuh
yang sewaktu- waktu diperlukan. Departemen Kesehatan RI menganjurkan konsumsi
lemak dibatasi tidak melebihi 25 % dari total energi per hari, atau paling
banyak 3 sendok makan minyak goreng untuk memasak makanan sehari. Asupan lemak
yang terlalu rendah juga mengakibatkan energi yang dikonsumsi tidak mencukupi,
karena 1 gram lemak menghasilkan 9 kalori. Pembatasan lemak hewani dapat
mengakibatkan asupan Fe dan Zn juga rendah.</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo5; text-indent: -14.2pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: Arial; mso-fareast-language: IN;"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Vitamin dan
Mineral</span></b><span style="font-family: "Arial","sans-serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 14.2pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kebutuhan vitamin dan mineral pada saat ini juga
meningkat. Golongan vitamin B yaitu vitamin B1 (tiamin), vitamin B2
(riboflavin) maupun niasin diperlukan dalam metabolisme energi. Zat gizi yang
berperan dalam metabolisme asam nukleat yaitu asam folat dan vitamin B12.
Vitamin D diperlukan dalam pertumbuhan kerangka tubuh/ tulang. Selain itu, agar
sel dan jaringan baru terpelihara dengan baik, maka kebutuhan vitamin A, C dan
E juga diperlukan.</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo5; text-indent: -14.2pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: Arial; mso-fareast-language: IN;"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Fe / Zat
Besi</span></b><span style="font-family: "Arial","sans-serif"; font-size: 14.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 14.2pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kekurangan Fe/ zat besi dalam makanan sehari-hari
dapat menimbulkan kekurangan darah yang dikenal dengan anemia gizi besi (AGB).
Makanan sumber zat besi adalah sayuran berwarna hijau, kacang-kacangan, hati,
telur dan daging. Fe lebih baik dikonsumsi bersama dengan vitamin C, karena
akan lebih mudah terabsorsi.</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: Algerian; font-size: 14.0pt; line-height: 150%; mso-bidi-font-family: Arial;">2.4 MENGATASI
<span style="mso-spacerun: yes;"> </span>masalah GIZI PADA REMAJA AGAR TIDAK
TERJADI</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Perlu dilakukan kegiatan pendidikan, penyuluhan
terutama tentang gaya hidup yang benar, meliputi , kebiasaan sarapan pagi,
menghindari untuk merokok dan minum-minuman keras serta membiasakan hidup sehat
agar terhindar dari berbagai penyakit infeksi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Prinsip Gizi Pada Wanita Remaja Dan Dewasa</span></b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Masa remaja merupakan saat terjadinya
perubahan-perubahan cepat dalam proses pertumbuhan fisik, kognitif dan
psikososial. Pada masa ini terjadi kematangan seksual dan tercapainya bentuk
dewasa karena pematangan fungsi endokrin. Pada saat proses pematangan fisik,
juga terjadi perubahan komposisi tubuh.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Periode Adolesensia ditandai dengan pertumbuhan yang
cepat (Growth Spurt) baik tinggi badannnya maupun berat badannya. Pada periode
growth spurt, kebutuhan zat gizi tinggi karena berhubungan dengan besarnya
tubuh.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Growth Spurt
:</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo7; text-indent: -14.15pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial; mso-fareast-language: IN;"><span style="mso-list: Ignore;">•<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Anak
perempuan : antara 10 dan 12 tahun</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo7; text-indent: -14.15pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial; mso-fareast-language: IN;"><span style="mso-list: Ignore;">•<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Anak
laki-laki : umur 12 sampai 14 tahun.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Permulaan growth spurt pada anak tidak selalu pada
umur yang sama melainkan tergantung individualnya. Pertumbuhan yang cepat
biasanya diiringi oleh pertumbuhan aktivitas fisik sehingga kebutuhan zat gizi
akan naik pula.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penyelidikan membuktikan bahwa apabila manusia sudah
mencapai usia lebih dari 20 tahun, maka pertumbuhan tubuhnya sama sekali sudah
terhenti. Ini berarti, makanan tidak lagi berfungsi untuk pertumbuhan tubuh,
tetapi untuk mempertahankan keadaan gizi yang sudah didapat atau membuat
gizinya menjadi lebih baik. Dengan demikian, kebutuhan akan unsur-unsur gizi dalam
masa dewasa sudah agak konstan, kecuali jika terjadi kelainan-kelainan pada
tubuhnya, seperti sakit dan sebagainya. Sehingga mengharuskan dia mendapatkan
kebutuhan zat gizi yang lebih dari biasanya.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pendidikan Gizi Pada Wanita Remaja Dan Dewasa</span></b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pendidikan gizi pada wanita remaja dan dewasa
diperlukan untuk mencapai status gizi yang baik dan berperilaku gizi yang baik
dan benar. Adapun pesan dasar gizi seimbang yang diuraikan oleh Depkes adalah :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 1.0cm;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo8; text-indent: -21.3pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Makanlah
aneka ragam makanan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 21.6pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tidak satupun jenis makanan yang mengandung semua zat
gizi, yang mampu membuat seseorang hidup sehat, tumbuh kembang dan produktif.
Makan makanan yang mengandung unsur-unsur gizi yang diperlukan oleh tubuh baik
kualitas maupun kuantitas. Jadi, mengonsumsi makanan yang beraneka ragam
menjamin terpenuhinya kecukupan sumber zat tenaga, zat pembangun dan zat
pengatur.</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo8; text-indent: -21.3pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Makanlah
makanan untuk mencukupi kecukupan energi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Setiap orang dianjurkan untuk memenuhi makanan yanng
cukup kalori (energi) agar dapat hidup dan beraktivitas sehari-hari. Kelebihan
konsumsi kalori akan ditimbun sebagai cadangan didalam tubuh yang berbentuk
jaringan lemak.</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo8; text-indent: -21.3pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Makanlah
makanan sumber karbohidrat setengah dari kebutuhan energi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ada dua kelompok karbohidrat yaitu karbohidrat
kompleks dan sederhana. Proses pencernaan dan penyerapan karbohidrat kompleks
berlangsung lebih lama daripada yang sederhana. Konsumsi karbohidrat kompleks
sebaiknya dibatasi 50% saja dari kebutuhan energi sehingga tubuh dapat memenuhi
sumber zat pembangun dan pengatur.</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo8; text-indent: -21.3pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Batasi
konsumsi lemak dan minyak sampai ¼ dari kecukupan energi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Lemak dan minyak yang terdapat dalam makanan berguna
untuk meningkatkan jumlah energi, membantu penyerapan vitamin (A, D, E dan K)
serta menambah lezatnya hidangan. Mengonsumsi lemak dan minyak secara
berlebihan akan mengurangi konsumsi makanan lain.</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo8; text-indent: -21.3pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial; mso-fareast-language: IN;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gunakan
garam beryodium.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-indent: 21.3pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kekurangan garam beryodium mengakibatkan penyakit gondok.</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo8; text-indent: -21.3pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial; mso-fareast-language: IN;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-spacerun: yes;"> </span>Makanlah makanan sumber zat besi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Zat besi adalah unsur penting untuk pembentukan sel
darah merah. Kekurangan zat besi berakibat anamia gizi besi (AGB), terutama
diderita oleh wanita hamil, wanita menyusui dan wanita usia subur.</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo8; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial; mso-fareast-language: IN;"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berikan ASI
saja pada bayi sampai umur 6 bulan dan tambahkan MP-ASI sesudahnya. ASI
merupakan makanan terbaik untuk bayi, karena mempunyai kelebihan yang meliputi
3 aspek baik aspek gizi, aspek kekebalan dan kejiwaan.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo8; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial; mso-fareast-language: IN;"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Biasakan
makan pagi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bagi remaja dan dewasa makan pagi dapat memelihara
ketahanan fisik, daya tahan tubuh, meningkatkan konsentrasi belajar dan
meningkatkan produktivitas kerja.</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo8; text-indent: -21.3pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial; mso-fareast-language: IN;"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Minumlah air
bersih yang aman dan cukup jumlahnya.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Aman berarti bersih dan bebas kuman.</span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">10. Lakukan aktivitas fisik secara teratur.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dapat meningkatkan kebugaran, mencegah kelebihan berat
badan, meningkatkan fungsi jantung, paru dan otot serta memperlambat proses
penuaan.</span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">11. Hindari minum minuman beralkohol.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sering minum minuman beralkohol akan sering BAK
sehingga menimbukan rasa haus. Alkohol hanya mengandung energi, tetapi tidak
mengandung zat lain.</span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">12. Makanlah makanan yang aman
bagi kesehatan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Selain harus bergizi lengkap dan seimbang, makanan
harus layak dikonsumsi sehingga aman untuk kesehatan. Makanan yang aman yaitu
bebas dari kuman dan bahan kimia dan halal.</span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">13. Bacalah label pada makanan yang dikemas.</span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gangguan Makanan Pada Remaja</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Saat remaja terjadi perubahan fisiologis yang bisa
mempengaruhi kebutuhan gizi termasuk untuk pertumbuhan yang cepat, biasanya
pertumbuhan cepat lebih banyak terlihat pada remaja laki-laki. Namun remaja
kadang memilih makanan yang tidak tepat sehingga mempengaruhi asupan gizi yang
masuk ke tubuhnya.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berikut ini beberapa masalah gizi yang banyak
menyerang kaum remaja, seperti dikutip dari <i>BBCHealth</i>, Senin (16/1/2012)
yaitu:</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo9; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kekurangan
zat besi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kondisi ini merupakan hal yang paling umum dijumpai.
Pertumbuhan yang cepat ditambah dengan gaya hidup dan pilihan makanan yang
buruk bisa mengakibatkan remaja mengalami anemia akibat kekurangan zat besi,
terutama pada remaja putri ketika ia sudah mengalami menstruasi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sumber makanan utama yang mengandung zat besi adalah
daging merah, sereal, buah kering, roti dan sayuran berdaun hijau. Sumber zat
besi yang berasal dari non-daging membutuhkan asupan nutrisi lain untuk
meningkatkan penyerapannya seperti makanan kaya vitamin C (jeruk, blackcurrant
dan sayuran berdaun hijau), sedangkan zat tanin yang terkandung dalam teh bisa
mengurangi penyerapan zat besi.</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo9; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kekurangan
kalsium</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Survei menemukan sekitar 25 persen remaja memiliki
asupan kalsium lebih rendah dari yang direkomendasikan sehingga berdampak
terhadap kesehatan tulangnya di masa depan, salah satunya adalah osteoporosis
yang membuat tulang rapuh dan mudah patah.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tulang akan terus tumbuh dan diperkuat sampai usia 30
tahun dan masa remaja adalah waktu yang sangat penting untuk perkembangan ini.
Nutrisi yang diperlukan seperti vitamin D, kalsium dan fosfor.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sumber kaya kalsium yang sebaiknya dikonsumsi adalah
susu dan produk susu, misalnya segelas susu, 150 gram yogurt dan sepotong keju
ukuran kecil. Jika tidak bisa mengonsumsi produk susu, maka konsumsilah susu
kedelai yang sudah difortifikasi, atau jika takut dengan kandungan lemak
pilihlah susu yang rendah lemak (low fat).</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo9; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Arial; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kekurangan
gizi akibat salah diet</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berbagai studi melaporkan kaum remaja terutama
perempuan banyak yang tidak puas dengan berat badannya, sehingga melakukan diet
dengan cara yang salah seperti melewatkan waktu makan, menghindari daging
merah, tapi mengonsumsi makanan ringan dan bergula.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Hal ini bukanlah pilihan yang tepat dan sehat karena
pada usia tersebut tubuh mengalami percepatan pertumbuhan yang menuntut adanya
peningkatan nutrisi. Jika diet yang dilakukan salah maka tubuh akan mendapatkan
nutrisi yang penting dalam jumlah kecil atau tidak sama sekali.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sebaiknya konsumsilah makanan secara masuk akal,
olahraga teratur, mengurangi makanan bergula dan banyak lemak untuk mengurangi
kelebihan kalori sambil tetap mempertahankan nutrisi yang masuk. Selain itu
masa-masa remaja merupakan waktu yang banyak menyebabkan perkembangan gangguan
makan.</span></div>
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<br /></div>
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<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Algerian; font-size: 16.0pt; mso-bidi-font-family: Arial;">BAB
iii<br />
PENutup</span></div>
<div class="MsoNormal">
<span style="font-family: Algerian; font-size: 14.0pt; mso-bidi-font-family: Arial;">kesimpulan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kesimpulannya bahwa pemenuhan kebutuhan gizi pada
remaja sangat bermanfaat bagi peningkatan otak ( intelegensi ), bagi tumbuh
kembangnya dan juga sangat menunjang dalam aktivitasnya sehari-hari. Karena
dengan pemenuhan kebutuhan gizi pada remaja diharapkan nantinya kebutuhan dan
kesehatan pada remaja bisa meningkat.</span></div>
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<span style="font-family: Algerian; font-size: 16.0pt; line-height: 150%; mso-bidi-font-family: Arial;">Daftar pustaka</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">http://digilib.litbang.depkes.go.id/go.php?id=jkpkbppk-gdl-res-2003-permaisih-886-gizi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">http//www.google.com//gizi
remaja//2008.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">http://www.harianjogja.com/2012/lifestyle/kesehatan/masalah-gizi-yang-banyak-menyerang-remaja-156269\</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">http://intensifer.blogspot.com/2012/02/gangguan-makan-anorexia-nervosa-pada.html</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">http://health.detik.com/read/2012/01/16/132856/1816520/764/3-masalah-gizi-yang-banyak-menyerang-remaja</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">http://jundapakiringan.blogspot.com/2011/10/penanganan-masalah-gizi-remaja.html</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">http://grandmall10.wordpress.com/2011/07/15/masalah-gizi-remaja/</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">http://id.shvoong.com/medicine-and-health/2109435-faktor-penyebab-masalah-gizi-pada/</span></div>
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Anonymoushttp://www.blogger.com/profile/09428371857956484973noreply@blogger.com0tag:blogger.com,1999:blog-1493722132486835108.post-27069062424308202572014-02-07T16:54:00.001-08:002014-02-07T16:54:56.370-08:00Pengaruh Gizi Pada Kehamilan<!--[if !mso]>
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<br />
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Algerian; font-size: 20.0pt;">Makalah</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Algerian; font-size: 20.0pt;">PENGARUH Gizi pada kehamilan</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<img align="left" alt="logo dian husada.gif" height="328" hspace="12" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image002.gif" width="329" /><span style="font-family: Algerian; font-size: 24.0pt;"></span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: "Monotype Corsiva"; font-size: 16.0pt; mso-bidi-font-family: Arial;">Disusun oleh :</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span style="font-family: "Monotype Corsiva"; font-size: 16.0pt; mso-bidi-font-family: Arial;">Anita Della Aviyanty
Putri<span style="mso-tab-count: 3;"> </span>Nur Laila
Loilatu<br />
Naimatul Husniah<span style="mso-tab-count: 5;"> </span>Muthmainnah<br />
Eka Herin Priyanti<span style="mso-tab-count: 4;"> </span>Siti
Maisaroh<br />
Dita Saraswati<span style="mso-tab-count: 5;"> </span>Ina
Cahyani<br />
Choiro Nur’Aini<span style="mso-tab-count: 5;"> </span>Ria
Nur Azizah<br />
Nurul Karimah<span style="mso-tab-count: 1;"> </span><span style="mso-tab-count: 4;"> </span>Elisabeth Prasetya Novita<br style="mso-special-character: line-break;" />
<br style="mso-special-character: line-break;" />
</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: "Monotype Corsiva"; font-size: 16.0pt; mso-bidi-font-family: Arial;">D3 Kebidanan</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Algerian; font-size: 22.0pt; mso-bidi-font-family: Arial;">Kampus
a stikes DIAN HUSADA MOJOKERTO</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Algerian; font-size: 22.0pt; mso-bidi-font-family: Arial;">2013 –
2014</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Algerian; font-size: 14.0pt; mso-bidi-font-family: Arial;">KATA
PENGANTAR</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span>Puji syukur kami ucapkan kepada
Tuhan Yang Maha Esa. Berkat rahmat, taufiq, dan hidayah-Nya kami dapat
menyelesaikan tugas makalah yang berjudul “</span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Pengaruh Gizi Pada Kehamilan</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">”
ini dengan tepat waktu. </span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span>Kami mengucapkan banyak terima kasih
kepada seluruh pihak yang telah membantu dalam penyelesaian makalah ini, dan
juga kepada sumber-sumber yang digunakan untuk menunjang penyelesaian makalah
ini. Tidak lupa juga ucapan terima kasih kepada seluruh anggota kelompok yang
telah bekerja sama dalam penyelesaian makalah ini. </span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span>Demikianlah makalah yang telah kami
selesaikan. Tiada gading yang tak retak, begitu pula makalah ini yang tak luput
dari kekurangan. Kritik dan saran sangat kami harapkan untuk menunjang
keberhasilan dari makalah ini. Semoga makalah ini bermanfaat bagi kita semua.
Amin.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt;"><span style="mso-tab-count: 8;"> </span>Mojokerto,
</span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-ansi-language: EN-US;">02 Maret 2013</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt;"><span style="mso-tab-count: 7;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-tab-count: 2;"> </span><span style="mso-spacerun: yes;"> </span>Penyusun</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Algerian; font-size: 14.0pt; mso-bidi-font-family: Arial;">BAB i<br />
PENDAHULUAN</span></div>
<div class="MsoListParagraph" style="margin-left: 20.25pt; mso-add-space: auto; mso-list: l1 level2 lfo1; text-indent: -20.25pt;">
<span style="font-family: Algerian; font-size: 12.0pt; mso-bidi-font-family: Algerian; mso-fareast-font-family: Algerian;"><span style="mso-list: Ignore;">1.1<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: Algerian; font-size: 12.0pt; mso-bidi-font-family: Arial;">LATAR
BELAKANG MASALAH</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 20.25pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Gizi
adalah elemen yang terdapat dalam makanan dan dapat dimanfaatkan secara
langsung oleh tubuh seperti halnya karbohidrat, protein, lemak, vitamin,
mineral, dan air. Gizi yang seimbang dibutuhkan oleh tubuh, terlebih pada
balita yang masih dalam masa pertumbuhan. Dimasa tumbuh kembang balita yang
berlangsung secara cepat dibutuhkan makanan dengan kualitas dan kuantitas yang
tepat dan seimbang</span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">. </span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Masa
hamil adalah masa dimana seorang wanita mem</span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">e</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">rlukan berbagai</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"> </span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">unsur gizi yang jauh lebih banyak
daripada yang diperlukan dalam keadaan</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"> </span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">biasa.
Disamping untuk memenuhi kebutuhan tubuhnya sendiri, berbagai zat gizi</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"> </span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">juga diperlukan untuk pertumbuhan dan
perkembangan janin dalam</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"> </span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">kandungannya.
Penyelidikan oleh para ahli membuktikan dengan jelas bahwa ada</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"> </span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">kandungan yang sangat erat antara
kecukupan gizi bayi setelah lahir. Dan</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"> </span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">penelitian
ini juga membuktikan bahwa masa yang paling kritis semasa hamil</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"> </span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">adalah masa trimester 3. Selain
pertumbuhan berat dan panjang janin semasa kehamilan,</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"> </span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">pertumbuhan otak juga dipengaruhi oleh
gizi dari selama hamil.</span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 20.25pt; mso-add-space: auto; mso-list: l1 level2 lfo1; text-indent: -20.25pt;">
<span lang="EN-US" style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Algerian; mso-fareast-font-family: Algerian;"><span style="mso-list: Ignore;">1.2<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Arial;">RUMUSAN MASALAH</span><span lang="EN-US" style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Arial;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l0 level1 lfo2; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Apa
saja gizi yang di butuhkan oleh ibu hamil ?</span><span lang="EN-US" style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Arial;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l0 level1 lfo2; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Apa
dampak gizi kurang pada ibu hamil ? </span><span lang="EN-US" style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Arial;"></span></div>
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masalah yang biasa terjadi pada ibu hamil ?</span><span lang="EN-US" style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Arial;"></span></div>
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</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Apa
saja tanda-tanda kecukupan gizi pada ibu hamil ?</span><span lang="EN-US" style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Arial;"></span></div>
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<span style="font-family: Algerian; font-size: 14.0pt; mso-bidi-font-family: Arial;">BAB ii<br />
isi</span></div>
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<span lang="EN-US" style="font-family: Algerian; mso-bidi-font-family: Arial;">2.1 pentingnya status gizi pada ibu hamil</span><span style="font-family: Algerian; mso-ansi-language: IN; mso-bidi-font-family: Arial;"></span></div>
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<span lang="EN-US" style="font-family: "Arial","sans-serif";">Status </span><span lang="EN-US"><a href="http://www.lusa.web.id/category/gizi/" title="gizi"><span style="color: windowtext; font-family: "Arial","sans-serif"; text-decoration: none; text-underline: none;">gizi</span></a></span><span lang="EN-US" style="font-family: "Arial","sans-serif";"> </span><span lang="EN-US"><a href="http://www.lusa.web.id/tag/ibu-hamil/" title="ibu hamil"><span style="color: windowtext; font-family: "Arial","sans-serif"; text-decoration: none; text-underline: none;">ibu hamil</span></a></span><span lang="EN-US" style="font-family: "Arial","sans-serif";"> pada waktu </span><span lang="EN-US"><a href="http://www.lusa.web.id/tag/pertumbuhan/" title="pertumbuhan"><span style="color: windowtext; font-family: "Arial","sans-serif"; text-decoration: none; text-underline: none;">pertumbuhan</span></a></span><span lang="EN-US" style="font-family: "Arial","sans-serif";"> dan selama </span><span lang="EN-US"><a href="http://www.lusa.web.id/tag/hamil/" title="hamil"><span style="color: windowtext; font-family: "Arial","sans-serif"; text-decoration: none; text-underline: none;">hamil</span></a></span><span lang="EN-US" style="font-family: "Arial","sans-serif";"> dapat mempengaruhi </span><span lang="EN-US"><a href="http://www.lusa.web.id/tag/pertumbuhan/" title="pertumbuhan"><span style="color: windowtext; font-family: "Arial","sans-serif"; text-decoration: none; text-underline: none;">pertumbuhan</span></a></span><span lang="EN-US" style="font-family: "Arial","sans-serif";"> dan </span><span lang="EN-US"><a href="http://www.lusa.web.id/tag/perkembangan/" title="perkembangan"><span style="color: windowtext; font-family: "Arial","sans-serif"; text-decoration: none; text-underline: none;">perkembangan</span></a></span><span lang="EN-US" style="font-family: "Arial","sans-serif";"> </span><span lang="EN-US"><a href="http://www.lusa.web.id/tag/janin/" title="janin"><span style="color: windowtext; font-family: "Arial","sans-serif"; text-decoration: none; text-underline: none;">janin</span></a></span><span lang="EN-US" style="font-family: "Arial","sans-serif";">. </span><span lang="EN-US"><a href="http://www.lusa.web.id/tag/berat-badan/" title="Berat badan"><span style="color: windowtext; font-family: "Arial","sans-serif"; text-decoration: none; text-underline: none;">Berat badan</span></a></span><span lang="EN-US" style="font-family: "Arial","sans-serif";"> </span><span lang="EN-US"><a href="http://www.lusa.web.id/tag/ibu-hamil/" title="ibu hamil"><span style="color: windowtext; font-family: "Arial","sans-serif"; text-decoration: none; text-underline: none;">ibu hamil</span></a></span><span lang="EN-US" style="font-family: "Arial","sans-serif";"> harus memadai, bertambah sesuai umur </span><span lang="EN-US"><a href="http://www.lusa.web.id/category/askeb-i-kehamilan/" title="kehamilan"><span style="color: windowtext; font-family: "Arial","sans-serif"; text-decoration: none; text-underline: none;">kehamilan</span></a></span><span lang="EN-US" style="font-family: "Arial","sans-serif";">. Hal ini dikarenakan </span><span lang="EN-US"><a href="http://www.lusa.web.id/tag/berat-badan/" title="berat badan"><span style="color: windowtext; font-family: "Arial","sans-serif"; text-decoration: none; text-underline: none;">berat badan</span></a></span><span lang="EN-US" style="font-family: "Arial","sans-serif";"> yang bertambah </span><span lang="EN-US"><a href="http://www.lusa.web.id/tag/normal/" title="normal"><span style="color: windowtext; font-family: "Arial","sans-serif"; text-decoration: none; text-underline: none;">normal</span></a></span><span lang="EN-US" style="font-family: "Arial","sans-serif";"> akan menghasilkan </span><span lang="EN-US"><a href="http://www.lusa.web.id/tag/bayi/" title="bayi"><span style="color: windowtext; font-family: "Arial","sans-serif"; text-decoration: none; text-underline: none;">bayi</span></a></span><span lang="EN-US" style="font-family: "Arial","sans-serif";"> yang </span><span lang="EN-US"><a href="http://www.lusa.web.id/tag/normal/" title="normal"><span style="color: windowtext; font-family: "Arial","sans-serif"; text-decoration: none; text-underline: none;">normal</span></a></span><span lang="EN-US" style="font-family: "Arial","sans-serif";"> juga. Di </span><span lang="EN-US"><a href="http://www.lusa.web.id/tag/negara/" title="negara"><span style="color: windowtext; font-family: "Arial","sans-serif"; text-decoration: none; text-underline: none;">negara</span></a></span><span lang="EN-US" style="font-family: "Arial","sans-serif";"> maju, rata-rata kenaikan </span><span lang="EN-US"><a href="http://www.lusa.web.id/tag/berat-badan/" title="berat badan"><span style="color: windowtext; font-family: "Arial","sans-serif"; text-decoration: none; text-underline: none;">berat badan</span></a></span><span lang="EN-US" style="font-family: "Arial","sans-serif";"> selama </span><span lang="EN-US"><a href="http://www.lusa.web.id/tag/hamil/" title="hamil"><span style="color: windowtext; font-family: "Arial","sans-serif"; text-decoration: none; text-underline: none;">hamil</span></a></span><span lang="EN-US" style="font-family: "Arial","sans-serif";"> sekitar 12-14 kilogram.
Tetapi berdasarkan </span><span lang="EN-US"><a href="http://www.lusa.web.id/tag/perkembangan/" title="perkembangan"><span style="color: windowtext; font-family: "Arial","sans-serif"; text-decoration: none; text-underline: none;">perkembangan</span></a></span><span lang="EN-US" style="font-family: "Arial","sans-serif";"> terkini, disampaikan bahwa penambahan
</span><span lang="EN-US"><a href="http://www.lusa.web.id/tag/berat-badan/" title="berat badan"><span style="color: windowtext; font-family: "Arial","sans-serif"; text-decoration: none; text-underline: none;">berat badan</span></a></span><span lang="EN-US" style="font-family: "Arial","sans-serif";"> ibu selama </span><span lang="EN-US"><a href="http://www.lusa.web.id/tag/hamil/" title="hamil"><span style="color: windowtext; font-family: "Arial","sans-serif"; text-decoration: none; text-underline: none;">hamil</span></a></span><span lang="EN-US" style="font-family: "Arial","sans-serif";"> tidak terlalu mempengaruhi </span><span lang="EN-US"><a href="http://www.lusa.web.id/tag/berat-badan/" title="berat badan"><span style="color: windowtext; font-family: "Arial","sans-serif"; text-decoration: none; text-underline: none;">berat badan</span></a></span><span lang="EN-US" style="font-family: "Arial","sans-serif";"> </span><span lang="EN-US"><a href="http://www.lusa.web.id/tag/bayi/" title="bayi"><span style="color: windowtext; font-family: "Arial","sans-serif"; text-decoration: none; text-underline: none;">bayi</span></a></span><span lang="EN-US" style="font-family: "Arial","sans-serif";">.</span><span style="font-family: Algerian; mso-ansi-language: IN; mso-bidi-font-family: Arial;"></span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kekurangan asupan </span><a href="http://www.lusa.web.id/category/gizi/" title="gizi"><span style="color: windowtext; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; text-decoration: none; text-underline: none;">gizi</span></a><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> pada </span><a href="http://www.lusa.web.id/tag/trimester-i/" title="trimester I"><span style="color: windowtext; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; text-decoration: none; text-underline: none;">trimester I</span></a><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
dapat menyebabkan </span><a href="http://www.lusa.web.id/tag/hiperemesis-gravidarum/" title="hiperemesis gravidarum"><span style="color: windowtext; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; text-decoration: none; text-underline: none;">hiperemesis
gravidarum</span></a><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">, </span><a href="http://www.lusa.web.id/tag/kelahiran/" title="kelahiran"><span style="color: windowtext; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; text-decoration: none; text-underline: none;">kelahiran</span></a><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
</span><a href="http://www.lusa.web.id/tag/prematur/" title="prematur"><span style="color: windowtext; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; text-decoration: none; text-underline: none;">prematur</span></a><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">,
</span><a href="http://www.lusa.web.id/tag/kematian-janin/" title="kematian janin"><span style="color: windowtext; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; text-decoration: none; text-underline: none;">kematian janin</span></a><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">, </span><a href="http://www.lusa.web.id/tag/keguguran/" title="keguguran"><span style="color: windowtext; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; text-decoration: none; text-underline: none;">keguguran</span></a><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
dan </span><a href="http://www.lusa.web.id/tag/kelainan/" title="kelainan"><span style="color: windowtext; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; text-decoration: none; text-underline: none;">kelainan</span></a><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
pada sistem saraf pusat. Sedangkan pada </span><a href="http://www.lusa.web.id/tag/trimester-ii/" title="trimester II"><span style="color: windowtext; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; text-decoration: none; text-underline: none;">trimester II</span></a><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
dan III dapat mengakibatkan </span><a href="http://www.lusa.web.id/tag/pertumbuhan/" title="pertumbuhan"><span style="color: windowtext; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; text-decoration: none; text-underline: none;">pertumbuhan</span></a><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
dan </span><a href="http://www.lusa.web.id/tag/perkembangan/" title="perkembangan"><span style="color: windowtext; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; text-decoration: none; text-underline: none;">perkembangan</span></a><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><a href="http://www.lusa.web.id/tag/janin/" title="janin"><span style="color: windowtext; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; text-decoration: none; text-underline: none;">janin</span></a><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> terganggu, </span><a href="http://www.lusa.web.id/tag/berat-bayi-lahir-rendah/" title="berat bayi lahir rendah"><span style="color: windowtext; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; text-decoration: none; text-underline: none;">berat bayi lahir
rendah</span></a><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">. Selain itu,
juga akan berakibat terjadi </span><a href="http://www.lusa.web.id/tag/gangguan/" title="gangguan"><span style="color: windowtext; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; text-decoration: none; text-underline: none;">gangguan</span></a><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
kekuatan </span><a href="http://www.lusa.web.id/tag/rahim/" title="rahim"><span style="color: windowtext; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; text-decoration: none; text-underline: none;">rahim</span></a><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
saat </span><a href="http://www.lusa.web.id/category/askeb-ii-persalinan/" title="persalinan"><span style="color: windowtext; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; text-decoration: none; text-underline: none;">persalinan</span></a><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">, dan </span><a href="http://www.lusa.web.id/perdarahan-post-partum-perdarahan-pasca-persalinan/" title="perdarahan post partum"><span style="color: windowtext; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; text-decoration: none; text-underline: none;">perdarahan post
partum</span></a><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">.</span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"></span></div>
<div style="text-align: justify;">
<span lang="EN-US" style="font-family: Algerian; mso-bidi-font-family: Arial;">2.2 gizi yang dibutuhkan pada ibu hamil</span><span style="font-family: Algerian; mso-ansi-language: IN; mso-bidi-font-family: Arial;"></span></div>
<div style="text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif";"><br />
<b style="mso-bidi-font-weight: normal;">a. Energi</b></span><b style="mso-bidi-font-weight: normal;"><span style="font-family: Algerian; mso-ansi-language: IN; mso-bidi-font-family: Arial;"></span></b></div>
<div style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif";">Tambahan energi pada wanita selama
hamil yang diperlukan untuk komponen fetus maupun perubahan yang terdapat pada
diri ibu yaitu sebesar 300 kkal. Kebutuhan energi untuk ibu hamil ini
diperkirakan untuk penambahan berat janin, plasenta, jaringan tubuh ibu lain
dan kenaikan metabolisme selama hamil (Paath, 2004)</span><span lang="EN-US" style="font-family: Algerian; mso-bidi-font-family: Arial;"></span></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">b. Protein</span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></b></div>
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<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Total protein 60 g/hari adalah dianjurkan. Jumlah ini
mudah dipenuhi dengan diet rata-rata di Amerika serikat. Hal ini perlu untuk
pertumbuhan normal dari janin, pembesaran uterus dan payudara, pembentukan sel
darah dan protein sesuai dengan bertambahnya volume darah, dan produksi dari
cairan amnion (Nadesul, 1997)</span></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">c. Zat Besi</span></b></div>
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<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Menurut Depkes RI (1997) kebutuhan zat besi pada
wanita hamil, yaitu wanita memerlukan zat besi lebih dari laki-laki karena
menstruasi dengan perdarahan sebanyak 50 sampai 80 cc setiap bulan, dan
kehilangan zat besi sebesar 30 sampai 40 mg. Kehamilan memerlukan tambahan zat
besi untuk meningkatkan jumlah sel darah merah dan membentuk sel darah merah
janin dan plasenta. Makin sering seorang wanita mengalami kehamilan dan
melahirkan akan makin banyak kehilangan zat besi dan makin anemis. Sebagai
gambaran berapa banyak kebutuhan zat besi selama kehamilan perhatikan bagian
berikut :</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
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<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Meningkatkan sel darah ibu : 500 mg Fe</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Terdapat dalam plasenta : 300 mg Fe</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Untuk darah janin : 100 mg Fe</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Jumlah : 900 mg Fe</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 35.45pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Jika persediaan cadangan Fe minimal, maka setiap
kehamilan akan menguras persediaan Fe tubuh dan akhirnya menimbulkan anemia
pada kehamilan berikutnya. Nutrisi yang terkait untuk Fe atau tambah darah
selama kehamilan yaitu 90 tablet.<br />
Zat gizi yang dibutuhkan dalam pembentukan darah adalah zat besi atau Fe, asam
folat, vitamin B12 dan protein. Untuk pemenuhan tubuh akan zat besi ini
dianjurkan untuk makan makanan yang beraneka ragam (Darmanelly, 2005).</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 35.45pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Massa dari sel darah merah mengembang sekitar 15%
selama kehamilan, dan ini memerlukan kenaikan substansi zat besi dari ibu. Zat
besi juga diperlukan untuk deposisi simpanan janin (Manuaba, 2001).</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">d. Seng</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 35.45pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Absorbsi seng dihambat dengan masuknya zat besi dan
asam folat dalam jumlah besar. Wanita yang memakan suplemen zat besi dan asam
folat harus mengkonsumsi makanan yang kaya seng setiap hari (Moore1999).</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">e. Kalsium</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 35.45pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Kebutuhan kalsium per hari meningkat pada klasifikasi
fetalis ; RDA (Recommended Dietary Allowance) untuk wanita hamil adalah 1200
mg.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">f. Asam
folat</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 35.45pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Masukan asam folat yang dianjurkan meningkat dari 180
gr pada wanita yang tidak hamil menjadi 400 gr pada kehamilan. Hal ini
diperlukan baik untuk produksi sel darah merah ibu maupun sintesis
DNA(Deoxyribonucleic Acid) pada janin (Manuaba, 2001).</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span lang="EN-US" style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Arial; mso-fareast-font-family: "Times New Roman";">2.3<span style="mso-spacerun: yes;"> </span>dampak gizi
kurang pada ibu hamil</span></div>
<div style="line-height: 150%; text-align: justify;">
<b><span lang="EN-US" style="font-family: "Arial","sans-serif";">1. Terhadap Ibu</span></b><span lang="EN-US" style="font-family: "Arial","sans-serif";"></span></div>
<div style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif";">Gizi kurang pada ibu hamil
dapat menyebabkan resiko dan komplikasi pada ibu antara lain: anemia,
pendarahan, berat badan ibu tidak bertambah secara normal, dan terkena penyakit
infeksi.</span></div>
<div style="line-height: 150%; text-align: justify;">
<b><span lang="EN-US" style="font-family: "Arial","sans-serif";">2. Terhadap Perslinan</span></b><span lang="EN-US" style="font-family: "Arial","sans-serif";"></span></div>
<div style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif";">Pengaruh gizi kurang
terhadap proses persalinan dapat mengakibatkan persalinan sulit dan lama,
persalinan sebelum waktunya (premature), pendarahan setelah persalinan, serta
persalinan dengan operasi cenderung meningkat.</span></div>
<div style="line-height: 150%; text-align: justify;">
<b><span lang="EN-US" style="font-family: "Arial","sans-serif";">3. Terhadap Janin</span></b><span lang="EN-US" style="font-family: "Arial","sans-serif";"></span></div>
<div style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif";">Kekurangan gizi pada ibu
hamil dapat mempengaruhi proses pertumbuhan janin dan dapat menimbulkan
kegururan , abortus, bayi lahir mati, kematian neonatal, cacat bawaan, anemia
pada bayi, asfiksia intra partum (mati dalam kandungan), lahir dengan berat
badan lahir rendah (BBLR)</span><span style="font-family: "Arial","sans-serif"; mso-ansi-language: IN;"></span></div>
<div style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<br /></div>
<div style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<br /></div>
<div style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<br /></div>
<div style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<br /></div>
<div style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<br /></div>
<div style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<br /></div>
<div style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<br /></div>
<div style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span lang="EN-US" style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Arial; mso-fareast-font-family: "Times New Roman";">2.4 masalah-masalah yang biasa terjadi pada ibu hamil</span></div>
<h2 style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Anemia
pada Ibu Hamil</span></h2>
<div style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif";">Anemia dapat didefinisikan
sebagai kondisi dengan kadar Hb berada di bawah normal. Di Indonesia Anemia
umumnya disebabkan oleh kekurangan Zat Besi, sehingga lebih dikenal dengan
istilah Anemia Gizi Besi. Anemia defisiensi besi merupakan salah satu gangguan
yang paling sering terjadi selama kehamilan. Ibu hamil umumnya mengalami deplesi
besi sehingga hanya memberi sedikit besi kepada janin yang dibutuhkan untuk
metabolisme besi yang normal. Selanjutnya mereka akan menjadi anemia pada saat
kadar hemoglobin ibu turun sampai di bawah 11 gr/dl selama trimester III. </span></div>
<div style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif";">Kekurangan zat besi dapat
menimbulkan gangguan atau hambatan pada pertumbuhan janin baik sel tubuh maupun
sel otak. Anemia gizi dapat mengakibatkan kematian janin didalam kandungan,
abortus, cacat bawaan, BBLR, anemia pada bayi yang dilahirkan, hal ini
menyebabkan morbiditas dan mortalitas ibu dan kematian perinatal secara
bermakna lebih tinggi. Pada ibu hamil yang menderita anemia berat dapat
meningkatkan resiko morbiditas maupun mortalitas ibu dan bayi, kemungkinan
melahirkan bayi BBLR dan prematur juga lebih besar.</span></div>
<div style="line-height: 150%; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Arial","sans-serif";">Kekurangan
Gizi pada Ibu </span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial","sans-serif"; mso-ansi-language: IN;">H</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Arial","sans-serif";">amil
Juga Menyebabkan Abortus</span></b></div>
<div style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif";">Keguguran adalah kehilangan
kandungan pada saat janin berusia di bawah 20 minggu. (Bila lebih maka
dikatakan sebagai kelahiran prematur). Sekitar satu dari enam kehamilan
berakhir dengan keguguran, sebagian besar terjadi sebelum minggu ke-16
kehamilan. Satu dari 200 wanita mengalami keguguran berulang, bahkan lebih dari
tiga kali berturut-turut.</span></div>
<div style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif";">Keguguran dapat menjadi
musibah yang menyedihkan, terutama bagi pasangan yang sedang mendambakan anak.
Namun, pada umumnya wanita bisa kembali hidup normal pasca keguguran. Asalkan
terjadi dengan sempurna, keguguran tidak membahayakan. Calon ibu dapat kembali
hamil setelah melewati satu periode menstruasi.</span></div>
<br />
<h2 style="line-height: 150%; tab-stops: 308.35pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Resiko
BBLR pada Ibu Hamil<span style="mso-tab-count: 1;"> </span></span></h2>
<div style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif";">Di Indonesia batas ambang
LILA dengan resiko KEK adalah 23,5 cm hal ini berarti ibu hamil dengan resiko
KEK diperkirakan akan melahirkan bayi BBLR. Bila bayi lahir dengan Berat Badan
Lahir Rendah (BBLR) akan mempunyai resiko kematian, gizi kurang, gangguan
pertumbuhan, dan gangguan perkembangan anak. Untuk mencegah resiko KEK pada ibu
hamil sebelum kehamilan wanita usia subur sudah harus mempunyai gizi yang baik,
misalnya dengan LILA tidak kurang dari 23,5 cm. Apabila LILA ibu sebelum hamil
kurang dari angka tersebut, sebaiknya kehamilan ditunda sehingga tidak beresiko
melahirkan BBLR.</span></div>
<div style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif";">Hasil penelitian Edwi
Saraswati, dkk. di Jawa Barat (1998) menunjukkan bahwa KEK pada batas 23,5 cm
belum merupakan resiko untuk melahirkan BBLR walaupun resiko relatifnya cukup
tinggi. Sedangkan ibu hamil dengan KEK pada batas 23 cm mempunyai resiko 2,0087
kali untuk melahirkan BBLR dibandingkan dengan ibu yang mempunyai LILA lebih
dari 23 cm.</span></div>
<div style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif";">Sebagaimana disebutkan di
atas, berat bayi yang dilahirkan dapat dipengaruhi oleh status gizi ibu baik
sebelum hamil maupun saat hamil. Status gizi ibu sebelum hamil juga cukup
berperan dalam pencapaian gizi ibu saat hamil. Penelitian Rosmeri (2000)
menunjukkan bahwa status gizi ibu sebelum hamil mempunyai pengaruh yang
bermakna terhadap kejadian BBLR. Ibu dengan status gizi kurang (kurus) sebelum
hamil mempunyai resiko 4,27 kali untuk melahirkan bayi BBLR dibandingkan dengan
ibu yang mempunyai status gizi baik (normal).</span><span style="font-family: "Arial","sans-serif"; mso-ansi-language: IN;"></span></div>
<div style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<br /></div>
<div style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<br /></div>
<div style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<br /></div>
<div style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<br /></div>
<div style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<br /></div>
<div style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<br /></div>
<div style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: Algerian; mso-bidi-font-family: Arial;">2.5 TANDA-TANDA
KECUKUPAN GIZI PADA IBU HAMIL</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Tanda
Kecukupan </span></b><a href="http://www.lusa.web.id/category/gizi/" title="Gizi"><b><span style="color: windowtext; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; text-decoration: none; text-underline: none;">Gizi</span></b></a><b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
pada </span></b><a href="http://www.lusa.web.id/tag/ibu-hamil/" title="Ibu Hamil"><b><span style="color: windowtext; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; text-decoration: none; text-underline: none;">Ibu Hamil</span></b></a><b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> Menurut Nadesul (2004)</span></b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="mso-cellspacing: 0cm; mso-padding-alt: 0cm 0cm 0cm 0cm; mso-yfti-tbllook: 1184;">
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<b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">Status</span></b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"></span></div>
</td>
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<b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">Tanda</span></b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"></span></div>
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<td style="padding: 0cm 0cm 0cm 0cm; width: 216.0pt;" valign="top" width="288">
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">Keadaan umum</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">Responsive, gesit</span></div>
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<tr style="mso-yfti-irow: 2;">
<td style="padding: 0cm 0cm 0cm 0cm; width: 216.0pt;" valign="top" width="288">
<div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;">
<a href="http://www.lusa.web.id/tag/berat-badan/" title="Berat badan"><span style="color: windowtext; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; text-decoration: none; text-underline: none;">Berat badan</span></a><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"></span></div>
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<div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;">
<a href="http://www.lusa.web.id/tag/normal/" title="Normal"><span style="color: windowtext; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; text-decoration: none; text-underline: none;">Normal</span></a><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"> sesuai tinggi dan bentuk </span><a href="http://www.lusa.web.id/tag/tubuh/" title="tubuh"><span style="color: windowtext; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; text-decoration: none; text-underline: none;">tubuh</span></a><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"></span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">Postur</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">Tegak, tungkai dan lengan lurus</span></div>
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<a href="http://www.lusa.web.id/tag/otot/" title="Otot"><span style="color: windowtext; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; text-decoration: none; text-underline: none;">Otot</span></a><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"></span></div>
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<td style="padding: 0cm 0cm 0cm 0cm; width: 216.0pt;" valign="top" width="288">
<div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">Kuat, kenyal sedikit </span><a href="http://www.lusa.web.id/tag/lemak/" title="lemak"><span style="color: windowtext; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; text-decoration: none; text-underline: none;">lemak</span></a><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"> di bawah kulit</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 5;">
<td style="padding: 0cm 0cm 0cm 0cm; width: 216.0pt;" valign="top" width="288">
<div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">Saraf</span></div>
</td>
<td style="padding: 0cm 0cm 0cm 0cm; width: 216.0pt;" valign="top" width="288">
<div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">Perhatian baik, tidak </span><a href="http://www.lusa.web.id/tag/mudah/" title="mudah"><span style="color: windowtext; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; text-decoration: none; text-underline: none;">mudah</span></a><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"> tersinggung, refleks </span><a href="http://www.lusa.web.id/tag/normal/" title="normal"><span style="color: windowtext; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; text-decoration: none; text-underline: none;">normal</span></a><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">, mental stabil</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 6;">
<td style="padding: 0cm 0cm 0cm 0cm; width: 216.0pt;" valign="top" width="288">
<div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">Pencernaan</span></div>
</td>
<td style="padding: 0cm 0cm 0cm 0cm; width: 216.0pt;" valign="top" width="288">
<div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;">
<a href="http://www.lusa.web.id/tag/nafsu-makan/" title="Nafsu makan"><span style="color: windowtext; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; text-decoration: none; text-underline: none;">Nafsu makan</span></a><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"> baik</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 7;">
<td style="padding: 0cm 0cm 0cm 0cm; width: 216.0pt;" valign="top" width="288">
<div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;">
<a href="http://www.lusa.web.id/tag/jantung/" title="Jantung"><span style="color: windowtext; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; text-decoration: none; text-underline: none;">Jantung</span></a><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"></span></div>
</td>
<td style="padding: 0cm 0cm 0cm 0cm; width: 216.0pt;" valign="top" width="288">
<div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">Detak dan irama </span><a href="http://www.lusa.web.id/tag/normal/" title="normal"><span style="color: windowtext; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; text-decoration: none; text-underline: none;">normal</span></a><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">, </span><a href="http://www.lusa.web.id/tag/tekanan-darah/" title="tekanan darah"><span style="color: windowtext; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; text-decoration: none; text-underline: none;">tekanan darah</span></a><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"> </span><a href="http://www.lusa.web.id/tag/normal/" title="normal"><span style="color: windowtext; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; text-decoration: none; text-underline: none;">normal</span></a><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"> sesuai usia</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 8;">
<td style="padding: 0cm 0cm 0cm 0cm; width: 216.0pt;" valign="top" width="288">
<div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">Vitalitas umum</span></div>
</td>
<td style="padding: 0cm 0cm 0cm 0cm; width: 216.0pt;" valign="top" width="288">
<div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">Ketahanan baik, energik, cukup </span><a href="http://www.lusa.web.id/tag/tidur/" title="tidur"><span style="color: windowtext; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; text-decoration: none; text-underline: none;">tidur</span></a><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">, penuh semangat</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 9;">
<td style="padding: 0cm 0cm 0cm 0cm; width: 216.0pt;" valign="top" width="288">
<div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">Rambut</span></div>
</td>
<td style="padding: 0cm 0cm 0cm 0cm; width: 216.0pt;" valign="top" width="288">
<div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">Mengkilat, keras tak </span><a href="http://www.lusa.web.id/tag/mudah/" title="mudah"><span style="color: windowtext; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; text-decoration: none; text-underline: none;">mudah</span></a><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"> rontok, kulit </span><a href="http://www.lusa.web.id/tag/kepala/" title="kepala"><span style="color: windowtext; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; text-decoration: none; text-underline: none;">kepala</span></a><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"> </span><a href="http://www.lusa.web.id/tag/normal/" title="normal"><span style="color: windowtext; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; text-decoration: none; text-underline: none;">normal</span></a><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 10;">
<td style="padding: 0cm 0cm 0cm 0cm; width: 216.0pt;" valign="top" width="288">
<div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">Kulit</span></div>
</td>
<td style="padding: 0cm 0cm 0cm 0cm; width: 216.0pt;" valign="top" width="288">
<div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">Licin, cukup lembab, warna segar</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 11;">
<td style="padding: 0cm 0cm 0cm 0cm; width: 216.0pt;" valign="top" width="288">
<div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">Muka dan leher</span></div>
</td>
<td style="padding: 0cm 0cm 0cm 0cm; width: 216.0pt;" valign="top" width="288">
<div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">Warna sama, licin, tampak sehat,
segar</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 12;">
<td style="padding: 0cm 0cm 0cm 0cm; width: 216.0pt;" valign="top" width="288">
<div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">Bibir</span></div>
</td>
<td style="padding: 0cm 0cm 0cm 0cm; width: 216.0pt;" valign="top" width="288">
<div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">Licin, warna tidak pucat, lembab,
tidak </span><a href="http://www.lusa.web.id/tag/bengkak/" title="bengkak"><span style="color: windowtext; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; text-decoration: none; text-underline: none;">bengkak</span></a><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 13;">
<td style="padding: 0cm 0cm 0cm 0cm; width: 216.0pt;" valign="top" width="288">
<div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">Mulut</span></div>
</td>
<td style="padding: 0cm 0cm 0cm 0cm; width: 216.0pt;" valign="top" width="288">
<div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">Tidak ada luka dan selaput merah</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 14;">
<td style="padding: 0cm 0cm 0cm 0cm; width: 216.0pt;" valign="top" width="288">
<div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">Gusi</span></div>
</td>
<td style="padding: 0cm 0cm 0cm 0cm; width: 216.0pt;" valign="top" width="288">
<div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">Merah </span><a href="http://www.lusa.web.id/tag/normal/" title="normal"><span style="color: windowtext; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; text-decoration: none; text-underline: none;">normal</span></a><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">, tidak ada </span><a href="http://www.lusa.web.id/tag/perdarahan/" title="perdarahan"><span style="color: windowtext; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; text-decoration: none; text-underline: none;">perdarahan</span></a><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 15;">
<td style="padding: 0cm 0cm 0cm 0cm; width: 216.0pt;" valign="top" width="288">
<div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">Lidah</span></div>
</td>
<td style="padding: 0cm 0cm 0cm 0cm; width: 216.0pt;" valign="top" width="288">
<div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">Merah </span><a href="http://www.lusa.web.id/tag/normal/" title="normal"><span style="color: windowtext; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; text-decoration: none; text-underline: none;">normal</span></a><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">, licin, tidak ada luka</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 16;">
<td style="padding: 0cm 0cm 0cm 0cm; width: 216.0pt;" valign="top" width="288">
<div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">Gigi geligi</span></div>
</td>
<td style="padding: 0cm 0cm 0cm 0cm; width: 216.0pt;" valign="top" width="288">
<div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">Tidak berlubang, tidak </span><a href="http://www.lusa.web.id/tag/nyeri/" title="nyeri"><span style="color: windowtext; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; text-decoration: none; text-underline: none;">nyeri</span></a><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">, mengkilat, lurus dagu </span><a href="http://www.lusa.web.id/tag/normal/" title="normal"><span style="color: windowtext; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; text-decoration: none; text-underline: none;">normal</span></a><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">, bersih dan tidak ada </span><a href="http://www.lusa.web.id/tag/perdarahan/" title="perdarahan"><span style="color: windowtext; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; text-decoration: none; text-underline: none;">perdarahan</span></a><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 17;">
<td style="padding: 0cm 0cm 0cm 0cm; width: 216.0pt;" valign="top" width="288">
<div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">Mata</span></div>
</td>
<td style="padding: 0cm 0cm 0cm 0cm; width: 216.0pt;" valign="top" width="288">
<div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">Bersinar, bersih, selaput besar
merah, tidak ada </span><a href="http://www.lusa.web.id/tag/perdarahan/" title="perdarahan"><span style="color: windowtext; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; text-decoration: none; text-underline: none;">perdarahan</span></a><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 18;">
<td style="padding: 0cm 0cm 0cm 0cm; width: 216.0pt;" valign="top" width="288">
<div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">Kelenjar</span></div>
</td>
<td style="padding: 0cm 0cm 0cm 0cm; width: 216.0pt;" valign="top" width="288">
<div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">Bersinar, bersih, selaput besar
merah, tidak ada </span><a href="http://www.lusa.web.id/tag/perdarahan/" title="perdarahan"><span style="color: windowtext; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; text-decoration: none; text-underline: none;">perdarahan</span></a><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 19;">
<td style="padding: 0cm 0cm 0cm 0cm; width: 216.0pt;" valign="top" width="288">
<div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">Kuku</span></div>
</td>
<td style="padding: 0cm 0cm 0cm 0cm; width: 216.0pt;" valign="top" width="288">
<div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">Keras dan kemerahan</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 20; mso-yfti-lastrow: yes;">
<td style="padding: 0cm 0cm 0cm 0cm; width: 216.0pt;" valign="top" width="288">
<div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">Tungkai</span></div>
</td>
<td style="padding: 0cm 0cm 0cm 0cm; width: 216.0pt;" valign="top" width="288">
<div align="center" class="MsoNormal" style="line-height: 115%; text-align: center;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">Kaki tidak </span><a href="http://www.lusa.web.id/tag/bengkak/" title="bengkak"><span style="color: windowtext; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; text-decoration: none; text-underline: none;">bengkak</span></a><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">, </span><a href="http://www.lusa.web.id/tag/normal/" title="normal"><span style="color: windowtext; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman"; text-decoration: none; text-underline: none;">normal</span></a><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"></span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span lang="EN-US" style="font-family: Algerian; font-size: 14.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Arial;">BAB III</span><span style="font-family: Algerian; font-size: 14.0pt; line-height: 150%; mso-bidi-font-family: Arial;"><br />
</span><span lang="EN-US" style="font-family: Algerian; font-size: 14.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Arial;">PENUTUP</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span lang="EN-US" style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Arial;">KESIMPULAN </span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Kesimpulan
Gizi pada masa kehamilan adalah masa dimana seorang wanitamemerlukan berbagai
unsur gizi yang jauh lebih banyak daripada yang diperlukandalam keadaan biasa.
Gizi semasa hamil dapat membentuk pertumbuhan dan perkembanganjanin serta
membantu pertumbuhan otak janin.B. Saran 1. Menganjurkan ibu memakan makanan
yang bergizi seperti :<span style="mso-spacerun: yes;"> </span>Nasi </span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">,</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;"> Tempe/ tahu/ Lauk pau</span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">K, </span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Sayuran daun hijau</span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">, </span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%;">Buah – buahan 2. Menganjurkan ibu untuk
mengkonsumsi pil penambah darah (1 butir/hari)Pada TM I : Memakan makanan sedikit
tapi sering agar tidak terjadi dehidrasi karena pada TM I ini sering timbul
mual dan muntahPada TM II : Mengoptimalkan pola makan seimbang kaya akan
proteinPada TM III : wanita hamil pada TM III ini dianjurkan untuk makan
sedikit tapi sering agar tidak mengganggu proses berjalannya kelahiran janin/
bayi besar. 6</span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
Anonymoushttp://www.blogger.com/profile/09428371857956484973noreply@blogger.com0tag:blogger.com,1999:blog-1493722132486835108.post-58137576111860120482014-02-07T15:15:00.001-08:002014-02-07T15:15:46.305-08:00Obat Deuretik<!--[if !mso]>
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<span style="font-family: Algerian; font-size: 16.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman";">MAKALAH obat deuretik</span></div>
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<span style="font-family: "Monotype Corsiva"; font-size: 18.0pt; mso-bidi-font-family: Arial;">Disusun oleh :</span></div>
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<span style="font-family: Symbol; font-size: 14.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="16" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="16" /><span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Monotype Corsiva"; font-size: 14.0pt; line-height: 150%; mso-bidi-font-family: Arial;">Anita Della A.P<span style="mso-tab-count: 1;"> </span><span style="mso-tab-count: 3;"> </span>Elisabeth
Prasetya Novita</span></div>
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<span style="font-family: Symbol; font-size: 14.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="16" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="16" /><span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Monotype Corsiva"; font-size: 14.0pt; line-height: 150%; mso-bidi-font-family: Arial;">Naimatul Husniah<span style="mso-tab-count: 4;"> </span>Ina
Dwita</span></div>
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<span style="font-family: Symbol; font-size: 14.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="16" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="16" /><span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Monotype Corsiva"; font-size: 14.0pt; line-height: 150%; mso-bidi-font-family: Arial;">Eka Herin Priyanti<span style="mso-tab-count: 4;"> </span>Ina
Cahyani</span></div>
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<span style="font-family: Symbol; font-size: 14.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="16" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="16" /><span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Monotype Corsiva"; font-size: 14.0pt; line-height: 150%; mso-bidi-font-family: Arial;">Dita Saraswati<span style="mso-tab-count: 4;"> </span>Irmatus
S</span></div>
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<span style="font-family: Symbol; font-size: 14.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="16" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="16" /><span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Monotype Corsiva"; font-size: 14.0pt; line-height: 150%; mso-bidi-font-family: Arial;">Choiro Nur’Aini<span style="mso-tab-count: 4;"> </span>Nurlayli</span></div>
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<span style="font-family: Algerian; font-size: 12.0pt; mso-bidi-font-family: Arial;">Kampus
a stikes DIAN HUSADA MOJOKERTO</span></div>
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<span style="font-family: Algerian; font-size: 12.0pt; mso-bidi-font-family: Arial;">2012 –
2013</span></div>
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<span style="font-family: Algerian; font-size: 14.0pt; mso-bidi-font-family: Arial;">KATA
PENGANTAR</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt;"><span style="mso-tab-count: 1;"> </span>Puji
syukur kami ucapkan kepada Tuhan Yang Maha Esa. Berkat rahmat, taufiq, dan
hidayah-Nya kami dapat menyelesaikan tugas makalah yang berjudul “ obat
deuretik” ini dengan tepat waktu. </span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt;"><span style="mso-tab-count: 1;"> </span>Kami
mengucapkan banyak terima kasih kepada seluruh pihak yang telah membantu dalam
penyelesaian makalah ini, dan juga kepada sumber-sumber yang digunakan untuk
menunjang penyelesaian makalah ini. Tidak lupa juga ucapan terima kasih kepada
seluruh anggota kelompok yang telah bekerja sama dalam penyelesaian makalah
ini. </span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt;"><span style="mso-tab-count: 1;"> </span>Demikianlah
makalah yang telah kami selesaikan. Tiada gading yang tak retak, begitu pula
makalah ini yang tak luput dari kekurangan. Kritik dan saran sangat kami
harapkan untuk menunjang keberhasilan dari makalah ini. Semoga makalah ini
bermanfaat bagi kita semua. Amin.</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt;"><span style="mso-tab-count: 8;"> </span>Mojokerto,
09 september 2013 </span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt;"><span style="mso-tab-count: 7;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-tab-count: 2;"> </span><span style="mso-spacerun: yes;"> </span>Penyusun</span></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">BAB I</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">PENDAHULUAN</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1.1</span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">DIURETIK</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
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<span lang="NO-BOK" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: NO-BOK; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diuretik
adalah obat yang dapat menambah kecepatan pembentukan urin. Istilah diuresis
mempunyai dua pengertian, pertama menunjukkan adanya penambahan volume urin
yang diproduksi dan yang kedua menunjukkan jumlah pengeluaran zat-zat terlarut
dalam air.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
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<span lang="NO-BOK" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: NO-BOK; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Fungsi
utama diuretik adalah untuk memobilisasi cairan udem yang berarti mengubah
keseimbangan cairan sedemikian rupa sehingga volume cairan ekstrasel menjadi
normal.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
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<span lang="NO-BOK" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: NO-BOK; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Proses
diuresis dimulai dengan mengalirnya darah ke dalam glomeruli (gumpalan kapiler)
yang terletak di bagian luar ginjal (cortex). Dinding glomeruli inilah yang
bekerja sebagai saringan halus yang secara pasif dapat dilintasi air,m garam
dan glukosa. Ultrafiltrat yang diperoleh dari filtrasi dan mengandung banyak
air serta elektrolit ditampung di wadah, yang mengelilingi setiap glomerulus
seperti corong (kapsul Bowman) dan kemudian disalurkan ke pipa kecil. Di sini
terjadi penarikan kembali secara aktif dari air dan komponen yang sangat
penting bagi tubuh, seperti glukosa dan garam-garam antara lain ion Na<sup>+</sup>.
Zat-zat ini dikembalikan pada darah melalui kapiler yang mengelilingi
tubuli.sisanya yang tak berguna seperti ”sampah” perombakan metabolisme-protein
(ureum) untuk sebagian besar tidak diserap kembali.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
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<span lang="NO-BOK" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: NO-BOK; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Akhirnya filtrat dari semua
tubuli ditampung di suatu saluran pengumpul (ductus coligens), di mana terutama
berlangsung penyerapan air kembali. Filtrat akhir disalurkan ke kandung kemih
dan ditimbun sebagai urin.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diuretik adalah obat yang dapat menambah kecepatan
pembentukan urin. Istilah diuresis mempunyai dua pengertian, pertama
menunjukkan adanya penambahan volume urine yang di produksi dan yang kedua
menunjukkan jumlah pengeluaran (kehilangan) zat-zat terlarut dan air. Fungsi
utama diuretik adalah untuk memobilisasi cairan udem, yang berarti mengubah
keseimbangan cairan sedemikian rupa sehingga volume cairan ekstrasel kembali
menjadi normal.</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pengaruh diuretik terhadap ekskresi zat terlarut penting artinya untuk
menentukan tempat kerja diuretik dan sekaligus untuk meramalkan akibat
penggunaan suatu diuretik. Secara umum diuretik dapat dibagi menjadi dua golongan
besar, yaitu :</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1) Diuretik
osmotik</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2) Penghambat
mekanisme transport elektrolit di dalam tubuli ginjal</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Obat yang dapat menghambat transport elektrolit di
tubuli ginjal adalah :</span></div>
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<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">·</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penghambat
karbonik anhidrase</span></div>
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<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">·</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Benzotiadiazid</span></div>
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<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">·</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diuretik
hemat kalium</span></div>
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<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">·</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diuretik
kuat</span></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">BAB II</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">OBAT-OBAT
DIURETIK</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.1 </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">PENGOBATAN DENGAN DEURETIK</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.1.1<span style="mso-spacerun: yes;"> </span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">INDIKASI</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-tab-count: 1;"> </span>Deuretik digunakan untuk menurunkan volume dan cairan
interstisialdengan cara yang meningkatkan ekskresi natrium klorida dan air.
Bila deuretik diberikan secar akut, akan terjadi kehilangan natrium lebih
banyak daripada jumah natrium yang masik dan makanan. Tetapi pada penggunaaan
kronis akan dicapai keseimbangan, sehingga natrium yang keluar sama dengan diet
rendah garam.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.1.2<span style="mso-spacerun: yes;"> </span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">KEADAAN YANG MEMERLUKAN DIURESIS CEPAT</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pada </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">o</span><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">dem paru, pemberian furosemid atau asam etakrinat IV dapat menyebabkan
dieresis cepat. Perbaikan yang terjadi sebagian mungkin disebabkan oleh adanya
perubahan hemodiamik yaitu perubahan pada daya tamping vena (venous
capacintance); tetapi efek duresisnya tetap diperlukan untuk mempertahnkan
hasil tersebut.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;">Ø</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"> </span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">o</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">dem</span></b><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Semua diuretic dapat digunakan untuk keadaan udem. Seringkalii udem ini
disertai hiperaldonsteronisme dan karena itu penggunaan deeuretika cenderung
disertai kehilangan kalium. Penyebab utama uden adalah payah jantung ; penyebab
lainnya antara lain penyakit hati dan sindrom nefrotik. Pada semua keadaan ini
harus diusahakan meningkatkan kadar kalium dalam serumdengan pemberian suplemen
kalium atau dengan penggunaan bersama deuretik hemat kalium. Pada penderita
sirosis hati yang disertai asites dan udem, sebaiknya digunakan dahulu diuretic
hemat kalium, kemudian disusul dengan diuretic yang lebih kuat. Pada udem yang
disertai gagal ginjal penggunaan tiazid kurang bermanfaat, sebaliknya diuretic
kuat sangat bermanfaat. Dalam hal ini perlu dosis besar untuk mendapatkan efek
pada tubuli proksimal; furosemid lebih disukai dibandingkan dengan asam
etakrinat karena asam etakrinat lebih besar atotoksisitasnya. <b style="mso-bidi-font-weight: normal;">Diuretic hemat kalium</b> sama sekali <b style="mso-bidi-font-weight: normal;">tidak boleh diberikan pada gagal ginjal</b>,karena
ada bahaya terjadi karena hiperkalemia yang fatal.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
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<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;">Ø</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"> </span><b style="mso-bidi-font-weight: normal;"><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Hipertensi</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dasar penggunaan diuretic pada
hipertensi terutama karena efeknya terhadap keseimbangan natrium dan terhadap
resistensi perifer.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Furosemid dan asam etakrinat
mempunyai natriuresus lebih kuat disbanding dengan tiazid; tetapi keduanya
tidak mempunyai efek fasedilatasi arteriol langsung seperti tiazid. Oleh karena
itu tiazid terpilih untuk pengobatan hipertensi berdasarkan pertimbangan
efektivitas maupun<span style="mso-spacerun: yes;"> </span>besarnya biaya.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;">Ø</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"> </span><b style="mso-bidi-font-weight: normal;"><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diabetes
Insipidus</span></b><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diuretic tiazid dapat
mengurangi ekskresi air pada penderita diabetes insipidus mungkin sekali
melalui mekanisme konpensasi intrarenal</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;">Ø</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"> </span><b style="mso-bidi-font-weight: normal;"><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Batu Ginjal</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tiazid menurunkan ekskresi kalium dalam urin. Hal ini munkin sebagai akibat
adanya konpensasi intrarenal yang menyebabkan reabsorpsi kasium ditubuli
proksimal bertambah atau akibat adanya pengmambatan lamgsung sekresi kalsium.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;">Ø</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"> </span><b style="mso-bidi-font-weight: normal;"><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Hiperkalsemia</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Furosemid dosis tinggi yang
diberikan secara IV (100 mg) dalam infuse larutan angaram faal dapat menhambat
reabsorpsi latihan, air dan kalsium di tubuli proksimal sehingga digunakan
untuk pengobatan hiperkalsemia.<span style="mso-spacerun: yes;"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tabel, </span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">CARA KERJA/ KHASIAT OBAT</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> DIURETIK</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
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<td style="border: solid black 1.0pt; mso-border-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 142.25pt;" valign="top" width="190"><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penyakit</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
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<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 141.8pt;" valign="top" width="189"><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Obat</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
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<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 182.05pt;" valign="top" width="243"><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Komentar/keterangan</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
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<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 142.25pt;" valign="top" width="190"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Hipertensi</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
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<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Payah jantung kronik kongestif</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Udem paru akut</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sindrom nefrotik</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Payah ginjal akut</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penyakit hati kronik</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Udem otak</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Hiperkalsemia</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Batu ginjal</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diabetes insipidus</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Open agle glaucoma</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Acute angle closure glaucoma</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 141.8pt;" valign="top" width="189"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tiazid</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diuretic kuat (biasanya furosemid) </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diuretic hemat kalium</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tiazid</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diuretic kuat (furosemid)</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diuretic hemat kalium</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diuretic kuat (furosemid) </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tiazid atau diretik kuat bersama dengan spironolakton</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Manitol dan/atau furosemid</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Spironolakton (sendiri atau bersama tiazid atau diuretic kuat)</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diuretic osmotic</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Furosemid</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tiazid</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tiazid</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Asetazolamid</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diuretic osmotic atau asetazolamid</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 182.05pt;" valign="top" width="243"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Merupakan pilihan utama step 1, pada sebagian besar penderia</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Digunakan bila terdapat gangguan fungsi ginjal atau apabila diperlukan
efek diuretic yang segera</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Digunakan bersama tiazid atau diuretic kuat, bila ada bahaya hipokalemia</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Digunakan bila fungsi ginjal normal. Terutama bermanfaat pada penderita deengan
gangguan fungsi ginjal</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Digunakan bersama tiazid atau diuretic kuat bila ada bahaya hipokalemia.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bila dieresis berhasil, volume cairan tubuh yang hilang harus diganti
dengan hati-hati</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diuretic kuat harus digunakan dengan hati-hati. Bila ada gangguan funsi
ginjal, jangan menggunakan spironolakton</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diberikan bersama infuse NaCL hipertonis</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Disertai diet rendah garam</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penggunaan jangka panjang</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Prabedah </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.1.3<span style="mso-spacerun: yes;"> </span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">EFEK SAMPING</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;">Ø</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"> </span><b style="mso-bidi-font-weight: normal;"><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Hipokalemia </span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: 35.4pt;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diuretik dengan tempat kerja di segmen dilusi distal, ansa henle bagian
asenden dari tubuli proksimal dapat menyebabkan kehilangan kalium. Rasio
kehilangan kalium dan natrium lebih besar pada penggunaan tiazi dari pad
furosemid, mungkin karena furosemid tidak mempunyai aktivitas penghambat
karbonak anhidrase. Tetapi furosemid mempunyai efek natriuresis lebih kuat,
sehingga biasanya akan diikuti deplesi kalium</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">. </span><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penggunaan tiazid dosis kecil pada hipertensi, misalnya dengan klorotiazid
500 mg/hari atau klortaidon 25 mg/hari tidak akn banyak mempengaruhi kadar kalium
atau asam urat plasma. Tetapi dengan dosis lebih besar pada pengobatan udem,
perlu diadakan pemantauan kadar kalium dalam serum</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;">Ø</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"> </span><b style="mso-bidi-font-weight: normal;"><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Hiperurisemia.</span></b><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 38.7pt;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Hamp</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">I</span><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">r semua diurretik menyebabkan peningkatan kadar asamurat dalam serum
melalui pengaruh langsung terhadap sekresi asam urat dan efek ini berbanding
lurus dengan dosis diuretic yang digunakan. Pada penggunaan diuretic dapat
terjadi penyakit pirai, baik pada orang normal maupun mereka yang rentan
terhadap gout. <b style="mso-bidi-font-weight: normal;">Hiperurisemia </b>dapat
diperbaiki dengan pemberian <b style="mso-bidi-font-weight: normal;">alopurinol </b>atau
<b style="mso-bidi-font-weight: normal;">probenesid</b></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;">Ø</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"> </span><b style="mso-bidi-font-weight: normal;"><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gangguan
toleransi glukosa dan diabetes.</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 38.7pt;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">T<b style="mso-bidi-font-weight: normal;">i</b>azid dan furosemid dapat menyebabkan
gangguan toleransi glukosa terutama pada penderita diabetes laten, sehingga
manifestasi diabetes. Mekanisme pasti penyebab keadaan ini belum jelaskarena
menyangkut berbagai macam faktor, antara lain berkurangnya sekresi inslin dari
pancreas , meningkatnya glikogenolisis dan berkurangnya glikogenesis. Bila
keadaan ini terjadi maka penggunaan diuretic harus dihentian.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;">Ø</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"> </span><b style="mso-bidi-font-weight: normal;"><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Hiperkalesemia.</span></b><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: 35.4pt;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tiazid dapat mengakibatkan peninggian kadar kalsium serum. Diuretic hemat
kalium dapat mengakibatkan hiperkalemia yang dapat merupakan komplikasi yang
fatal. Oleh karena itu obat golonga ini tidak boleh diberikan dengan dosis
berlebihan dan juga tidak boleh diberikan pada penderita gagal ginjal</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;">Ø</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"> </span><b style="mso-bidi-font-weight: normal;"><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sindrom udem
idiopatik</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: 35.4pt;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penggunaan diuretic kuat pada keadaan ini kadang-kadang justru menyebabkan
retensi garam dan air. Dengan menghentikan pemberian diuretic, biasanya dalam
waktu 5-10 hari akan timbul dieresis</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;">Ø</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"> </span><b style="mso-bidi-font-weight: normal;"><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Volume depletion</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: 35.4pt;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemberian dieretik kuat pada penderita gagal jantung berat dapat
mengaibatkan berkurangya volume darah yang beredar secara akut. Dan ha ini
ditandai dengan turunnya tekanan darh, rasa lelah dan lemah. Biasanya dieresis
jstru akan terjadi setela pemberian diuretic dihentiakn.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;">Ø</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"> </span><b style="mso-bidi-font-weight: normal;"><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Hiponatremia</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: 35.4pt;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Hiponatremia ringan yang sering kali terjadi tidak menimbulkan masalah. <b style="mso-bidi-font-weight: normal;">Hiponatremia </b>mudah terjadi pada
penggunaan furosemid dosis besar bersama deuretik lain yang bekerja di tubuli
distal; keadaan ini akan lebih berat bila penderita juga dianjurkan pantang
garam tetapi bebas minum air.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.1.4 </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">INTERAKSI</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-tab-count: 1;"> </span>Pada penggunaan diuretic bersama obat-obat lain, hars
selal dipikirkan adanya interaksi yang mungkin terjadi. </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tabel </span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">, </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Interaksi Klinis Yang Penting Pada Penggunaaan Diuretik</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; mso-border-alt: solid black .5pt; mso-border-insideh: .5pt solid black; mso-border-insidev: .5pt solid black; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid black 1.0pt; mso-border-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 153.55pt;" valign="top" width="205"><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Obat</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 139.55pt;" valign="top" width="186"><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diuretik</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 142.9pt;" valign="top" width="191"><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Efek</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 153.55pt;" valign="top" width="205"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kortikosteroid</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Aminoglikosid</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Aminoglikosidsefalospori</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Antikolvunsan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diazoksid</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Digitalis</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Indometasin</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Indometasin dan penghambat prostaglandin yang lain</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Litium</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Antikoagulan oral</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Suplemen kalium</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Suksinilkolin</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tetrasiklin</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tubokurarin</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Vitamin D dan produk-produk kalsium</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 139.55pt;" valign="top" width="186"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tiazid</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diuretic kuat</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diuretic kuat</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diuretic kuat</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Furosemid</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tiazid</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Furosemid</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tiazid</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diuretic kuat</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Triamteren, amilorid</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tiazid</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diuretic kuat</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tiazid</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tiazid (kemungkinan diuretik yang lain)</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diuretic hemat kalum</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diuretic kuat</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kemungkinan semua diuretic</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tiazid</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diuretic kuad</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tiazid </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 142.9pt;" valign="top" width="191"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Meningkatkan hipokalemia</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menambah ototoksisitas</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menambah nefrotoksisitas</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menurunkan efek natriuretik</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Hiperglikemia</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Meningkatkan intoksikasi digitalis, bila terjadi hipokalemai</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Payah ginjal akut</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menurunkan efek natriuretik dan atau efek antihipertensinya</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Meningkatkan kadar litium dalam serum</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menurunkan efek koagulan akibat kosentrasi faktor-faktor pembekuan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Hiperkalemia</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Efek blockade saraf-otot meningkat</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Meningkatkan azotemia pada penderita gagal ginjal </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Blockade di lempeng saraf meningkat</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">hiperkalsemia</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.1.5<span style="mso-spacerun: yes;"> </span>MEKANISME
KERJA</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-tab-count: 1;"> </span>Kebanyakan bekerja dengan
mengurangi reabsorbsi natrium , sehingga pengeluarannya dengan kemih dan
demikian juga dari air diperbanyak. Obat-obat ini bekerja khusus dengan tubuli
tetapi di tempat-tempat yang berlainan, yakni :</span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tubuli proksimal</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: 14.7pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Disini lebih
kurang 70% dari ultrafitrat diserap kembali secara aktif dengan antara lain
glukosa, ureum, ion-ion Na<sup>+ </sup>dan Cl<sup>-. </sup>Filtrasii tidak
berubah dan tetap isotonic terhadap plasma. <b style="mso-bidi-font-weight: normal;">Diuretika osmotic</b> (mannitol, sorbitol, gliserol) bekerja di tempat
ini dengan mengurangi reabsorpsi Na<sup>+ </sup>dan air.</span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Lengkung Henle (Henle;S Loop)</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: 14.7pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Di segmen
ini lebih kurang 20% dari Cl<sup>- </sup>diangkut secara aktif di sel-sel
tubuli dengan disusul secara pasif oleh Na<sup>+, </sup>tetapi tanpa air,
sehingga filtrasi menjadi hipotonik. <b style="mso-bidi-font-weight: normal;">Diuretika
lengkungan </b>(furosemida, bumetamida dan etakrinat) bekerja terutama disini
dengan merintangi transport Cl<sup>-</sup></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tubuli distal bagian depan</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: 14.7pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Di ujung
atas henle’s loop yang terletak dalam kortex, Na<sup>+ </sup>di serap kembali
secara aktif tanpa penarikan air pula, sehingga filtrate menjadi lebih cair dan
lebih hipotonik. <b style="mso-bidi-font-weight: normal;">Saluretikan</b>
(zat-zat thiazida , klortalidon, mefrusida dan klopamida) bekerja di tempat ini
dengan merintangi reabsorpsi Na<sup>+ </sup>dan Cl<sup>- </sup></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: 14.7pt;">
<br /></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">4.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tubuli distal bagian belakang</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: 14.7pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Di sini Na<sup>+
</sup>diserap kembali secara aktif pula dan berlangsung penukaran dengan
ion-ion K<sup>+</sup>, H<sup>+</sup> Dan NH<sub>4</sub><sup>+ </sup>. Proses
ini dikendalikan oleh hormone anak ginjal aldosteron. <b style="mso-bidi-font-weight: normal;">Zat-zat penghemat kalium</b> (spironolakton, triameteren, amilorida)
bekerja di semen ini dengan jalan mengurangi penukaran Na<sup>+ </sup>dengan K<sup>+
</sup>, dengan demikian mengakibatkan retensi kalium .</span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tabel tempat dan cara kerja diuretik</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: 5.4pt; mso-border-alt: solid windowtext .5pt; mso-border-insideh: .5pt solid windowtext; mso-border-insidev: .5pt solid windowtext; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 480;">
<tbody>
<tr style="height: 22.5pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid windowtext 1.0pt; height: 22.5pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 136.6pt;" valign="top" width="182"><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Obat</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; height: 22.5pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 142.05pt;" valign="top" width="189"><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tempat
kerja Utama</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; height: 22.5pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 142.05pt;" valign="top" width="189"><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Cara Kerja</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 136.6pt;" valign="top" width="182"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diureti
osmotik</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penghambat
enzim karbonik anhidrase</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tiazid</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diuretik
hemat kalium</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diuretik
kuat</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 142.05pt;" valign="top" width="189"><ol start="1" type="1">
<li class="MsoNormal" style="line-height: 150%; mso-list: l1 level1 lfo1; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tubuli proksimal.</span></li>
</ol>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<ol start="2" type="1">
<li class="MsoNormal" style="line-height: 150%; mso-list: l3 level1 lfo2; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ansa henle</span></li>
</ol>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<ol start="3" type="1">
<li class="MsoNormal" style="line-height: 150%; mso-list: l2 level1 lfo3; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Duktus koligentes</span></li>
</ol>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tubuli
proksimal</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Hulu
tubuli distal</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Hilir
tubuli distal dan duktus koligentes daerah korteks</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ansa henle
bagian asenden pada bagian dengan epitel tebal</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 142.05pt;" valign="top" width="189"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penghambat
reabsorpsi natrium dan air melalui daya osmotiknya.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penghambatan
reabsorpsi natrium dan air oleh karena hipertonisitas daerah medula menurun.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penghambatan
reabsorpsi natrium dan air akibat adanya papillary wash out, kecepatan aliran
filtrat yang tinggi, atau adanya faktor lain.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penghambatan
terhadap reabsorpsi bikarbonat.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penghambatan
terhadap reabsorpsi natrium klorida.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penghambatan
reabsorpsi natrium dan sekresi kalium dengan jalan antagonisme kompetitif
(spironolakton) atau secara langsung (triamteren dan amilirid).</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penghambatan
terhadap transport elektrolit Natrium, Kalium, Klorida.</span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<br /></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; mso-border-alt: solid gray 2.25pt; mso-border-insideh: 2.25pt solid gray; mso-border-insidev: 2.25pt solid gray; mso-padding-alt: 0cm 0cm 0cm 0cm; mso-table-layout-alt: fixed; mso-yfti-tbllook: 1184; width: 606px;">
<tbody>
<tr style="height: 36.95pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="background: #EEEEEE; border: solid gray 2.25pt; height: 36.95pt; padding: .2pt .2pt .2pt .2pt; width: 93.3pt;" width="124"><br /></td>
<td style="border-left: none; border: solid gray 2.25pt; height: 36.95pt; mso-border-left-alt: solid gray 2.25pt; padding: .2pt .2pt .2pt .2pt; width: 134.65pt;" width="180"><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Examples</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
<td style="background: #DDEEFF; border-left: none; border: solid gray 2.25pt; height: 36.95pt; mso-border-left-alt: solid gray 2.25pt; padding: .2pt .2pt .2pt .2pt; width: 120.5pt;" width="161"><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mechanism</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
<td style="border-left: none; border: solid gray 2.25pt; height: 36.95pt; mso-border-left-alt: solid gray 2.25pt; padding: .2pt .2pt .2pt .2pt; width: 106.3pt;" width="142"><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Location
(numbered in distance along nephron)</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
</tr>
<tr style="height: 55.25pt; mso-yfti-irow: 1;">
<td style="background: #EEEEEE; border-top: none; border: solid gray 2.25pt; height: 55.25pt; mso-border-top-alt: solid gray 2.25pt; padding: .2pt .2pt .2pt .2pt; width: 93.3pt;" width="124"><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: center;">
<a href="http://www.answers.com/topic/carbonic-anhydrase-inhibitors"><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; text-decoration: none; text-underline: none;">Carbonic </span></a><a href="http://www.answers.com/topic/carbonic-anhydrase-inhibitors"><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; text-decoration: none; text-underline: none;">anhydrase</span></a><a href="http://www.answers.com/topic/carbonic-anhydrase-inhibitors"><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; text-decoration: none; text-underline: none;"> inhibitors</span></a><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
<td style="border-bottom: solid gray 2.25pt; border-left: none; border-right: solid gray 2.25pt; border-top: none; height: 55.25pt; mso-border-left-alt: solid gray 2.25pt; mso-border-top-alt: solid gray 2.25pt; padding: .2pt .2pt .2pt .2pt; width: 134.65pt;" width="180"><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: center;">
<a href="http://www.answers.com/topic/acetazolamide"><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; text-decoration: none; text-underline: none;">acetazolamide</span></a><a href="http://www.answers.com/topic/diuretic"><sup><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; text-decoration: none; text-underline: none;">[8]</span></sup></a><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">, </span><a href="http://www.answers.com/topic/dorzolamide"><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; text-decoration: none; text-underline: none;">dorzolamide</span></a><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
<td style="background: #DDEEFF; border-bottom: solid gray 2.25pt; border-left: none; border-right: solid gray 2.25pt; border-top: none; height: 55.25pt; mso-border-left-alt: solid gray 2.25pt; mso-border-top-alt: solid gray 2.25pt; padding: .2pt .2pt .2pt .2pt; width: 120.5pt;" width="161"><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: center;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">inhibit H<sup>+</sup> secretion, resultant promotion of Na<sup>+</sup>
and K<sup>+</sup> excretion</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
<td style="border-bottom: solid gray 2.25pt; border-left: none; border-right: solid gray 2.25pt; border-top: none; height: 55.25pt; mso-border-left-alt: solid gray 2.25pt; mso-border-top-alt: solid gray 2.25pt; padding: .2pt .2pt .2pt .2pt; width: 106.3pt;" width="142"><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: center;">
<a href="http://www.answers.com/topic/proximal-tubule"><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; text-decoration: none; text-underline: none;">proximal
tubule</span></a><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
</tr>
<tr style="height: 55.25pt; mso-yfti-irow: 2;">
<td style="background: #EEEEEE; border-top: none; border: solid gray 2.25pt; height: 55.25pt; mso-border-top-alt: solid gray 2.25pt; padding: .2pt .2pt .2pt .2pt; width: 93.3pt;" width="124"><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: center;">
<a href="http://www.answers.com/topic/loop-diuretic"><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; text-decoration: none; text-underline: none;">Loop diuretics</span></a><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
<td style="border-bottom: solid gray 2.25pt; border-left: none; border-right: solid gray 2.25pt; border-top: none; height: 55.25pt; mso-border-left-alt: solid gray 2.25pt; mso-border-top-alt: solid gray 2.25pt; padding: .2pt .2pt .2pt .2pt; width: 134.65pt;" width="180"><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: center;">
<a href="http://www.answers.com/topic/bumetanide"><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; text-decoration: none; text-underline: none;">bumetanide</span></a><a href="http://www.answers.com/topic/diuretic"><sup><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; text-decoration: none; text-underline: none;">[8]</span></sup></a><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">, </span><a href="http://www.answers.com/topic/ethacrynic-acid"><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; text-decoration: none; text-underline: none;">ethacrynic
acid</span></a><a href="http://www.answers.com/topic/diuretic"><sup><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; text-decoration: none; text-underline: none;">[8]</span></sup></a><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">, </span><a href="http://www.answers.com/topic/furosemide"><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; text-decoration: none; text-underline: none;">furosemide</span></a><a href="http://www.answers.com/topic/diuretic"><sup><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; text-decoration: none; text-underline: none;">[8]</span></sup></a><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">, </span><a href="http://www.answers.com/topic/torasemide"><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; text-decoration: none; text-underline: none;">torsemide</span></a><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
<td style="background: #DDEEFF; border-bottom: solid gray 2.25pt; border-left: none; border-right: solid gray 2.25pt; border-top: none; height: 55.25pt; mso-border-left-alt: solid gray 2.25pt; mso-border-top-alt: solid gray 2.25pt; padding: .2pt .2pt .2pt .2pt; width: 120.5pt;" width="161"><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: center;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">inhibit the </span><a href="http://www.answers.com/topic/na-k-2cl-symporter"><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; text-decoration: none; text-underline: none;">Na-K-2Cl </span></a><a href="http://www.answers.com/topic/na-k-2cl-symporter"><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; text-decoration: none; text-underline: none;">symporter</span></a><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
<td style="border-bottom: solid gray 2.25pt; border-left: none; border-right: solid gray 2.25pt; border-top: none; height: 55.25pt; mso-border-left-alt: solid gray 2.25pt; mso-border-top-alt: solid gray 2.25pt; padding: .2pt .2pt .2pt .2pt; width: 106.3pt;" width="142"><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: center;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">medullary </span><a href="http://www.answers.com/topic/thick-ascending-limb-of-loop-of-henle"><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; text-decoration: none; text-underline: none;">thick
ascending limb</span></a><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
</tr>
<tr style="height: 55.25pt; mso-yfti-irow: 3;">
<td style="background: #EEEEEE; border-top: none; border: solid gray 2.25pt; height: 55.25pt; mso-border-top-alt: solid gray 2.25pt; padding: .2pt .2pt .2pt .2pt; width: 93.3pt;" width="124"><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: center;">
<a href="http://www.answers.com/topic/osmotic-diuretic"><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; text-decoration: none; text-underline: none;">Osmotic diuretics</span></a><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
<td style="border-bottom: solid gray 2.25pt; border-left: none; border-right: solid gray 2.25pt; border-top: none; height: 55.25pt; mso-border-left-alt: solid gray 2.25pt; mso-border-top-alt: solid gray 2.25pt; padding: .2pt .2pt .2pt .2pt; width: 134.65pt;" width="180"><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: center;">
<a href="http://www.answers.com/topic/glucose"><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; text-decoration: none; text-underline: none;">glucose</span></a><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> (especially in uncontrolled diabetes), </span><a href="http://www.answers.com/topic/mannitol"><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; text-decoration: none; text-underline: none;">mannitol</span></a><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
<td style="background: #DDEEFF; border-bottom: solid gray 2.25pt; border-left: none; border-right: solid gray 2.25pt; border-top: none; height: 55.25pt; mso-border-left-alt: solid gray 2.25pt; mso-border-top-alt: solid gray 2.25pt; padding: .2pt .2pt .2pt .2pt; width: 120.5pt;" width="161"><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: center;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">promote osmotic diuresis</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
<td style="border-bottom: solid gray 2.25pt; border-left: none; border-right: solid gray 2.25pt; border-top: none; height: 55.25pt; mso-border-left-alt: solid gray 2.25pt; mso-border-top-alt: solid gray 2.25pt; padding: .2pt .2pt .2pt .2pt; width: 106.3pt;" width="142"><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: center;">
<a href="http://www.answers.com/topic/proximal-tubule"><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; text-decoration: none; text-underline: none;">proximal
tubule</span></a><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">, </span><a href="http://www.answers.com/topic/descending-limb-of-loop-of-henle"><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; text-decoration: none; text-underline: none;">descending
limb</span></a><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
</tr>
<tr style="height: 101.1pt; mso-yfti-irow: 4;">
<td style="background: #EEEEEE; border-top: none; border: solid gray 2.25pt; height: 101.1pt; mso-border-top-alt: solid gray 2.25pt; padding: .2pt .2pt .2pt .2pt; width: 93.3pt;" width="124"><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: center;">
<a href="http://www.answers.com/topic/potassium-sparing-diuretic"><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; text-decoration: none; text-underline: none;">Potassium-sparing diuretics</span></a><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
<td style="border-bottom: solid gray 2.25pt; border-left: none; border-right: solid gray 2.25pt; border-top: none; height: 101.1pt; mso-border-left-alt: solid gray 2.25pt; mso-border-top-alt: solid gray 2.25pt; padding: .2pt .2pt .2pt .2pt; width: 134.65pt;" width="180"><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: center;">
<a href="http://www.answers.com/topic/amiloride"><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; text-decoration: none; text-underline: none;">amiloride</span></a><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">, </span><a href="http://www.answers.com/topic/spironolactone"><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; text-decoration: none; text-underline: none;">spironolactone</span></a><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">, </span><a href="http://www.answers.com/topic/triamterene"><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; text-decoration: none; text-underline: none;">triamterene</span></a><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">, </span><a href="http://www.answers.com/topic/potassium-canrenoate"><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; text-decoration: none; text-underline: none;">potassium </span></a><a href="http://www.answers.com/topic/potassium-canrenoate"><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; text-decoration: none; text-underline: none;">canrenoate</span></a><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
<td style="background: #DDEEFF; border-bottom: solid gray 2.25pt; border-left: none; border-right: solid gray 2.25pt; border-top: none; height: 101.1pt; mso-border-left-alt: solid gray 2.25pt; mso-border-top-alt: solid gray 2.25pt; padding: .2pt .2pt .2pt .2pt; width: 120.5pt;" width="161"><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: center;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">inhibition of </span><a href="http://www.answers.com/topic/na-k-atpase-1"><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; text-decoration: none; text-underline: none;">Na+/K+
exchanger</span></a><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">: Spironolactone
inhibits </span><a href="http://www.answers.com/topic/aldosterone"><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; text-decoration: none; text-underline: none;">aldosterone</span></a><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> action, Amiloride inhibits </span><a href="http://www.answers.com/topic/epithelial-sodium-channel"><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; text-decoration: none; text-underline: none;">epithelial
sodium channels</span></a><a href="http://www.answers.com/topic/diuretic"><sup><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; text-decoration: none; text-underline: none;">[8]</span></sup></a><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
<td style="border-bottom: solid gray 2.25pt; border-left: none; border-right: solid gray 2.25pt; border-top: none; height: 101.1pt; mso-border-left-alt: solid gray 2.25pt; mso-border-top-alt: solid gray 2.25pt; padding: .2pt .2pt .2pt .2pt; width: 106.3pt;" width="142"><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: center;">
<a href="http://www.answers.com/topic/collecting-duct-system"><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; text-decoration: none; text-underline: none;">cortical
collecting ducts</span></a><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
</tr>
<tr style="height: 36.95pt; mso-yfti-irow: 5; mso-yfti-lastrow: yes;">
<td style="background: #EEEEEE; border-top: none; border: solid gray 2.25pt; height: 36.95pt; mso-border-top-alt: solid gray 2.25pt; padding: .2pt .2pt .2pt .2pt; width: 93.3pt;" width="124"><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: center;">
<a href="http://www.answers.com/topic/thiazide"><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; text-decoration: none; text-underline: none;">Thiazides</span></a><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
<td style="border-bottom: solid gray 2.25pt; border-left: none; border-right: solid gray 2.25pt; border-top: none; height: 36.95pt; mso-border-left-alt: solid gray 2.25pt; mso-border-top-alt: solid gray 2.25pt; padding: .2pt .2pt .2pt .2pt; width: 134.65pt;" width="180"><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: center;">
<a href="http://www.answers.com/topic/bendroflumethiazide"><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; text-decoration: none; text-underline: none;">bendroflumethiazide</span></a><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">, </span><a href="http://www.answers.com/topic/hydrochlorothiazide"><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; text-decoration: none; text-underline: none;">hydrochlorothiazide</span></a><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
<td style="background: #DDEEFF; border-bottom: solid gray 2.25pt; border-left: none; border-right: solid gray 2.25pt; border-top: none; height: 36.95pt; mso-border-left-alt: solid gray 2.25pt; mso-border-top-alt: solid gray 2.25pt; padding: .2pt .2pt .2pt .2pt; width: 120.5pt;" width="161"><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: center;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">inhibit reabsorption by </span><a href="http://www.answers.com/topic/sodium-chloride-symporter"><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; text-decoration: none; text-underline: none;">Na</span></a><a href="http://www.answers.com/topic/sodium-chloride-symporter"><sup><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; text-decoration: none; text-underline: none;">+</span></sup></a><a href="http://www.answers.com/topic/sodium-chloride-symporter"><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; text-decoration: none; text-underline: none;">/Cl</span></a><a href="http://www.answers.com/topic/sodium-chloride-symporter"><sup><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; text-decoration: none; text-underline: none;">-</span></sup></a><a href="http://www.answers.com/topic/sodium-chloride-symporter"><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; text-decoration: none; text-underline: none;"> symporter</span></a><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
<td style="border-bottom: solid gray 2.25pt; border-left: none; border-right: solid gray 2.25pt; border-top: none; height: 36.95pt; mso-border-left-alt: solid gray 2.25pt; mso-border-top-alt: solid gray 2.25pt; padding: .2pt .2pt .2pt .2pt; width: 106.3pt;" width="142"><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: center;">
<a href="http://www.answers.com/topic/distal-convoluted-tubule"><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; text-decoration: none; text-underline: none;">distal
convoluted tubules</span></a><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-tab-count: 1;"> </span>2.2
PENGGOLONGAN OBAT DIURETIK</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-tab-count: 1;"> </span>2.2.1
DIURETIK OSMOTIK</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 35.45pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Istilah
diuretik osmotik biasanya dipakai untuk zat bukan elektrolit yang mudah dan
cepat diekskresi oleh ginjal. Suatu zat dapat bertindak sebagai diuretik osmotik
apabila memenuhi 4 syarat :</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1.</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-ansi-language: SV; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Difiltasi secara bebas oleh glomerulus</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-ansi-language: SV; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tidak atau hanya sedikit direabsorpsi sel tubuli ginjal</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3.</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-ansi-language: SV; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Secara farmakologis merupakan zat yang inert</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">4.</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-ansi-language: SV; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Umumnya resisten terhadap perubahan-perubahan metabolik.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 35.45pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diuresis
osmotik merupakan zat yang secara farmakologis lembam, seperti manitol (satu
gula). Diuresis osmotik diberikan secara intravena untuk menurunkan edema
serebri atau peningkatan tekanan intraoukular pada glaukoma serta menimbulkan
diuresis setelah overdosis obat. Diuresis terjadi melalui “tarikan” osmotik
akibat gula yang lembam (yang difiltrasi oleh ginjal, tetapi tidak
direabsorpsi) saat ekskresi gula tersebut terjadi</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">. </span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diuretik osmotik mempunyai tempat kerja :</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">·</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">
</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tubuli proksimal</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diuretik osmotik ini bekerja pada tubuli proksimal dengan cara menghambat
reabsorpsi natrium dan air melalui daya osmotiknya. </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 182.65pt; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">·</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">
</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ansa enle<span style="mso-tab-count: 1;"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diuretik osmotik ini bekerja pada ansa henle dengan cara menghambat
reabsorpsi natrium dan air oleh karena hipertonisitas daerah medula menurun. </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">·</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: Symbol; mso-fareast-language: IN;">
</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Duktus Koligentes</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diuretik osmotik ini bekerja pada Duktus Koligentes dengan cara </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">menghambat
reabsorpsi natrium dan air akibat adanya papillary wash out, </span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">kecepatan aliran filtrat yang tinggi, atau adanya faktor lain.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dengan sifat-sifat ini, maka diuretik osmotik dapat
diberikan dalam jumah cukup besar sehingga turut menentukan derajat osmolaritas
plasma filtrat glomerulus dan cairan tubuli. Contoh golongan obat ini adalah <b style="mso-bidi-font-weight: normal;">manitol, urea, gliserin, isosorbid</b>.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">A.<span style="mso-spacerun: yes;"> </span>Manitol</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Manitol paling sering digunakan diantara obat ini,
karena manitol tidak mengalami metabolisme dalam badan dan hanya sedikit sekali
direabsorpsi tubuli bahkan praktis dianggap tidak direabsorpsi. Manitol harus
diberikan secara IV, jadi obat ini tidak praktis untuk pengobatan udem kronik.
Pada penderita payah jantung pemberian manitol berbahaya, kerana volume darah
yang beredar meningkat sehingga memperberat kerja jantung yang telah gagal.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diuretik osmotik terutama bermanfaat pada pasien
oliguria akut akibat syok hipovolemik yang telah dikoreksi, reaksi transfusi
atau sebab lain yang menimbulkan nekrosis tubuli, karena dalam keadaan ini obat
yang kerjanya mempengaruhi fungsi tubuli tidak efektif. Manitol digunakan<span style="mso-spacerun: yes;"> </span>misalnya untuk :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; tab-stops: list 117.0pt; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1. Profilaksis
gagal ginjal akut, suatu keadaan yang dapat timbul akibat operasi jantung, luka
traumatik berat, atau tindakan operatif dengan penderita yang juga menderita
ikterus berat.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; tab-stops: list 117.0pt; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2. Menurunkan
tekanan maupun volume cairan intraokuler atau cairan serebrospinal.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1. Efek
Nonterapi</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 35.45pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Manitol dapat
menimbulkan reaksi hipersensitif. </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Manitol di distribusikan ke cairan
ekstra sel, oleh karena itu pemberian larutan manitol hipertonis yang
berlebihan akan meningkatkan osmolaritas cairan ekstraseluler, sehingga secara
tidak diharapkan akan terjadi penambahan jumlah cairan ekstraseluler.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2. Sediaan </span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Manitol<b style="mso-bidi-font-weight: normal;"> </b>untuk
suntikan intravena digunakan larutan 5-25% dengan volume antara 50-1000ml.
Dosis untuk menimbulkan diuresis adalah 50-200g yang diberikan dalam cairan
infus selama 24 jam dengan kecepatan infus sedemikian, sehingga diperoleh
diuresis sebanyak 30-50ml per jam. Untuk penderita dengan oliguria hebat
diberikan dosis percobaan yaitu 200mg/kgBB yang diberikan melalui infus selama
3-5 menit. Bila dengan 1-2 kali dosis percobaan diuresis masih kurang dari 30ml
per jam dalam 2-3 jam, maka status pasien harus di evaluasi kembali sebelum
pengobatan dilanjutkan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3.
Kontraindikasi</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Manitol dikokntraindikasikan pada penyakit ginjal
dengan anuria, kongesti atau udem paru yang berat, dehidrasi hebat dan
perdarahan intrakranial kecuali bila akan dilakukan kraniotomi. Infus manitol
harus segera dihentikan bila terdapat tanda-tanda gangguan fungsi ginjal yang
progresif, payah jantung atau kongesti paru.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">B. Urea</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Suatu kristal putih dengan rasa agak pahit dan mudah
larut dalan air. Sediaan intravena mengandung urea sampai 30% dalam dekstrose
5% (iso-osmotik) sebab larutan urea murni dapat menimbulkan hemolisis. Pada
tindakan bedah saraf, urea diberikan intravena dengan dosis 1-1,5g/kgBB.
Sebagai diuretik, urea potensinya lebih lemah dibandingkan dengan manitol,
karena hampir 50% senyawa urea ini akan direabsorbsi oleh tubuli ginjal.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Urea lebih bersifat iritatif terhadap jaringan dan
dapat menimbulkan trombosis atau nyeri bila terjadi eksravasasi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">C. Gliserin</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diberkan per oral sebelum suatu tindakan optalmologi
dengan tujuan menurunkan tekanan intraokuler. Efek maksimal terlihat 1 jam
sesudah pemberian obat dan menghilang sesudah 5 jam.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gliserin dimetabolisme dalam tubuh dan dapat
menyebabkan hiperglikemia dan glukosuria.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">D. Isosorbid</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diberikan secara oral untuk indikasi yang sama dengan
gliserin. Efeknya juga sama, hanya isosorbid menimbulkan diuresis yang lebih
besar daripada gliserin, tanpa menimbulkan hiperglikemia. Dosis berkisar antara
1-3g/kgBB, dan dapat diberikan 2-4 kali sehari.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 45.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 45.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 45.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.2.2
PENGHAMBAT KARBONIK ANHIDRASE</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Karbonik anhidrase adalah enzim yang terdapat di dalam
sel korteks renalis, pankreas, mukosa lambung, mata, eritrosit dan SSP, tetapi
tidak terdapat dalam plasma.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Karbonik anhidrase merupakan protein dengan berat
molekul kira-kira 30.000 dan mengandung satu atom Zn dalam setiap molekul.
Enzim ini dapat dihambat aktivitasnya oleh <b style="mso-bidi-font-weight: normal;">sianida,
azida, dan sulfida</b>. Derivat sulfonamid yang juga dapat menghambat kerja
enzim ini adalah <b style="mso-bidi-font-weight: normal;">asetazolamid </b>dan <b style="mso-bidi-font-weight: normal;">diklorofenamid.</b></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 35.45pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mekanisme </span></b><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penghambat
Karbonik Anhidrase </span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Karbonik anhidrase mengkatalisis perubahan CO2 + H2O, Selanjutnya H2CO3
akan terionisasi menjadi H+ dan HCO3<sup>-</sup></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<table align="left" border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="mso-cellspacing: 0cm; mso-padding-alt: 0cm 0cm 0cm 0cm; mso-table-anchor-horizontal: column; mso-table-anchor-vertical: paragraph; mso-table-left: left; mso-table-lspace: 2.25pt; mso-table-rspace: 2.25pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="height: .75pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="height: .75pt; padding: 0cm 0cm 0cm 0cm; width: 194.25pt;" width="259"><br /></td>
</tr>
<tr style="mso-yfti-irow: 1; mso-yfti-lastrow: yes;">
<td style="padding: 0cm 0cm 0cm 0cm;"><br /></td>
<td style="padding: 0cm 0cm 0cm 0cm;"><div class="MsoNormal" style="margin-bottom: .0001pt; margin: 0cm; mso-element-anchor-horizontal: column; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 2.25pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><img border="0" height="18" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image004.gif" width="36" /></span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin: 0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Terjadi
Hambatan pembentukan<span style="mso-spacerun: yes;"> </span>ion H dan HCO3 di
sel tubuli</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<table align="left" border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="mso-cellspacing: 0cm; mso-padding-alt: 0cm 0cm 0cm 0cm; mso-table-anchor-horizontal: column; mso-table-anchor-vertical: paragraph; mso-table-left: left; mso-table-lspace: 2.25pt; mso-table-rspace: 2.25pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="height: .75pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="height: .75pt; padding: 0cm 0cm 0cm 0cm; width: 195.0pt;" width="260"><br /></td>
</tr>
<tr style="mso-yfti-irow: 1; mso-yfti-lastrow: yes;">
<td style="padding: 0cm 0cm 0cm 0cm;"><br /></td>
<td style="padding: 0cm 0cm 0cm 0cm;"><div class="MsoNormal" style="margin-bottom: .0001pt; margin: 0cm; mso-element-anchor-horizontal: column; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 2.25pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><img border="0" height="19" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image005.gif" width="35" /></span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin: 0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><img border="0" height="18" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image004.gif" width="36" /></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Padahal ion H dibutuhkan untuk pertukaran dengan Ion Na di lumen tubuli,
akibatnya ion Na yang difiltrasi glomerulus ke lumen bertambah</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 35.45pt;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menyebabkan hipertonis, menarik cairan disekitar tubuli, jumlah urin yang
iekskresikan bertambah. Berkurangnya HCO3 menyebabkan Asidosis, bisa untuk
terapi epilepsi. Dicairan bola mata banyak dijumpai enzim ini, penghambatan
karbonik anhidrase mengurangi tekanan intraokuler.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 35.45pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">A.
ASETOZOLAMID</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1.
Farmakodinamik</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Efek farmakodinamik yang utama dari asetozolamid
adalah penghambatan karbonik anhidrase secara nonkompetitif. Akibatnya terjadi
perubahan sistemik dan perubahan terbatas pada organ tempat enzim tersebut
berada.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; tab-stops: 21.3pt list 63.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1) Ginjal.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; tab-stops: 21.3pt list 63.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2) Susunan cairan
plasma.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; tab-stops: 21.3pt list 63.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3) Mata.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; tab-stops: 21.3pt list 63.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">4) Susunan Saraf
Pusat.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; tab-stops: 21.3pt list 63.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">5) Pernafasan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.
Farmakokinetik</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Asetazolamid diberikan per oral.Asetozalamid mudah
diserap melalui saluran cerna, kadar maksimal dalam darah dicapai dalam 2 jam
dan ekskresi melalui ginjal sudah sempurna dalam 24 jam. Obat ini mengalami
proses sekresi aktif oleh tubuli dan sebagian direabsorpsi secara pasif.
Asetazolamid terikat kuat pada karbonik anhidrase, sehingga terakumulasi dalam
sel yang banyak mengandung enzim ini, terutama sel eritrosit dan korteks
ginjal. Distribusi penghambat karbonik anhidrase dalam tubuh ditentukan oleh
ada tidaknya enzim karbonik anhidrase dalam sel yang bersangkutan dan dapat
tidaknya obat itu masuk ke dalam sel. Asetazolamid tidak dimetabolisme dan
diekskresi dalam bentuk utuh melalui urin.<b style="mso-bidi-font-weight: normal;">
</b></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3. Efek
Nonterapi Dan Kontraindikasi</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intoksikasi asetazolamid jarang terjadi. Pada dosis
tinggi dapat timbul parestesia dan kantuk yang terus-menerus. Asetazolamid
mempermudah pembentukan batu ginjal karena berkurangnya ekskresi sitrat, kadar
kalsium dalam urin tidak berubah atau meningkat.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Asetazolamid sebaiknya tidak diberikan selama
kehamilan, kerena pada hewan cobra obat ini dapat menimbulkan efek teratogenik.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">4. Indikasi</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penggunaan asetazolamid yang utama ialah untuk
menurunkan tekanan intraokuler pada penyakit glaukoma.<b style="mso-bidi-font-weight: normal;"> </b></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Asetazolamid jarang digunakan sebagai diuretik, tetapi
dapat bermanfaat untuk alkalinisasi urin sehingga mempermudah ekskresi zat organik
yang bersifat asam lemah.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">5. Sediaan </span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Asetazolamid tersedia dalam bentuk tablet 125 mg dan
250 mg untuk pemberian oral. Dosis antara 250-500 mg per kali, dosis untuk <i style="mso-bidi-font-style: normal;">chronic simple glaucoma</i><span style="mso-spacerun: yes;"> </span>yaitu 250-1000 mg per hari. Natrium
asetazolamid untuk pemberian parenteral hendaknya diberikan satu kali sehari,
kecuali bila dimaksudkan untuk menimbulkan asidosis metabolik maka obat ini
diberikan setiap 8 jam.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dosis dewasa untuk <i style="mso-bidi-font-style: normal;">acute
mountain sickness </i>yaitu 2 kali sehari 250 mg, dimulai 3-4 hari sebelum
mencapai ketinggian 3000 m atau lebih, dan dilanjutkan untuk beberapa<span style="mso-spacerun: yes;"> </span>waktu sesudah dicapai ketinggian tersebut.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dosis untuk paralisis periodik yang bersifat familier
(familial periodic paralysis) yaitu 250-750 mg sehari dibagi dalam 2 atau 3
dosis, sedangkan untuk anak-anak 2 atau 3 kali sehari 125 mg.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">B.
Diklorofenamid </span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diklorofenamid dalam tablet 50 mg, efek optimal dapat
dicapai dengan dosis awal 200 mg sehari, serta <b style="mso-bidi-font-weight: normal;">metazolamid</b> dalam tablet 25 mg dan 50 mg dan dosis 100-300 mg
sehari, tidak terdapat dipasaran.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 35.45pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; tab-stops: list 18.0pt; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.2.3</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> <b style="mso-bidi-font-weight: normal;">TIAZID</b></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 45.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sintesis golongan ini merupakan hasil dari penelitian
zat penghambat enzim karbonik anhidrase.Prototipe golongan benzotiadiazid ialah
klorotiazid, yang merupakan obat tandingan pertama golongan Hg-organik, yang
telah mendominasi diuretik selama lebih dari 30 tahun.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">A. Kimia Dan
Hubungan Antara Struktur Dan Aktifitas.</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sebagaian besar senyawa benzotiadiazid merupakan
analog dari 1,2,4-benzo-tiadiazin-1, 1-dioksida. Golongan ini biasa disebut
sebagai benzotiadiazid atau tuazid saja. Senyawa tiazid menunjukkan kurva dosis
efek yang sejajar dan daya kloruretik maksimal yang sebanding.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">B.
Farmakodinamik</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Efek farmakodinamik tiazid yang utama adalah
meningkatkan ekskresi natrium, klorida dan sejumlah air. Efek natriuresis dan
kloruresis ini disebabkan oleh penghambatan mekanisme reabsorpsi elektrolit
pada hulu tubuli distal (early distal tubule).</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Zat yang aktif sebagai penghambat karbonik anhidrase,
dalam dosis yang mencukupi, memperlihatkan efek sama seperti asetazolamid dalam
ekskresi bikarbonat. Efek penghambatan enzim karbonik anhidrase di luar ginjal
praktis tidak terlihat karena tiazid tidak ditimbun di sel lain.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pada penderita hipertensi, tiazid menurunkan tekanan
darah bukan saja efek diuretiknya, tetapi juga karena efek langsung terhadap
arteriol sehingga terjadi vasodilatasi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pada penderita diabetes insipidus, tazid justru
mengurangi diuresis. Mekanisme antidiuretiknya belum diketahui dengan jelas dan
efek ini kita jumpai baik pada diabetes insipidus nefrogen, maupun yang
disebabkan oleh kerusakan hipofisis posterior.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Fungsi
Ginjal</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tiazid dapat mengurangi kecepatan filtrasi glomerulus,
terutama bila diberikan secara intravena. Efek ini mungkin disebabkan oleh
pengurangan aliran darah ginjal. Namun berkurangnya filtrasi ini sedikit sekali
pengaruhnya terhadap efek diuretik tiazid, dan hanya mempunyai arti klinis bila
fungsi ginjal memang sudah kurang. Seperti kebanyakan asam organik lain, tiazid
disekresi secara aktif oleh tubuli ginjal bagian proksimal. Sekresi ini dapat
berkurang dengan adanya antagonis kompetitif misalnya probenesid. Dalam keadaan
tertentu, probenesid dapat menghambat efek diuresis tiazid, hal ini menandakan
bahwa untuk menimbulkan efek diuresis tiazid harus ada didalam cairan tubuli.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tempat kerja utama tiazid adalah dibagian hulu tubuli
distal (early distal tubules). Seperti diketahui mekanisme reabsopsi Na+ di
tubuli distal masih belum jekas benar, maka demikian pula cara kerja tiazid.
Laju ekskresi Na+ maksimal yang ditimbulkan oleh tiazid relatif lebih rendah dibandingkan
dengan apa yang dicapai oleh beberapa diuretik lain, hal ini disebabkan 90% Na+
dalam cairan filtrat telah direabsopsi lebih dahulu sebelum ia mencapai tempat
kerja tiazid.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pada manusia tiazid menghambat <b style="mso-bidi-font-weight: normal;">ekskresi asam urat</b> sehingga kadarnya dalam darah meningkat. Ada 2
mekanisme yang terlibat dalam hal ini :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; tab-stops: list 99.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1) Tiazid
meniggikan reabsopsi asam uart di tubuli proksimal</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; tab-stops: list 99.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2) Tiazid mungkin
sekali menghambat ekskresi asam urat oleh tubuli.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Peninggian kadar asam urat ini kurang begitu berarti
karena insidens serangan gouth akut terutama berhubungan dengan kadar asam urat
dalam plasma sebelum pengobatan dengan tiazid.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ekskresi yodida dan bromida secara kualitatif sama
dengan ekskresi klorida. Diuretik yang menyebabkan kloruresis juga akan
meningkatkan ekskresi kedua ion halogen yang lain. Dengan demikian semua obat
yang bersifat kloruresis dapat digunakan untuk menanggulangi keracunan bromida.
Selain itu, penggunaan diuretik yang berkepanjangan dapat meningkatkan ekskresi
yodida dengan akibat dapat terjadinya deplesi yodida yang ringan. Berbeda
dengan natriuretik lain, tiazid menurunkan ekskresi kalsium sanpai 40%, karena
tiazid tidak dapat menghambat reabsorpsi kalsium oleh sel tubuli distal.
Ekskresi Mg++ meningkat, sehingga dapat menyebabkan hipomagnesemia.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Cairan
Ekstrasel</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tiazid dapat meninggikan ekskresi ion K+ terutama pada
pemberian jangka pendek, dan mungkin efek ini menjadi kecil bila penggunaannya
berlangsung dalam jangka panjang. Ekskresi natrium yang berlebihan tanpa
disertai jumlah air yang sebanding, dapat menyebabkan hiponatremia dan
hipokloremia, terutama bila penderita tersebut mendapat diet rendah garam.
Namun demikian secara keseluruhan golongan tiazid cenderung menimbulkan
gangguan komposisi cairan ekstrasel yang lebih ringan dibandingkan dengan
diuretik kuat, karena intensitas diuresis yang ditimbulkan nya relatif lebih
rendah.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">D.
Farmakokinetik</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Absorpsi tiazid melalui saluran cerna baik sekali.
Umumnya efek obat tampak setelah satu jam. Klorotiazid didistribusikan
krseluruh ruang ekstrasel dan dapat melewati sawar uri, tetapi obat ini hanya
ditimbun dalam jaringan ginjal saja. Dengan suatu proses aktif, tiazid
diekskresi oleh sel tubuli proksimal kedalam cairan tubuli. Jadi bersihan
ginjal obat ini besar sekali, biasanya dalam 3-6 jam sudah diekskresi dari
badan. Bendroflumetiazid, politiazid, dan klortalidon mempunyai masa kerja yang
lebih panjang karena ekskresinya lebih lambat.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Klorotiazid dalam badan tidak mrngalami perubahan
metabolik, sedang politiazid sebagian dimetabolisme dalam badan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">E. Efek
Samping</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intoksikasi dalam klinik jarang terjadi, biasanya
reaksi yang timbul disebabkan oleh reaksi alergi atau karena penyakitnya
sendiri. Telah dibuktikan pada hewan cobra bahwa besarnya dosis toksik beberapa
kali dosis terapi. Reaksi yang telah dilaporkan adalah berupa kelainan kulit,
purpura, dermatitis disertai fotosensitivitas dan kelainan darah.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pada penggunaan lama dapat timbul <b style="mso-bidi-font-weight: normal;">hiperglikemia, </b>terutama pada penderita diabetes yang laten. Tiazid
dapat menyebabkan peningkatan kadar kolesterol dan trigliserid plasma dengan
mekanisme yang tidak diketahui, tetapi tidak jelas apakah ini meninggikan
resiko terjadinya aterosklerosis.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kadar natrium, kalium, klorida dan bikarbonat plasma
sebaiknya diperiksa secara berkala pada penggunaan tiazid jangka lama walaupun
perubahannya tidak menonjol. Kombinasi tetap tiazid dengan Hcl tidak digunakan
lagi karena menimbulkan iritasi lokal di usus halus. Suplemen KCl sebagai
sediaan terpisah atau penberian tiazid bersama diuretik hemat kalium dapat
mencegah hipokalemia.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gejala insufisiensi ginjal dapat diperberat oleh
tiazid, mungkin karena tiazid langsung mengurangi aliran darah ginjal.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">F. Indikasi</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tiazid merupakan diuretik terpilih untuk pengobatan
udem akibat payah jantung ringan sampai sedang. Ada baiknya bila dikombinasikan
dengan diuretik hemat kalium pada penderita yang juga mendapat pengobatan
digitalis untuk mencegah timbulnya hipokalemia yang memudahkan terjadinya
intoksikasi digitalis. Hasil yang baik juga didapat pada pengobatan tiazid
untuk udem akibat penyakit hati dan ginjal kronis.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tiazid merupakan salah satu obat penting pada
pengobatan hipertensi, baik sebagai obat tunggal atau dalam kombinasi dengan
obat hipertensi lain.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemberian tiazid pada <b style="mso-bidi-font-weight: normal;">penderita</b> <b style="mso-bidi-font-weight: normal;">gagal jantung atau
hipertensi yang disertai gangguan fungsi ginjal<span style="mso-spacerun: yes;">
</span></b>harus dilakukan dengan hati-hati sekali, karena obat ini dapat
memperhebat gangguan tersebut akibat penurunan kecepatan filtrasi glomerulus
dan hilangnya natrium, klorida dan kalium yang terlalu banyak. Pengobatan lama
udem kronik dengan obat ini, hendaknya diberikan dalam dosis yang cukup untuk
mempertahankan berat badan tanpa udem. Penderita jangan terlalu dibatasi makan
garam.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penderita yang tidak responsif terhadap suatu jenis
tiazid, kadang-kadang dapat diobati dengan jenis tiazid lain. Hal ini umumnya
disebabkan karena potensi antar jenis tiazid bereda-beda. Ada baiknya sesekali
pengobatan diselingi dengan diutetik lain, misalnya diuretik antagonis
aldosteron.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Golongan tiazid juga digunakan untuk pengobatan
diabetes insipidus terutama yang <b style="mso-bidi-font-weight: normal;">bersifat
nefrogen</b> dan <b style="mso-bidi-font-weight: normal;">hiperkalsiuria </b>pada
penderita dengan batu kalsium pada saluran kemih.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">G. Sediaan dan Dosis Golongan Tiazid </span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; mso-border-alt: solid black .5pt; mso-border-insideh: .5pt solid black; mso-border-insidev: .5pt solid black; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184; width: 603px;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid black 1.0pt; mso-border-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 104.65pt;" valign="top" width="140"><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Obat</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 5.0cm;" valign="top" width="189"><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sediaan</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 106.3pt;" valign="top" width="142"><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dosis (mg/hari)</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 99.25pt;" valign="top" width="132"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Lama kerja
jam</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 104.65pt;" valign="top" width="140"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Klorotiazid</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Hidroklorotiazid</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Hidroflumetiazid</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bendroflumetiazid</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Politiazid</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bendztiazid</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Siklotiazid</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Metiklotiazid</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Klortalidon</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kuinetazon</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Indapamid</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 5.0cm;" valign="top" width="189"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tablet 250 dan 500 mg</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tablet 250 dan 50 mg</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tablet 50 mg</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tablet 2,5; 5 dan 10 mg</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tablet 1,2 dan 4 mg</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tablet 50 mg</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tablet 2 mg</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tablet 2,5 dan 5 mg</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tablet 25, 50 dan 100 mg</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tablet 50 mg</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tablet 2,5 mg</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 106.3pt;" valign="top" width="142"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">500-2000</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">25-100</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">25-200</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">5-20</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1-4</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">50-200</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1-2</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2,5-10</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">25-100</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">50-200</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2,5-5</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 99.25pt;" valign="top" width="132"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">6-12</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">6-12</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">6-12</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">6-12</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">24-48</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">6-12</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">18-24</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">24</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">24-72</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">18-24</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">24-36</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; tab-stops: list 18.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; tab-stops: list 18.0pt; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.2.4</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> <b style="mso-bidi-font-weight: normal;">DIURETIK HEMAT KALIUM</b></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 45.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Yang tergolong dalam kelompok ini adalah <b style="mso-bidi-font-weight: normal;">antagonis aldosteron, triamteren dan
amilorid.</b> Efek diuretiknya tidak sekuat golongan diuretik kuat.</span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">A.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-spacerun: yes;"> </span>ANTAGONIS ALDOSTERON</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 45.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Aldosteron adalah <b style="mso-bidi-font-weight: normal;">mineralokortikoid
endogen</b> yang paling kuat. Peranan utama aldosteron adalah memperbesar
reabsorpsi natrium dan klorida di tubuli serta memperbesar ekskresi kalium.
Jadi pada hiperaldosteronisme, akan terjadi penurunan kadar kalium dan
alkalosis metabolik karena reabsorpsi HCO3- dan sekresi H+ yang bertambah. </span><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kadar kalium dan alkalosis metabolic karena reabsorpsi HCO<sub>3</sub><sup>-
</sup>dansekresi H<sup>+ </sup>yang bertambah.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-tab-count: 1;"> </span>Keadaan dan tindakan yang dapat menyebabkan bertambahnya
sekresi aldosteron oleh korteks adrenal adalah sekresi glukokortikoid yang
meninggi misalnya membedakan, rasa takut, trauma fisik dan peredaran, asupan
kalim yang tinggi, asupan natrium yang rendah, bendungan pada vena kava
inferior, sirosis hepatis, nefrosis dan payah jantung akan meningkatkan sekresi
aldosteron tanpa peningkatan sekresi glukokortikoid. Keadaan tersebut diatas
sering disertai adanya udem, sehingga pemberian antagonis aldosteron yaitu
spironolakton sebagai deuretik sangat bermanfaat.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-tab-count: 1;"> </span>Mekanisme kerja antagonis aldosteron adalah penghambatan
kompetitif terhadap aldosteron. Ini terbukti dari kenyataan bahwa obat ini
hanya efektif bila terdapat aldosteron baik endogen ataupun eksogen dalam tubuh
dan efeknya dapat dihilangkan dengan meniggikan kadar adosteron. Jadi dengan
pemberian antagonis aldosteron, reabsorpsi Na<sup>+ </sup>di hilir tubuli
distal dan duktus koligentes dikurangi, dengan demikian ekskresi K<sup>+ </sup>juga
berkurang.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1. </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Farmakokinetik</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tujuh puluh
persen spironolakton oral diserap di saluran cerna, mengalami sirkulasi
enterohepatik dan metabolisme lintas pertama. Ikatan dengan protein cukup
tinggi. Metabolit utamanya,kanrenon, memperlihatkan aktivitas antagonis
aldosteron dan turut berperan dalam aktivitas biologi spironolakton. Kanrenon
mengalami interkonfersi menjadi kanrenoat yang tidak aktif.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2. </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Efek Samping</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Efek toksik
yang utama dari spironolakton adalah hiperkalemia yang sering terjadi bila obat
ini diberikan bersama-sama dengan asupan kalium yang berlebihan. Tetapi efek
toksik ini dapat pula terjadi bila dosis yang biasa diberikan bersama dengan
tiazid pada penderita dengan gangguan fungsi ginjal yang berat.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-tab-count: 1;"> </span>Efek samping lain yang ringan dan reversible diantaranya
ginekomastia, efek samping mirip androgen dan gejala salura cerna.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3. </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Indikasi</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Antagonis
aldosteron digunakan secara luas untuk pengobatan hipertensi dan udem yang
refraktor. Biasanya obat ini dipakai bersama diuretic lain dengan maksud
mengurangi efek kalium, disamping memperbesar diuresis.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-tab-count: 1;"> </span>Hasilnya pada pengobatan payah jantung, sirosis hepatis
dan sindrom nefrotik sukar diperkirakan karena interaksi yang terlalu kompleks
dari penyakit primernya, hiperaldosteronisme sekunder dan efek deuretik lain
yang diberikan bersamaan.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">4. </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sediaan </span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">d</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">an Dosis</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Spironolakton
terdapat dlam bentuk tablet 25,50 dan 100 mg. dosis dewasa<span style="mso-spacerun: yes;"> </span>berkisar antara 25-200 mg, tetapi dosis
efektif sehari-hari rata-rata 100 mg dalam dosis tunggal atau terbagi.terdapat
pula sediaan kombinasi tetap antara sprironolakton 25 mg dan hidroklorotiazid
25 mg dan, serta antara spironolakton 25 mg dan tiabutazid 2,5 mg.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">B.<span style="mso-spacerun: yes;"> </span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">TRIAMETEREN DAN AMILORID</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kedua obat
ini terutama memperbesar ekskresi natrium dan klorida, sedangkan ekskresi
kalium berkurang dan ekskresi bikarbonat tidak mengalami perubahan. Efek
penghambatan reabsorpsi natrium dan klorida oleh triameteren agaknya suatu efek
langsung, tidak melalui penghambatan aldosteron, karena obat ini memperlihatkan
efek yang sama baik pada keadaan normal, maupun setelah adrenalektomi.
Triameren menurunkan ekskresi K<sup>+ </sup><span style="mso-spacerun: yes;"> </span>dengan menghambat sekresi kalium di sel tubuli
distal. Berkurangnya reaabsorpsi<span style="mso-spacerun: yes;"> </span>natrium
di tempat tersebut mengakibatkan turunnya perbedaan potensial listrik
transtubular, sedangkan<span style="mso-spacerun: yes;"> </span>adanya perbedaan
potensial listrik transtubular<span style="mso-spacerun: yes;"> </span>ini
diperlukan untuk berlangsungnya proses sekresi K<sup>+ </sup>oleh sel tubuli
distat. Secara eksperimental, obat ini efektif dalam keadaan asidosis maupun
alkalosis.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Beberapa
pengalaman klinik menunjukkan bhwa kedua obat ini terutama bermanfaat bila
diberikan bersama diuretic lain, misalnya hidroklorotiazid. Dengan kombinasi
ini efek natriuresisnya lebih besar dan ekskresi kalium oleh tiazid dikurangi.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dibandingkan
oleh trimteren, amilorid jauh lebih mudah larut dalam air sehingga lebih banyak
diteliti. Pengalaman klinik dengan triamteren pun masih sangat kurang sehingga
msih banyak hal-hal yang belum diketahui mengenai obat ini.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Absorpsi
triameteren melalui saluran cerna baik sekali, obat ini hanya diberikan oral.
Efek diuresisnya biasanya mulai tampak setelah 1 jam. Amilorid dan triametern
per oral diserap kira-kira 50% dan efek diuresisnya terlihat dalam 6 jam dan
berakhir sesudah 24 jam.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1. </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Efek Samping</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Efek toksik
yang paling berbahaya dari kedua obat ini yaitu hiperkalemia. Triameteren juga dapat
menimbulkan efek samping yang berupa mual, muntah, kejang kaki dan
pusing.azotemia yang ringan sampai xedang sering terjadi dan bersifat
reversible. Pada penderita dengan sirosis hati akibat alcohol yang mendapat
triameteren pernah dilaporkan terjadi nemia meloblastik, tetapi hubungan
sebab-akibat belum pasti. Hal ini mungkin akibat terjadinya penghambatan
terhadap enzim hidrofolat reduktase, terutama pada penderita dengan penurunan
cadangan dan masukan asam folat.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Efek samping
amilorid yang paling sering selain hiperkalemia yaitu mual, muntah, diare dan
sakit kepala.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2. </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Indikasi</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-tab-count: 1;"> </span>Diuretic hemat kalium ternyata bermanfaat untuk
pengobatan beberapa pasien dengan udem. Tetapi obat golongan ini akan lebih
bermanfaat bila diberikan bersama dengan diuretic golongan lain. Misalnya dari
golongan tiazid. Mengingat kemungkinan dapat terjadi efek samping hiperkalemia
yang membahayakan,, maka pasien-pasien yang sedang mendpatkan pengobatan dengan
diuretic hemat K<sup>+ </sup>sekali-kali jangan diberikan suplemen K<sup>+</sup>.
juga harus waspada bila memberikan diretik ini bersama dengan obat penghambat
ACE, karena obat ini mengurangi sekresi aldosteron, sehingga bahaya terjadinya
hipovolemi dan hiperkalemiamenjadi besar. Selain itu perlu diingat pula
bahwatriameteren atau amilorid sekali-kali jangan diberikan bersama
spironolaktn mengingat bahaya terjadinya hiperkalemia.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3. </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sediaan </span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Triameteren
tersedia sebagai kapsul dari 100 mg. dosisnya 100-300 mg sehari. Untuk tiap
penderita harus ditetapkan dosis penunjang tersendiri.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-tab-count: 1;"> </span>Amilorid dalam bentuk tablet 5 mg. dosis sehari sebesar
5-10 mg.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-tab-count: 1;"> </span>Sediaan kombinasi tetap antara amilorid 5 mg dan
hidroklorotiazid 50 mg dan hidroklorotiazid 50 mg terdapat dalam bentuk tablet
dengan dosis sehari antara 1-2 tablet.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
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<br /></div>
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<br /></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.2</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">.5. DIURETIK
KUAT</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-tab-count: 1;"> </span>Diuretik kuatv(high-ceiling diuretics) mencakup
sekelompok diuretic yang efeknya sangat kuat dibandingkan dengan diuretic lain.
Tempat kerja utamanya dibagi epitel tebal ansa henle bagian asenden, karena itu
kelompok ini disebut juga sebagai loop diuretics. Termasuk dalam kelompok ini
adalah <b style="mso-bidi-font-weight: normal;">asam etakrinat, furosemid dan
bumetanid.</b></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
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<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-tab-count: 1;"> </span>Asam etakrinat termasuk deuretik yang dapat diberikan
secara oral maupun parenteral dengan hasil yang memuaskan. Furosemid atau asam
4-kloro-N-furfuril-5-sulfamoil antranilat masih tergolong derivate asam
bumetamid merupakan derivate asam 3-aminobenzoat yang lebih poten daripada
furosemid, tetapi dalam hal lain kedua senyawa ini mirip satu dengan yang lain.
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">A. </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Cara Kerja</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-tab-count: 1;"> </span>Secara umu dapat dikatakan bahwa diuretic kuat mempunyai
mula kerja dan lama kerja yang lebih pendek dari tiazid. Hal ini sebagian besar
ditentukan oleh faktor farmokokinetik dan adanya mekanisme kompensasi.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-tab-count: 1;"> </span>Diuretic kuat terutama bekerja dengan cara menghambat
reabsorpsi elektrolit di ansa henle asenden bagian epitel tebal: tempat kerjnya
dipermukaan sel epitel bagian luminal (yang menghadap ke lumel tubuli). Pada
pemberian secara IV obat ini cederung meningkatkan aliran darah ginjal tanpa
disertai peningkatan filtrasi glomerulus. Perubahan hemodiamik ginjal ini
mengakibatkan menurunya reabsorpsi cairan dan elektrolit di tubuli proksimal
serta meningkatnya efek awal dieresis. Peningkatan aliran darah ginjal ini
relative hanya berlangsung sebentar. Dengan berkurangnya cairan ekstrases
akibat dieresis, maka aliran darah ginjal menurun dan hal ini akan
mengakibatkan peningkatan reabsorpsi cairan dan elektrolit di tubuli poksimal.
Hal yang terakhir ini agaknya merupakan suatu mekanisme konpensasi yang
membatasi jumlah zat terlarut yang mencapai bagian epitel tebal henle asenden,
dengan demikian akan mengurangi dieresis.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-tab-count: 1;"> </span>Masih ipertentangkan apakah diuretic kuat juga bekerja di
tubuli proksimal. Furosemid dan bumetamid mempunyai <b style="mso-bidi-font-weight: normal;">daya hambat enzim karbonik anhidrase</b><span style="mso-spacerun: yes;"> </span>karena keduanya merupakan derivate
sulfonamide, seperti juga tiazid dan asetazolamid, tetapi aktivitasnya terlalu
lemah untuk menebabkan diuresis di tubuli proksimal. Asam etakrinat tidak
menghambat enzim karbonik anhidrase. Efek deuetik kuat terdapak segmen yang
lebih distal dari ansa henle asendens epitel tebal , belum dapat dipastikan,
tetapi dari besarnya dieresis yang terjadii, diduga obat ini bekerja juga di
segmen tubui lain. </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-tab-count: 1;"> </span>Ketiga obat ini juga menyebabkan meningkatnya ekskresi K<sup>+</sup>
dan kadar asam urat plasma, mekanismenya kemungkinan besar sama dengan tiazid.
Ekskresi Ca<sup>++ </sup>dan Mg<sup>++ </sup>juga ditingkatkan sebanding dengan
peninggian ekskresi Na<sup>+. </sup>berbed dengan tiazid, golongan ini tidak
meningkatkan re-absorpsi Ca<sup>++ </sup>di tubuli distal. Berdasarkan atas
efek kalsinuria ini, golongan deuretik kuat digunakan untuk pengobatan
simptomatik hiperkalsemi.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-tab-count: 1;"> </span>Deuretik kuat meningkatkan ekskresi asam yang dapat
dititrasi (<i style="mso-bidi-font-style: normal;">titratable acid</i>) dan
ammonia. Fenomena yang diduga terjadi karna eeknya di nefron distal ini
merupakan saah satu faktor penyebab terjadinya alkalosis metabolic.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-tab-count: 1;"> </span>Bila mobilisasi cairan udem terlalu cepat, alkalosis
metabolic oleh deuretik kuat ini terutama terjadi aakibat penyusutan volume
cairan ekstrasel.sebaliknya pad penggunaan yang kronik , faktor utama penyebab
alkalosis ialah besarnya asupan garam dan ekskresi H<sup>+ </sup>dan K<sup>+. </sup>alkalosis
ini sering sekali disertai dengan hiponatremia, tetapi masing-masing disebabkan
oleh mekanisme yang berbeda.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
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<br /></div>
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<br /></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">B. </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Farmakokinetik</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-tab-count: 1;"> </span>Ketika obat mudah diserap melalui saluran cerna dengan
derajat yang agak berbeda-beda. Bioavailabilitas fursemid 65% sedangkan
bumetanid hamper 100%. Deuretik<span style="mso-spacerun: yes;"> </span>kuat
terikat pada protein plasma secara ekstensif, sehingga tidak difiltrasi di
glomerulus tetapi cepat sekali disekresi melalui system transport asam organic
di tubuli proksimal. Dengan cara ini obat terakumulasi di cairan tubuli dan
mungkin sekali di tempat kerja di daerah yang lebih distal lagi. Probenesid
dapat menghambat sekresi furosemid dan interaksi antara keduanya ini hanya
terbatas pada tingkat sekresi tubuli dan tidak pada tempat kerja deuretik.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-tab-count: 1;"> </span>Kira-kira 2/3 dari asam etrakinat yang diberika secara IV
diekskresi melalui ginja dalam bntuk utuh dan dalam konjugasi dengan senyawa
sulfhidril terutama sistein dan N-asetil sistein. Sebagian lagi diekskresi
melalui hati. Sebagian besar furosemid diekskresi dengan cara yang sama, hanya
sebagian kecil dalam bentuk glukuronid. Kira-kira 50% bumetanid diekskresi
dalam bentuk asal, selebihnya sebagai metabolit.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">C. </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Efek Samping</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-tab-count: 1;"> </span>Efek samping asam atakrinat dan furosemid dapat dibedakan
atas: (1) reaksi toksik berupa gangguan keseimbangan cairan dan elektrolit yang
sering terjadi dan (2) efek samping yang tidak berhubungan dengan kerja
utamanya jarang terjadi. Hiperuresemia relative sering terjadi, namun pada
kebanyakan penderita hal ini hanya merupakan kelainan biokimia. Dapat pula
terjadi reajksi berupa gangguan saluran cerna, depresi elemen darah, <i style="mso-bidi-font-style: normal;">rash</i> kulit, parestesia dan difungsi
hati. Gangguan saluran cerna lebih sering terjadi dengan asam etakrinat
daripada furosemid. Sensivitas mungkin terjadi antara furosemid dan sulfnamid
yang lain. Furosemid dan tiazid diduga dapat menyebabkan <b style="mso-bidi-font-weight: normal;">nefritis interstisialis alergik </b>yang menyebabkan gagal ginjal
reversibel juga terjadi penurunan konsentrasi karbohidrat, tetapi lebih ringan
daripada tiazid. Pada dosis yang berlebihan pernah dilaporkan terjadinya
hipoglikemia akut dengan mekanisme yang tidak dikeahui. Berdasarkan efeknya
pada janin hewan coba, maka diuretic kuat ini tiidak dianjurka pada wanita
hamil, kecuali bila mutlak diperlukan.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-tab-count: 1;"> </span>Asam etakrinat dapat menyebabkan ketulian sementara
maupun menetap, dan hal ini merupakan efek samping yang serius.<b style="mso-bidi-font-weight: normal;"> Ketulian</b> sementara juga dapat terjadi
pada furosemid dan lebih jarang pada bumetanid. Ketulian mungkin sekali
disebabkan oleh perubahan komposisi elektrolit cairan endolimfe. Ototoksisitas
merupakan suatu efek samping unik kelompok obat ini. Bila karena suatu hal
diperlukan pemberian obat yang juga bersifat ototoksik misalnya aminoglikosid,
maka sebaliknya dipilih diuretic yang lain, misalnya tiazid.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-tab-count: 1;"> </span>Deuretik kuat dapat berinteraksi dengan warfarin
klofibrat melalui penggeseran ikatannya dengan protein. Pada penggunaan kronis
diuretic kuat ini dapat menurunkan bersihan litium. Penggunaan bersama dengan
sefalosporin dapat meningkatkan nefrotoksisitas sefalosporin. Antiinflamasi
nonsteroid terutama indometasin dan kortikosteroid melawan kerja furosemid.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">D. </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penggunaan
Klinik</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-tab-count: 1;"> </span>Furosemid lebih banyak digunakan daripada asam etakrinat,
karena gangguan saluran cerna yang lebih ringan dan kurva dosis responsnya
kurang curam deuretik kuat merupakan obat efektif untuk pengobatan udem akibat
gangguan jantung, hati atau ginjl. Sebaiknya diberikan secara oral, kecuali
bila diperlikan dieresis yang segera, maka dapat diberikan secara IV atau IM.
Pemberian parenteral ini diperlukan untuk mengatasi udem paru akut. Pada
keadaan ini perbaikan klinik dicapai karena terjadi perubahan hemodenamik dan
penurunan volume cairan ekstrasel dengan cepat, sehingga alir balik vena dan
curah ventrikel kanan berkurang. Untuk mengatasi udem refrakter, diuretic kuat
biasanya diberiikan bersama deuretik lain, misalnya tiazid atau diuretic hemat
K<sup>+ </sup>. Pemakaian dua macam obat deuretik kuat secara bersama merupakan
tindakan yang tidak rasional.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-tab-count: 1;"> </span>Bila ada nefrosis atau gagal ginjal kronik, maka
diperlukan dosis furosemid jauh lebih besar daripada dosis biasa. Diduga hal
ini disebabkan oleh banyakya protein dalam caira tubuli yang akan mengikat
furosemid sehingga menghamba diuresis.<span style="mso-spacerun: yes;">
</span>Pada penderita dengan uremia, sekresi furosemid melalui tbuli meurun.
Diuretic juga digunakan pada penderita gagal ginjal akut yang masih awal (baru
terjadi), namun hasilnya tidak konsisten. Deuretik kuat dikontraindikasikan
pada keadaan gagal ginjal yang disertai anuria. Deuretik kuat dapat menurunkan
kadar kalsium plasma pada penderita hiperkalsemia simtomatik dengan cara
meningatkan ekskresi kalsium melalui urin. Bila digunakan untuk tujuan ini,
maka perlu pula diberian suplemen Na<sup>+ </sup>dan Cl<sup>- </sup>untuk
menggatikan kehilangan<span style="mso-spacerun: yes;"> </span>Na<sup>+ </sup>dan
Cl<sup>- </sup>melalui urin.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">E. </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sediaan </span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;">Ø</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"> </span><b style="mso-bidi-font-weight: normal;"><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Asam
etakrinat. </span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tablet 25 dan 50 mg digunakan dengan dosis 50-200 mg per hari. Sediaan IV
berupa Na-etakrinal, dolsisnya 50mg atau 0,5-1 mg/kgBB</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;">Ø</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"> </span><b style="mso-bidi-font-weight: normal;"><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Furosemid. </span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Obat ini tersedia dalam bentuk tabletb20, 40, 80 mg dan preparat suntikan.
Umumnya pasien membutuhkan kurang dari 600 mgg/hari.<span style="mso-spacerun: yes;"> </span>Dosis anak 2 mg/kgBB, bila perlu dapat
ditingkatkan menjadi 6 mg/kgBB.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;">Ø</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"> </span><b style="mso-bidi-font-weight: normal;"><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bumetanid. </span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tablet 0,5 dan 1 mg digunakan dengan dosis dewasa 0,5-2 mg sehari. Dosis
maksimal perhari 10mg. obat ini tersedia juga dalam bentuk bubuk injeksi dengan
dosis IV atau IM dosis awal atara 0,5-1 mg: dosis diulang 2-3 jam maksimum 10
mg/hari</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.2</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">.6. XANTIN</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; tab-stops: 35.45pt; text-align: justify;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-tab-count: 1;"> </span>Xantin ternyata juga mempunyai efek
dieresis. Efek stimulasinya pada funsi jantung, menimbulkan dugaan bahwa
deuresis sebagai disebabkan oleh meningkatnya aliran darah ginjal dan laju
filtrasi glomerulus. Namun semua derivate xantin ini rupanya juga berefek langsung
pada tubuli ginjal, yaitu menyebabkan peningkatan ekskresi Na<sup>+ </sup>dan
Cl<sup>- </sup>tanpa disertai perubahan yang nyata pada pengasaman urin. Efe
deuresis ini hanya sedikit dipengaruhi oleh keseimbangan asam basa, tetapi
mengalami potensiasi bila diberikan bersama penghambat karbonik anhidrase.
Diantara kelompok xantin <b style="mso-bidi-font-weight: normal;">teofilin</b>
memperlihatkan <b style="mso-bidi-font-weight: normal;">efek deuresis yang paling
kuat. </b>Xanting sangat jarang digunakan sebagai diuretic utama, namun bila
digunakan untuk tujuan lain terutama sebagai nbronkokodilator, adanya efek deuresis
harus tetap diingat.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
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<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">DAFTAR PUSTAKA</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; text-align: center;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Aslam Mohamed, cik kaw tan, adji prayitno.Farmasi klinis.(2003).Jakarta :
PT Elex Media Komputindo</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
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<div class="MsoNormal" style="margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Drs. Tjah tan hoan & Drs Rahardja kirana. (2008). Obat-obat penting.
Jakarta : PT Gramedia</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">.</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
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<div class="MsoNormal" style="margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Deglin judithhopfer & Vallerant april hazard. (2005). Pedoman obat
untuk perawat. Jakarta : EGC. </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
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<div class="MsoNormal" style="margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dr Jan Tambayong. (2002). Farmakologi untuk keperawatan. Jakarta : widya
medika</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin: 0cm; text-align: justify;">
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<span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Katzung Bertram g. (1997). Farmakologi dasar dan klinik. Jakarta : EGC</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
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Anonymoushttp://www.blogger.com/profile/09428371857956484973noreply@blogger.com0tag:blogger.com,1999:blog-1493722132486835108.post-77774861675958479002014-02-07T15:09:00.000-08:002014-02-07T15:09:53.918-08:00Derajat Luka Bakar<!--[if gte mso 9]><xml>
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<b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Derajat Luka
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bersifat membakar.</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Derajat Luka Bakar</span></b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Derajat 1</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Derajat 2</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Terkena pada lapisan epidermis dan sebagian dermis,
terbentuk bulla (apabila pecah tampak kemerahan) , sedikit udem, dan terasa
sangat nyeri.</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Derajat 3</span></div>
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<b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Perhitungan Luas Luka Bakar</span></b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Perhitungan pada anak dan orang dewasa berbeda. Pada
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sedangkan dewasa dihitung menurut rumus Rule of Nine</span></div>
<div style="line-height: 150%; text-align: justify;">
<span style="color: black; font-family: "Arial","sans-serif";">Luka Bakar merupakan luka yang terjadi akibat sentuhan permukaan
tubuh dengan benda-benda yang menghasilkan kalor atau zat-zat yang bersifat
membakar.</span><span style="font-family: "Arial","sans-serif";"></span></div>
<div style="line-height: 150%; text-align: justify;">
<strong><span style="color: black; font-family: "Arial","sans-serif";">Berat Luka Bakar </span></strong><span style="font-family: "Arial","sans-serif";"></span></div>
<div style="line-height: 150%;">
<span style="color: black; font-family: "Arial","sans-serif";">Derajat dan Luas Kulit yang Terkena</span><span style="font-family: "Arial","sans-serif";"></span></div>
<div style="line-height: 150%;">
<span style="color: black; font-family: "Arial","sans-serif";">Ringan :</span><span style="font-family: "Arial","sans-serif";"></span></div>
<div style="line-height: 150%;">
<span style="color: black; font-family: "Arial","sans-serif";">luka bakar derajat I atau II seluas <> 20% atau
derajat III seluas > 10% mengenai wajah, tangan-kaki, alat
kelamin/persendian sekitar ketiak. Akibat listrik tegangan tinggi > 1000 V
atau dengan komplikasi patah tulang/kerusakan jaringan lunak/gangguan jalan
nafas.</span></div>
Anonymoushttp://www.blogger.com/profile/09428371857956484973noreply@blogger.com0tag:blogger.com,1999:blog-1493722132486835108.post-91708110487142786002014-02-06T20:01:00.000-08:002014-02-06T20:01:30.252-08:00Kebutuhan Dasar Istirahat Ibu Masa Nifas<!--[if !mso]>
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<br />
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span style="font-family: Algerian; font-size: 20.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman";">MAKALAH ASKEB NIFAS<br />
KEBUTUHAN DASAR istirahat IBU MASA NIFAS</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<img align="left" alt="logo dian husada.gif" height="386" hspace="12" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image003.gif" width="393" /><span style="font-family: Algerian; font-size: 24.0pt;"></span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: "Monotype Corsiva"; font-size: 18.0pt; mso-bidi-font-family: Arial;">Disusun oleh :</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 78.0pt; mso-add-space: auto; mso-list: l0 level1 lfo2; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 14.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="16" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="16" /><span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Monotype Corsiva"; font-size: 14.0pt; line-height: 150%; mso-bidi-font-family: Arial;">Anita Della A.P<span style="mso-tab-count: 4;"> </span>Elysabeth
Prasetya</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78.0pt; mso-add-space: auto; mso-list: l0 level1 lfo2; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 14.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="16" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="16" /><span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Monotype Corsiva"; font-size: 14.0pt; line-height: 150%; mso-bidi-font-family: Arial;">Naimatul Husniah<span style="mso-tab-count: 4;"> </span>Ina Dwita</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78.0pt; mso-add-space: auto; mso-list: l0 level1 lfo2; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 14.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="16" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="16" /><span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Monotype Corsiva"; font-size: 14.0pt; line-height: 150%; mso-bidi-font-family: Arial;">Eka Herin Priyanti<span style="mso-tab-count: 4;"> </span>Irmatus
Sa’diyah</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78.0pt; mso-add-space: auto; mso-list: l0 level1 lfo2; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 14.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="16" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="16" /><span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Monotype Corsiva"; font-size: 14.0pt; line-height: 150%; mso-bidi-font-family: Arial;">Dita Saraswati</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 78.0pt; mso-add-space: auto; mso-list: l0 level1 lfo2; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 14.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="16" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="16" /><span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Monotype Corsiva"; font-size: 14.0pt; line-height: 150%; mso-bidi-font-family: Arial;">Choiro Nur’Aini</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: "Monotype Corsiva"; font-size: 16.0pt; mso-bidi-font-family: Arial;">D3 Kebidanan</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Algerian; font-size: 20.0pt; mso-bidi-font-family: Arial;">SEKOLAT
TINGGI ILMU KESEHATAN DIAN HUSADA</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Algerian; font-size: 20.0pt; mso-bidi-font-family: Arial;">JL.
RAYA TERAS 04 TAMBAK AGUNG PURI</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Algerian; font-size: 20.0pt; mso-bidi-font-family: Arial;">MOJOKERTO</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Algerian; font-size: 14.0pt; mso-bidi-font-family: "Times New Roman";">KATA
PENGANTAR</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span>Puji syukur kami ucapkan kepada
Tuhan Yang Maha Esa. Berkat rahmat, taufiq, dan hidayah-Nya kami dapat
menyelesaikan tugas makalah yang berjudul “ Kebutuhan Dasar Istirahat Ibu Masa
Nifas ”. </span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span>Kami mengucapkan banyak terima kasih
kepada seluruh pihak yang telah membantu dalam penyelesaian makalah ini, dan
juga kepada sumber-sumber yang digunakan untuk menunjang penyelesaian makalah ini.
Tidak lupa juga ucapan terima kasih kepada seluruh anggota kelompok yang telah
bekerja sama dalam penyelesaian makalah ini. </span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span>Demikianlah makalah yang telah kami
selesaikan. Tiada gading yang tak retak, begitu pula makalah ini yang tak luput
dari kekurangan. Kritik dan saran sangat kami harapkan untuk menunjang
keberhasilan dari makalah ini. Semoga makalah ini bermanfaat bagi kita semua.
Amin.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 115%;">
<br /></div>
<div class="MsoNormal" style="line-height: 115%;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"><span style="mso-tab-count: 8;"> </span>Mojokerto,
2 September 2013 </span></div>
<div class="MsoNormal" style="line-height: 115%;">
<br /></div>
<div class="MsoNormal" style="line-height: 115%;">
<br /></div>
<div class="MsoNormal" style="line-height: 115%;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"><span style="mso-tab-count: 7;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-tab-count: 2;"> </span><span style="mso-spacerun: yes;"> </span>Penyusun</span></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 115%;">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Algerian; font-size: 14.0pt; mso-bidi-font-family: Arial;">Daftar
isi </span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: dotted 15.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kata
Pengantar <span style="mso-tab-count: 1 dotted;">................................................................................................................... </span><span style="mso-spacerun: yes;"> </span>i</span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: dotted 15.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Daftar
Isi <span style="mso-tab-count: 1 dotted;">............................................................................................................................ </span><span style="mso-spacerun: yes;"> </span>ii</span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: dotted 15.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bab
I Pendahuluan</span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: dotted 15.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Latar
Belakang Masalah<span style="mso-tab-count: 1 dotted;">...................................................................................................... </span>
1</span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: dotted 15.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Rumusan
Masalah<span style="mso-tab-count: 1 dotted;">................................................................................................................ </span>
1</span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: dotted 15.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tujuan
Penulisan<span style="mso-tab-count: 1 dotted;">.................................................................................................................. </span>
1</span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: dotted 15.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Manfaat
Penulisan<span style="mso-tab-count: 1 dotted;">............................................................................................................... </span>
1</span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: dotted 15.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bab
II Isi</span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: dotted 15.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Istirahat<span style="mso-tab-count: 1 dotted;">................................................................................................................................ </span>
2</span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: dotted 15.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Istirahat
Malam<span style="mso-tab-count: 1 dotted;">.................................................................................................................... </span>
2</span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: dotted 15.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Istirahat
Siang<span style="mso-tab-count: 1 dotted;">...................................................................................................................... </span>
3</span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: dotted 15.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tidur<span style="mso-tab-count: 1 dotted;">.................................................................................................................................... </span>
3</span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: dotted 15.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bab
III Penutup</span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: dotted 15.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kesimpulan<span style="mso-tab-count: 1 dotted;">.......................................................................................................................... </span>
6</span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: dotted 15.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Daftar
Pustaka <span style="mso-tab-count: 1 dotted;">.................................................................................................................... </span><span style="mso-spacerun: yes;"> </span>7</span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: dotted 15.0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 115%;">
<br /></div>
<div class="MsoNormal" style="line-height: 115%;">
<br /></div>
<div class="MsoNormal" style="line-height: 115%;">
<br /></div>
<div class="MsoNormal" style="line-height: 115%;">
<br /></div>
<div class="MsoNormal" style="line-height: 115%;">
<br /></div>
<div class="MsoNormal" style="line-height: 115%;">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span style="font-family: Algerian; font-size: 14.0pt; line-height: 150%; mso-bidi-font-family: Arial;">BAB i<br />
PENDAHULUAN</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 20.25pt; mso-add-space: auto; mso-list: l9 level2 lfo1; text-indent: -20.25pt;">
<span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Algerian; mso-fareast-font-family: Algerian;"><span style="mso-list: Ignore;">1.1<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Arial;">LATAR BELAKANG MASALAH</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Setiap
orang pada dasarnya memiliki kebutuhan dasar yang sama, akan tetapi karena
terdapat perbedaan budaya, maka kebutuhan pun ikut berbeda.<span style="mso-spacerun: yes;"> </span>Dalam memenuhi kebutuhannya manusia
menyesuaikan diri dengan prioritas yang ada.<span style="mso-spacerun: yes;">
</span>Lalu jika gagal dalam memenuhi kebutuhannya, manusia akan berpikir lebih
keras dan bergerak untuk berusaha mendapatkannya. Kebutuhan dasar manusia yang
paling mendasar adalah kebutuhan fisiologis. Kebutuhan fisiologis merupakan
kebutuhan yang paling dasar. Salah satu kebutuhan dasar fisik pada manusia
adalah istirahat dan tidur. Pada ibu masa nifas juga memiliki kebutuhan
istirahat dan tidur. Namun berbeda dengan wanita pada umumnya. </span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Istirahat
dan tidur merupakan kebutuhan dasar yang mutlak harus dipenuhi oleh ibu masa
nifas. Dengan istirahat dan tidur yang cukup, proses penyembuhan akan lebih
cepat. Maka dari itu ibu masa nifas dianjurkan menambah waktu istirahat karena
ibu masa nifas lebih cepat lelah daripada wanita pada umumnya.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 1.0cm;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 20.25pt; mso-add-space: auto; mso-list: l9 level2 lfo1; text-indent: -20.25pt;">
<span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Algerian; mso-fareast-font-family: Algerian;"><span style="mso-list: Ignore;">1.2<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Arial;">RUMUSAN MASALAH</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l4 level1 lfo3; text-indent: -14.15pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="13" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="13" /><span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Apakah
pengertian istirahat dan tidur?</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l4 level1 lfo3; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="13" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="13" /><span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Apa
saja macam istirahat dan tidur pada ibu masa nifas?</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 20.25pt; mso-add-space: auto; mso-list: l9 level2 lfo1; text-indent: -20.25pt;">
<span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Algerian; mso-fareast-font-family: Algerian;"><span style="mso-list: Ignore;">1.3<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Arial;">Tujuan penulisan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l8 level1 lfo4; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="13" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="13" /><span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk
mengetahui pengertian istirahat dan tidur</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l8 level1 lfo4; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="13" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="13" /><span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk
mengetahui macam istirahat dan tidur pada ibu masa nifas</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 20.25pt; mso-add-space: auto; mso-list: l9 level2 lfo1; text-indent: -20.25pt;">
<span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Algerian; mso-fareast-font-family: Algerian;"><span style="mso-list: Ignore;">1.4<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Arial;">Manfaat penulisan</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dengan
adanya makalah ini diharapkan mahasiswa dapat menambah pengetahuan dan wawasan
mengenai kebutuhan dasar istirahat pada ibu masa nifas. </span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Algerian; font-size: 14.0pt; mso-bidi-font-family: Arial;">BAB ii<br />
isi</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: Algerian; font-size: 14.0pt; line-height: 150%; mso-bidi-font-family: Arial;">ISTIRAHAT</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Istirahat yang memuaskan bagi ibu yang baru
melahirkan merupakan masalah yang sangat penting sekalipun kadang-kadang tidak
mudah dicapai. Keharusan ibu untuk beristirahat sesudah melahirkan memang tidak
diragukan lagi, kehamilan dengan beban kandungan yang berat dan banyak keadaan
yang mengganggu lainnya, plus pekerjaan bersalin, bukan persiapan yang baik dalam
menghadapi kesibukan yang akan terjadi padahal hari-hari postnatal akan
dipengaruhi oleh banyak hal : begitu banyak yang harus dipelajari ASI yang
diproduksi dalam payudara, kegembiraan menerima kartu ucapan selamat, karangan
bunga, hadiah-hadiah serta menyambut tamu, dan juga kekhawatiran serta
keprihatian yang tidak ada kaitannya dengan situasi ini. Dengan tubuh yang
letih dan mungkin pula pikiran yang sangat aktif, ibu sering perlu diingatkan
dan dibantu agar mendapatkan istirahat yang cukup.</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo5; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Algerian; mso-fareast-font-family: Algerian; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: Algerian; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-spacerun: yes;"> </span></span><span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Istirahat Malam</span><span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Selama satu atau dua malam yang pertama,
ibu yang baru melahirkan mungkin memerlukan obat tidur yang ringan.
Biasanya dokter akan memberikannya jika benar-benar diperlukan. Kerapkali
tubuhnya sendiri yang mengambil alih fungsi obat tidur ini dan ia benar-banar
tidur lelap sehingga pemeriksaan tanda-tanda vital serta fundus uteri hanya
sedikit mengganggunya. Sebagian ibu menemukan bahwa lingkungan yang asing
baginya telah mengalihkan perhatiannya dan sebagian lainnya merasa terganggu
oleh luka bekas episiotomi sehingga semua ini akan menghalangi tidurnya ketika
pengaruh pembiusan sudah hilang. Rasa nyeri atau terganggu selalu memerlukan
pemeriksaan dan analgesik dapat diberikan sebelum pasien menggunakan obat
tidur.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Setelah hari kedua postnatal, pemberian
obat tidur pada malam hari biasanya sudah tidak dibutuhkan lagi dan tidak
dianjurkan jika ibu ingin menyusui bayinya pada malam hari.Ibu harus dibantu
agar dapat beristirahat lebih dingin dan tidak diganggu tanpa alasan. Hal-hal
kecil yang menarik perhatiannya seperti suara pintu yang berderik atau bunyi
tetesan air dari keran harus dilaporkan pada siang harinya sehingga dapat di
atasi sebelum suara-suara tersebut mengganggu tidur ibu.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ibu yang baru melahiran yang
tidak dapat tidur harus diobservasi dengan ketat dan semua keadaan yang di
temukan harus dilaporkan pada dokter. Insommia merupakan salah satu tanda
peringatan untuk psikosis nifas.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo5; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Algerian; mso-fareast-font-family: Algerian; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Istirahat Siang</span><span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Waktu siang hari di rumah sakit tidak perlu
terlalu diprihatinkan, namun banyak orang mengatakan hal tersebut harus pulang
ke rumah untuk bisa beristirahat merupakan pernyataan yang sering terdengar dan
petugas yang terlibat dalam unit asuhan maternitas harus mendengarkan serta
mencari mengapa keluhan tersebut bisa terjadi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pada hampir setiap rumah sakit bersalin,
periode istirahat yang jelas perlu disediakan secara teratur dan kerapkali di
perlukan selama satu jam sebelum makan siang tirai ditarik, radio dimatikan,
staf keperawatan harus bekerja tanpa suara, tamu yang ingin berkunjung dilarang
dan panggilan telpon tidak diteruskan kepada pasien kecuali benar-benar
mendesak. Ibu harus dibantu untuk mengatur sendiri bagaimana memanfaatkan waktu
istirahat ini: berbaring telungkup (mungkin dengan bantal di bawah panggulnya )
untuk membantu drainase uterus jika posisi nyaman baginya. Periode
istirahat ini umumnya memberikan manfaat fisik maupun psikologis yang sangat
besar. Beberapa rumah sakit mengulangi waktu istirahat yang jelas pada sore
harinya.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kalau ditanya apa yang membuat bangsal
postnatal tampak begitu sibuk, jawaban sebagian ibu mengungkapkan hal yang
terjadi. Kejadian yang rutin dan teratur, seperti visite
dokter, program latihan, peragaan dalam memandikan bayi atau bahkan
menyusui bayi tampaknya bukan masalah. Kegiatan-kegiatan yang membutuhkan
curahan emosi, seperti menghadapi tamu dan panggilan telpon dari luar, atau
menulis surat ucapan terima kasih atas pengiriman kartu ucapan selamat dan
hadiah, semua inilah yang melelahkan ibu baru melahirkan barang kali perawat
yang dapat merasakan kesibukan ibu dalam menghadapi hal-hal semacam itu. Dapat
membantunya dengan membahas prioritas, apakah setiap orang yang mangirim
surat ucapan selamat benar-benar memerlukan jawaban. Di samping itu, perawat
harus berhati-hati pada saat jam kunjungan untuk menjaga agar ibu tidak terlalu
lelah.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: Algerian; font-size: 14.0pt; line-height: 150%; mso-bidi-font-family: Arial;">TIDUR</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">I</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">stirahat dan tidur
merupakan kebutuhan dasar yang mutlak harus dipenuhi
oleh semua orang. Dengan istirahat dan tidur yang cukup,tubuh
baru dapat berfungsi secara optimal. Istirahat dan tidur sendiri memiliki makna
yang berbeda pada setiap individu. Secara umum,istirahat berartisuatu keadaan
tenang,relaks,tanpa tekanan emosional,dan bebas dari perasaan gelisah.
Jadi,beristirahat bukan berarti tidak melakukan aktivitas sama sekali.
Terkadang,berjalan-jalan di taman juga bisa dikatakan sebagai suatu bentuk
istirahat.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sedangkan tidur adalah status perubahan kesadaran
ketika persepsi dan reaksi individu terhadap lingkungan menurun. Tidur
dikarakteristikkan dengan aktifitas fisik yang minimal,tingkat kesadaran yang
bervariasi, perubahan proses fsiologis tubuh,dan penurunan respons terhadap
stimulus eksternal. Hampir sepertiga dari waktu kita,kita gunakan untuk tidur.
Hal tersebut didasarkan pada keyakinan bahwa tidur dapat memulihkan atau
mengistirahatkan fisik setelah seharian beraktivitas,mengurangi stress dan
kecemasan,serta dapat meningkatkan kemampuan dan konsenterasi saat hendak
melakukan aktivitas sehari-hari.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Istirahat yang memuaskan bagi ibu yang baru
melahirkan merupakan masalah yang sangat penting sekalipun tidak mudah dicapai.
Keharusan ibu untuk beristirahat sesudah melahirkan memang tidak diragukan
lagi, kehamilan dengan beban kandungan yang berat dan banyak keadaan yang
mengganggu lainnya, pekerjaan bersalin, bukan persiapan yang baik dalam
menghadapi kesibukan yang akan terjadi. Padahal hari-hari postnatal akan
dipenuhi oleh banyak hal, begitu banyak yang harus dipelajari, ASI yang diproduksi
dalam payudara, kegembiraan menerima kartu ucapan selamat, karangan bunga,
hadiah-hadiah serta menyambut tamu dan juga kekhawatiran serta keprihatinan
yang tidak ada kaitannya dengan situasi ini. Jadi, dengan tubuh yang letih dan
mungkin pula pikiran yang sangat aktif, ibu sering perlu diingatkan dan dibantu
agar mendapatkan</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> istirahat yang cukup. </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kegunaan atau fungsi dari Tidur yang cukup</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">:</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l7 level2 lfo6; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Regenerasi sel-sel
tubuh yang rusak menjadi baru.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l7 level2 lfo6; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Memperlancar produksi
hormon pertumbuhan tubuh.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l7 level2 lfo6; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mengistirahatkan tubuh
yang letih akibat aktivitas seharian.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l7 level2 lfo6; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Meningkatkan kekebalan
tubuh kita dari serangan penyakit.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l7 level2 lfo6; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menambah konsentrasi
dan kemampuan fisik.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Fase / Tahapan Tidur Seseorang :</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l5 level2 lfo7; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Awal</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l5 level2 lfo7; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Non rapid eyes movement
(non-rem)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l5 level2 lfo7; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rapid Eyes Movement (rem)</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l5 level2 lfo7; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dream Sleep</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Posisi tidur ibu waktu beristirahat sesudah
melahirkan penderita harus tidur terlentang, hanya dengan satu bantal yang
tipis. Tetapi ada juga pendapat lain mengatakan bahwa ibu bebas memilih posisi
tetapi untuk memudahkan pengawasan sebenarnya tidur telentang lebih baik karena
dengan tidur terlentang mudah mengawasi keadaan kontraksi uterus dan mengawasi
pendarahan.Biasanya setelah melahirkan penderita akan merasa lelah dan dapat
tidur sehingga merasa nyaman berada ditempat tidur. Usaha agar penderita dapat
tidur ialah dengan menyakinkan penderita bahwa keadaannya normal. Istirahat dan
tidur sangat perlu bagi penderita, selain untuk mengembalikan kesehatan, juga
untuk pembentukan air susu ibu.Ibu nifas memerlukan istirahat yang cukup,
istirahat tidur yang dibutuhkan ibu nifas sekitar 8 jam pada malam hari dan 1
jam pada siang hari.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pola Istirahat</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l8 level2 lfo4; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Anjurkan ibu untuk
istirahat cukup untuk mencegah kelelahan yang berlebihan</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l8 level2 lfo4; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sarankan ibu untuk
kembali ke kegiatan-kagiatan rumah tangga biasa.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l8 level2 lfo4; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kurang istirahat akan
mempengaruhi ibu dalam berbagai hal :</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 37.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo8; text-align: justify; text-indent: -19.5pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mengurangi jumlah ASI yang diproduksi</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 37.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo8; text-align: justify; text-indent: -19.5pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Memperlambat proses involusi uterus dan memperbanyak
perdarahan</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 37.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo8; text-align: justify; text-indent: -19.5pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menyebabkan depresi dan ketidakmampuan untuk merawat
bayi<span style="mso-spacerun: yes;">
</span>dan dirinya</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ada beberapa hal yang dapat
Anda coba lakukan untuk lebih mudah tertidur di malam hari</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">,antara lain :</span></div>
<div class="MsoListParagraphCxSpFirst" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo9; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pergi ke tempat tidur dan bangun di saat sama setiap hari. Bahkan jika
lelah jangan tidur siang.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo9; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jangan makan makanan berat kurang dart tiga jam sebelum pergi tidur. Hindari
kopi, tch, minuman kola, alkohol dan merokok. Jika Anda lapar, makan biskuit
atau pisang. Minum segelas susu hangat setengah jam sebelum tidur.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo9; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Lakukan hal yang membantu Anda mengatasi kesulitan tidur ( lihat tip
praktis di bawah )</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo9; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Coba obat herbal yang membuat tidur nyenyak ( lihat obat alami di bawah )</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo9; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jika Anda merasa tegang, lakukan latihan relaksasi ( lihat relaksasi )
beberapa saat sebelum tidur. Berendamlah dalam air hangat. Minyak lavender</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo9; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jangan makan makanan berat kurang dari tiga jam sebelum pergi tidur.
Hindari kopi, tch, minuman kola, alkohol dan merokok. Jika Anda lapar, makan
biskuit atau pisang. Minum segelas susu hangat setengah jam sebelum tidur.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo9; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Lakukan hal yang membantu Anda mengatasi kesulitan tidur ( lihat tip
praktis di bawah )</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo9; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mengelola tidur , coba tip berikut :</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo9; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Untuk Berhenti bekerja setidaknya sejam sebelum waktu tidur dan baca buku
atau dengarkan musik menenangkan. Buat ruangan tenang, redup dan sejuk.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpLast" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo9; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Untuk Jika tak bisa tertidur dalam 30 menit, bangun dan pergi ke ruangan
lain dan baca. Jangan menonton TV.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="margin-left: 14.2pt; text-indent: -14.2pt;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Algerian; font-size: 14.0pt; mso-bidi-font-family: Arial;">Bab
iii</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Algerian; font-size: 14.0pt; mso-bidi-font-family: Arial;">penutup</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l3 level1 lfo10; text-indent: -14.2pt;">
<span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Algerian; mso-fareast-font-family: Algerian;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman";">Kesimpulan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-weight: bold; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Demi kesehatan
emosional dan fisik ibu,serta untuk kesehatan emosioanal dan fisik keluarga
ibu,rawatlah diri ibu dan pastikan bahwa ibu mendapatkan waktu istirahat yang
cukup. Secara tradisional,para wanita sudah diberitahu untuk menunda berangkat
kembali ketempat kerja selama 6 minggu,banyak wanita merasa sudah cukup kuat
untuk memulai kerja kembali pada minggu ke 4 atau ke 5. Setiap wanita memang
berbeda dalam hal ini. Mulailah kembali ke kegiatan rutin ibu secara bertahap
dan hanya bila ibu sudah merasa siap.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Istirahat yang memuaskan bagi ibu yang baru
melahirkan merupakan masalah yang sangat penting sekalipun kadang-kadang tidak
mudah dicapai. Keharusan ibu untuk beristirahat sesudah melahirkan memang tidak
diragukan lagi, kehamilan dengan beban kandungan yang berat dan banyak keadaan
yang mengganggu lainnya, plus pekerjaan bersalin, bukan persiapan yang baik
dalam menghadapi kesibukan yang akan terjadi padahal hari-hari postnatal akan
dipengaruhi oleh banyak hal : begitu banyak yang harus dipelajari ASI yang
diproduksi dalam payudara, kegembiraan menerima kartu ucapan selamat, karangan
bunga, hadiah-hadiah serta menyambut tamu, dan juga kekhawatiran serta
keprihatian yang tidak ada kaitannya dengan situasi ini. Dengan tubuh yang
letih dan mungkin pula pikiran yang sangat aktif, ibu sering perlu diingatkan
dan dibantu agar mendapatkan istirahat yang cukup.</span></div>
<div class="MsoNormal" style="margin-left: 14.2pt; text-indent: -14.2pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 14.2pt; text-indent: -14.2pt;">
<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
<div class="MsoNormal" style="margin-left: 14.2pt; text-indent: -14.2pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 14.2pt; text-indent: -14.2pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 14.2pt; text-indent: -14.2pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 14.2pt; text-indent: -14.2pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 14.2pt; text-indent: -14.2pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 14.2pt; text-indent: -14.2pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 14.2pt; text-indent: -14.2pt;">
<br /></div>
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<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Algerian; font-size: 14.0pt; mso-bidi-font-family: Arial;">Daftar
pustaka</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Ambarwati, Eny Retna dan Tri Sunarsih.2009.<i style="mso-bidi-font-style: normal;">KDPK Kebidanan Teori dan Aplikasi.</i> Yogyakarta: Nuha Medika<i style="mso-bidi-font-style: normal;"> </i></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kusmiyati,
Yuni, dkk. 2009. <i style="mso-bidi-font-style: normal;">Perawatan Ibu Hamil
(Asuhan Ibu Hamil).</i> Yogyakarta : Fitramaya</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Rukiyah,
Ai Yeyeh, dkk. 2010. <i style="mso-bidi-font-style: normal;">Asuhan Kebidanan I
(Kehamilan). </i>Jakarta : Trans Info Media (TIM).</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Salmah,
dkk. 2006. <i style="mso-bidi-font-style: normal;">Asuhan Kebidan Antenatal. </i>Jakarta
: EGC.</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Uliyah, Musrifatul, dan A. Azis Alimul Hidayat.2006.<i style="mso-bidi-font-style: normal;">Keterampilan Dasar Praktik Kebidanan.</i>Jakarta: Salemba Medika</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="margin-left: 14.2pt; text-indent: -14.2pt;">
<br /></div>
Anonymoushttp://www.blogger.com/profile/09428371857956484973noreply@blogger.com0tag:blogger.com,1999:blog-1493722132486835108.post-41723003229942628882014-02-06T19:57:00.000-08:002014-02-06T19:57:59.488-08:00SAP Hubungan Seks dan Keluarga Berencana pada Ibu Nifas<!--[if !mso]>
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<br />
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Algerian; font-size: 20.0pt;">SATUAN ACARA PENYULUHAN<br />
</span><span style="font-family: Algerian; font-size: 16.0pt;">HUBUNGAN SEKS DAN
KELUARGA BERENCANA <br />
PADA IBU MASA NIFAS</span><span style="font-family: Algerian; font-size: 16.0pt; mso-bidi-font-family: "Times New Roman";"> <br />
DESA JOGODAYOH JABON MOJOKERTO<br />
MINGGU, 24 SEPTEMBER 2013</span><span style="font-family: Algerian; font-size: 16.0pt;"></span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<img align="left" alt="logo dian husada.gif" height="386" hspace="12" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image002.gif" width="393" /><span style="font-family: Algerian; font-size: 16.0pt;"></span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div class="MsoNormal">
<span style="font-family: Algerian; font-size: 24.0pt;"><br style="mso-special-character: line-break;" />
<br style="mso-special-character: line-break;" />
</span><span style="font-family: "Arial","sans-serif"; font-size: 14.0pt;"></span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: "Monotype Corsiva"; font-size: 14.0pt; mso-bidi-font-family: Arial;">Oleh :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 108.0pt;">
<span style="font-family: "Monotype Corsiva"; font-size: 14.0pt; line-height: 150%; mso-bidi-font-family: Arial;">Anita Della A.P <span style="mso-tab-count: 2;"> </span>Choiro
Nur’Aini<br />
Dita Saraswati<span style="mso-tab-count: 2;"> </span>Eka
Herin P<br />
Ina Cahyani P<span style="mso-tab-count: 3;"> </span>Ina
Dwita R<br />
Naimatul Husniah</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: "Monotype Corsiva"; font-size: 14.0pt; mso-bidi-font-family: Arial;">D3 Kebidanan</span><span style="font-family: "Arial","sans-serif"; font-size: 14.0pt;"></span></div>
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<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Algerian; font-size: 20.0pt; mso-bidi-font-family: Arial;">SEKOLAh
TINGGI ILMU KESEHATAN DIAN HUSADA</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Algerian; font-size: 20.0pt; mso-bidi-font-family: Arial;">JL.
RAYA TERAS 04 TAMBAK AGUNG PURI</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Algerian; font-size: 20.0pt; mso-bidi-font-family: Arial;">MOJOKERTO</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Hari/tanggal<span style="mso-tab-count: 2;"> </span>: Minggu, 24 September 2013</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jam/waktu<span style="mso-tab-count: 2;"> </span>: 14.00 - selesai WIB</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pokok
Bahasan<span style="mso-tab-count: 1;"> </span>: Hubungan Seks dan Keluarga
Berencana pada Ibu Masa Nifas</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sub Bahasan<span style="mso-tab-count: 1;"> </span>: Hubungan Seks dan Keluarga
Berencana pada Ibu Masa Nifas</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sasaran<span style="mso-tab-count: 2;"> </span>: Ibu – Ibu Masa Nifas</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penyuluhan<span style="mso-tab-count: 2;"> </span>: Kelompok</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tempat<span style="mso-tab-count: 2;"> </span>: Balai Dusun Jogodayoh
Jabon Mojokerto</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">I. Tujuan
Instruksional Umum ( TIU )</span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Setelah mendapatkan penjelasan tentang Hubungan Seks
dan Keluarga Berencana pada Ibu Masa Nifas diharapkan ibu - ibu masa nifas tidak
takut lagi berhubungan seks dan mengerti manfaat serta macam - macam keluarga
berencana.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">II. Tujuan
Instruksional Khusus ( TIK )</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Setelah mendapatkan penjelasan tentang Hubungan Seks
dan Keluarga Berencana pada Ibu Masa Nifas, diharapkan ibu - ibu mampu:</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1. Mengetahui tentang hubungan seks dan keluarga
berencana</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.</span><span style="font-family: "Arial","sans-serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mengetahui apa saja manfaat dan macam - macam keluarga
berencana</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3. Memahami kapan boleh melakukan hubungan seks dan
keluarga berencana</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">III. Metode </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1.</span><span style="font-family: "Arial","sans-serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ceramah</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.</span><span style="font-family: "Arial","sans-serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tanya jawab</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3.<span style="mso-spacerun: yes;"> </span>Penyebaran Leaflet</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">IV. Media
dan Alat Peraga </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1.</span><span style="font-family: "Arial","sans-serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Laptop</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.</span><span style="font-family: "Arial","sans-serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">LCD</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3.</span><span style="font-family: "Arial","sans-serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Leaflet</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">V. Proses Kegiatan Penyuluhan</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; margin-left: 5.4pt; mso-padding-alt: 0cm 0cm 0cm 0cm; mso-yfti-tbllook: 1184; width: 624px;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid black 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.9pt;" valign="top" width="37">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="color: #1d1b11; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">No</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-left-alt: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 202.35pt;" valign="top" width="270">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="color: #1d1b11; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kegiatan</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-left-alt: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 179.9pt;" valign="top" width="240">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="color: #1d1b11; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Respon</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-left-alt: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 57.65pt;" valign="top" width="77">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="color: #1d1b11; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Waktu</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
</tr>
<tr style="height: 91.75pt; mso-yfti-irow: 1;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 91.75pt; mso-border-top-alt: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.9pt;" valign="top" width="37">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="color: #1d1b11; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1.</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 91.75pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 202.35pt;" valign="top" width="270">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="color: #1d1b11; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pendahuluan</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="color: #1d1b11; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menyampaikan salam</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="color: #1d1b11; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menjelaskan tujuan</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="color: #1d1b11; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kontrak waktu</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-indent: -18.0pt;">
<span style="color: #1d1b11; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">d.</span><span style="color: #1d1b11; font-family: "Arial","sans-serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 91.75pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 179.9pt;" valign="top" width="240">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="color: #1d1b11; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Membalas salam</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="color: #1d1b11; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mendengarkan</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="color: #1d1b11; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Memberi respon</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 91.75pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 57.65pt;" valign="top" width="77">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="color: #1d1b11; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">5 menit</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.9pt;" valign="top" width="37">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="color: #1d1b11; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 202.35pt;" valign="top" width="270">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="color: #1d1b11; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Inti</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-indent: -21.3pt;">
<span style="color: #1d1b11; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">a</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 179.9pt;" valign="top" width="240">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="color: #1d1b11; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mendengarkan materi dengan penuh perhatian</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 57.65pt;" valign="top" width="77">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="color: #1d1b11; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">10 menit</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 3; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.9pt;" valign="top" width="37">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="color: #1d1b11; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3.</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 202.35pt;" valign="top" width="270">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="color: #1d1b11; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penutup</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="color: #1d1b11; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tanya jawab</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="color: #1d1b11; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menyimpulkan hasil penyuluhan</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="color: #1d1b11; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Memberi salam penutup</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 179.9pt;" valign="top" width="240">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="color: #1d1b11; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menanyakan yang belum jelas</span><span style="color: #1d1b11; font-family: "Arial","sans-serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="color: #1d1b11; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Aktif bersama menyimpulkan</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="color: #1d1b11; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Membalas salam</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 57.65pt;" valign="top" width="77">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="color: #1d1b11; font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">15 menit</span><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal">
<span style="font-size: 12.0pt;"><span style="mso-tab-count: 1;"> </span></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div align="center" class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 3; text-align: center;">
<a href="https://www.blogger.com/blogger.g?blogID=1493722132486835108" name="8161456995354616018"></a><span style="font-family: Stencil; font-size: 16.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">HUBUNGAN Seksual Dan Keluarga Berencana Pada IBU Masa Nifas</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">A.
Aktifitas Seksual</span></b></div>
<div class="MsoNormalCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Aktifitas seksual yang dapat
dilakukan oleh ibu masa nifas harus memenuhi syarat berikut ini.</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo1; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Secara fisik aman untuk memulai hubungan suami istri
begitu darah merah berhenti dan ibu dapat memasukan satu-satu dua jarinya ke
dalam vagina tanpa rasa nyeri, maka ibu aman untuk memulai melakukan hubungan
suami istri kapan saja ibu siap.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo1; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Banyak budaya yang mempunyai tradisi menunda hubungan
suami istri sampai masa waktu tertentu, misalnya setelah 40 hari atau 6 minggu
setelah persalinan. Keputusan ini bergantung pada pasangan yang bersangkutan.</span></div>
<div class="MsoNormalCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Keluhan yang timbul saat hubungan
seksual pasca salin </span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasa Nyeri : Hal ini disebabkan
fungsi pembasahan vagina yang belum kembali seperti semula, atau luka yang
masih dalam proses penyembuhan. </span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sensivitas berkurang : Karena
persalinan normal merupakan trauma bagi vagina yaitu melebarnya otot-otot
vagina.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormalCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Cara Mengatasi Masalah Yang Timbul Saat Hubungan
Seksual</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l34 level1 lfo2; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bila saat hubungan terasa sakit jangan takut
berterusterang dengan suami</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l34 level1 lfo2; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Saat berhubungan memakai pelumas / jelly</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l34 level1 lfo2; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Saat berhubungan suami harus sabar dan hati-hati</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l34 level1 lfo2; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Melakukan senam nifas atau olahraga ringan</span></div>
<div class="MsoNormalCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tips untuk ibu pasca salin<br />
Agar gairah seks segera kembali berkobar setelah masa nifas, berikut ini
hal-hal bermanfaat yang bisa dilakukan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; mso-list: l30 level1 lfo3; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menjaga agar badan tetap sehat. Ingat badan sehat berarti
hubungan seks juga sehat</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; mso-list: l30 level1 lfo3; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Makan makanan yang bergizi cukup, cukup berarti tidak
berlebihan dan tidak kurang</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; mso-list: l30 level1 lfo3; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Cukup istirahat</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; mso-list: l30 level1 lfo3; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Olahraga secara teratur</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; mso-list: l30 level1 lfo3; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Hindari stres</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; mso-list: l30 level1 lfo3; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Hindari merokok dan mengkonsumsi alkohol</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; mso-list: l30 level1 lfo3; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Lakukan perawatan diri</span></div>
<div class="MsoNormalCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-indent: -21.3pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">B.
Macam-Macam KB </span></b></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l21 level1 lfo18; text-indent: -14.7pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Suntikan KB</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Suntik kb
biasanya mengandung 150 mg./3ml. depo medroxy progesterone acetate (DMPA)
steril yang dilarutkan dalam air dan hanya mngandung progesterone sintetis,
sama dengan hormone alami yang diproduksi tubuh wanita setelah disuntik
secara intramaskuler hormone tersebut akan dilepas pelan-pelan kedalam aliran
darah. Suntikan kb yang terdaftar dengan merk depo progestin adalah alat kontrasepsi
jangka waktu lama dan diberikan tiap 3 bulan.</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo5; text-indent: -21.3pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mekanisme Kerja</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo4; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mencegah pelepasan telur, sehingga tidak terjadi
pembuahan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo4; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Memperkental lendir-lendir rahim sehingga mencegah
sperma masuk ke dalam ramim, karena itu mengurangi kemungkinan pembuahan dan
kehamilan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo4; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menipiskan dinding rahim, sehingga tidak siap untuk
kehamilan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo4; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menghambat pematangan sel telur.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo5; text-indent: -21.3pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Efektifitas.</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bila digunakan setiap 3 bulan akan 99.7% ampuh untuk
mencegah kehamilan yang tidak dikehendaki.</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo6; text-indent: -21.3pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kelebihan.</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo7; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mudah digunakan, hanya sekali suntik tiap 3 bulan dan
bisa kembali subur bila dihentikan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo7; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bisa digunkan ibu menyusui 6 minggu setelah melahirkan
dan tidak mempengaruhi ASI.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo7; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Member i perlindungan terhadap kanker rahim, kanker
indung telur, dan pengkakan pinggul.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo7; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Memperkecil kurang darang dan nyeri haid.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo7; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tidak mengganggu hubungan seks dan tidak kuatir akan
terjadi kehamilan, sehingga lebih bisa menikmati.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo7; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bisa digunakan bagi perempuan yang sudah puanya anak
ataupun belum.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo7; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Untuk kunjungan ulang tidak perlu terlalu tepat waktu.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo6; text-indent: -21.3pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kekurangan.</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l33 level1 lfo8; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Di awal pemakaian bisa terjadi pendarahan ringan atau
bercak darah.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l33 level1 lfo8; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Masih terjadi kemungkinan hamil.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l33 level1 lfo8; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berhenti haid yang bisa terjadi setelah setahun
menggunakan, namun ada yang menganggapnya sebagai manfaat.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l33 level1 lfo8; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bisa mengakibatkan berat badan, rata-rata 1 sampe 2 kg
di tahun pertama, namun ada yang menganggapnya sebagai manfaat.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l33 level1 lfo8; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kesuburan lambat kembali, sampai tingkat DMPA dalam
tubuh menurun, dan butuh waktu 4 bulan atau lebih bila dibandingkan dengan pil,
IUD, atau kondom.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l33 level1 lfo8; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Perlu kembali mendapatkan suntikan setelah 3 bulan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l33 level1 lfo8; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tidak bisa segera dihentikan atau dikeluarkan dari
tubuh bila ingin hamil atau terjadi efek samping.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l33 level1 lfo8; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tidak bisa member perlindungan terhadap IMS atau
HIV/AIDS</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo6; text-indent: -21.3pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Suntikan tidak dapat diberikan jika :</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo9; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tekanan darah tinggi.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo9; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menyusui 6 minggu atau kurang.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo9; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kemungkinan hamil.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo6; text-indent: -21.3pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Suntikan dapat diberikan jika :</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-indent: 21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pascapersalinan.</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo10; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Segerah ketika masih dirumah sakit.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo10; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jadwal suntikan berikutnya.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-indent: 21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pasca abortus.</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo11; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Segerah setelah perawatan.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo11; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jadwal waktu suntikan diperhitungkan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-indent: 21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Interval.</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo12; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Hari kelima menstruasi.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo12; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jadwal hari diperhitungkan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l21 level1 lfo18; text-indent: -14.7pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pil KB</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pil KB
adalah pil dosis rendah yang mengandung hormon yang sama dengan yang diproduksi
tubuh wanita, estrogen dan progesterone. Satu blister berisi 28 pil yang
terdiri dari 21 butir pil aktif dan 7 pil ”pengingat” yang tidak berisi hormon
dan diberi warna beda.</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo6; text-indent: -21.3pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mekanisme Kerja.</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo13; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mencegah pelepasan telur, sehingga tidak terjadi
pembuahan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo13; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Memperkental lendir leher rahim sehingga mencegah
sperma masuk kedalam rahim, karena itu mengurangi kemungkinan pembuahan dan
kehamilan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo13; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menipiskan dinding rahim, sehingga tidak siap untuk
kehamilan.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo6; text-indent: -21.3pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Efektifitas.</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bila digunakan secara benar dan
tiada putus 99.9% ampuh untuk mencegah kehamilan yang tidak dikehendaki.</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo6; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kelebihan.</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo14; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sangat ampuh bial digunakan secara benar dan tidak
putus.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo14; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tidak mengganggu hubungan seks dan tidak kuatir akan
terjadi kehamilan, sehingga lebih bisa dinikmati.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo14; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bisa digunakan segala usia, dari remaja hingga
menopause.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo14; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kesuburan segerah kembali setelah dihentikan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo14; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bisa mencegah kehamilan di luar rahim, kanker rahim,
kanker indung telur, kista, penyakit payudara.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo14; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mengatur siklus haid, mengurangi rasa sakit haid dan
mengurangi jerawat.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo14; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dapat meningkatkan libido.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo6; tab-stops: 103.5pt; text-indent: -21.3pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kekurangan.</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 103.5pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Efek samping yang bisa terjadi :</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo15; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mual yang biasa terjadi pada 3 bulan pertama.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo15; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pendarahan atau bercak darah di antara masa haid,
terutama bila lupa minum pil atau terlambat.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo15; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sakit kepala ringan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo15; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tumbuh akne.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo15; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rambu rontok.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo15; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Payudara lembek.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo15; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berat badan naik sedikit (bagi sebagian oaring
merupakan manfaat).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo15; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berhenti haid.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo15; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Satu blister pil harus ter sediah tiap 28 jam hari.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo15; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">10.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tidak dianjurkan bagi yang sedang menyusui, karena
akan mempengaruhi kualitas dan kuantitas ASI.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo15; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">11.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Walau sangat jarang terjadi, gangguan emosi termasuk
depresi.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo15; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">12.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tidak member perlindungan terhadap penyakit
kelamin dan HIV/AIDS.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo15; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">13.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Walu sangat jarang, perempuan yang mengidap darah
tinggi atau yang berusia 35 tahun ke atas dan merokok lebih terserang stroke,
serangan jantung atau pengumpulan darah dalam pembuluh.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo6; text-indent: -21.3pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Petunjuk pil KB</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo16; tab-stops: 103.5pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Minum pil KB dengan teratur</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo16; tab-stops: 103.5pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bila lupa, maka pil KB yang harus diminum menjadi 2
buah.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo16; tab-stops: 103.5pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bila perdarahan, tidak memerlukan perhatian karena
belum beradaptasi.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo16; tab-stops: 103.5pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gangguan ringan dalam bentuk : mual-muntah, sebaiknya
diatasi. Bila komplikasi berat dalam bentuk perdarahan dan mual-muntah
berlebihan, penderita harus dilakukan konsultasi atau rujukan ke rumah sakit.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo6; tab-stops: 103.5pt; text-indent: -21.3pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pil KB mulai diminum jika :</span></b></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo17; tab-stops: 103.5pt; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pada postpartum dapat dimulai dengan Expluton yang
mengandung komponen-komponen progesterone.</span></div>
<div class="MsoNormalCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 103.5pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">·
Tidak menggangu pengeluaran ASI</span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 103.5pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">·
Efektif sampai laktasi dihentikan.</span></div>
<div class="MsoNormalCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 103.5pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">·
Kesulitan dapat timbul : perdarahan spotting, tidak mendapat menstruasi
berkepanjangan.</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo17; tab-stops: 103.5pt; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Post abortus atau hari kelima menstruasi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 103.5pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">·
Dapat di pakai pil KB sistem sekuensial atau sistem kombinasi.</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l21 level1 lfo18; tab-stops: 103.5pt; text-indent: -14.7pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">IUD</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Alat
kontrasepsi dalam rahim (AKDR) yang dikenal juga sebagai IUD (intra uterine
davece) adalah rangka plastik kecil yang dipasang kedalam rahim melalui vagina.
AKDR pada umumnya dilengkapi dengan satu atau dua lembar benang yang menjulur
AKDR dengan meraba benang tersebut. Bidan atau petugas kesehatan dapay
mengeluarkan AKDR dengan menarik benang secara perlahan-lahan memakai sebuah
alat.</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo6; tab-stops: 103.5pt; text-indent: -21.3pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mekanisme Kerja.</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo19; tab-stops: 103.5pt; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mencegah pertemuan sperma dengan sel telur.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo19; tab-stops: 103.5pt; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mengurangi mobilitas sperma, agar tidak dapat membuahi
telur.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo19; tab-stops: 103.5pt; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mencegah telur yang telah dibuahi menempel di dinding
rahim.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo6; tab-stops: 103.5pt; text-indent: -21.3pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Efektifitas.</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 103.5pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bila digunakan secara benar, tingkat
keampuhannya 99,4%.</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo6; text-indent: -21.3pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kelebihan.</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo20; tab-stops: 103.5pt; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pencegah kehamilan jangka panjang yang ampuh untuk
paling tidak 10 tahun.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo20; tab-stops: 103.5pt; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tidak mengganggu hubungan seks.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo20; tab-stops: 103.5pt; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tidak terpengaruh obat-obatan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo20; tab-stops: 103.5pt; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bisa segera subur kembali. Begitu AKDR dikeluarkan
bisa hamil.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo20; tab-stops: 103.5pt; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tidak mempengaruhi jumlah dan mutu ASI (air susu ibu).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo20; tab-stops: 103.5pt; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dapat mencegah kehamilan diluar kandungan.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo6; tab-stops: 103.5pt; text-indent: -21.3pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kekurangan.</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 103.5pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Efek samping yang biasa (bukan
pertanda sakit)</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo21; tab-stops: 103.5pt; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Perubahan haid (biasa terjadi dalam 3 bulan pertama,
tapi kian berkurang setelah 3 bulan).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo21; tab-stops: 103.5pt; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pembengkakan panggul biasa terjadi setelah terkenal infeksipenyakit
kelainan, bila menggunakan AKDR.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo21; tab-stops: 103.5pt; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Membutuhkan prosedur media karena memerlukaan
pemeriksaan panggul untuk dapat memasang AKDR.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo21; tab-stops: 103.5pt; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Memasang dan mengeluarkan AKDR harus dilakukan tenaga
kesehatan terlatih.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo21; tab-stops: 103.5pt; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bisa keluar dari rahim tampa diketahui. (sering
terjadi bila AKDR dipasang segerah setelah melahirkan).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo21; tab-stops: 103.5pt; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pengguna dari waktu kewaktu harus memeriksa posisi
benang AKDR dengan memasukan jari kedalam vagina. Sebagian perempuan tidak mau
melakukan demikan.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo21; tab-stops: 103.5pt; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tidak memberi perlindungan terhadap penyakit
kelamin, termasuk HIV/AIDS.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Efek
samping yang tidak biasa :</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo22; tab-stops: 76.5pt 90.0pt; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kejang dan nyeri berat setelah 3 hingga 5 hari pertama
dipasang.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo22; tab-stops: 76.5pt 90.0pt 99.0pt; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mengeluarkan darah haid begitu banyak, sehingga dapat
menyebabkan anemia.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo22; tab-stops: 99.0pt; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dinding rahim bisa berlubang ( sangat jarang terjadi
).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo6; text-indent: -21.3pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kapan AKDR bisa dipasang ?</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo23; tab-stops: 99.0pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">AKDR bisa dipasang segera setelah melahirkan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo23; tab-stops: 99.0pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bila tidak segera setelah melahirkan, sekitar 4 atau 5
bulan setelah melahirkan atas dasar jenis AKDR yang dipakai. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo23; tab-stops: 99.0pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Segera setelah aborsi ( bila tidak ada infeksi ). Bila
ada infeksi, obati dulu infeksinya dan bisa menggunakan alat kontrasepsi
lainnya. AKDR bisa dipasang 3 bulan setelah infeksi bisa disembuhkan. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo23; tab-stops: 99.0pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kapan saja, ( tidak hanya selama haid ) asal pasti
yang beersangkutan tidak hamil dan </span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo6; tab-stops: 99.0pt; text-indent: -21.3pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kapan AKDR tidak dapat dipasang.</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 99.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Alat kontrasepsi dalam rahim (AKDR)
tidak dapat dipasang pada keadaan :</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo24; tab-stops: 108.0pt; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Terdapat infeksi genetalia.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l20 level1 lfo25; tab-stops: 108.0pt; text-indent: -14.7pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menimbulkan
eksaserbasi (kambuh) infeksi.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l20 level1 lfo25; tab-stops: 108.0pt; text-indent: -14.7pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Keadaan
patologis local: stenosis vagina, infeksi vagina.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo24; tab-stops: 108.0pt; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dugaan kegasanan servick.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo24; tab-stops: 108.0pt; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Perdarahan dengan sebab yang tidak jelas.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo24; tab-stops: 108.0pt; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pada kehamilan : terjadi abortus, mudah perforasi,
perdarahan , infeksi.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level1 lfo26; tab-stops: 108.0pt; text-indent: -21.3pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Teknik pemasangan AKDR</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l32 level1 lfo27; tab-stops: 108.0pt; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Persiapkan pemasangan AKDR</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo28; tab-stops: 4.0cm; text-indent: -14.7pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penderita
tidur terlentang dimeja ginekologi.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo28; tab-stops: 4.0cm; text-indent: -14.7pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Vulva dibersikan
dengan kapas lison, betadin, hibiscrub atau lainnya</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo28; tab-stops: 4.0cm; text-indent: -14.7pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dilakukan
pemeriksaan dalam untuk menentukan besar dan arah rahim </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo28; tab-stops: 4.0cm; text-indent: -14.7pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Duk steril
dipasang di bawah bokong</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo28; tab-stops: 4.0cm; text-indent: -14.7pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">e)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Speculum
cocor bebek dipasang, sehingga sevick tampak.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo28; tab-stops: 4.0cm; text-indent: -14.7pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">f)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Servick
portio dibersihkan dengan kapas betadin atau lioson atau lainnya.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo28; tab-stops: 4.0cm; text-indent: -14.7pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">g)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dilakukan
sodage untuk menentukan dalam panjang rahim dana arah posisi rahaim.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l32 level1 lfo27; tab-stops: 108.0pt 135.0pt; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Persiapan dan pemasangan AKDR</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level2 lfo29; tab-stops: 108.0pt 135.0pt; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jenis lippes loop.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level3 lfo30; text-indent: -14.15pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Lippes loop
dimasukkan ke dalam introdusor dari pangkal, sampai mendekati ujung proksimal.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level3 lfo30; text-indent: -14.15pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tali AKDR
dpat dipotong dahulu, sesuai dengan keinganan atau dipotong kemudian setelah
pemasangan </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level3 lfo30; text-indent: -14.15pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Introdusor
dimasukkan ke dalam rahim, sesuai dengan dalamnya rahim.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level3 lfo30; text-indent: -14.15pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pendorong
AKDR dimasukkan ke dalam introdusor , untuk mendorong sehingga lippes loop terpasang.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level3 lfo30; text-indent: -14.15pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Setelah
dipasang,maka introdusor dan pendorongnya di tarik bersama.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level3 lfo30; text-indent: -14.15pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tadi AKDR
dapat dipotong sependek mungkin un tuk menghindari sentuhan penis dan
menghindari infeksi.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo29; tab-stops: 108.0pt 135.0pt; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kapam AKDR
dibuka </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 108.0pt 135.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Alat kontrasepsi dalam rahim
(AKDR) dapat dibuka sebelum waktunya bila dijumpai :</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo31; tab-stops: 108.0pt 135.0pt; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ingin hamil kembali</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo31; tab-stops: 108.0pt 135.0pt; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Leokorea, sulit diobati dan peserta menjadi kurus</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo31; tab-stops: 108.0pt 135.0pt; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Terjadi perdarahan </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo31; tab-stops: 108.0pt 135.0pt; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Terjadi kehamilan mengandung haban aktif dengan AKDR.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l21 level1 lfo18; tab-stops: 99.0pt; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kondom </span></div>
<div class="MsoNormalCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-tab-count: 1;"> </span>Kondom
merupakan alat kontrasepsi yang mudah dan praktis diguna bagi semua orang.
Terbukti aman selama digunakan dengan benar dalam mencegah kehamilan kondom
terbuat dari lateks tipis tidak berpori dan telah dibuktikan melalu uji
elektronis di laboratorium serta memenuhi standar mutu
internasional.</span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-indent: 36.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kondom mencegah sperma masuk kedalam
rahim sekaligus mencegah pertukaran cairan tubuh sehingga merupakan suatu
perlindungan terhadap penyakit yang ditularkan melalui hubungan seks termasuk
HIV/AIDS.</span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-indent: 36.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Keunggulan dari kondom adalah
memiliki aroma romantik dan memiliki ulir dan berlekuk untuk menambah
kenikmatan berhubungan bersama pasangan anda serta setiap kondom dilapisi
pelumas untuk mencegah iritasi.</span></div>
<div class="MsoNormalCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 99.0pt;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l21 level1 lfo18; tab-stops: 99.0pt; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">5)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Susuk KB
(norplant atau implant)</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level1 lfo26; text-indent: -21.3pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Teknik Pemasangan Susuk KB</span></b></div>
<div class="MsoNormalCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 99.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Prinsip pemasangan susuk KB adalah
dipasng pada lengan kiri atas dan pemasangan seperti kipas mekar dengan 6
kapsul.</span></div>
<div class="MsoNormalCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 99.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Teknik pemasangan susuk KB adalah
sebagai berikut :</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo32; tab-stops: 99.0pt; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rekasa tempat pemasangan dengan tepat seperti kipas
terbuka.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo32; tab-stops: 99.0pt; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tempat pemasangan di lengan kiri atas, dipatirasa
dengan lidoakain 2%.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo32; tab-stops: 99.0pt; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dibuat insisi kecil, sehingga trokar dapat masuk.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo32; tab-stops: 99.0pt; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Trokar di tusukkan subkutan sampai batasnya.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo32; tab-stops: 99.0pt; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kapsul dimasukkan ke dalam trokar, dan didorong dengan
alat pendorong sampai terasa tertahan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo32; tab-stops: 99.0pt; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Untuk menempatkan kapsul, trokar ditarik keluar.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo32; tab-stops: 99.0pt; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Untuk menyakitkan bahwa kapsul telah ditempatnya, alat
pendorong dimasukkan sampai terasa tidak ada tahanan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo32; tab-stops: 99.0pt; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Setelah 6 kapsul dipasang, bekas inisi ditutup dengan
tensoplast </span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo33; tab-stops: 99.0pt; text-indent: -21.3pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mekanisme Kerja Susuk KB</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 99.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Konsep
mekanisme kerjanya sebagai progesteron yang dapat menghalangi pengeluaran LH
sehingga tidak terjadi ovulasi, mengentalkan lendir serviks dan
menghalangimigrasi spermatozoa, dan menyebabkan situasi endometrium tidak siap
menjadi tempat nidasi.</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo33; text-indent: -21.3pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Keuntungan Metode Susuk KB</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l31 level1 lfo34; tab-stops: 99.0pt; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dipasang sebelum 5 tahun</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l31 level1 lfo34; tab-stops: 99.0pt; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kontrole medis ringan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l31 level1 lfo34; tab-stops: 99.0pt; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dapat dilayani di daerah pedesaan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l31 level1 lfo34; tab-stops: 99.0pt; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penyulit medis tidak terlalu tinggi</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Biaya ringan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo33; tab-stops: 99.0pt; text-indent: -21.3pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kerugian Metode Susuk KB</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo35; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menimbulkan gangguan menstruasi, yaitu tidak mendapat
menstruasi dan terjadi perdarahan yang tidak teratur.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo35; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berat badan bertambah.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo35; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menimbulkan akne, ketegangan payudara</span></div>
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<br /></div>
Anonymoushttp://www.blogger.com/profile/09428371857956484973noreply@blogger.com0tag:blogger.com,1999:blog-1493722132486835108.post-49018818327657739082014-02-06T19:44:00.001-08:002014-02-07T15:17:26.553-08:00Askeb Kejang pada Bayi Usia 10 Bulan<!--[if !mso]>
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<br />
<div class="Section1">
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span style="font-family: Algerian; font-size: 20.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman";">TUGAS ASKEB NEONATUS<br />
</span><span style="font-family: Algerian; font-size: 14.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman";">askeb kejang pada
bayi usia 10 bulan</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<img align="left" alt="logo dian husada.gif" height="386" hspace="12" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image003.gif" width="393" /><span style="font-family: Algerian; font-size: 24.0pt;"></span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: "Monotype Corsiva"; font-size: 18.0pt; mso-bidi-font-family: Arial;">Disusun oleh :</span></div>
</div>
<span style="font-family: "Monotype Corsiva"; font-size: 16.0pt; line-height: 115%; mso-ansi-language: IN; mso-bidi-font-family: Arial; mso-bidi-language: AR-SA; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;"><br clear="all" style="mso-break-type: section-break; page-break-before: auto;" />
</span>
<br />
<div class="Section2">
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l4 level1 lfo1; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 16.0pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="19" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="19" /></span></span><span style="font-family: "Monotype Corsiva"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Choiro Nur’Aini (
02.12.006 )</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l4 level1 lfo1; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 16.0pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="19" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="19" /></span></span><span style="font-family: "Monotype Corsiva"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Eka Herin Priyanti (
02.12.012 )</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l4 level1 lfo1; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 16.0pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="19" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="19" /></span></span><span style="font-family: "Monotype Corsiva"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Kholifatul Akbariyah
( 02.12.027 )</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l4 level1 lfo1; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 16.0pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="19" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="19" /></span></span><span style="font-family: "Monotype Corsiva"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Millah Banizain (
02.12.033 )</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l4 level1 lfo1; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 16.0pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="19" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="19" /></span></span><span style="font-family: "Monotype Corsiva"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Naimatul Husniah (
02.12.035 )</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l4 level1 lfo1; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 16.0pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="19" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="19" /></span></span><span style="font-family: "Monotype Corsiva"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Nur Laila Lailotu (
02.12.037 )</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l4 level1 lfo1; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 16.0pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="19" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="19" /></span></span><span style="font-family: "Monotype Corsiva"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Siti Maisaroh (
02.12.046)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l4 level1 lfo1; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 16.0pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="19" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="19" /></span></span><span style="font-family: "Monotype Corsiva"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Umrotus Sa’diyah (
02.12.048 )</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l4 level1 lfo1; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 16.0pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="19" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="19" /></span></span><span style="font-family: "Monotype Corsiva"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Yunita Rahmawati (
02.12.051 )</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 115%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l4 level1 lfo1; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 16.0pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="19" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="19" /></span></span><span style="font-family: "Monotype Corsiva"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Ziyan Jamila (
02.12.052 )</span></div>
</div>
<span style="font-family: "Monotype Corsiva"; font-size: 16.0pt; line-height: 115%; mso-ansi-language: IN; mso-bidi-font-family: Arial; mso-bidi-language: AR-SA; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;"><br clear="all" style="mso-break-type: section-break; page-break-before: auto;" />
</span>
<br />
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: "Monotype Corsiva"; font-size: 16.0pt; mso-bidi-font-family: Arial;">D3 Kebidanan</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Algerian; font-size: 20.0pt; mso-bidi-font-family: Arial;">SEKOLAH
TINGGI ILMU KESEHATAN DIAN HUSADA</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Algerian; font-size: 20.0pt; mso-bidi-font-family: Arial;">JL.
RAYA TERAS 04 TAMBAK AGUNG PURI</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Algerian; font-size: 20.0pt; mso-bidi-font-family: Arial;">MOJOKERTO</span></div>
<div class="MsoNormal">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span style="font-family: Algerian; font-size: 14.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman";">Tinjauan teori<br />
KEJANG</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo2; text-align: justify; text-indent: -21.25pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">A.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Definisi</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kejang pada bayi baru lahir ialah
kejang yang timbul masa neonatus atau dalam 28 hari sesudah lahir (Buku
Kesehatan Anak). </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menurut Brown (1974) kejang adalah
suatu aritma serebral. </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kejang adalah perubahan secara
tiba-tiba fungsi neurology baik fungsi motorik maupun fungsi otonomik karena
kelebihan pancaran listrik pada otak (Buku Pelayanan Obstetric Neonatal
Emergensi Dasar).</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kejang bukanlah suatu penyakit
tetapi merupakan gejala dari gangguan saraf pusat, lokal atau sistemik. Kejang
ini merupakan gejala gangguan syaraf dan tanda penting akan adanya penyakit
lain sebagai penyebab kejang tersebut, yang dapat mengakibatkan gejala sisa
yang menetap di kemudian hari. Bila penyebab tersebut diketahui harus segera di
obati. Hal yang paling penting dari<span style="mso-spacerun: yes;">
</span>kejang pada bayi baru lahir adalah mengenal kejangnya, mendiagnosis
penyakit penyebabnya dan memberikan pertolongan terarah, bukan hanya mencoba
menanggulangi kejang tersebut dengan obat antikonvulsan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Manifestasi kejang pada bayi baru
lahir dapat berupa tremor, hiperaktif, kejang-kejang, tiba-tiba menangis
melengking. Tonus otot hilang disertai atau tidak dengan kehilangan kesadaran,
gerakan yang tidak menentu (<i style="mso-bidi-font-style: normal;">involuntary
movements</i>) nistagmus atau mata mengedip-edip proksismal, gerakan seperti
mengunyah dan menelan. Oleh karena itu Manifestasi klinik yang berbeda-beda dan
bervariasi, sering kali kejang pada bayi baru lahir tidak di kenali oleh yang
belum berpengalaman. Dalam prinsip, setiap gerakan yang tidak biasa pada bayi
baru lahir apabila berangsur berulang-ulang dan periodik, harus dipikirkan
kemungkinan Manifestasi kejang.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 35.45pt;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo2; text-align: justify; text-indent: -21.25pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">B.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Patogenesis </span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kejang pada neonatus seringkali
tidak dikenali kerena bentuknya yang berbeda dengan kejang orang dewasa dan
anak-anak. Penyelidikan sinemotografi dan EEG menunjukkan bahwa kelainan pada
EGG sesuai dengan twitching dari muka, kedipan muka, menguap, kaku tiba-tiba
dan sebagainya. Oleh karena itu, kejang pada bayi baru lahir tidak spesifikasi
dan lebih banyak digunakan istilah “fit” atau “seizure”.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Manifestasi yang berbeda-beda ini
disebabkan morfologi dan organisasi dari korteks serebri yang belum terbentuk
sempurna pada neonatus (Froeman, 1975). Demikian pula pembentukan dendrit,
synopsis dan mielinasasi. Susunan syarat pusat pada neonatus terutama berfungsi
pada medulla spinalis dan batang orak. Kelainan lokal pada neuron tidak
disalurkan kepada jaringan berikutnya sehingga kejang umum jarang terjadi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Batang otak berhubungan dengan
gerakan-gerakan seperti menghisap, gerakan bola mata, pernafasan dan
sebagainya, sedangkan fleksi umum atau kekakuan secara fokal atau umum adalah
gejala medula spinalis.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 35.45pt;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo2; text-align: justify; text-indent: -21.25pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">C.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pembagian Kejang </span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Volve (1977) membagi kejang pada
bayi baru lahir sebagai berikut :</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo4; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bentuk kejang yang hampir tidak terlihat (Subtle) yang
sering tidak di insafi sebagai kejang. Terbanyak di dapat pada neonatus berupa
:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo3; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Deviasi horizontal bola mata</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo3; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Getaran dari kelopak mata (berkedip-kedip)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo3; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gerakan pipi dan mulut seperti menghisap, mengunyah,
mengecap, dan menguap </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo3; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Opnu berulang </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo3; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gerakan tonik tungkai </span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo4; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kejang klonik multifokal (miogratory)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gerakan klonik berpindah-pindah dari satu anggota
gerak ke yang lain secara tidak teratur, kadang-kadang kejang yang satu dengan
yang lain dapat menyerupai kejang umum. </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo4; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kejang tonik </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ekstensi kedua tungkai, kadang-kadang dengan flexi
kedua lengan menyerupai dekortikasi</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo4; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kejang miokolik </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berupa gerakan flexi seketika seluruh tubuh, jarang
terlihat pada neonatus </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo4; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kejang umum </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kejang seluruh badan, sianosis, kesadaran menurun </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo4; tab-stops: list 36.0pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kejang fokal
</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gerakan ritmik 2-3 x/detik. Sentakan yang dimulai dari
salah satu kaki, tangan atau muka (gerakan mata yang berputar-putar, menguap,
mata berkedip-kedip, nistagmus, tangis dengan nada tinggi).</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 35.45pt;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">D.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diagnosis</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: list 36.0pt; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri; mso-fareast-language: IN;">1. </span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Anamnesa </span></b></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level2 lfo5; tab-stops: list 54.0pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Anemnesa
lengkap mengenai keadaan ibu pada saat hamil </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level2 lfo5; tab-stops: list 54.0pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Obat yang di
minum oleh ibu saat hamil </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level2 lfo5; tab-stops: list 54.0pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Obat yang
diberikan dan yang diperlukan sewaktu persalinan </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level2 lfo5; tab-stops: list 54.0pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Apakah ada
anak dan keluarga yang sebelumnya menderita kejang dan lain-lain.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level2 lfo5; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Riwayat persalinan: bayi lahir prematus, lahir dengan
tindakan, penolong persalinan, asfiksia neontorum</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level2 lfo5; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Riwayat immunisasi tetanus ibu, penolong persalinan
bukan tenaga kesehatan </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level2 lfo5; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Riwayat perawatan tali pusat dengan obat tradisional </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level2 lfo5; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">h.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Riwayat kejang, penurunan kesadaran, ada gerakan
abnormal pada mata, mulut, lidah, ekstremitas</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level2 lfo5; tab-stops: list 54.0pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">i.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Riwayat
spasme atau kekakukan pada ekstremitas, otot mulut dan perut</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level2 lfo5; tab-stops: list 54.0pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">j.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kejang
dipicu oleh kebisingan atau prosedur atau tindakan pengobatan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level2 lfo5; tab-stops: list 54.0pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">k.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Riwayat bayi
malas minum sesudah dapat minum normal </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level2 lfo5; tab-stops: list 54.0pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">l.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Adanya
faktor resiko infeksi </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level2 lfo5; tab-stops: list 54.0pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">m.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Riwayat ibu
mendapatkan obat, misal: heroin, metadon, propoxypen, alkohol </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level2 lfo5; tab-stops: list 54.0pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">n.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Riwayat
perubahan warna kulit (kuning)</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level2 lfo5; tab-stops: list 54.0pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">o.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Saat
timbulnya dan lama terjadinya kejang </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: list 36.0pt; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri; mso-fareast-language: IN;">2. </span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemeriksaan fisik </span></b></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level2 lfo7; tab-stops: list 54.0pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kejang </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo6; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gerakan normal pada wajah, mata, mulut, lidah dan
ekstremitas</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo6; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ekstensi atau fleksi tonik ekstremitas, gerakan
seperti mengayuh sepeda, mata berkedip berputar, juling</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo6; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tangisan melengking dengan nada tinggi, sukar berhenti
</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo6; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Perubahan status kesadaran, apnea, ikterus, ubun-ubun
besar menonjol, suhu tidak normal</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo7; tab-stops: list 54.0pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Spasme </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo8; tab-stops: list 72.0pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bayi tetap
sadar, menangis kesakitan </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo8; tab-stops: list 72.0pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Trismus,
kekakuan otot mulut pada ekstremitas, perut, kontraksi otot, tidak terkendali
dipicu oleh kebisingan, cahaya atau prosedur diagnostik </span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo8; tab-stops: list 72.0pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Infeksi tali
pusat </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 35.45pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri; mso-fareast-language: IN;">3. </span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemeriksaan laboratorium </span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gula darah, kalsium, fospor, magnesium, natrium,
bilirubin, fungsi lumbal, darah tepi, dan kalau mungkin biakan darah dan cairan
serebrospinal foto kepala dan EEG, pemeriksaan sedapat mungkin terarah.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo2; tab-stops: list 18.0pt; text-align: justify; text-indent: -21.25pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">E.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Prognosis </span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tergantung dari cepat lambatnya
timbul kejang (makin dini timbulnya kejang, makin tinggi angka kematian dan
gejala usia) beratnya penyakit, fasilitas laboratorium, cepat lambatnya
mendapat pengobatan yang adekuat dan baik tidaknya perawatan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri; mso-fareast-language: IN;">F. </span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Etiologi </span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level3 lfo9; text-align: justify; text-indent: -14.2pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Metabolik</span></b></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level2 lfo7; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Hipoglikemia </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bila kadar darah gula kurang dari 30
mg% pada neonatus cukup bulan dan kurang dari 20 mg% pada bayi dengan berat
badan lahir rendah. Hipoglikemia dapat dengan/tanpa gejala. Gejala dapat berupa
serangan apnea, kejang sianosis, minum lemah, biasanya terdapat pada bayi berat
badan lahir rendah, bayi kembar yang kecil, bayi dari ibu penderita diabetes
melitus, asfiksia.</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level2 lfo7; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Hipokalsemia </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Yaitu: keadaan kadar kalsium pada
plasma kurang dari 8 mg/100 ml atau kurang dari 8 mg/100 ml atau kurang dari 4
MEq/L</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gejala: tangis dengan nada tinggi,
tonus berkurang, kejang dan diantara dua serangan bayi dalam keadaan baik.</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo7; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Hipomagnesemia </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Yaitu kadar magnesium dalam darah
kurang dari 1,2 mEg/l. biasanya terdapat bersama-sama dengan hipokalsemia,
hipoglikemia dan lain-lain.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gejala kejang yang tidak dapat di
atasi atau hipokalsemia yang tidak dapat sembuh dengan pengobatan yang adekuat.</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo7; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Hiponatremia dan hipernatremia </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Hiponatremia adalah kadar Na dalam
serum kurang dari 130 mEg/l. gejalanya adalah kejang, tremor. Hipertremia,
kadar Na dalam darah lebih dari 145 mEg/l. Kejang yang biasanya disebabkan oleh
karena trombosis vena atau adanya petekis dalam otak.</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo7; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Defisiensi pirodiksin dan dependensi piridoksisn </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Merupakan akibat kekurangan vitamin
B6. gejalanya adalah kejang yang hebat dan tidak hilang dengan pemberian obat
anti kejang, kalsium, glukosa, dan lain-lain. Pengobatan dengan memberikan 50
mg pirodiksin</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo7; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Asfiksia </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Suatu keadaan bayi tidak bernafas
secara spontan dan teratur segera setelah lahir etiologi karena adanya gangguan
pertukaran gas dan transfer O<sub>2</sub> dari ibu ke janin.</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo9; tab-stops: list 36.0pt; text-align: justify; text-indent: -14.2pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Perdarahan
intrakranial </span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dapat disebabkan oleh trauma lahir
seperti asfiksia atau hipoksia, defisiensi vitamin K, trombositopenia.<span style="mso-spacerun: yes;"> </span>Perdarahan dapat terjadi sub dural, dub
aroknoid, intraventrikulus dan intraserebral. Biasanya disertai hipoglikemia,
hipokalsemia. Diagnosis yang tepat sukar ditetapkan, fungsi lumbal dan
offalmoskopi mungkin dapat membantu diagnosis. Terapi : pemberian obat anti
kejang dan perbaikan gangguan metabolism bila ada.</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo9; tab-stops: 7.1pt list 36.0pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Infeksi </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Infeksi
dapat menyebabkan kejang, seperti : tetanus dan meningitis</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo9; tab-stops: 7.1pt list 36.0pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Genetik/kelainan
bawaan </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo9; tab-stops: 7.1pt list 36.0pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penyebab
lain </span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level2 lfo7; tab-stops: list 54.0pt; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Polisikemia </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Biasanya terdapat pada bayi berat
lahir rendah, infufisiensi placenta, transfuse dari bayi kembar yang satunya ke
bayi kembar yang lain dengan kadar hemoktrokit di atas 65%</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level2 lfo7; tab-stops: list 54.0pt; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kejang idiopatik </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tidak memerlukan pengobatan yang
spesifik, bila tidak diketahui penyebabnya berikan oksigen untuk sianosisnya </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 35.45pt;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level2 lfo7; tab-stops: list 54.0pt; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Toksin estrogen </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Misalnya : hexachlorophene </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 35.45pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: list 18.0pt; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri; mso-fareast-language: IN;">G.
</span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penanganan (Buku Acuan Nasional
Maternatal dan Neonatal)</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level3 lfo10; text-align: justify; text-indent: -1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Prinsip dasar tindakan mengatasi kejang pada bayi baru
lahir sebagai berikut :</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo11; tab-stops: list 54.0pt; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mengatasi
kejang dengan memberikan obat anti kejang-kejang<span style="mso-spacerun: yes;"> </span>(Misal : diazepam, fenobarbital,
fenotin/dilantin)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo11; tab-stops: list 54.0pt; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menjaga
jalan nafas tetap bebas dengan resusitasi </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo11; tab-stops: list 54.0pt; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mencari
faktor penyebab kejang </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo11; tab-stops: list 54.0pt; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mengobati
penyebab kejang (mengobati hipoglikemia, hipokalsemia dan lain-lain)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo10; text-align: justify; text-indent: -1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Obat anti kejang (Buku Acuan Nasional Maternatal dan
Neonatal, 2002)</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo12; tab-stops: list 54.0pt; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diazepam </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dosis 0,1-0,3 mg/kg BB IV disuntikan
perlahan-lahan sampai kejang hilang atau berhenti. Dapat diulangi pada kejang
beruang, tetapi tidak dianjurkan untuk digunakan pada dosis pemeliharaan </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo12; tab-stops: list 54.0pt; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Fenobarbital </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dosis 5-10 mg/kg BB IV disuntikkan
perlahan-lahan, jika kejang berlanjut lagi dalam 5-10 menit. Fenitoin diberikan
apabila kejang tidak dapat di berikan 4-7 mg/kg BB IV pada hari pertama di
lanjutkan dengan dosis pemeliharaan 4-7 mg/kg BB atau oral dalam 2 dosis.</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo10; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penanganan kejang pada bayi baru lahir (Buku Acuan
Nasional Maternal dan Neonatal, 2002)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level2 lfo13; tab-stops: list 54.0pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bayi
diletakkan dalam tempat yang hangat pastikan bahwa bayi tidak kedinginan. Suhu
dipertahankan 36,5<sup>o</sup>C - 37<sup>o</sup>C</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level2 lfo13; tab-stops: list 54.0pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jalan nafas
bayi dibersihkan dengan tindakan penghisap lendir di seputar mulut, hidung
sampai nasofaring </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level2 lfo13; tab-stops: list 54.0pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bila bayi
apnea dilakukan pertolongan agar bayi bernafas lagi dengan alat bantu balon dan
sungkup, diberikan oksigen dengan kecepatan 2 liter/menit</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level2 lfo13; tab-stops: list 54.0pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dilakukan
pemasangan infus intravena di pembuluh darah perifer di tangan, kaki, atau
kepala. Bila bayi diduga dilahirkan oleh ibu berpenyakit diabetes miletus
dilakukan pemasangan infus melalui vena umbilikostis</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level2 lfo13; tab-stops: list 54.0pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bila infus
sudah terpasang di beri obat anti kejang diazepam 0,5 mg/kg supositoria IM
setiap 2 menit sampai kejang teratasi, kemudian di tambah luminal (fenobarbital
30 mg IM/IV)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level2 lfo13; tab-stops: list 54.0pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Nilai
kondisi bayi selama 15 menit. Perhatikan kelainan fisik yang ada</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level2 lfo13; tab-stops: list 54.0pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bila kejang
sudah teratasi, diberi cairan dextrose 10% dengan kecepatan 60 ml/kg BB/hari</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level2 lfo13; tab-stops: list 54.0pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">h.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dilakukan
anamnesis<span style="mso-spacerun: yes;"> </span>mengenai keadaan bayi untuk
mencari faktor penyebab kejang</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo14; tab-stops: list 72.0pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Apakah
kemungkinan bayi dilahirkan oleh ibu yang berpenyakit DM</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Apakah
kemungkinan bayi prematur</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Apakah
kemungkinan bayi mengalami asfiksia </span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Apakah
kemungkinan ibu bayi mengidap/menggunakan narkotika</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level2 lfo13; tab-stops: list 54.0pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">i.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bila sudah
teratasi di ambil bahan untuk pemeriksaan laboratorium untuk mencari faktor
penyebab kejang, misalnya :</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo15; tab-stops: list 72.0pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Darah tepi</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Elektrolit
darah</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gula darah</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo15; tab-stops: list 72.0pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kimia darah
(kalsium, magnesium)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level2 lfo13; tab-stops: list 54.0pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">j.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bila
kecurigaan kearah pepsis dilakukan pemeriksaan fungsi lumbal</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level2 lfo13; tab-stops: list 54.0pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">k.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Obat
diberikan sesuai dengan hasil penelitian ulang</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level2 lfo13; tab-stops: list 54.0pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">l.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Apabila
kejang masih berulang, diazepam dapat diberikan lagi sampai 2 kali.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span style="font-family: Algerian; font-size: 14.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman";">ASUHAN KEBIDANAN<br />
Pada an.”r” usia 10 bulan dengan kejang</span></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-family: Calibri; mso-fareast-font-family: "Times New Roman";">I.
PENGKAJIAN</span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-family: Calibri; mso-fareast-font-family: "Times New Roman";">A.</span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";">
</span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Identitas
Klien</span></b></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Nomor RM<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>01-41-42-57<span style="mso-tab-count: 1;"> </span>Tanggal
Masuk RS<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>12/4/2009</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Nama Klien<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>An. R<span style="mso-tab-count: 1;"> </span>Tanggal
Pengkajian<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>14/4/2009</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Nama Panggilan<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>An. R</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Tempat Tanggal Lahir<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Sleman, 26/5/2008</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Umur<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>10 bulan.</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Jenis Kelamin<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Perempuan</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Suku<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Jawa</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Bahasa yang Dimengerti<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Jawa</span></div>
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<br /></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Orang Tua/Wali</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Nama Ayah/Ibu<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Bp. M/Ibu R</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Pekerjaan Ayah/Ibu<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Swasta/Guru</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Pendidikan<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>SLTA/SPG</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Alamat<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span></span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">Sumberadi, Mlati, Sleman</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"></span></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-family: Calibri; mso-fareast-font-family: "Times New Roman";">II.
KRONOLOGIS</span></b></div>
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<span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">Satu </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">hari
sebelum masuk rumah sakit</span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";"> anak demam, tidak muntah, tidak batuk, tidak pilek,
kemudian diberi paracetamol<span style="mso-spacerun: yes;"> </span>½<span style="mso-spacerun: yes;"> </span>sendok teh tetapi demam masih tinggi.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Hari masuk rumah sakit</span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";"> anak muntah 2 kali seperti yang dimakan tidak muncrat,
BAB encer 1 kali, demam tinggi, tidak ada edema. Anak kejang saat di UGD selam
2 menit, berhenti dengan diazepam 5 mg suspensi dan 2 kali dumin suspensi
masuk.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"></span></div>
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<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 108.0pt 126.0pt 252.0pt 351.0pt 364.5pt; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-family: Calibri; mso-fareast-font-family: "Times New Roman";">III.
SOAP</span></b></div>
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<br /></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">S : </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level2 lfo16; tab-stops: 144.0pt 157.5pt 252.0pt 351.0pt 364.5pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Keluhan
Utama</span></div>
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<span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">Panas, suhu
tubuh 38 °C.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo13; tab-stops: 108.0pt 126.0pt 252.0pt 351.0pt 364.5pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Riwayat
Persalinan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo17; tab-stops: list 72.0pt left 204.0pt 210.0pt; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Persalinan ditolong oleh <span style="mso-tab-count: 1;"> </span>: Bidan </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo17; tab-stops: list 72.0pt left 204.0pt 210.0pt; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jenis persalinan <span style="mso-tab-count: 1;"> </span>:
Spontan pervaginam</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tempat persalinan <span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>RB Kasih Ibu</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo17; tab-stops: list 72.0pt; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Lama persalinan :</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kala I<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>10 jam <span style="mso-tab-count: 1;"> </span>30 menit</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo18; tab-stops: list 90.0pt left 204.0pt 210.0pt; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kala II<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 3;"> </span>30
menit</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo18; tab-stops: list 90.0pt left 204.0pt 210.0pt; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kala III<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 3;"> </span>30
menit</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo18; tab-stops: list 90.0pt left 204.0pt 210.0pt; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kala IV<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>2 jam</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo17; tab-stops: list 72.0pt; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Masalah yang
terjadi selama persalinan : tidak ada </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo17; tab-stops: list 72.0pt left 204.0pt 210.0pt; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Keadaan air ketuban <span style="mso-tab-count: 1;"> </span>:
jernih</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo17; tab-stops: 204.0pt 210.0pt; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Keadaan umum bayi <span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>kelahiran tunggal, usia kehamilan saat
melahirkan <u>+</u> 40 minggu </span></div>
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<br /></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">O :</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pemeriksaan Fisik</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri; mso-fareast-font-family: "Times New Roman";">1.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Keadaan umum</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 127.6pt 252.0pt 351.0pt 364.5pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Tingkat kesadaran <span style="mso-tab-count: 1;"> </span>: compos mentis</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Nadi: 124 x/m<span style="mso-tab-count: 1;"> </span>Suhu: 38,2 °C<span style="mso-tab-count: 1;"> </span>RR:
30 x/m<span style="mso-tab-count: 2;"> </span></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">BB: 8 kg<span style="mso-tab-count: 1;"> </span>TB: 77 cm<span style="mso-tab-count: 3;"> </span>LK: 45 cm</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 127.6pt 211.5pt 252.0pt 351.0pt 364.5pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri; mso-fareast-font-family: "Times New Roman";">2.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kulit<span style="mso-tab-count: 1;"> </span>: turgor baik, tidak ada ptechie dan
diaperras</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 127.6pt 211.5pt 252.0pt 351.0pt 364.5pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri; mso-fareast-font-family: "Times New Roman";">3.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kepala<span style="mso-tab-count: 1;"> </span>: bersih, ubun-ubun belum menutup.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 36.0pt 127.6pt 211.5pt 351.0pt 364.5pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri; mso-fareast-font-family: "Times New Roman";">4.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Mata<span style="mso-tab-count: 1;"> </span>:
tidak ada edema palpebra, konjungtiva tidak pucat, scelera tidak ikterik.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 36.0pt 127.6pt 211.5pt 351.0pt 364.5pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri; mso-fareast-font-family: "Times New Roman";">5.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Telinga <span style="mso-tab-count: 1;"> </span>: kebersihan baik, tidak ada pengeluaran
cairan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 127.6pt 211.5pt 252.0pt 351.0pt 364.5pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri; mso-fareast-font-family: "Times New Roman";">6.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Hidung<span style="mso-tab-count: 1;"> </span>: terpasang sonde.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 127.6pt 211.5pt 252.0pt 351.0pt 364.5pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri; mso-fareast-font-family: "Times New Roman";">7.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Mulut<span style="mso-tab-count: 1;"> </span>: mukosa lembab, tidak ada iritasi mukosa.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 36.0pt 127.6pt 211.5pt 252.0pt 351.0pt 364.5pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri; mso-fareast-font-family: "Times New Roman";">8.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Leher<span style="mso-tab-count: 1;"> </span>: tidak ada pembesaran kelenjar getah
bening.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 127.6pt 211.5pt 252.0pt 351.0pt 364.5pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri; mso-fareast-font-family: "Times New Roman";">9.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Dada<span style="mso-tab-count: 1;"> </span>:
Simetris, tidak ada ketinggalan gerak</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 36.0pt 127.6pt 211.5pt 252.0pt 351.0pt 364.5pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri; mso-fareast-font-family: "Times New Roman";">10.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Paru-paru<span style="mso-tab-count: 1;"> </span>: perkusi sonor, bunyi napas vesikular.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 36.0pt 127.6pt 211.5pt 252.0pt 351.0pt 364.5pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri; mso-fareast-font-family: "Times New Roman";">11.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Jantung<span style="mso-tab-count: 1;"> </span>: Auskultasi S1 tunggal, S2 split tdk
konstan, tidak ada bising.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 36.0pt 127.6pt 211.5pt 252.0pt 351.0pt 364.5pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri; mso-fareast-font-family: "Times New Roman";">12.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Abdomen<span style="mso-tab-count: 1;"> </span>: bentuk soepel, tidak ada distensi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 36.0pt 127.6pt 211.5pt 252.0pt 351.0pt 364.5pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri; mso-fareast-font-family: "Times New Roman";">13.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Anus dan rectum<span style="mso-tab-count: 1;"> </span>: tidak ada iritasi pada mukosa.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 36.0pt 127.6pt 211.5pt 252.0pt 351.0pt 364.5pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri; mso-fareast-font-family: "Times New Roman";">14.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Muskuloskeletal<span style="mso-tab-count: 1;"> </span>: kekuatan otot baik, pergerakan
tidak terbatas.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 36.0pt 127.6pt 211.5pt 252.0pt 351.0pt 364.5pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 36.0pt 127.6pt 211.5pt 252.0pt 351.0pt 364.5pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 36.0pt 127.6pt 211.5pt 252.0pt 351.0pt 364.5pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 36.0pt 127.6pt 211.5pt 252.0pt 351.0pt 364.5pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 36.0pt 127.6pt 211.5pt 252.0pt 351.0pt 364.5pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 36.0pt 127.6pt 211.5pt 252.0pt 351.0pt 364.5pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 36.0pt 127.6pt 211.5pt 252.0pt 351.0pt 364.5pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 36.0pt 127.6pt 211.5pt 252.0pt 351.0pt 364.5pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 36.0pt 127.6pt 211.5pt 252.0pt 351.0pt 364.5pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 36.0pt 127.6pt 211.5pt 252.0pt 351.0pt 364.5pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 36.0pt 127.6pt 211.5pt 252.0pt 351.0pt 364.5pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 36.0pt 127.6pt 211.5pt 252.0pt 351.0pt 364.5pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 36.0pt 127.6pt 211.5pt 252.0pt 351.0pt 364.5pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">A :<span style="mso-tab-count: 1;"> </span></span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div align="center" class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; mso-fareast-font-family: "Times New Roman";">ANALISA DATA</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"></span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; mso-border-alt: solid black .5pt; mso-border-insideh: .5pt solid black; mso-border-insidev: .5pt solid black; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid black 1.0pt; mso-border-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 54.9pt;" valign="top" width="73"><div align="center" class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Tgl/Jam</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 163.15pt;" valign="top" width="218"><div align="center" class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Data Senjang</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 109.05pt;" valign="top" width="145"><div align="center" class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Masalah </span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 109.05pt;" valign="top" width="145"><div align="center" class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Etiologi </span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 54.9pt;" valign="top" width="73"><div align="center" class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">14/4 ‘09</span></div>
<div align="center" class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">08.00</span></div>
<div align="center" class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 163.15pt;" valign="top" width="218"><div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">DS:</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-family: Calibri; mso-fareast-font-family: "Times New Roman";">-</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Ibu
klien mengatakan an. R panas.</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">DO:</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-family: Calibri; mso-fareast-font-family: "Times New Roman";">-</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Suhu
axila 38,2 °C.</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-family: Calibri; mso-fareast-font-family: "Times New Roman";">-</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Kulit
merah.</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-family: Calibri; mso-fareast-font-family: "Times New Roman";">-</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Kulit
teraba hangat.</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 109.05pt;" valign="top" width="145"><div align="center" class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Hipertermi </span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 109.05pt;" valign="top" width="145"><div align="center" class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Peningkatan metabolik</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 54.9pt;" valign="top" width="73"><div align="center" class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">14/4 ‘09</span></div>
<div align="center" class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">08.00</span></div>
<div align="center" class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 163.15pt;" valign="top" width="218"><div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">DS:</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Ibu klien mengatakan anak muntah 1 x dan BAB lunak 1 x
pagi ini.</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">DO:</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Peningkatan suhu tubuh 38,2 °C.</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 109.05pt;" valign="top" width="145"><div align="center" class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Risiko kekurangan volume cairan</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 109.05pt;" valign="top" width="145"><div align="center" class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Status hipermetabolik</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 3; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 54.9pt;" valign="top" width="73"><div align="center" class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">14/4 ‘09</span></div>
<div align="center" class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">08.00</span></div>
<div align="center" class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 163.15pt;" valign="top" width="218"><div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">DS:</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">-</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">DO:</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: Symbol; font-size: 12.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: Symbol;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Demam, suhu 38,2 °C.</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: Symbol; font-size: 12.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; mso-fareast-font-family: Symbol;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Riwayat kesehatan: Kejang saat masuk rumah sakit.</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 109.05pt;" valign="top" width="145"><div align="center" class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Risiko cedera</span></div>
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<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 109.05pt;" valign="top" width="145"><div align="center" class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Fungsi regulatori biokimia
(hipertermi dan konvulsi)</span></div>
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<div align="center" class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">P :</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri; mso-fareast-font-family: "Times New Roman";">1.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> Memberikan
obat Zinc 1 x 20 mg</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 193.5pt 211.5pt 252.0pt 351.0pt 364.5pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri; mso-fareast-font-family: "Times New Roman";">2.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> Memberikan
obat Dialac 2 x 1 sachet</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 193.5pt 211.5pt 252.0pt 351.0pt 364.5pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri; mso-fareast-font-family: "Times New Roman";">3.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> Memberikan
obat Paracetamol 10 mg/ kg BB k/p (3/4 cth).</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 193.5pt 211.5pt 252.0pt 351.0pt 364.5pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri; mso-fareast-font-family: "Times New Roman";">4.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> Memberikan
obat Diazepam 0,3 mg/kg BB IV jika kejang (2,5 mg).</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 193.5pt 211.5pt 252.0pt 351.0pt 364.5pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri; mso-fareast-font-family: "Times New Roman";">5.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> Memberikan
obat Diazepam 0,1 mg/kg BB per oral jika suhu > 38,5 °C (0,8 mg).</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
Anonymoushttp://www.blogger.com/profile/09428371857956484973noreply@blogger.com0tag:blogger.com,1999:blog-1493722132486835108.post-53052603413417674842014-02-06T17:10:00.000-08:002014-02-07T15:18:35.816-08:00Gangguan Pola Tidur Bayi Usia 0-6 Minggu<!--[if !mso]>
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<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span style="font-family: Algerian; font-size: 20.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman";">MAKALAH ASKEB NEONATUS<br />
</span><span style="font-family: Algerian; font-size: 16.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman";">GANGGUAN POLA TIDUR BAYI USIA 0 - 6
MINGGU</span></div>
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<span style="font-family: "Monotype Corsiva"; font-size: 14.0pt; mso-bidi-font-family: Arial;">Disusun oleh :</span></div>
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</span></span></span><span style="font-family: "Monotype Corsiva"; font-size: 14.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Naimatul Husniah <span style="mso-tab-count: 1;"> </span>( 02.12.035 )</span></div>
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</span></span></span><span style="font-family: "Monotype Corsiva"; font-size: 14.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Eka Herin Priyanti <span style="mso-tab-count: 1;"> </span>( 02.12.012 )</span></div>
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</span></span></span><span style="font-family: "Monotype Corsiva"; font-size: 14.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Choiro Nur’Aini <span style="mso-tab-count: 1;"> </span>( 02.12.006 )</span></div>
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</span></span></span><span style="font-family: "Monotype Corsiva"; font-size: 14.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Nimas Levi Dilevi <span style="mso-tab-count: 1;"> </span>( 02.12.038 )</span></div>
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</span></span></span><span style="font-family: "Monotype Corsiva"; font-size: 14.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Dita Saraswati <span style="mso-tab-count: 1;"> </span>( 02.12.010 )</span></div>
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<span style="font-family: "Monotype Corsiva"; font-size: 16.0pt; mso-bidi-font-family: Arial;">D3 Kebidanan</span></div>
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<span style="font-family: Algerian; font-size: 20.0pt; mso-bidi-font-family: Arial;">SEKOLAH
TINGGI ILMU KESEHATAN DIAN HUSADA</span></div>
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<span style="font-family: Algerian; font-size: 20.0pt; mso-bidi-font-family: Arial;">JL.
RAYA TERAS 04 TAMBAK AGUNG PURI</span></div>
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<span style="font-family: Algerian; font-size: 20.0pt; mso-bidi-font-family: Arial;">MOJOKERTO</span></div>
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<span style="font-family: Algerian; font-size: 14.0pt; mso-bidi-font-family: "Times New Roman";">KATA
PENGANTAR</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span>Puji syukur kami ucapkan kepada
Tuhan Yang Maha Esa. Berkat rahmat, taufiq, dan hidayah-Nya kami dapat
menyelesaikan tugas makalah yang berjudul “ Gangguan Pola Tidur pada Bayi Usia
0 – 6 Minggu ”. </span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span>Kami mengucapkan banyak terima kasih
kepada seluruh pihak yang telah membantu dalam penyelesaian makalah ini, dan
juga kepada sumber-sumber yang digunakan untuk menunjang penyelesaian makalah
ini. Tidak lupa juga ucapan terima kasih kepada seluruh anggota kelompok yang
telah bekerja sama dalam penyelesaian makalah ini. </span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span>Demikianlah makalah yang telah kami
selesaikan. Tiada gading yang tak retak, begitu pula makalah ini yang tak luput
dari kekurangan. Kritik dan saran sangat kami harapkan untuk menunjang
keberhasilan dari makalah ini. Semoga makalah ini bermanfaat bagi kita semua.
Amin.</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"><span style="mso-tab-count: 8;"> </span>Mojokerto,
12 Oktober 2013 </span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"><span style="mso-tab-count: 1;"> </span><span style="mso-tab-count: 6;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-tab-count: 2;"> </span><span style="mso-spacerun: yes;"> </span>Penyusun</span></div>
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<span style="font-family: Algerian; font-size: 14.0pt; mso-bidi-font-family: Arial;">Daftar
isi </span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kata
Pengantar <span style="mso-tab-count: 1 dotted;">................................................................................................................... </span><span style="mso-spacerun: yes;"> </span>i</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Daftar
Isi <span style="mso-tab-count: 1 dotted;">............................................................................................................................ </span><span style="mso-spacerun: yes;"> </span>ii</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bab
I </span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pendahuluan</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Latar
Belakang Masalah<span style="mso-tab-count: 1 dotted;">...................................................................................................... </span>
1</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Rumusan
Masalah<span style="mso-tab-count: 1 dotted;">................................................................................................................ </span>
1</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tujuan
Penulisan<span style="mso-tab-count: 1 dotted;">.................................................................................................................. </span>
1</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Manfaat
Penulisan<span style="mso-tab-count: 1 dotted;">............................................................................................................... </span>
1</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bab
II</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span>Isi</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pola
tidur pada bayi 0-6 minggu <span style="mso-tab-count: 1 dotted;">........................................................................................ </span><span style="mso-spacerun: yes;"> </span>2</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gangguan
tidur<span style="mso-tab-count: 1 dotted;">.................................................................................................................... </span>
3</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tips
untuk mengatasi gangguan tidur<span style="mso-tab-count: 1 dotted;">.................................................................................. </span>
4</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bab
III </span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penutup</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kesimpulan<span style="mso-tab-count: 1 dotted;">.......................................................................................................................... </span>
5</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Saran<span style="mso-tab-count: 1 dotted;">.................................................................................................................................... </span>
5</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Daftar
Pustaka <span style="mso-tab-count: 1 dotted;">.................................................................................................................... </span><span style="mso-spacerun: yes;"> </span>6</span></div>
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<span style="font-family: Algerian; font-size: 14.0pt; line-height: 150%; mso-bidi-font-family: Arial;">BAB i<br />
PENDAHULUAN</span></div>
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<span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Algerian; mso-fareast-font-family: Algerian;"><span style="mso-list: Ignore;">1.1<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Arial;">LATAR BELAKANG MASALAH</span></div>
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Bagi bayi,
tidur merupakan salah satu bentuk adaptasi dengan lingkungan barunya. Udara
yang dihirup ketika ia di dalam rahim tentu berbeda dengan udara di lingkungan
bebas. Begitu pula dengan cahaya, temperatur, dan kelembaban di sekitarnya.</div>
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Selama waktu
tidurnya, pertumbuhan dan perkembangan organ-organ tubuh bayi akan meningkat
secara pesat. Bagi bayi, tidur merupakan saat untuk mengumpulkan energi agar
proses adaptasi dan metabolisme di dalam tubuhnya berjalan lancar.</div>
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Tidur juga adalah
salah satu kebutuhan utama untuk menjaga kestabilan kesehatan bayi. Kekurangan
dan kelebihan tidur dapat mempengaruhi kestabilan kesehatannya. Jumlah
kebutuhan tidur anak memang bervariasi, salah satunya ditentukan faktor
usianya.</div>
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<span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Algerian; mso-fareast-font-family: Algerian;"><span style="mso-list: Ignore;">1.2<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Arial;">RUMUSAN MASALAH</span></div>
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<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="13" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="13" /><span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Berapa
rentang waktu tidur bayi usia 0-6 minggu ?</span></div>
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<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="13" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="13" /><span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Apa
saja gangguan tidur pada anak ?</span></div>
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<br /></div>
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<span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Algerian; mso-fareast-font-family: Algerian;"><span style="mso-list: Ignore;">1.3<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Arial;">Tujuan penulisan</span></div>
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<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="13" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="13" /><span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk
mengetahui rentang waktu tidur bayi usia 0-6 minggu</span></div>
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<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="13" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="13" /><span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk
mengetahui gangguan tidur pada anak</span></div>
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<span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Algerian; mso-fareast-font-family: Algerian;"><span style="mso-list: Ignore;">1.4<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Arial;">Manfaat penulisan</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dengan
adanya makalah ini diharapkan mahasiswa dapat menambah pengetahuan dan wawasan
mengenai pola tidur bayi usia 0-6 minggu dan gangguan-gangguan tidur pada bayi.</span></div>
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<span style="font-family: Algerian; font-size: 14.0pt; mso-bidi-font-family: Arial;">BAB ii<br />
isi</span></div>
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<span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%;">2.1 <span style="mso-tab-count: 1;"> </span>POLA TIDUR BAYI USIA 0-6 MINGGU</span></div>
<div class="MsoNormal" style="line-height: 150%; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bayi baru memiliki rentang waktu tidur yang sangat lama, 17 hingga 18 jam
perhari pada minggu-minggu pertama kelahiran mereka, dan perlahan-lahan
berkurang hingga 15 jam perhari pada bulan ketiga. Sekalipun demikian bayi tidak
pernah tidur lebih lama dari 3 – 4 jam setiap kali tidur, baik malam ataupun
siang hari selama minggu-minggu pertama.</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Cara membentuk pola tidur yang sehat</span></div>
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<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kenali
tanda-tanda kelelahan</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Selama minggu keenam hingga minggu
kedelapan, bayi baru tidak dapat<br />
bertahan bangun lebih dari dua jam. Jika Anda mengulur waktu lebih lama sebelum
mengajaknya tidur, bayi akan kelelahan dan mengalami kesulitan tidur.
Perhatikan tanda-tanda yang ditujukkan si kecil ketika dia mengantuk. Misalnya,
mengucek-ngucek mata, menarik telinga, atau terlihat bayangan gelap di bawah
matanya. Jika Anda menangkap<br />
tanda-tanda seperti ini, atau tanda-tanda mengantuk lainnya, tidurkanlah si
kecil segera. Sebagai orang tua baru, jangan ragu akan kepekaan Anda terhadap
sinyal-sinyal yang ditunjukkan si kecil.</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l6 level1 lfo8; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -21.3pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Latih si
kecil mengenali perbedaan siang dan malam hari</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Banyak bayi baru yang bangun pada
malam hari (night owl). Mereka benar-benar terbangun ketika Anda sedang
bersiap-siap tidur. Selama beberapa hari pertama setelah kelahiran, Anda tidak
dapat melakukan apapun atas hal ini. Tetapi ketika bayi baru sudah memasuki
usia 2 minggu, Anda mulai dapat melatihnya untuk membedakan malam dan siang
hari. Ketika ia sedang terjaga sepanjang malam, bermainlah dengan si kecil
sesering dan selama mungkin, usahakan agar ruangan tempat si kecil berada
terang benderang, dan biarkan berbagai suara seperti telepon, tv, atau mesin
pengering pakaian berbunyi. Jika si kecil menunjukkan gejala tertidur pada
saatnya makan, bangunkan dia.<br />
Sedangkan pada malam hari, jangan mengajak si kecil bermain jika ia bangun
untuk menyusu. Hindari cahaya dan suara yang berlebihan, dan jangan terlalu banyak
berbicara dengannya. Jika anda melakukan hal ini<br />
secara intens, maka tak lama setelah mulai melatihnya si kecil akan mengenal
perbedaan suasana ini, mengerti bahwa malam hari adalah saatnya untuk tidur.</span></div>
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<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Biarkan ia
tertidur sendiri</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ketika sudah mencapai usia 6 – 8
minggu, biarkan si kecil memutuskan<br />
waktu tidurnya sendiri. Caranya adalah, dengan meletakkannya di tempat tidur
ketika ia mulai mengantuk, sekalipun matanya masih terbuka. Sebaiknya Anda
tidak menggendong atau menepuk-nepuknya. Karena jika Anda melakukan hal ini
sejak si kecil berusia dini maka bayi akan terbiasa seperti itu. </span></div>
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<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menyusu pada
malam hari</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">jika bayi Anda belum berusia 3 bulan, sebaiknya Anda
menyusuinya setiap kali ia bangun. Setelah ia berusia lebih dari 3 bulan,
jangan biarkan si kecil melakukannya.</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jodi Mindell (ahli gangguan tidur anak): “Bayi baru
hanya makan dan tidur sepanjang hari. Berilah ASI jika si kecil lapar tengah
malam, namun pastikan lampu tidak terang ketika Anda menyusuinya. Hindari
berbagai suara selama menyusui.”</span></div>
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<span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%;">2.2
GANGGUAN TIDUR PADA ANAK</span></div>
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Gangguan
tidur pada anak ternyata cukup sering dialami oleh orangtua tetapi sayangnya
kondisi ini jarang ditangani secara serius dan dianggap biasa. Diduga sekitar
20-40 anak usia di bawah 3 bulan mengalami ganggan tidur. Bila gangguan ini
tidak tertangani serius <span style="mso-spacerun: yes;"> </span>dapat disertai
berbagai gangguan perilaku.</div>
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Membedakan apakah
pola tidur anak normal atau merupakan gangguan tidur dapat ditentukan oleh
berbagai hal. Untuk mengetahui tidur pada anak sudah bukan merupakan keadaan
yang normal apabila :</div>
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<span style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Anak
bangun selama 3 kali atau lebih dalam satu malam atau beberapa malam. Atau
sedikitnya empat kali dalam seminggu gangguan tersebut ada.</span></div>
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<span style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dalam aktifitas tidurnya diluar
biasanya, dimana anak berpindah tidur</span></div>
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<span style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Anak menolak tidur sedikitnya 30 menit
saat waktu tidur, untuk memulai tidur diawali sedikitv tantrum, marah atau
gelisah. .</span></div>
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<span style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dalam memulai tidur harus
dibutuhkan bantuan orangtua padahal sebelumnya bisa tidur sendiri.</span></div>
<div style="line-height: 150%; text-align: justify; text-indent: 21.3pt;">
Gangguan
tidur yang sering terjadi adalah insomia adalah gangguan untuk memulai tidur
dan mempertahankan tidur yang baik. Gangguan tidur tersebut menimbulkan penderitaan
dan gangguan dalam berbagai fungsi sosial, pertumbuhan dan perkembangan anak,
maupun gangguan pada fungsi lainnya. Terdapat berbagai jenis insomnia
tergantung beberapa kondisi dan penyakit yang melatarbelakangi gangguan tidur
tersebut.</div>
<div style="line-height: 150%; text-align: justify; text-indent: 21.3pt;">
Gangguan tidur
pada anak seperti malam gelisah, tidur bolak-balik dari ujung ke ujung, sering
terbangun, rewel <span style="mso-spacerun: yes;"> </span>lebih sering terjadi pada
usia 6 bulan sampai 2 tahun. Di atas usia 3 hingga 5 tahun semkian berkurang.
Sedangkan diatas usia 7 tahun semakin jarang. Pada beberapa kasus gangguan
tidur ini menetap hingga dewasa. Parasomnia seperti ini disebut <i>night
terror, sleep terror, pavor nocturnus </i>atau teror malam. Penderitanya
berusia antara 2 – 5 tahun, dan biasanya hilang dengan sendirinya saat berusia
7 tahun. Insomnia adalah gangguan untuk memulai tidur dan mempertahankan
kualitas tidur yang disebabkan berbagai faktor.</div>
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<span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%;">2.3
TIPS UNTUK MENGATASI GANGGUAN TIDUR</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pastikan
apakah kondisi popoknya masih kering atau sudah basah.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; mso-list: l7 level1 lfo6; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bayi
belum bisa tidur malam dengan jangka waktu yang lama, namun seiring dengan
perkembangan usianya, Ibu dapat melatihnya secara perlahan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; mso-list: l7 level1 lfo6; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bayi
hanya dapat beraktivitas selama 2 jam. Perhatikan tanda-tanda yang ditunjukkan
bayi ketika ia mengantuk. Misalnya, sering menguap, mengucek-ngucek matanya,
atau menangis. Bantulah ia agar segera tertidur. Kepekaan Ibu pasti akan
mengenali setiap gerakan yang ditunjukkan oleh bayi.</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Selama
beberapa hari pertama setelah kelahiran, bayi Ibu justru akan terbangun waktu
malam ketika Ibu akan tidur. Hal ini sangat normal kok, Bu. Tetapi ketika si
Kecil sudah memasuki usia 2 minggu, latihlah ia untuk membedakan malam dan
siang hari. Bangunkan ia pada pagi hari sambil membuka tirai dan membiarkan
cahaya matahari pagi masuk. Pada malam hari, buatlah suasana kamar menjadi
redup.</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Biarkan
si Kecil mengenali waktu tidurnya sendiri. Caranya? Letakkan ia di tempat tidur
ketika ia mulai mengantuk, sekalipun matanya masih terbuka. </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; mso-list: l7 level1 lfo6; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bayi
yang baru dilahirkan hanya makan dan tidur sepanjang hari. Berilah ASI jika ia
terbangun karena lapar waktu malam, namun pastikan lampu tidak menyala terlalu
terang ketika Ibu menyusuinya. Hindari kebisingan dan pastikan suasana sekitar
tenang selama Ibu sedang menyusuinya.</span></div>
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<span style="font-family: Algerian; font-size: 14.0pt; mso-bidi-font-family: Arial;">Bab
iii</span></div>
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<span style="font-family: Algerian; font-size: 14.0pt; mso-bidi-font-family: Arial;">penutup</span></div>
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<span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Algerian; mso-fareast-font-family: Algerian;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman";">Kesimpulan</span></div>
<div style="line-height: 150%; text-align: justify; text-indent: 14.2pt;">
Gangguan
tidur yang sering terjadi adalah insomia adalah gangguan untuk memulai tidur
dan mempertahankan tidur yang baik. Gangguan tidur tersebut menimbulkan
penderitaan dan gangguan dalam berbagai fungsi sosial, pertumbuhan dan
perkembangan anak, maupun gangguan pada fungsi lainnya. Terdapat berbagai jenis
insomnia tergantung beberapa kondisi dan penyakit yang melatarbelakangi
gangguan tidur tersebut.</div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l1 level1 lfo10; text-indent: -14.2pt;">
<span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Algerian; mso-fareast-font-family: Algerian;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman";">KRITIK DAN saran</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Semoga
makalah ini dapat memberi manfaat bagi pembaca dan apabila ada kekurangan, kami
mohon saran dan kritik membangun sehingga dapat kami tingkatkan dikemudian
hari. Terima kasih. </span></div>
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<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
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Anonymoushttp://www.blogger.com/profile/09428371857956484973noreply@blogger.com0tag:blogger.com,1999:blog-1493722132486835108.post-63308755272065563382014-02-06T17:05:00.000-08:002014-02-07T15:19:49.200-08:00Kebutuhan Fisik Istirahat dan Tidur pada Ibu Hamil Trimester I,II,III<!--[if !mso]>
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<span style="font-family: Algerian; font-size: 20.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman";">MAKALAH ASKEB KEHAMILAN<br />
KEBUTUHAN FISIK ISTIRAHAT DAN TIDUR PADA IBU HAMIL TRIMESTER I,II,III</span></div>
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<span style="font-family: "Monotype Corsiva"; font-size: 18.0pt; mso-bidi-font-family: Arial;">Disusun oleh :</span></div>
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<span style="font-family: Symbol; font-size: 16.0pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="19" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="19" /><span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Monotype Corsiva"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Choiro Nur’Aini ( 02.12.006 )</span></div>
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<span style="font-family: "Monotype Corsiva"; font-size: 16.0pt; mso-bidi-font-family: Arial;">D3 Kebidanan</span></div>
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<span style="font-family: Algerian; font-size: 20.0pt; mso-bidi-font-family: Arial;">SEKOLAH
TINGGI ILMU KESEHATAN DIAN HUSADA</span></div>
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<span style="font-family: Algerian; font-size: 20.0pt; mso-bidi-font-family: Arial;">JL.
RAYA TERAS 04 TAMBAK AGUNG PURI</span></div>
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<span style="font-family: Algerian; font-size: 20.0pt; mso-bidi-font-family: Arial;">MOJOKERTO</span></div>
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<span style="font-family: Algerian; font-size: 14.0pt; mso-bidi-font-family: "Times New Roman";">KATA
PENGANTAR</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span>Puji syukur kami ucapkan kepada
Tuhan Yang Maha Esa. Berkat rahmat, taufiq, dan hidayah-Nya kami dapat
menyelesaikan tugas makalah yang berjudul “ Kebutuhan Fisik Istirahat dan Tidur
Pada Ibu Hamil Trimester I,II,III ”. </span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span>Kami mengucapkan banyak terima kasih
kepada seluruh pihak yang telah membantu dalam penyelesaian makalah ini, dan
juga kepada sumber-sumber yang digunakan untuk menunjang penyelesaian makalah
ini. Tidak lupa juga ucapan terima kasih kepada seluruh anggota kelompok yang
telah bekerja sama dalam penyelesaian makalah ini. </span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span>Demikianlah makalah yang telah kami
selesaikan. Tiada gading yang tak retak, begitu pula makalah ini yang tak luput
dari kekurangan. Kritik dan saran sangat kami harapkan untuk menunjang
keberhasilan dari makalah ini. Semoga makalah ini bermanfaat bagi kita semua.
Amin.</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"><span style="mso-tab-count: 8;"> </span>Mojokerto,
2 September 2013 </span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"><span style="mso-tab-count: 7;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-tab-count: 2;"> </span><span style="mso-spacerun: yes;"> </span>Penyusun</span></div>
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<span style="font-family: Algerian; font-size: 14.0pt; mso-bidi-font-family: Arial;">Daftar
isi </span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kata
Pengantar <span style="mso-tab-count: 1 dotted;">................................................................................................................... </span><span style="mso-spacerun: yes;"> </span>i</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Daftar
Isi <span style="mso-tab-count: 1 dotted;">............................................................................................................................ </span><span style="mso-spacerun: yes;"> </span>ii</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bab
I Pendahuluan</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Latar
Belakang Masalah<span style="mso-tab-count: 1 dotted;">...................................................................................................... </span>
1</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Rumusan
Masalah<span style="mso-tab-count: 1 dotted;">................................................................................................................ </span>
1</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tujuan
Penulisan<span style="mso-tab-count: 1 dotted;">.................................................................................................................. </span>
1</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Manfaat
Penulisan<span style="mso-tab-count: 1 dotted;">............................................................................................................... </span>
1</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bab
II Isi</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pengertian
Istirahat<span style="mso-tab-count: 1 dotted;">.............................................................................................................. </span>
2</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Karakteristik
Istirahat<span style="mso-tab-count: 1 dotted;">.......................................................................................................... </span>
2</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pengertian
Tidur<span style="mso-tab-count: 1 dotted;">.................................................................................................................. </span>
2</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jenis
– Jenis Tidur<span style="mso-tab-count: 1 dotted;">................................................................................................................ </span>
3</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Fungsi
dan Tujuan Tidur<span style="mso-tab-count: 1 dotted;">..................................................................................................... </span>
3</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Faktor
– Faktor yang Mempengaruhi Tidur<span style="mso-tab-count: 1 dotted;">........................................................................ </span>
4</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Istirahat
dan Tidur pada Ibu Hamil Trimester I,II,III<span style="mso-tab-count: 1 dotted;">......................................................... </span>
5</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bab
III Penutup</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kesimpulan<span style="mso-tab-count: 1 dotted;">.......................................................................................................................... </span>
7</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Saran<span style="mso-tab-count: 1 dotted;">.................................................................................................................................... </span>
7</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Daftar
Pustaka <span style="mso-tab-count: 1 dotted;">.................................................................................................................... </span><span style="mso-spacerun: yes;"> </span>8</span></div>
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<span style="font-family: Algerian; font-size: 14.0pt; line-height: 150%; mso-bidi-font-family: Arial;">BAB i<br />
PENDAHULUAN</span></div>
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<span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Algerian; mso-fareast-font-family: Algerian;"><span style="mso-list: Ignore;">1.1<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Arial;">LATAR BELAKANG MASALAH</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Setiap
orang pada dasarnya memiliki kebutuhan dasar yang sama, akan tetapi karena
terdapat perbedaan budaya, maka kebutuhan pun ikut berbeda.<span style="mso-spacerun: yes;"> </span>Dalam memenuhi kebutuhannya manusia
menyesuaikan diri dengan prioritas yang ada.<span style="mso-spacerun: yes;">
</span>Lalu jika gagal dalam memenuhi kebutuhannya, manusia akan berpikir lebih
keras dan bergerak untuk berusaha mendapatkannya. Kebutuhan dasar manusia yang
paling mendasar adalah kebutuhan fisiologis. Kebutuhan fisiologis merupakan
kebutuhan yang paling dasar. Salah satu kebutuhan dasar fisik pada manusia
adalah istirahat dan tidur. Pada wanita hamilpun juga memiliki kebutuhan istirahat
dan tidur. Namun berbeda dengan wanita yang tidak hamil. </span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Istirahat
dan tidur merupakan kebutuhan dasar yang mutlak harus dipenuhi oleh ibu hamil.
Dengan istirahat dan tidur yang cukup, tubuh baru dapat berfungsi secara
optimal. Ibu hamil dianjurkan untuk merencanakan periode istirahat, terutama
saat hamil tua. Selama periode istirahat yang singkat, seorang wanita dapat
mengambil posisi terlentang kaki diangkat pada dinding untuk meningkatkan
aliran vena dari kaki dan mengurangi oedema kaki dan varises vena</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
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<span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Algerian; mso-fareast-font-family: Algerian;"><span style="mso-list: Ignore;">1.2<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Arial;">RUMUSAN MASALAH</span></div>
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<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="13" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="13" /><span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Apakah
pengertian istirahat dan tidur?</span></div>
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<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="13" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="13" /><span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Apa
saja faktor yang mempengaruhi istirahat dan tidur pada ibu hamil?</span></div>
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<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="13" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="13" /><span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bagaimana
cara istirahat dan tidur pada ibu hamil ?</span></div>
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<span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Algerian; mso-fareast-font-family: Algerian;"><span style="mso-list: Ignore;">1.3<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Arial;">Tujuan penulisan</span></div>
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<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="13" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="13" /><span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk
mengetahui pengertian istirahat dan tidur</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l12 level1 lfo9; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="13" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="13" /><span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk
mengetahui faktor yang mempengaruhi istirahat dan tidur pada ibu hamil</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l12 level1 lfo9; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="13" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="13" /><span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk
menge</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">ta</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">hui
bagaimana cara istirahat dan tidur pada ibu hamil </span></div>
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<span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Algerian; mso-fareast-font-family: Algerian;"><span style="mso-list: Ignore;">1.4<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Arial;">Manfaat penulisan</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dengan
adanya makalah ini diharapkan mahasiswa dapat menambah pengetahuan dan wawasan
mengenai kebutuhan fisik pada ibu hamil trimester I, II dan III, khususnya
tentang istirahat dan tidur. </span></div>
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<span style="font-family: Algerian; font-size: 14.0pt; mso-bidi-font-family: Arial;">BAB ii<br />
isi</span></div>
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<span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%;">Istirahat</span><span lang="EN-US" style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"> dan T</span><span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%;">idur</span><span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Arial;"></span></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Pengertian Istirahat</span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></b></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Istirahat
merupakan keadaan rileks tanpa adanya tekanan emosional dan bukan hanya dalam
keadaan tidak beraktivitas tetapi juga berhenti sejenak, kondisi tersebut
membutuhkan ketenangan.</span></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Karakteristik Istrihat</span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></b></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Terdapat
beberapa karateristik istirahat. Narrow (1967) dikutip Perry dan Potter, (1967)
mengemukakan bahwa ada 6 karakteristik yang berhubungan dengan istirahat,
diantaranya:</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Merasakan
bahwa segala sesuatu dapat diatasi.</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Meras</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">a</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> diterima.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; mso-list: l1 level1 lfo5; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mengetahui
apa yang sedang terjadi.</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bebas
dari gangguan ketidaknyamanan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; mso-list: l1 level1 lfo5; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mempunyai
sejumlah kepuasan terhadap aktivitas yang mempunyai tujuan.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; mso-list: l1 level1 lfo5; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mengetahui
adanya bantuan sewaktu memerlukan.</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kebutuhan
istirahat dapat dirasakan apabila semua karateristik tersebut diatas dapat
terpenuhi. Apabila pasien tidak merasakan 6 kriteria tersebut, maka kebutuhan
istirahatnya masih belum terpenuhi sehingga diperlukan tindakan keperawatan
yang dapat meningkatkan terpenuhinya kebutuhan istrahat dan tidur, misalnya
mendengarkan secara hati-hati tentang kekhawatiran personal pasien dan mencoba
meringankannya jika memungkinkan.</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l7 level1 lfo4; text-align: justify; text-indent: -14.2pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pengertian
Tidur</span></b></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tidur
merupakan suatu kondisi tidak sadar dimana individu dapat dibangunkan oleh
stimulus atau sensori yang sesuai (Guyton, 1986). Atau juga dapat dikatakan
sebagai suatu keadaan tidak sadarkan diri yang relatif, bukan hanya keadaan
penuh ketenangan tanpa kegiatan akan tetapi lebih merupakan suatu urutan siklus
yang berulang, dengan ciri adanya aktivitas yang minim, memiliki kesadaran yang
bervariasi, terdapat perubahan proses fisiologis, dan terjadi penurunan respons
terhadap rangsangan dari luar.</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l7 level1 lfo4; text-align: justify; text-indent: -14.2pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jenis-jenis
Tidur</span></b></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Berdasarkan
proses tidur terdapat 2 jenis tidur:</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tidur
Gelombang Rambat (<i style="mso-bidi-font-style: normal;">slow wave sleep</i>)/NREM
(<i style="mso-bidi-font-style: normal;">nonrapid eye movement</i>)</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jenis
tidur ini dikenal dengan tidur yang dalam, istirahat penuh, dengan gelombang
otak yang lebih lambat, atau dikenal juga dengan tidur nyenyak. Ciri-ciri tidur
nyenyak adalah menyegarkan, tanpa mimpi atau tidur dengan gelombang delta. Ciri
lainnya yaitu berada dalam keadaan istirahat penuh, tekanan darah menurun,
frekuensi nafas menurun, pergerakan bola mata melambat, mimpi berkurang, dan
metabolism menurun.</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tidur
Paradoks/tidur REM (<i style="mso-bidi-font-style: normal;">rapid eye movement</i>)</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">T</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">idur
jenis ini dapat berlangsug pada tidur malam yang terjadi selama 5-20 menit,
rata-rata timbul 90 menit. Periode pertama terjadi 80-100 menit, akan tetapi
apabila kondisi orang sangat lelah maka awal tidur sangat cepat bahkan jenis
ini tidak ada. Ciri tidur REM sebagai berikut :</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; mso-list: l11 level2 lfo7; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Biasanya
disertai dengan mimpi aktuf</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; mso-list: l11 level2 lfo7; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Lebih
sulit dibangunkan daripada selama tidur nyenyak NREM</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; mso-list: l11 level2 lfo7; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tonus
otot selama tidur nyenyak sangat tertekan, menunjukkan inhbisi kuat proyeksi
spinal atas sistem pengaktifasi retikularis</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; mso-list: l11 level2 lfo7; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Frekuensi
jantung dan pernapasan menjadi tidak teratur</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; mso-list: l11 level2 lfo7; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pada
otot perifer terjadi beberapa gerakan otot ytang tidak teratur</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; mso-list: l11 level2 lfo7; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mata
cepat tertutup dan terbuka, nadi cepat dan tidak teratur, tekanan darah
meningkat atau berfluktuasi, sekresi gaster meningkat, dan metabolism
meningkat.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; mso-list: l11 level2 lfo7; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tidur
ini penting untuk keseimbangan mental, emosi juga berperan dalam belajar,
memori dan adaptasi</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l7 level1 lfo4; text-align: justify; text-indent: -14.2pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Fungsi
dan Tujuan Tidur</span></b></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Fungsi
dan tujuan masih belum diketahui secara jelas. Meskipun demikian, tidur diduga
bermanfaat untuk menjaga keseimbangan mental, emosional, dan kesehatan. Selain
itu stress pada paru, sistem kardiovaskuler, endokrin, dan lain-lainnya juga
menurun aktivitasnya. Energi yang tersimpan selama tidur diarahkan untuk
fungsi-fungsi seluler yang penting. Secara umum terdapat 2 efek fisiologis
tidur, petama efek pada sistem saraf yang diperkirakan dapat memulihkan
kepekaan normal dan keseimbangan diantara berbagai susunan saraf. Kedua, efek
pada struktur tubuh dengan memulihkan<span style="mso-spacerun: yes;">
</span>kesegaran dan fungsi organ dalam tubuh, mengingat terjadinya penurunan
aktivitas organ-organ tubuh tersebut selama tidur.</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l7 level1 lfo4; text-align: justify; text-indent: -14.2pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Faktor-faktor
yang Mempengaruhi Tidur</span></b></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kualitas
dan kuantitas tidur dipengaruhi oleh beberapa faktor diantaranya sebagai
berikut :</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l2 level1 lfo8; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penyakit</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sakit
dapat mempengaruhi tidur seseorang</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">. K</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">eadaan sakit yang menjadikan pasien kurang tidur,
bahkan tidak bisa tidur.</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l2 level1 lfo8; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Latihan
dan kelelahan</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Ibu hamil yang mengalami k</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">eletihan
akibat aktivitas yang tinggi dapat memerlukan lebih banyak tidur untuk menjaga
keseimbangan energy yang telah dikeluarkan.</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l2 level1 lfo8; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">St</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">r</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">es psikologis</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kondisi
stres psikologis dapat terjadi pada seseorang akibat ketegangan jiwa. </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Ibu hamil yang mempunyai stress psikologis seperti
kecemasan dan ketakutan </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">akan mengalami kegelisahan sehingga akan
sulit untuk tidur. </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l2 level1 lfo8; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Obat</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Obat
dapat juga memengaruhi proses tidur,. Beberapa jenis obat yang memengaruhi
proses tidur yaitu golongan obat deuretik, yang dapat menyebabkan insomnia</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l2 level1 lfo8; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Nutrisi</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Terpenuhinya
kebutuhan nutrisi yang cukup dapat mempercepat proses tidur. Konsumsi protein
yang tinggi maka seseorang tersebut akan mempercepat proses terjadinya tidur,
karena dihasilkan triptopan yang merupakan asam amino hasil pencernaan protein
yang dapat membantu agar mudah tertidur. Demikian sebaliknya. Kebutuhan gizi
yang kurang dapat memengaruhi proses tidur, bahkan sulit untuk tidur.</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l2 level1 lfo8; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Lingkungan
</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Keadaan
lingkungan yang aman dan nyaman bagi seseorang dapat mempercepat proses
terjadinya tidur.</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l2 level1 lfo8; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Motivasi
</span></div>
<div class="MsoNormalCxSpFirst" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Motivasi
merupakan suatu dorongan atau keinginan sesorang untuk tidur, dapat
mempengaruhi proses tidur. Selain itu, adanya keinginan untuk tidak tidur dapat
menimbulkan gangguan proses tidur.</span></div>
<div class="MsoNormalCxSpLast" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l7 level1 lfo4; text-align: justify; text-indent: -14.2pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Istirahat dan Tidur pada Ibu hamil Trimester I, II dan
III</span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></b></div>
<div class="MsoNormalCxSpFirst" style="line-height: 150%; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Wanita hamil dianjurkan untuk merencanakan istirahat
yang teratur khususnya seiring kemajuan kehamilannya. Jadwal istirahat dan
tidur perlu diperhatikan dengan baik, karena istirahat dan tidur yang teratur
dapat meningkatkan kesehatan jasmani dan rohani untuk kepenting</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">an </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">perkembangan dan pertumbuhan janin.
</span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Berhubungan dengan kebutuhan kalori pada masa
kehamilan, mandi air hangat sebelum tidur, tidur dalam posisi miring ke kiri,
letakkan beberapa bantal untuk menyangga, pada ibu hamil sebaiknya banyak
menggunakan waktu luangnya untuk banyak istirahat atau tidur walau bukan tidur
betulan hanya baringkan badan untuk memperbaiki sirkulasi darah, jangan bekerja
terlalu capek dan berlebihan. </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Namun
sebaiknya t</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">idur pada malam hari selama kurang lebih selama 8
jam dan istirahat dalam keadaan rileks pada siang hari selama 1 jam. Ibu hamil
harus menghindari posisi duduk dan berdir</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">i</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> dalam menggunakan kedua ibu jari,
dilakukan 2 kali sehari selama 5 menit.</span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Posisi berbaring miring dianjurkan untuk
meningkatkan perfusi uteri dan oksigenasi fetoplasental. Selama periode
istirahat yang singkat, seorang wanita dapat mengambil posisi telentang kaki
diangkat pada dinding untuk meningkatkan aliran vena dari kaki dan mengurangi
edema kaki dan varises vena.</span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Wanita hamil boleh bekerja tetapi jangan terlampau
berat. Lakukanlah istirahat sebanyak mungkin. Wanita hamil yang menjadi buruh
berhak mendapatkan cuti hamil satu setengah bulan sebelum persalinan dan satu
setengah bulan setelah persalinan (menurut undang-undang perburuhan). Hendaknya
menasehatkan pada wanita hamil agar segera ke dokter atau ke rumah sakit bila
terjadinya perdarahan pervaginam, demikian pula bila ada sakit diperut, bila
suhu badannya naik tinggi, berkeringat bnyak, penglihatan berkurang, atau
berkunang-kunang, kencing sedikit, keluar cairan dari vagina, dan sebagainya.
Hendaknya keluhan ini ditanggapi dengan baik oleh pengawas kehamilannya.
Hindari pekerjaan yang membahayakan atau terlalau berat atau berhubungan dengan
radiasi atau bahan kimia, terutama usia kehamilan muda (Wiknjosastro dalam
Prawiroharjo, 2005)</span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Istirahat dapat memberikan relaksasi bagi pikiran
dan badan pada ibu hamil. Yang dimaksud dengan relaksasi adalah upaya
membebaskan pikiran dan badan dari ketegangan. Kemampuan relaksasi dapat
dimanfaatkan untuk mengurangi ketidaknyamanan yang normal pada kehamilan.
Serta, mengurangi stress sehingga persepsi nyeri selama masih mampu melahirkan
anak. </span></div>
<div class="MsoNormalCxSpLast" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk
memperoleh relaksasi yang sempurna, ada beberapa cara yang harus dilakukan,
yaitu :</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l2 level2 lfo8; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tekuk
semua persendian dan pejamkan mata</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l2 level2 lfo8; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Lemaskan
seluruh otot – otot tubuh, termasuk otot wajah </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l2 level2 lfo8; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Lakukan
pernapasan secara teratur</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l2 level2 lfo8; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pusatkan
pikiran pada pernapasan atau pada hal yang menenangkan </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l2 level2 lfo8; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Apabila
keadaan menyilaukan atau gaduh, tutup mata dengan sapu tangan dan tutup telinga
dengan bantal kecil</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l2 level2 lfo8; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pilih
posisi yang dirasa menyenangkan</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Waktu
terbaik untuk berelaksasi adalah setiap hari setelah makan siang, awal
istirahat sore, serta sewaktu mau tidur malam. Beberapa posisi relaksasi yang dapat
dilakukan selama istirahat :</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l14 level1 lfo10; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Posisi
relaksasi dengan terlentang.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l3 level1 lfo11; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Berbaring
telentang, kedua tungkai kaki lurus dan sedikit terbuka, kedua lengan relaks di
samping</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l3 level1 lfo11; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Di
bawah lutut dan kepala diberi bantal </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l3 level1 lfo11; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pejamkan
mata, lemaskan seluruh tubuh, dan bernapas dengan teratur </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l14 level1 lfo10; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Posisi
relaksasi dengan berbaring miring </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l10 level1 lfo12; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Berbaring
miring, kedua lutut dan kedua lengan ditekuk</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l10 level1 lfo12; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Di
bawah kepala dan di bawah perut diberi bantal</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l10 level1 lfo12; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pejamkan
mata, tenang dan atur pernapasan dengan teratur</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l14 level1 lfo10; tab-stops: 54.0pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Posisi relaksasi dalam keadaan berbaring
terlentang </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l9 level1 lfo13; tab-stops: 90.0pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Berbaring
terlentang, kedua lutut ditekuk</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l9 level1 lfo13; tab-stops: 90.0pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kedua
lengan di samping telinga</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l9 level1 lfo13; tab-stops: 90.0pt; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tutup
mata dan tenang</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l14 level1 lfo10; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Posisi
relaksasi dengan duduk </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l8 level1 lfo14; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Duduk
membungkuk, kedua lengan di atas sandaran kursi atau di atas tempat tidur</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l8 level1 lfo14; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jika
duduk menghadap tempat tidur, kedua kaki tidak boleh menggantung</span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: 76.5pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ketika
melakukan keempat posisi di atas, konsentrasikan diri pada pernapasan atau
sesuatu yang menenangkan.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Algerian; font-size: 14.0pt; mso-bidi-font-family: Arial;">Bab
iii</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Algerian; font-size: 14.0pt; mso-bidi-font-family: Arial;">penutup</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l0 level1 lfo15; text-indent: -14.2pt;">
<span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Algerian; mso-fareast-font-family: Algerian;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman";">Kesimpulan</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Istirahat
merupakan keadaan rileks tanpa adanya tekanan emosional dan bukan hanya dalam
keadaan tidak beraktivitas tetapi juga berhenti sejenak, kondisi tersebut
membutuhkan ketenangan.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tidur
merupakan suatu kondisi tidak sadar dimana individu dapat dibangunkan oleh
stimulus atau sensori yang sesuai (Guyton, 1986).</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">T</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">idur
dalam posisi miring ke kiri, letakkan beberapa bantal untuk menyangga, pada ibu
hamil sebaiknya banyak menggunakan waktu luangnya untuk banyak istirahat atau
tidur walau bukan tidur betulan hanya baringkan badan untuk memperbaiki
sirkulasi darah, jangan bekerja terlalu capek dan berlebihan. </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Namun sebaiknya t</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">idur pada malam hari
selama kurang lebih selama 8 jam dan istirahat dalam keadaan rileks pada siang
hari selama 1 jam. Ibu hamil harus menghindari posisi duduk dan berdir</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">i</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> dalam menggunakan kedua ibu jari,
dilakukan 2 kali sehari selama 5 menit.</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l0 level1 lfo15; text-indent: -14.2pt;">
<span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Algerian; mso-fareast-font-family: Algerian;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman";">saran</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Semoga
makalah ini dapat memberi manfaat bagi pembaca dan apabila ada kekurangan, kami
mohon saran dan kritik membangun sehingga dapat kami tingkatkan dikemudian
hari.</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Algerian; font-size: 14.0pt; mso-bidi-font-family: Arial;">Daftar
pustaka</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Ambarwati, Eny Retna dan Tri Sunarsih.2009.<i style="mso-bidi-font-style: normal;">KDPK Kebidanan Teori dan Aplikasi.</i> Yogyakarta: Nuha Medika<i style="mso-bidi-font-style: normal;"> </i></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kusmiyati,
Yuni, dkk. 2009. <i style="mso-bidi-font-style: normal;">Perawatan Ibu Hamil
(Asuhan Ibu Hamil).</i> Yogyakarta : Fitramaya</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Rukiyah,
Ai Yeyeh, dkk. 2010. <i style="mso-bidi-font-style: normal;">Asuhan Kebidanan I
(Kehamilan). </i>Jakarta : Trans Info Media (TIM).</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Salmah,
dkk. 2006. <i style="mso-bidi-font-style: normal;">Asuhan Kebidan Antenatal. </i>Jakarta
: EGC.</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Uliyah, Musrifatul, dan A. Azis Alimul Hidayat.2006.<i style="mso-bidi-font-style: normal;">Keterampilan Dasar Praktik Kebidanan.</i>Jakarta: Salemba Medika</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
Anonymoushttp://www.blogger.com/profile/09428371857956484973noreply@blogger.com0tag:blogger.com,1999:blog-1493722132486835108.post-55137587169352016592014-02-06T17:03:00.003-08:002014-02-07T15:20:57.071-08:00Komplikasi Ibu dan Janin<!--[if !mso]>
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<br />
<div class="Section1">
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span style="font-family: Algerian; font-size: 20.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman";">MAKALAH ASKEB KEHAMILAN<br />
</span><span style="font-family: Algerian; font-size: 16.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman";">komplikasi ibu dan janin <br />
keluar cairan pervaginam dan gerakan janin tidak terasa pada kehamilan lanjut</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Algerian; font-size: 24.0pt;"></span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: "Monotype Corsiva"; font-size: 18.0pt; mso-bidi-font-family: Arial;">Disusun oleh :</span></div>
</div>
<span style="font-family: "Monotype Corsiva"; font-size: 16.0pt; line-height: 115%; mso-ansi-language: IN; mso-bidi-font-family: Arial; mso-bidi-language: AR-SA; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;"><br clear="all" style="mso-break-type: section-break; page-break-before: auto;" />
</span>
<br />
<div class="Section2">
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l7 level1 lfo1; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 16.0pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="19" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="19" /><span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Monotype Corsiva"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Anita Della ( 02.12.004 )</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l7 level1 lfo1; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 16.0pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="19" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="19" /><span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Monotype Corsiva"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Choiro Nur’Aini ( 02.12.006 )</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l7 level1 lfo1; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 16.0pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="19" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="19" /><span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Monotype Corsiva"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Eka Herin Priyanti ( 02.12.012 )</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l7 level1 lfo1; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 16.0pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="19" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="19" /><span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Monotype Corsiva"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Elysabeth P.N ( 02.12.013 )</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l7 level1 lfo1; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 16.0pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="19" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="19" /><span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Monotype Corsiva"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Ina Dwita R<span style="mso-spacerun: yes;">
</span>( 02.12.022)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l7 level1 lfo1; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 16.0pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="19" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="19" /><span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Monotype Corsiva"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Irmatus S ( O2.12.024 )</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 115%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l7 level1 lfo1; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 16.0pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="19" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="19" /><span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Monotype Corsiva"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Naimatul Husniah ( 02.12.035 )</span></div>
</div>
<span style="font-family: "Monotype Corsiva"; font-size: 16.0pt; mso-ansi-language: IN; mso-bidi-font-family: Arial; mso-bidi-language: AR-SA; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;"><br clear="all" style="mso-break-type: section-break; page-break-before: auto;" />
</span>
<br />
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: "Monotype Corsiva"; font-size: 16.0pt; mso-bidi-font-family: Arial;">D3 Kebidanan</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Algerian; font-size: 20.0pt; mso-bidi-font-family: Arial;">SEKOLAH
TINGGI ILMU KESEHATAN DIAN HUSADA</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Algerian; font-size: 20.0pt; mso-bidi-font-family: Arial;">JL. RAYA
TERAS 04 TAMBAK AGUNG PURI</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Algerian; font-size: 20.0pt; mso-bidi-font-family: Arial;">MOJOKERTO</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Algerian; font-size: 14.0pt; mso-bidi-font-family: "Times New Roman";">KATA
PENGANTAR</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span>Puji syukur kami ucapkan kepada
Tuhan Yang Maha Esa. Berkat rahmat, taufiq, dan hidayah-Nya kami dapat
menyelesaikan tugas makalah yang berjudul “ Komplikasi Ibu dan Janin, Keluar
Cairan Pervaginam dan Gerakan Janin Tidak Terasa pada Kehamilan Lanjut ”. </span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span>Kami mengucapkan banyak terima kasih
kepada seluruh pihak yang telah membantu dalam penyelesaian makalah ini, dan
juga kepada sumber-sumber yang digunakan untuk menunjang penyelesaian makalah
ini. Tidak lupa juga ucapan terima kasih kepada seluruh anggota kelompok yang
telah bekerja sama dalam penyelesaian makalah ini. </span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span>Demikianlah makalah yang telah kami
selesaikan. Tiada gading yang tak retak, begitu pula makalah ini yang tak luput
dari kekurangan. Kritik dan saran sangat kami harapkan untuk menunjang
keberhasilan dari makalah ini. Semoga makalah ini bermanfaat bagi kita semua.
Amin.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 115%;">
<br /></div>
<div class="MsoNormal" style="line-height: 115%;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"><span style="mso-tab-count: 8;"> </span>Mojokerto,
10 Oktober 2013 </span></div>
<div class="MsoNormal" style="line-height: 115%;">
<br /></div>
<div class="MsoNormal" style="line-height: 115%;">
<br /></div>
<div class="MsoNormal" style="line-height: 115%;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"><span style="mso-tab-count: 7;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-tab-count: 2;"> </span><span style="mso-spacerun: yes;"> </span>Penyusun</span></div>
<div class="MsoNormal" style="line-height: 115%;">
<br /></div>
<div class="MsoNormal" style="line-height: 115%;">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Algerian; font-size: 14.0pt; mso-bidi-font-family: Arial;">Daftar
isi </span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: dotted 15.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kata
Pengantar <span style="mso-tab-count: 1 dotted;">................................................................................................................... </span><span style="mso-spacerun: yes;"> </span>i</span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: dotted 15.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Daftar
Isi <span style="mso-tab-count: 1 dotted;">............................................................................................................................ </span><span style="mso-spacerun: yes;"> </span>ii</span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: dotted 15.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bab
I Pendahuluan</span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: dotted 15.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Latar
Belakang Masalah<span style="mso-tab-count: 1 dotted;">...................................................................................................... </span>
1</span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: dotted 15.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Rumusan
Masalah<span style="mso-tab-count: 1 dotted;">................................................................................................................ </span>
1</span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: dotted 15.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tujuan
Penulisan<span style="mso-tab-count: 1 dotted;">.................................................................................................................. </span>
1</span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: dotted 15.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Manfaat
Penulisan<span style="mso-tab-count: 1 dotted;">............................................................................................................... </span>
1</span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: dotted 15.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bab
II Isi</span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: dotted 15.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">KELUAR
CAIRAN PERVAGINAM</span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: dotted 15.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pengertian
<span style="mso-tab-count: 1 dotted;">........................................................................................................................... </span><span style="mso-spacerun: yes;"> </span>2</span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: dotted 15.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Keluar
Cairan Pervaginam <span style="mso-tab-count: 1 dotted;">.................................................................................................. </span><span style="mso-spacerun: yes;"> </span>2</span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: dotted 15.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Amnion
<span style="mso-tab-count: 1 dotted;">............................................................................................................................... </span><span style="mso-spacerun: yes;"> </span>3</span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: dotted 15.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Keluar
Cairan Sekret Pervaginam <span style="mso-tab-count: 1 dotted;">....................................................................................... </span><span style="mso-spacerun: yes;"> </span>4</span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: dotted 15.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">GERAKAN
JANIN TIDAK TERASA</span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: dotted 15.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pengertian
<span style="mso-tab-count: 1 dotted;">........................................................................................................................... </span><span style="mso-spacerun: yes;"> </span>6</span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: dotted 15.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Deteksi
Dini <span style="mso-tab-count: 1 dotted;">........................................................................................................................ </span><span style="mso-spacerun: yes;"> </span>6</span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: dotted 15.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penanganan
Umum <span style="mso-tab-count: 1 dotted;">............................................................................................................. </span><span style="mso-spacerun: yes;"> </span>7</span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: dotted 15.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bab
III Penutup</span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: dotted 15.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kesimpulan<span style="mso-tab-count: 1 dotted;">.......................................................................................................................... </span>
8</span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: dotted 15.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Saran<span style="mso-tab-count: 1 dotted;">.................................................................................................................................... </span>
8</span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: dotted 15.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Daftar
Pustaka <span style="mso-tab-count: 1 dotted;">.................................................................................................................... </span><span style="mso-spacerun: yes;"> </span>9</span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: dotted 15.0cm;">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span style="font-family: Algerian; font-size: 14.0pt; line-height: 150%; mso-bidi-font-family: Arial;">BAB i<br />
PENDAHULUAN</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 20.25pt; mso-add-space: auto; mso-list: l16 level2 lfo2; text-indent: -20.25pt;">
<span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Algerian; mso-fareast-font-family: Algerian;"><span style="mso-list: Ignore;">1.1<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Arial;">LATAR BELAKANG MASALAH</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 20.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berdasarkan penelitian, telah diakui
saat ini bahwa setiap kehamilan dapat membawa risiko atau komplikasi pada ibu
hamil. Bidan sebagai pemberi pelayanan kebidanan akan menemukan wanita hamil
dengan komplikasi-komplikasi yang mungkin dapat mengancam jiwa. </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 20.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Oleh karena itu, bidan harus dapat
mendeteksi sedini mungkin terhadap tanda-tanda bahaya pada ibu hamil yang
mungkin akan terjadi, karena setiap wanita hamil tersebut beresiko mengalami
komplikasi. Yang sudah barang tentu juga memerlukan kerjasama dari para ibu-ibu
dan keluarganya, yang dimana jika tanda-tanda bahaya ini tidak dilaporkan atau
tidak terdeteksi, dapat mengakibatkan kematian ibu.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 20.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tanda-tanda bahaya pada kehamilan
adalah tanda-tanda yang terjadi pada seorang Ibu hamil yang merupakan suatu
pertanda telah terjadinya suatu masalah yang serius pada Ibu atau janin yang
dikandungnya. Tanda-tanda bahaya ini dapat terjadi pada awal kehamilan (hamil
muda) atau pada pertengahan atau juga pada akhir kehamilan (hamil tua).</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 20.25pt;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 20.25pt; mso-add-space: auto; mso-list: l16 level2 lfo2; text-indent: -20.25pt;">
<span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Algerian; mso-fareast-font-family: Algerian;"><span style="mso-list: Ignore;">1.2<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Arial;">RUMUSAN MASALAH</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l6 level1 lfo3; text-indent: -14.15pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="13" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="13" /><span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Apakah
pengertian keluar cairan pervaginam?</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l6 level1 lfo3; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="13" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="13" /><span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bagaimana
deteksi dininya?</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l6 level1 lfo3; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="13" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="13" /><span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span>Apakah pengertian gerakan janin tidak terasa?</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 20.25pt; mso-add-space: auto; mso-list: l16 level2 lfo2; text-indent: -20.25pt;">
<span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Algerian; mso-fareast-font-family: Algerian;"><span style="mso-list: Ignore;">1.3<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Arial;">Tujuan penulisan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l15 level1 lfo4; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="13" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="13" /><span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk
mengetahui pengertian keluar cairan pervaginam</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l15 level1 lfo4; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="13" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="13" /><span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk
mengetahui deteksi dininya</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l15 level1 lfo4; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="13" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="13" /><span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk
menge</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">ta</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">hui
bagaimana gerakan janin tidak terasa</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 20.25pt; mso-add-space: auto; mso-list: l16 level2 lfo2; text-indent: -20.25pt;">
<span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Algerian; mso-fareast-font-family: Algerian;"><span style="mso-list: Ignore;">1.4<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Arial;">Manfaat penulisan</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dengan
adanya makalah ini diharapkan mahasiswa dapat menambah pengetahuan dan wawasan
mengenai bahaya komplikasi ibu dan janin dengan keluar cairan pervaginam dan
gerak janin tidak terasa pada kehamilan lanjut.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 1.0cm;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Algerian; font-size: 14.0pt; mso-bidi-font-family: Arial;">BAB ii<br />
isi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; text-indent: -21.3pt;">
<span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%;">2.1 <span style="mso-tab-count: 1;"> </span>Keluar Cairan Pervaginam</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">A. <span style="mso-tab-count: 1;"> </span>Pengertian</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Keluar
cairan pervagianam bisa dikatakan keluarnya cairan amnion,sekret berupa
keputihan. Jika cairan yang keluar berupa cairan amnion disebut sebagai ketuban
pecah dini. Di mana </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ketuban Pecah<span style="mso-spacerun: yes;">
</span>Dini<span style="mso-spacerun: yes;"> </span>adalah pecahnya selaput
ketuban sebelum terjadi proses persalinan yang dapat terjadi pada usia
kehamilan cukup waktu atau kurang waktu.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> Cairan pervaginam dalam
kehamilan normal apabila tidak berupa perdarahan banyak, air ketuban maupun
keputihan (leukhore) yang patologis. Penyebab terbesar persalinan prematur
adalah ketuban pecah sebelum waktunya. Insidensi ketuban pecah dini 10 %
mendekati dari semua persalinan dan 4 % pada kehamilan kurang 34 mg.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> Penyebabnya adalah serviks
inkompeten, ketegangan rahim berlebihan (kehamilan ganda, hidramnion), kelainan
bawaan dari selaput ketuban,dan infeksi. Penatalaksanaan : pertahankan
kehamilan sampai matur, pemberian kortikosteroid untuk kematangan paru janin,
pada UK 24-32 minggu untuk janin tidak dapat diselamatkan perlu dipertimbangkan
melakukan induksi, pada UK aterm dianjurkan terminasi kehamilan dalam waktu 6
jam sampai 24 jam bila tidak ada his spontan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">B. Keluar cairan pervaginam </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">a. Batasan </span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level2 lfo5; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">keluarnya cairan berupa air – air dari vagina pada
trimester 3</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level2 lfo5; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">ketuban di nyatakan pecah dini jikaterjadi sebelum
proses persalinan<span style="mso-spacerun: yes;"> </span>berlangsung</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level2 lfo5; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">pecahnya selaput ketuban dapat terjadi pada kehamilan
preterm (sebelum kehamilan 37 minggu ) maupun pada kehamilan aterm </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level2 lfo5; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Normalnya selaput ketuban pecah pada akhir kala 1 atau
awal kala </span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level2 lfo5; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Persalinan. Bisa juga belum pecah saat mengedan </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">b. Deteksi Dini </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Strategi
pada perawatan antenatal </span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Deteksi
faktor resiko </span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Deteksi
infeksi secara dini</span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3.</span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">USG :
biometri</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Trimester 1
: deteksi faktor resiko, aktifitas seksual, pH vagina, USG, darah rutin dan
urine</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Trimester 2
dan 3 : hati hati pada keluhan nyeri abdomen, punggung, keram di daerah pelvis,
perdarahan pervaginam, diare,dan rasa mennekan di pelvis.</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo6; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pengumpulan data</span></div>
<div class="MsoNormalCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Konfirmasi usia kehamilan,kalau ada dengan USG</span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">C. Amnion</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">a. Tanda
Robeknya<br />
• Cairan keluar secara berlebih atau sedikit tetapi terus-menerus melalui
vagina. <br />
• Biasanya berbau agak anyir, warnanya jernih, dan tidak kental.<br />
• Gerakan janin menyebabkan perut ibu terasa nyeri.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">b.<span style="mso-tab-count: 1;"> </span>Dampak<br />
• Mengganggu kehidupan janin,<br />
• Kondisi gawat janin. <br />
• Janin berkemungkinan memiliki cacat bawaan pada saluran kemih,<br />
• Pertumbuhannya terhambat, <br />
• Meninggal sebelum dilahirkan. <br />
• Bayi berisiko tak segera bernapas secara spontan dan teratur setelah lahir. <br />
• Terjadinya infeksi oleh kuman yang berasal dari bawah. <br />
• Pada kehamilan lewat bulan : terjadi karena ukuran tubuh janin semakin besar.
<br />
• Menjaga kebersihan vagina<br />
• Menjalani pola hidup sehat, terutama makan dengan asupan gizi berimbang. </span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">c. Kelebihan
Amnion<br />
Terjadi karena :<br />
• Produksi air seni janin berlebihan.<br />
• Ada kelainan pada janin yang menyebabkan cairan ketuban menumpuk, yaitu hidrosefalus,
atresia saluran cerna, kelainan ginjal dan saluran kencing kongenital.<br />
• Ada sumbatan/penyempitan saluran cerna pada janin </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-indent: 14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">d. Pemeriksaaan </span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo7; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dengan pemeriksaan inspekulo untuk menilai cairan yang
keluar ( jumlah, warna , dan bau) dan membedakan nya dengan urine .</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo7; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Nilai apakah cairan keluar melalui ostuium uteri atau
terkumpul di forniks posterior </span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tentukan ada tidaknya infeksi</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo7; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tentukan tanda tanda inpartu</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemeriksaan
untuk memastikan keluarnya air ketuban dengan berbagai cara, yaitu:</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><br />
1. Dengan lakmus<br />
2. Makroskopis: bau amis, adanya lanugo, rambut, dan verniks kaseosa bercampur
mekonaeum<br />
3. Mikroskopis: lanugo dan rambut<br />
4. Laboratorium: kadar urea (ureum) rendah dibanding dengan air kemih. </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">D. Keluar
Cairan Sekret Pervaginam</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">KEPUTIHAN<br />
1. Keputihan Normal<br />
Setiap pengeluaran cairan melalui vagina lebih dari normal dan bukan berupa
darah.</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo14; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Salah satu gejala kanker serviks, dengan disertai darah.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo14; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Normal : berwarna jernih, tidak berbau, tidak gatal,
tidak dikeluhkan. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo14; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Terjadi : saat menarche, ovulasi, keinginan seks
meningkat, kehamilan, bayi baru lahir, sedang stress. <br />
2. Keputihan Abnormal</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo14; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berbau amis, apek, busuk, kadang bercampur darah, berwarna
putih susu, kuning tua, coklat, kehijauan. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo14; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Disertai infeksi kelamin lainnya. <br />
3. Pemeriksaan Fisik</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo14; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sering ditemukan luka, benjolan-benjolan </span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo14; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penderita biasanya mengeluhkan gatal, agak lengket,
panas, nyeri saat buang air kecil.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><br />
PENYEBAB KEPUTIHAN</span></div>
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<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Infeksi bakteri ( Gonococcus, Chlamydia, Treponema
pallidum, Gardenella )</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo13; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Infeksi jamur ( Candida )</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo13; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Infeksi parasit ( Trichomonas vaginalis )</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo13; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Infeksi virus<span style="mso-tab-count: 1;"> </span>(
Herpes, Condyloma acuminata )</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo13; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemakaian antiseptic vagina yang terus menerus.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo13; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penurunan daya tahan tubuh ( kurang gizi, sakit dalam
waktu lama, anemia )</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo13; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemakaian kondom, KB, tisu wangi, parfum </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo13; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penyakit ganas ( tumor, kencing manis )</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo13; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">PMS ( AIDS, Gonorrhoea )</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo13; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kontrasepsi dalam rahim (AKDR)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Keputihan pada Kanker Kandungan</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gejala</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo8; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Perasaan tidak enak diperut bagian bawah, merasakan
adanya benjolan pada perut bagian bawah, atau perut terasa semakin
membesar/membuncit, disertai berat badan yang semakin menurun, nafsu makan yang
berkurang, wajah, mata, bibir pucat akibat anemia. </span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo8; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Haid menjadi tidak keluar sama sekali, lebih panjang,
atau disertai rasa nyeri yang lebih dari biasanya.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pencegahan</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level2 lfo9; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menjaga kebersihan vagina.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level2 lfo9; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Hindari pembilasan vagina yang terlalu mendalam. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level2 lfo9; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mencuci tangan sebelum dan sesudah membasuh vagina.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level2 lfo9; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pergantian pembalut dilakukan lebih sering pada saat
menstruasi.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level2 lfo9; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Hindarkan segala pemakaian bahan kimia </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level2 lfo9; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Hindari suasana vagina yang lembab berkepanjangan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level2 lfo9; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menjaga kebersihan sanitasi lingkungan.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level2 lfo9; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menjaga kebersihan pasangan seksual</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><br />
Pengobatan</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo11; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bakteri : diberikan antibiotik golongan metronidazole.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo10; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jamur : diberikan anti jamur.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo10; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Trichomonas : diberikan anti trichomonas.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><br />
Cara Pengobatan</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo12; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Obat oral (diminum).</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo12; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dimasukkan ke vagina.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%;">2.2 gerakan janin tidak terasa</span><span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Arial;"></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.3pt;">
<span lang="ES-TRAD" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES-TRAD; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ibu mulai merasakan gerakan janinnya selama bulan ke 5 atau ke 6, beberapa
ibu dapat merasakan gerakan janinnya lebih awal. Jika janin tidur gerakannya
akan melemah. Janin harus bergerak paling sedikit 3 kali dalam periode 3 jam.
Gerakan janin akan lebih mudah terasa jika ibu berbaring atau beristirahat dan
jika ibu makan dan minum dengan baik. Yang termasuk tanda bahaya adalah bila
gerakan janin mulai berkurang bahkan tidak ada sama sekali. Assesmen yang
mungkin adalah kematian janin dalam rahim.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo15; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="ES-TRAD" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES-TRAD; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pengertian
gerakan janin tiak terasa</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormalCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="ES-TRAD" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES-TRAD; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jika janin bergerak kurang dari 3 kali dalam periode 3 jam atau ibu tidak
merasakan gerakan janin sesudah kehamilan 22 minggu atau selama persalinan.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormalCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo15; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="ES-TRAD" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES-TRAD; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Deteksi
dini</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo16; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="ES-TRAD" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES-TRAD; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pengumpulan
data</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="ES-TRAD" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES-TRAD; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jika bayi
sebelum nya bergerak dan sekarang bergerak, tanyakan pada ibu kapan terkahir
bergerak</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo16; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="ES-TRAD" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES-TRAD; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemeriksaan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="ES-TRAD" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES-TRAD; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Raba
gerakan janin, dengarkan DJJ, jika pemeriksaan radiologi tersedia konfirmasi
kematian janin setelah 5 hari</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo16; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="ES-TRAD" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES-TRAD; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">USG</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormalCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="ES-TRAD" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES-TRAD; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Merupakan sarana diagnostik yang baik untuk memastikan kematian janin.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormalCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo15; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="ES-TRAD" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES-TRAD; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gerakan
janin berkurang bisa disebabkan oleh :</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo16; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="ES-TRAD" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES-TRAD; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Aktivitas
ibu yang berlebihan sehingga gerakan janin tidak terasa</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo16; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="ES-TRAD" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES-TRAD; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kematian
janin</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo16; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="ES-TRAD" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES-TRAD; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Perut
tegang akibat kontraksi berlebihan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo16; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="ES-TRAD" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES-TRAD; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kepala
sudah masuk panggul pada kehamilan atterm</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormalCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
<div class="MsoNormalCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo15; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="ES-TRAD" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES-TRAD; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Komplikasi
yang timbul adalah :</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo17; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="ES-TRAD" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES-TRAD; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">IUFD</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormalCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="ES-TRAD" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES-TRAD; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kematian janin merupakan hasil akhir dari gangguan pertumbuhan janin, kegawatan
janin atau akibat infeksi yang tidak terdiagnosis sebelumnya sehingga tidak
diobati</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormalCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo17; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="ES-TRAD" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES-TRAD; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Fetal
distress</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormalCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="ES-TRAD" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES-TRAD; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gawat janin terjadi bila janin tidak menerima oksigen cukup, sehinga
mengalami hipoksia. Situasi ini dapat terajdi kronik (dalam jangka waktu lama)
atau akut.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormalCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo17; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="ES-TRAD" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES-TRAD; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Nyeri
perut yang hebat</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
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<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo15; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="ES-TRAD" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES-TRAD; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penanganan
umum</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormalCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="ES-TRAD" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES-TRAD; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Memberikan dukungan emocional kepada ibu</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="ES-TRAD" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES-TRAD; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menilai DJJ :</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="ES-TRAD" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES-TRAD; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">a.</span><span lang="ES-TRAD" style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-ansi-language: ES-TRAD; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
</span><span lang="ES-TRAD" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES-TRAD; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bila ibu mendaoat sedative tunggu hilangnya
pengaruh obat, kemudian nilai ulang</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="ES-TRAD" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES-TRAD; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">b.</span><span lang="ES-TRAD" style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-ansi-language: ES-TRAD; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
</span><span lang="ES-TRAD" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES-TRAD; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bila DJJ tidak terdengar minta beberapa orang untuk
mendengarkan menggunakan stetoskop doppler.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
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<span style="font-family: Algerian; font-size: 14.0pt; mso-bidi-font-family: Arial;">Bab
iii</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Algerian; font-size: 14.0pt; mso-bidi-font-family: Arial;">penutup</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l2 level1 lfo18; text-indent: -14.2pt;">
<span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Algerian; mso-fareast-font-family: Algerian;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman";">Kesimpulan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tanda-tanda bahaya pada kehamilan
adalah tanda-tanda yang terjadi pada seorang Ibu hamil yang merupakan suatu
pertanda telah terjadinya suatu masalah yang serius pada Ibu atau janin yang
dikandungnya. Tanda-tanda bahaya ini dapat terjadi pada awal kehamilan (hamil
muda) atau pada pertengahan atau juga pada akhir kehamilan (hamil tua). Oleh
karena itu tanda bahaya harus dideteksi sedini mungkin. </span></div>
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<span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Algerian; mso-fareast-font-family: Algerian;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman";">KRITIK DAN saran</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Semoga
makalah ini dapat memberi manfaat bagi pembaca dan apabila ada kekurangan, kami
mohon saran dan kritik membangun sehingga dapat kami tingkatkan dikemudian
hari. Terima kasih. </span></div>
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<span style="font-family: Algerian; font-size: 14.0pt; mso-bidi-font-family: Arial;">Daftar
pustaka</span></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Hacker, Neville F. 2001<i style="mso-bidi-font-style: normal;">. Esensial Obstetri dan Ginekologi</i> Edisi 2. Jakarta : Hipokrates</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 14.2pt 1.0cm 42.55pt 2.0cm 70.9pt 3.0cm 99.25pt 4.0cm 127.6pt 5.0cm 6.0cm 184.3pt 269.35pt 297.7pt 12.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mochtar,
Rustam. 1998. <i style="mso-bidi-font-style: normal;">Sinopsis Obstetri</i>.
Jilid I. Jakarta : EGC.</span></div>
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<a href="http://www.kebidanan.org/deteksi-dini-komplikasi-ibu-dan-janin"><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt;">http://www.kebidanan.org/deteksi-dini-komplikasi-ibu-dan-janin</span></a><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;"></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pantiawati Ika dan Saryono, 2010,<i style="mso-bidi-font-style: normal;">ASUHAN KEBIDANAN I (KEHAMILAN),</i>Yogyakarta
: Nuha Medika</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sulistyawati Ari,2009, <i style="mso-bidi-font-style: normal;">ASUHAN KEBIDANAN PADA MASA KEHAMILAN,</i>Jakarta
: Salemba Medika</span></div>
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<a href="http://syefrinayuwinda.blogspot.com/2012/06/tanda-tanda-dini-bahaya-komplikasi-ibu.html"><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">http://syefrinayuwinda.blogspot.com/2012/06/tanda-tanda-dini-bahaya-komplikasi-ibu.html</span></a><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
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Anonymoushttp://www.blogger.com/profile/09428371857956484973noreply@blogger.com3tag:blogger.com,1999:blog-1493722132486835108.post-58757751140453368002014-02-06T16:53:00.000-08:002014-02-07T15:21:54.981-08:00Kebutuhan Fisik Mobilisasi dan Body Mekanik pada Ibu Hamil<!--[if !mso]>
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<br />
<div class="Section1">
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<span style="font-family: Algerian; font-size: 20.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman";">MAKALAH ASKEB KEHAMILAN<br />
KEBUTUHAN FISIK mobilisasi dan body mekanik PADA IBU HAMIL</span></div>
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<span style="font-family: Algerian; font-size: 24.0pt;"></span></div>
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<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: "Monotype Corsiva"; font-size: 18.0pt; mso-bidi-font-family: Arial;">Disusun oleh :</span></div>
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<span style="font-family: Symbol; font-size: 16.0pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="19" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="19" /><span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Monotype Corsiva"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Anita Della Aviyanty Putri ( 02.12.004 ) </span></div>
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<span style="font-family: Symbol; font-size: 16.0pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="19" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="19" /><span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Monotype Corsiva"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Dita Saraswati ( 02.12.0<span style="mso-spacerun: yes;"> </span>)</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 115%; margin-left: 148.85pt; mso-add-space: auto; mso-list: l2 level1 lfo1; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 16.0pt; line-height: 115%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="19" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="19" /><span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Monotype Corsiva"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Eka Herin Priyanti ( 02.12.012 )</span></div>
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<span style="font-family: "Monotype Corsiva"; font-size: 16.0pt; mso-bidi-font-family: Arial;">D3 Kebidanan</span></div>
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<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Algerian; font-size: 20.0pt; mso-bidi-font-family: Arial;">SEKOLAh
TINGGI ILMU KESEHATAN DIAN HUSADA</span></div>
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<span style="font-family: Algerian; font-size: 20.0pt; mso-bidi-font-family: Arial;">JL.
RAYA TERAS 04 TAMBAK AGUNG PURI</span></div>
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<span style="font-family: Algerian; font-size: 20.0pt; mso-bidi-font-family: Arial;">MOJOKERTO</span></div>
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<span style="font-family: Algerian; font-size: 14.0pt; mso-bidi-font-family: "Times New Roman";">KATA
PENGANTAR</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span>Puji syukur kami ucapkan kepada
Tuhan Yang Maha Esa. Berkat rahmat, taufiq, dan hidayah-Nya kami dapat
menyelesaikan tugas makalah yang berjudul “ Kebutuhan Fisik Mobilisasi dan Body
Mekanik pada Ibu Hamil ”. </span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span>Kami mengucapkan banyak terima kasih
kepada seluruh pihak yang telah membantu dalam penyelesaian makalah ini, dan
juga kepada sumber-sumber yang digunakan untuk menunjang penyelesaian makalah
ini. Tidak lupa juga ucapan terima kasih kepada seluruh anggota kelompok yang
telah bekerja sama dalam penyelesaian makalah ini. </span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span>Demikianlah makalah yang telah kami
selesaikan. Tiada gading yang tak retak, begitu pula makalah ini yang tak luput
dari kekurangan. Kritik dan saran sangat kami harapkan untuk menunjang
keberhasilan dari makalah ini. Semoga makalah ini bermanfaat bagi kita semua.
Amin.</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"><span style="mso-tab-count: 8;"> </span>Mojokerto,
2 September 2013 </span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"><span style="mso-tab-count: 7;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-tab-count: 2;"> </span><span style="mso-spacerun: yes;"> </span>Penyusun</span></div>
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<span style="font-family: Algerian; font-size: 14.0pt; mso-bidi-font-family: Arial;">Daftar
isi </span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: dotted 15.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kata
Pengantar <span style="mso-tab-count: 1 dotted;">................................................................................................................... </span><span style="mso-spacerun: yes;"> </span>i</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Daftar
Isi <span style="mso-tab-count: 1 dotted;">............................................................................................................................ </span><span style="mso-spacerun: yes;"> </span>ii</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bab
I Pendahuluan</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Latar
Belakang Masalah<span style="mso-tab-count: 1 dotted;">...................................................................................................... </span>
1</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Rumusan
Masalah<span style="mso-tab-count: 1 dotted;">................................................................................................................ </span>
1</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tujuan
Penulisan<span style="mso-tab-count: 1 dotted;">.................................................................................................................. </span>
1</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Manfaat
Penulisan<span style="mso-tab-count: 1 dotted;">............................................................................................................... </span>
2</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bab
II Isi</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pengertian
Mobilisasi<span style="mso-tab-count: 1 dotted;">........................................................................................................... </span>
3</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Rentang
Gerak Mobilisasi<span style="mso-tab-count: 1 dotted;">................................................................................................... </span>
3</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pengertian
Body Mekanik<span style="mso-tab-count: 1 dotted;">................................................................................................... </span>
4</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Faktor
– Faktor yang mempengaruhi mekanik tubuh<span style="mso-tab-count: 1 dotted;">.......................................................... </span>
4</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mobilisasi
dan Body Mekanik pada Ibu Hamil Trimester I,II,III<span style="mso-tab-count: 1 dotted;">....................................... </span> 4</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bab
III Penutup</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kesimpulan<span style="mso-tab-count: 1 dotted;">.......................................................................................................................... </span>
7</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Saran<span style="mso-tab-count: 1 dotted;">.................................................................................................................................... </span>
7</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Daftar
Pustaka <span style="mso-tab-count: 1 dotted;">.................................................................................................................... </span><span style="mso-spacerun: yes;"> </span>8</span></div>
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<span style="font-family: Algerian; font-size: 14.0pt; line-height: 150%; mso-bidi-font-family: Arial;">BAB i<br />
PENDAHULUAN</span></div>
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<span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Algerian; mso-fareast-font-family: Algerian;"><span style="mso-list: Ignore;">1.1<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Arial;">LATAR BELAKANG MASALAH</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Manusia
memiliki kebutuhan dasar yang bersifat heterogen. Setiap orang pada dasarnya
memiliki kebutuhan dasar yang sama, akan tetapi karena terdapat perbedaan
budaya, maka kebutuhan pun ikut berbeda.<span style="mso-spacerun: yes;">
</span>Dalam memenuhi kebutuhannya manusia menyesuaikan diri dengan prioritas
yang ada.<span style="mso-spacerun: yes;"> </span>Lalu jika gagal dalam memenuhi
kebutuhannya, manusia akan berpikir lebih keras dan bergerak untuk berusaha
mendapatkannya. Kebutuhan dasar manusia yang paling mendasar adalah kebutuhan
fisiologis. Kebutuhan fisiologis merupakan kebutuhan yang paling dasar. Salah
satu kebutuhan dasar fisik pada manusia adalah mobilisasi dan body mechanic.
Pada wanita hamilpun juga memiliki mobilisasi, body mechanic. Namun berbeda
dengan wanita yang tidak hamil. </span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ibu
hamil hendaknya mengetahui bagaimana caranya memperlakukan diri dengan
baik dan body mekanik ( sikap tubuh yang baik ) diinstruksikan kepada
wanita hamil karena diperlukan untuk membentuk aktivitas sehari-hari yang aman
dan nyaman selama kehamilan.</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dengan
meningkatnya kesadaran akan kesehatan, kini kaum perempuan mulai mau
berolahraga selama hamil. Ini buka berarti hamil merupakan saat untuk memulai
latihan kebugaran yang berat, apalagi jika sebelumnya anda tidak aktif secara
fisik.</span></div>
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<span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Algerian; mso-fareast-font-family: Algerian;"><span style="mso-list: Ignore;">1.2<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Arial;">RUMUSAN MASALAH</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Apa
pengertian mobilisasi dan body mechanic ?</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bagaimana
mobilisasi pada ibu hamil?</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l4 level1 lfo3; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bagaimana
body mechanic yang baik pada ibu hamil?</span></div>
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<span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Algerian; mso-fareast-font-family: Algerian;"><span style="mso-list: Ignore;">1.3<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Arial;">Tujuan penulisan</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk
mengetahui pengertian mobilisasi dan body mechanic </span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk
mengetahui bagaimana mobilisasi pada ibu hamil</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l3 level1 lfo4; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk
mengetahui bagaimana body mechanic yang baik pada ibu hamil</span></div>
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<span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Algerian; mso-fareast-font-family: Algerian;"><span style="mso-list: Ignore;">1.4<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Arial;">Manfaat penulisan</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dengan
adanya makalah ini diharapkan mahasiswa dapat menambah pengetahuan dan wawasan
mengenai kebutuhan fisik pada ibu hamil trimester I, II dan III, khususnya
tentang mobilisasi dan body mekanik. </span></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="mso-ansi-language: EN-US;"> </span></b><span lang="EN-US"> </span><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="mso-ansi-language: EN-US;"> </span></b><span lang="EN-US"> </span></div>
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<span style="font-family: Algerian; font-size: 14.0pt; mso-bidi-font-family: Arial;">BAB ii<br />
isi</span></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%;">A. Mobilisasi dan body mekanik</span></b><span style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%;"></span></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">1. </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Pengertian mobilisasi</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mobilisasi
dini adalah kebijaksanaan untuk selekas mungkin membimbing penderita keluar
dari tempat tidurnya dan membimbingnya selekas mungkin berjalan (Soelaiman,
1993).</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menurut
Carpenito (2000), mobilisasi dini merupakan suatu aspek yang terpenting pada
fungsi fisiologis karena hal itu esensial untuk mempertahankan kemandirian.</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dari
kedua definisi tersebut dpaat disimpulkan bahwa mobilisasi dini adalah suatu
upaya mempertahankan kemandirian sedini mungkin dengan cara membimbing penderita
untuk mempertahankan fungsi fisiologis.Konsep mobilisasi dini mula-mula berasal
dari ambulasi dini yang merupakan pengembalian secara berangsur-angsur ke tahap
mobiliasi sebelumnya untuk mencegah komplikasi (Roper, 1996).</span></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">2.</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Rentang
gerak dalam mobilisasi</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menurut
Carpenito (2000), dalam mobilisasi terdapat tiga rentang gerak :</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Rentang
gerak pasif</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Rentang
gerak pasif ini berguna untuk menjaga kelenturan otot-otot dan persendian
dengan menggerakkan otot orang lain secara pasif misalnya perawat mengangkat dan
menggerakkan kaki pasien.</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l6 level1 lfo5; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Rentang
gerak aktif</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hal
ini untuk melatih kelenturan dan kekuatan otot serta sendi dengan cara
menggerakkan otot-otonya secara aktif misalnya berbaring pasien dengan
menggerakkan kakinya.</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l6 level1 lfo5; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Rentang
gerak fungsional</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Berguna
untuk memperkuat otot-otot dan sendi dengan melakukan aktifitas yang diperlukan</span></div>
<div class="MsoNormalCxSpFirst" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">3.</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Pengertian
</span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Body </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">M</span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">e</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">chanic</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> </span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mekanik
tubuh </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">(body mechanic) </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">adalah
usaha koordinasi diri muskuloskeletal dan sistem saraf untuk mempertahankan
keseimbangan yang tepat. Mekanika tubuh merupakan bagian dari aktifitas
manusia.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">4.</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Faktor-faktor
yang mempengaruhi mekanika tubuh</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ada
beberapa factor yang dapat mempengaruhi mekanika tubuh</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">:</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">a.
Status kesehatan</span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perubahan status kesehatan dapat mempengaruhi system
musculoskeletal dan system saraf berupa penurunan koordinasi, sehingga dapat
mempengaruhi mekanika tubuh.</span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">b.
Pengetahuan</span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pengetahuan yang baik terhadap mekanika tubuh akan
mendorong seseorang untuk mempergunakannya secara benar, sehingga akan
mengurangi energy yang akan dikeluarkan.</span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">c.
Situasi dan kebiasaan</span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Misalnya mengangkat benda-benda berat.</span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">d.
Gaya hidup</span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perubahan pola hidup seseorang akan menyebabkan
stress, sehingga akan menimbulkan kecerobohan dalam beraktifitas, sehingga
dapat mengganggu koordinasi antara system musculoskeletal dan neurologi, yang
akhirnya akan mengakibatkan perubahan mekanika tubuh.</span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">e.
Emosi</span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Seseorang yang mengalami perasaan tidak aman, tidak
bersemangat, dan harga diri yang rendah, akan mengalami perubahan dalam
mekanika tubuh.</span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">f.
Nutrisi</span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kekurangan nutrisi bagi tubuh dapat menyebabkan
kelemahan otot dan memudahkan terjadinya penyakit.</span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">5. </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Mobilisasi dan Body Mechanic
pada Ibu Hamil Trimester I, II dan III</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ibu
hamil boleh melakukan kegiatan/aktivitas fisik biasa selama tidak terlalu
melelahkan. Ibu hamil dapat melakukan pekerjaan seperti menyapu, mengepel,
memasak dan mengajar. Semua pekerjaan tersebut harus sesuai dengan kemampuan
wanita tersebut dan mempunyai cukup waktu untuk istirahat.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Seiring
dengan bertambahnya usia kehamilan, tubuh akan mengadakan penyesuaian fisik
dengan pertambaha</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">n</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">
ukuran janin. Perubahan tubuh yang paling jelas adalah tulang punggung
bertambah lordosis karena tumpuan tubuh bergeser lebih ke belakang dibandingkan
sikap tubuh ketika tidak hamil. Secara anatomi, ligamen sendi putar dap</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">a</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">t meningkatkan pelebaran/
pembesaran rahim pada ruang abdomen. Nyeri pada ligamen ini terjadi karena
pelebaran dan tekanan pada ligamen karena adanya pembesaran rahim. Nyeri pada
ligamen ini merupakan suatu ketidaknyaman pada ibu hamil. Sikap tubuh yang perlu
diperhatikan oleh ibu hamil :</span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">a.
Duduk</span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Duduk dengang posisi punggung tegak. Atur dagu ibu
dan tarik bagian atas kepala seperti ketika ibu berdiri</span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">b.
Berdiri</span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sikap berdiri yang benar sangat membantu sewaktu
hamil di saat berat janin semakin bertambah, jangan berdiri untuk jangka waktu
yang lama. Beerdiri dengan menegakkan bahu dan mengangkat pantat. Tegak lurus
dari telinga sampai ke tumit kaki.</span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">c.
Berjalan</span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ibu hamil penting untuk tidak memakai sepatu ber-hak
tinggi atau tanpa hak. Hindari juga sepatu bertumit runcing karena mudah
menghilangkan keseimbangan. Bila memiliki anak balita, usahakan supaya tinggi
pegangan keretanya sesuai untuk ibu. </span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">d.
Tidur</span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ibu boleh tidur tengkurap, kalau sudah terbiasa,
namun tekuklah sebelah kaki dan pakailah guling, supaya ada ruangan bagi bayi
anda. Posisi miring juga menyenangkan, namun jangan lupa memakai guling untuk
menopang berat rahim anda. Sebaiknya setelah usia kehamilan 6 bulan, hindari
tidur telentang, karena tekanan rahim pada pembuluh darah utama dapat menyebabkan
pingsan. Tidur dengan kedua kaki lebih tinggi dari badan dapat mengurangi rasa
lelah.</span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">e.
Bangun dari berbaring</span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk bangun dari tempat tidur, geser dulu tubuh ibu
ke tepi tempat tidur, kemudian tekuk lutut. Angkat tubuh ibu perlahan dengan
kedua tangan, putar tubuh lalu perlahan turunkan kaki ibu. Diamlah dulu dalam
posisi duduk beberapa saat sebelum berdiri. Lakukan setiap kali ibu bangun dari
berbaring. </span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">f.
Membungkuk dan mengangkat</span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Terlebih dahulu menekuk lutut dan gunakan otot kaki
untuk tegak kembali. Hindari membungkuk yang dapat membuat punggung tegang,
termasuk untuk mengambil sesuatu yang ringan sekalipun.</span></div>
</div>
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-language: AR-SA; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;"><br clear="all" style="mso-break-type: section-break; page-break-before: always;" />
</span>
<br />
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Algerian; font-size: 14.0pt; mso-bidi-font-family: Arial;">Bab
iii</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Algerian; font-size: 14.0pt; mso-bidi-font-family: Arial;">penutup</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l0 level1 lfo6; text-indent: -14.2pt;">
<span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Algerian; mso-fareast-font-family: Algerian;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman";">Kesimpulan</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mobilisasi
dini adalah kebijaksanaan untuk selekas mungkin membimbing penderita keluar
dari tempat tidurnya dan membimbingnya selekas mungkin berjalan.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mekanik
tubuh </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">(body mechanic) </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">adalah
usaha koordinasi diri muskuloskeletal dan sistem saraf untuk mempertahankan
keseimbangan yang tepat. Mekanika tubuh merupakan bagian dari aktifitas
manusia.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ibu
hamil boleh melakukan kegiatan/aktivitas fisik biasa selama tidak terlalu
melelahkan. Ibu hamil dapat melakukan pekerjaan seperti menyapu, mengepel,
memasak dan mengajar. Semua pekerjaan tersebut harus sesuai dengan kemampuan
wanita tersebut dan mempunyai cukup waktu untuk istirahat.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Seiring
dengan bertambahnya usia kehamilan, tubuh akan mengadakan penyesuaian fisik
dengan pertambaha</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">n</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">
ukuran janin. Perubahan tubuh yang paling jelas adalah tulang punggung
bertambah lordosis karena tumpuan tubuh bergeser lebih ke belakang dibandingkan
sikap tubuh ketika tidak hamil.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sikap
tubuh yang perlu diperhatikan oleh ibu hamil :</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l1 level1 lfo7; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Duduk</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l1 level1 lfo7; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Berdiri</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l1 level1 lfo7; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Berjalan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l1 level1 lfo7; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tidu</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">r</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l1 level1 lfo7; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bangun
dari berbaring</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l1 level1 lfo7; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Membungkuk
dan mengangkat</span></div>
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<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Semoga
makalah ini dapat memberi manfaat bagi pembaca dan apabila ada kekurangan, kami
mohon saran dan kritik membangun sehingga dapat kami tingkatkan dikemudian
hari.</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Rukiyah,
Ai Yeyeh, dkk. 2010. <i style="mso-bidi-font-style: normal;">Asuhan Kebidanan I
(Kehamilan). </i>Jakarta : Trans Info Media (TIM).</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Salmah,
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: EGC.</span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Uliyah, Musrifatul, dan A. Azis Alimul Hidayat.2006.<i style="mso-bidi-font-style: normal;">Keterampilan Dasar Praktik Kebidanan.</i>Jakarta: Salemba Medika</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Ambarwati, Eny Retna dan Tri Sunarsih.2009.<i style="mso-bidi-font-style: normal;">KDPK Kebidanan Teori dan Aplikasi.</i> Yogyakarta: Nuha Medika<i style="mso-bidi-font-style: normal;"> </i></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
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Yuni, dkk. 2009. <i style="mso-bidi-font-style: normal;">Perawatan Ibu Hamil
(Asuhan Ibu Hamil).</i> Yogyakarta : Fitramaya</span></div>
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<div class="MsoNormal">
<br /></div>
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Masalah<span style="mso-tab-count: 1 dotted;">................................................................................................................ </span>
1</span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: dotted 15.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tujuan
Penulisan<span style="mso-tab-count: 1 dotted;">.................................................................................................................. </span>
1</span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: dotted 15.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Manfaat
Penulisan<span style="mso-tab-count: 1 dotted;">............................................................................................................... </span>
1</span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: dotted 15.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bab
II Isi</span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: dotted 15.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Partograf<span style="mso-tab-count: 1 dotted;">.............................................................................................................................. </span>
2</span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: dotted 15.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Distosia
bahu, Presentasi muka, Letak sungsang<span style="mso-tab-count: 1 dotted;">................................................................ </span>
9</span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: dotted 15.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gemeli<span style="mso-tab-count: 1 dotted;">................................................................................................................................. </span>
14</span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: dotted 15.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bab
III Penutup</span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: dotted 15.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kesimpulan<span style="mso-tab-count: 1 dotted;">.......................................................................................................................... </span>
18</span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: dotted 15.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Daftar
Pustaka <span style="mso-tab-count: 1 dotted;">.................................................................................................................... </span><span style="mso-spacerun: yes;"> </span>19</span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: dotted 15.0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 115%;">
<br /></div>
<div class="MsoNormal" style="line-height: 115%;">
<br /></div>
<div class="MsoNormal" style="line-height: 115%;">
<br /></div>
<div class="MsoNormal" style="line-height: 115%;">
<br /></div>
<div class="MsoNormal" style="line-height: 115%;">
<br /></div>
<div class="MsoNormal" style="line-height: 115%;">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span style="font-family: Algerian; font-size: 14.0pt; line-height: 150%; mso-bidi-font-family: Arial;">BAB i<br />
PENDAHULUAN</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 20.25pt; mso-add-space: auto; mso-list: l44 level2 lfo1; text-indent: -20.25pt;">
<span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Algerian; mso-fareast-font-family: Algerian;"><span style="mso-list: Ignore;">1.1<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Arial;">LATAR BELAKANG MASALAH</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pengertian
dari patograf adalah alat bantu untuk memantau kemajuan kala 1 persalinan dan
informasi untuk membuat keputusan klinik. Tujuan utama dari penggunaaan
patograf adalah untuk mencatat hasil observasi dan kemajuan persalinan dengan
menilai pembukaan serviks melalui pemeriksaan dalam. Oleh arena itu lembar
patograf sangat penting untuk mencatat semua hasil observasi. ( Buku Asuhan
Persalinan Normal & Inisiasi Menyusu Dini Hal : 55 )</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Setiap
bidan tidak dapat mengelak dari kemungkinan berhadapan dengan komplikasi dan
penyimpangan dari normal yang memerlukan tindakan segera. Komplikasi obstetrik
berikut : distosia bahu, presentasi muka, presentasi bokong dan letak sungsang.
Bidan mungkin dihadapkan dengan keadaan darurat disetiap area pelayanan. Secara
teoritis dan idealnya, semua komplikasi dan penyimpangan dari normal ini harus
didiagnosis atau sebelum pelahiran.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 20.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kehamilan
multipel merupakan suatu istilah yang digunakan apabila terdapat lebih dari
satu janin didalam rongga uterus<i style="mso-bidi-font-style: normal;">. Twins</i>
menggambarkan dua janin, <i style="mso-bidi-font-style: normal;">Tripelets</i>
menggambarkan tiga janin dan seterusnya. Insiden kembar dua adalah 40 per 1000
kelahiran pada orang Afrika Barat, 12 per 1000 untuk orang kaukasia dan 6 per
1000 untuk orang Asia. Angka kembar lebih tinggi pada wanita subur dan
multipara. Kemajuan terapi pembantu kesuburan meningkatkan insiden kehamilan
multipel. ( Buku Manual Persalinan Edisi 3 Hal : 283 )</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 20.25pt; mso-add-space: auto; mso-list: l44 level2 lfo1; text-indent: -20.25pt;">
<span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Algerian; mso-fareast-font-family: Algerian;"><span style="mso-list: Ignore;">1.2<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Arial;">RUMUSAN MASALAH</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l16 level1 lfo3; text-indent: -14.15pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="13" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="13" /><span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Apa
saja temuan keadaan normal dan abnormal dari partograf ?</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l16 level1 lfo3; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="13" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="13" /><span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Apa
pengertian bahu macet, letak muka, dan letak sungsang ?</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l16 level1 lfo3; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="13" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="13" /><span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Apa
yang dimaksud dengan gemeli ?</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 20.25pt; mso-add-space: auto; mso-list: l44 level2 lfo1; text-indent: -20.25pt;">
<span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Algerian; mso-fareast-font-family: Algerian;"><span style="mso-list: Ignore;">1.3<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Arial;">Tujuan penulisan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l43 level1 lfo4; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="13" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="13" /><span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk
mengetahui temuan keadaan normal dan abnormal dari partograf</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l43 level1 lfo4; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="13" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="13" /><span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk
mengetahui pengertian bahu macet, letak muka, dan letak sungsang</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l43 level1 lfo4; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="13" src="file:///C:/Users/user/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="13" /><span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk
mengetahui pengertian dan macam-macam gemeli</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 20.25pt; mso-add-space: auto; mso-list: l44 level2 lfo1; text-indent: -20.25pt;">
<span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Algerian; mso-fareast-font-family: Algerian;"><span style="mso-list: Ignore;">1.4<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Arial;">Manfaat penulisan</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dengan
adanya makalah ini diharapkan mahasiswa dapat menambah pengetahuan dan wawasan
mengenai temuan keadaan normal dan abnormal dari partograf, pengertian bahu
macet, letak muka, dan letak sungsang, dan pengertian dari gemeli.</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Algerian; font-size: 14.0pt; mso-bidi-font-family: Arial;">BAB ii<br />
isi</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Arial;">2.1 Temuan
keadaan normal dan abnormal dari partograf</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pengertian
dari patograf adalah alat bantu untuk memantau kemajuan kala 1 persalinan dan
informasi untuk membuat keputusan klinik. Tujuan utama penggunaaan patograf
adalah untuk :</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l15 level1 lfo2; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mencatat
hasil observasi dan kemajuan persalinan dengan menilai pembukaan servik melalui
pemeriksaan dalam.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l15 level1 lfo2; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mendeteksi
apakah proses persalinan berjalan secara normal, bisa juga mendeteksi secara
dini kemungkinan terjadinya partus lama.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l15 level1 lfo2; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Data
pelengkap yang terkait dengan pemantauan kondisi ibu, kondisi bayi, grafik
kemajuan persalinan, bahan dan medikamentosa yang diberikan ; pmeriksaan
laboratorium,membuat keputusan klinik dan asuhan atau tindakan yang diberikan
dimana semua itu dicatat secara rinci pada status atau rekam medik ibu bersalin
dan bayi baru lahir.</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jika digunakan secara
tepat dan konsisten, partograf akan membantu penolong persalinan untuk :</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l18 level1 lfo5; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mencatat kemajuan persalinan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l18 level1 lfo5; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mencatat kondisi ibu dan janinnya.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l18 level1 lfo5; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mencatat asuhan yang diberikan selama
persalinan dan kelahiran.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l18 level1 lfo5; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menggunakan informais yang tercatat
untuk identifikasi dini penyulit persalinan.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l18 level1 lfo5; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menggunakan informasi yang tersedia
untuk membuat<span style="mso-spacerun: yes;"> </span>keputusan klinik yang
sesuai.</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Partograf harus
digunakan :</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l35 level1 lfo6; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk
semu ibu dalam fase aktif kala 1 persalian dan merupakan elemen penting dari
asuhan persalinan. Partograf harus digunakan untuk semua persalinan, baik
normal maupun patologis. Partograf sangat membantu penolong persalinan dalam
memantau, mengealuasi dan membuat keputusan klinik, bak perslinan dengan
penyulit maupun yang tidak disertai dengan penyulit.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l35 level1 lfo6; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Selama
prsalinan dan kelahiran di semua tempat ( rumah, puskesmas, klinik, bidan
suwasta, rumah sakit, dll)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l35 level1 lfo6; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Secara
rutin oleh semua penolong persalinan yang meberikan asuhan persalinan kepada
ibu dan proses kelahiran bayinya ( specialis opstetri, dokter umum, presiden
dan mahasiswa kedokteran ).</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">(
Buku Asuhan Persalinan Normal & Inisiasi Menyusu Dini Hal : 55 )</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.1.1
Pencatatan Selama Fase Laten </span></b></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kala 1 persalinan
terdiri dari 2 fase , fase laten dan fase aktif yang dipacu pada pembukaan
seviks :</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; mso-list: l1 level1 lfo7; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Fase laten merupakan pembukaan serviks
kurang dari 4 cm</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; mso-list: l1 level1 lfo7; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Fase aktif merupakan pembukaan serviks
dari 4-10 cm.</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.1.2
Pencatatan Selama Fase Aktif</span></b></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span>Halaman depan partoraf
mengintruksikan obserasi dimulai pada fase aktif persalinan dan menyediakan
lajur dan kolom untuk mencatatan hasil hasil pemeriksaan selama fase aktif
persalinan, yaitu : </span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Informasi tentang ibu :
</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; mso-list: l29 level1 lfo8; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Nama , umur</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; mso-list: l29 level1 lfo8; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Grafida , para, abortus</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; mso-list: l29 level1 lfo8; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Nomor catatan medik atau nomor puskesmas</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; mso-list: l29 level1 lfo8; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tanggal dan waktu mulai dirawat ( atau
jika dirumah, tanggal dan waktu penolong persalinan mulai merawat ibu ).</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; mso-list: l29 level1 lfo8; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Waktu pecahnya selaput ketuban</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kondisi janin :</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; mso-list: l20 level1 lfo9; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">DJJ </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; mso-list: l20 level1 lfo9; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Warna dan adanya air ketuban</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; mso-list: l20 level1 lfo9; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penyusupan ( molase) kepala janin.<br />
( Buku Asuhan Persalinan Normal & Inisiasi Menyusu Dini Hal : 56 )</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kemajuan
persalinan :</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; mso-list: l5 level1 lfo10; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pembukaan serviks</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; mso-list: l5 level1 lfo10; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penurunan bagian terbawah atau
persentasi janin</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; mso-list: l5 level1 lfo10; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Garis waspada dan garis bertindak</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jam
dan waktu :</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; mso-list: l32 level1 lfo11; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Waktu mulainya fase aktif persalinan </span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; mso-list: l32 level1 lfo11; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Waktu aktual saat pmeriksaan atau
penilaian.</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kontraksi uterus :</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; mso-list: l9 level1 lfo12; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Frekuensi dan lamanya</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; mso-list: l9 level1 lfo12; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Lama kontraksi (dalam detik)</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Obat obatan dan cairan
yang diberikan :</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; mso-list: l38 level1 lfo13; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Oksitosin</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; mso-list: l38 level1 lfo13; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Obat obatan lainnya dan cairan IV yang diberikan</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kondisi ibu :</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; mso-list: l28 level1 lfo14; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Nadi, tekanan darah, dan temperatur
tubuh</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; mso-list: l28 level1 lfo14; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Urine (volume ,aseton atau protein)</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.1.3
Mencatat Temuan Pada Patograf</span></b></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">A. Informasi tentang
ibu </span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Lengkapi
bagian awal ( atas) patograf secara teliti pada saat memulai asuhan persalinan.
Waktu kedatangan ( tertulis sebagai : jam atau pukul pada partograf) dan
perhatikan kemungkinan ibu datang dalam fase laten.<span style="mso-spacerun: yes;"> </span>Catat waktu pecahnya selaput ketuban. </span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">B. Kondisi janin</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bagan
atas grafik pada partograf adalah untuk pencatatan denyut jantung janin ( DJJ ).
Air ketuban dan penyusupan ( kepala janin ).</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l12 level1 lfo15; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Denyut jantung janin</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Nilai dan catat
denyut jantung janin ( DJJ ) setiap 30 menit ( lebih sering jika ada tanda
tanda gawat janin). Setiap kotak dibagian atas patograf menunjukkan waktu 30
menit. Skala angka sebelah kolom paling kiri menunjukkan DJJ. Catat DJJ dengan
memberi tanda titik pada garis yang sesuai dengan angka yang menunjukkan DJJ.
Kemudian hubungkan titik yang satu dengan titik yang lainnya dengan garis yang
bersambung.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Normal <span style="mso-tab-count: 1;"> </span>: 120-160 X/menit</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Abormal <span style="mso-tab-count: 1;"> </span>: <120x/menit atau >160x/menit ( Curigai adanya gawat
janin)</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">( Buku Asuhan
Persalinan Normal & Inisiasi Menyusu Dini Hal : 57 )</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l12 level1 lfo15; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Warna da adanya air ketuban </span></div>
<div class="MsoNormal" style="line-height: 150%; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Nilai air
kondisi ketuban setiap kali melakukan periksa dalam dan nilai warna air ketuban
jika selaput ketuban pecah. Catat semua temuan-temuan dalam kotak yang sesuai
dibawah lajur DJJ.</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gunakan lambang-lambang berikut ini :</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Normal :</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l24 level1 lfo16; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">U<span style="mso-tab-count: 1;"> </span>:
Utuh</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l24 level1 lfo16; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">J<span style="mso-tab-count: 1;"> </span>:
Selaput pecah, air ketuban jernih</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Abnormal
:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l36 level1 lfo17; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">M<span style="mso-tab-count: 1;"> </span>:
Air ketuban bercampur mekonium</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l36 level1 lfo17; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">D<span style="mso-tab-count: 1;"> </span>:
Air ketuban bercampur darah</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l36 level1 lfo17; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">K<span style="mso-tab-count: 1;"> </span>:
Tidah ada air ketuban/Kering</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 55.5pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l12 level1 lfo15; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penyusupan ( Molase ) Tulang Kepala
Janin</span></div>
<div class="MsoNormal" style="line-height: 150%; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penyusupan
adalah indikator penting tentang seberapa jauh kepala janin dapat menyesuaikan
diri terhadap bagian keras ( tulang ) panggul ibu. Semakin besar derajat
peyusupan atau tumpang tindih antar tulang kepala semakin menunjukan resiko
disproporsi kepala-panggul( CPD). Ketidakmampuan untuk berakomodasi atau
disproporsi ditunjukkan melalui derajat penyusupan atau tumpang tindih ( molase
) yang berat sehingga tulang kepala yang saling menyusup, sulit untuk
dipisahkan. Apabila ada dugaan disproporsi kepala-panggul maka penting untuk
tetap memantau kondisi janin serta kemajuan persalinan.</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Setiap kali
melakukan periksa dalam, nilai penyusupan antar tulang ( molase )kepala janin.
Catat temuan yang ada dikotak yang sesuai dibawah lajur air ketuban.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gunakan lambang-lambang berikut ini
:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Normal :</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l17 level1 lfo18; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">0<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">: Sutura terpisah</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l17 level1 lfo18; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">: Pertemuan 2 tulang tengkorak yang
tepat/bersesuaian</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l17 level1 lfo18; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">: Sutura tumpang tindih tetapi dapat
diperbaiki</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Abnormal
:</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l17 level1 lfo18; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">: Sutura tumpang tindih dan tidak dapat
diperbaiki</span></div>
<div class="MsoNormal" style="line-height: 150%; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">( Buku Asuhan Persalinan Normal & Inisiasi
Menyusu Dini Hal : 58 )</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l12 level1 lfo15; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pembukaan Serviks</span></div>
<div class="MsoNormal" style="line-height: 150%; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dengan
Menggunakan metode yang dijelaskan di bagian Pemeriksaan Fisik. Nilai dan catat
pembukaan serviks setiap 4 jam ( lebih sering dilakukan jika ada tanda-tanda
penyulit ) Saat ibu berada dalam fase aktif persalinan, catat pada partograf
setiap temuan dari setiap pemeriksaan. Tanda “X” harus dicantumkandi garis
waktu yang sesuai dengan lajur besarnya pembukaan serviks.</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Normal :</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kecepatan pembukaan serviks paling
sedikit 1 cm/jam selama persalinan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l42 level1 lfo19; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Fase
aktif berlangsung disebelah kiri garis waspada</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l42 level1 lfo19; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Serviks
dipenuhi oleh bagian terbawah oleh janin</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Abnormal
:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kecepatan
pembukaan serviks lebih lambat</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l0 level1 lfo20; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Fase
aktif berlangsung disebelah garis waspada</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l12 level1 lfo15; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penurunan Bagian Terbawah Janin</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Setiap kali
melakukan pemerisaan dalam ( setiap 4 jam ) atau ( lebih sering jika ada
tanda-tanda penyulit ). Cantumkan hasil pemeriksaan penurunan kepala (
perlimaan ) yang menunjukkan seberpa jauh bagian terbawah janin telah memasuki
rongga panggul. Pada persalinan normal, kemajuan pembukaan serviks selalu
diikuti dengan turunnya bagian terbawah janin. Tapi adakalanya penurunan bagian
terbawah janin baru terjadi setelah pembukaan serviks mencapai 7 cm. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Normal :</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l30 level1 lfo21; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bagian
terbesar kepala sudah masuk panggul dengan adanya kontraksi kepala semakin
turun hingga dasar panggul</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Abnormal
:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l25 level1 lfo22; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bagian
terbesar kepala tidak masuk panggul</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l25 level1 lfo22; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dengan
adanya kontraksi kepala tidak mengalami penurunan, kepala mengalami kemajuan
yang kurang baik, pada persalinan dapat menyeabkan persalinan lama.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">( Buku Asuhan Persalinan Normal & Inisiasi
Menyusu Dini Hal : 60 )</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l12 level1 lfo15; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jam dan waktu</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Waktu Mulainya Fase Aktif
Persalinan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Di bagian bawah partograf (
pembukaan serviks dan penurunan ) tertera kotak-kotak yang diberi angka 1-12.
Setiap kotak menyatakan satu jam sejak dimulainya fase aktif persalinan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Normal :</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l2 level1 lfo23; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Fase Aktif tidak boleh > 8 jam</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l2 level1 lfo23; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Persalinan tidak berlangsung > 12 jam
tanpa kelahiran bayi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Abnormal
:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l33 level1 lfo24; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Fase Aktif >8 jam </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l33 level1 lfo24; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Persalinan telah berlangsung > 12 jam
tanpa kelahiran bayi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l12 level1 lfo15; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kotraksi Uterus</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dibawah Lajur
waktu partograf, terdapat 5 kotak dengan tulisan “ kontraksi per 10 menit “
disebelah luar kolom paling kiri. Setiap kotak menyatakan satu kontraksi.
Setiap 30 menit raba dn catat jumlah kontraksi dalam 10 menit dan lamanya
kontraksi dalam satuan detik. Nyatakan jumlah kontraksi yang terjadi dalam
waktu 10 menit dengan cara menisi kotak kontraksi yang tersedia dan
disesuailkan dengan angka yang mencerninkan temuan dari hasil pemeriksaan
kontraksi </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Normal :</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kontraksi teratur yang progresif
dan peningkatan frekuensi dan durasi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Abnormal : </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kontraksi yang tidak teratur dan
tidak sering setelah fase laten </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l12 level1 lfo15; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Nadi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Nilai dan catat
nadi ibu setiap 30 menit selama fase aktif persalinan ( lebih sering jika
diduga adanya penyulit ) beri tanda titik pada kolom waktu yang sesuai</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Normal :</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">50x/menit – 100x/menit</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Abnormal :</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Denyut nadi meningkat, mungin ibu
dalam keadaan dehidrasi.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l12 level1 lfo15; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tekanan Darah</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Nilai dan catat
tekanan darah ibu setiap 4 jam selama fase aktif persalinan ( lebih sering jika
diduga adanya penyulit ) beri tanda panah pada partograf pada kolom waktu yang
sesuai.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Normal :</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l22 level1 lfo25; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sistolik<span style="mso-tab-count: 1;"> </span>: 110-140 mmHg</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l22 level1 lfo25; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Diastolik<span style="mso-tab-count: 1;"> </span>: 60-80 mmHg</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Abnormal
:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l10 level1 lfo26; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sistolik<span style="mso-tab-count: 1;"> </span>: <110 atau >140 mmHg</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l10 level1 lfo26; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Diastolik<span style="mso-tab-count: 1;"> </span>: <60 atau >80 mmHg</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l12 level1 lfo15; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">10.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Suhu Tubuh</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Nilai dan catat
temperatur tubuh ibu ( lebih sering jika terjadi peningkatan mendadak atau
diduga adanya infeksi ) setiap 2 jam dan catat temperatur tubuh dalam kotak
yang sesuai.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Normal :</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">36 – 37,5 </span><span style="font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">⁰</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">C</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Abnormal :</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">>37,5 </span><span style="font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">⁰</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">C ( infeksi )</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><36 </span><span style="font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman";">⁰</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">C ( dehidrasi )</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l12 level1 lfo15; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">11.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Urine</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ukur dan catat
jumlah produksi urin ibu sedikitnya setiap 2 jam ( setiap kali ibu berkemih ).
Jika memungkinkan, setiap kali ibu berkemih, lakukan pemeriksaan aseton dan
protein dalam urine.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Normal :</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">300 – 350 cc tidak ada proteinuri
dan aseton</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Abnormal :</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Terdapat proteinuri dan aseton</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">( Buku Asuhan Persalinan Normal
& Inisiasi Menyusu Dini Hal : 61-63 )</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l28 level2 lfo14; text-indent: -21.3pt;">
<span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Algerian; mso-fareast-font-family: Algerian;"><span style="mso-list: Ignore;">2.2<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Arial;">BAHU MACET, LETAK Muka, letak sungsang</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.2.1 DISTOSIA BAHU</span></b></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Distosia
bahu adalah presentasi sefalik dengan bahu anterior terjepit di atas simfisis
pubis bukan masuk ke pelvis minor. Hal ini terjadi ketika bahu berusaha
memasuki pelvis minor dengan diameter bisakromial dalam diameter
anteroposterior pintu atas panggul bukan pada diameter oblik kiri atau kanan
pintu atas panggul yang ruangannya lebih besar, yang merupakan cara untuk masuk
ke dalam pelvis selama mekanisme persalinan normal. Diameter oblik yaitu 12,75
cm, lebih panjang daripada diameter antero posterior yang panjangnya 10.6 cm
untuk konjugata obstrik pintu atas panggul. Bahu postrior biasa telah turun
melewati promotorium sakrum dan masuk kedalam pelvis minor. Sangat jarang
terjadi bahu posterior juga macet diatas promotorium sacrum bersama dengan bahu
anterior. Oleh karena itu petunjuk penting untuk definisi distosia bahu, dan
untuk penyelesaian masalah, adalah lokasi bahu anterior yang terjepit di atas
simfisis pubis</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Langkah
– langkah untuk menangani situasi darurat distosia bahu yaitu :</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l26 level1 lfo41; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tetap tenang</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l26 level1 lfo41; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Minta dokter yang bertanggung jawab
untuk segera datang</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l26 level1 lfo41; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Minta kesiapan upaya resusitasi bayi
baru lahir dalam skala lengkap</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l26 level1 lfo41; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Minta kesiapan untuk penanganan
perdarahan post partum yang terjadi dengan cepat</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l26 level1 lfo41; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jelaskan dengan singkat kepada ibu bahwa
ada masalah dengan pelahiran bahu bayinya, bahwa anda dan bayi memerlukan kerja
sama ibu, dan bahwa anda akan melakukan hal-hal yang menyakitkan ibu</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l26 level1 lfo41; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Atur posisi litotomi maksimal</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l26 level1 lfo41; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Periksa posisi bahu. Putar bahu kesalah
satu diameter oblik pelvis</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l26 level1 lfo41; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Minta orang lain menekan area supra
pubis sementara anda memberikan tekanan yang biasa dilakukan kearah bawah dan
arah luar pada sisi kepala bayi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l26 level1 lfo41; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jika bayi belum dilahirkan, istirahat
sebentar</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l26 level1 lfo41; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">10.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jika
distosia persalinan didiagosis sebagai akibat distosia bahu, upaya kembali
melahirkan bayi dengan prasat McRoberts dan tekanan supra pubis terarah</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l26 level1 lfo41; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">11.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Lakukan
prasat memutar dalam bentuk spiral, menggunnakan prinsip skrup kayu</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l26 level1 lfo41; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">12.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jika
bayi masih belum dapat dilahirkan, lahirkan lengan posterior</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l26 level1 lfo41; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">13.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Upayakan
peahiran bayi sekarang dengan kombinasi prasat McRobrts, tekanan supra pubis
dan tekanan kearah bawah dan keluar pada sisi kepala bayi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l26 level1 lfo41; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">14.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Juka
bayi belum dilahirkan, rotasikan badan bayi 180 drajat </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l26 level1 lfo41; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">15.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Secara
tradisional langkah berikut adalah mematahkan klavikula bayi</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l26 level1 lfo41; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">16.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk
praktis lainnya, langkah selnjutnya adalah menggunakan perasat zavanelli untuk
memindahkan bagian belakang kepala bayi kedalam vgina dan dilanjutkan dengan
kelahiran bayi melalui seksio sesaria.</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">( Buku Asuhan Kebidanan
Edisi 4 Volume 2 )</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; text-align: justify; text-indent: -21.3pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.2.2 PELAHIRAN BAYI DENGAN
PRESENTASI MUKA</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Diagnosis
presentsi muka didasrkan hal hal berikut :</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l23 level1 lfo42; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Palpasi abdomen ( perasat leopold ke 3
dan ke 4)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l23 level1 lfo42; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pemeriksan pelvis </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mekanisme
persalinan untuk pesentasi muka yaitu :</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l37 level1 lfo43; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ekstensi </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l37 level1 lfo43; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Egagement</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l37 level1 lfo43; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penurunan terjadi seluruhnya</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l37 level1 lfo43; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Rotasi inernal</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l37 level1 lfo43; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pelahiran kepala</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l37 level1 lfo43; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Restitusi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l37 level1 lfo43; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Rotasi eksternal</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l37 level1 lfo43; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pelahiran bahu dan badan</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">( Buku Asuhan Kebidanan
Edisi 4 Volume 2 )</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.2.3 PELAHIRAN BAYI DENGAN
PRESENTASI BOKONG</span></b></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pelahiran
bokong darurat sebaiknya tidak disebabkan tidak ada diagnosis oleh bidan yang
merawat wanita selama periode antepartal atau selama persalinan. Pelahiran
presentasi bokong yang diperkirakan dan direncanakan oleh bidan harus
melibatkan kolaborasi yang dekat dengan dokter dan harus dapat denan cepat
menghubungi dokter. Hal ini pening karena ad masalah potensil dalam pelahiran
bokong. Kesulitan pelahiran setelah melahirkan kepala dan perlunya tindakan
resusitasi yang lebih ekstensif pada byi baru lahir.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">MEKANISME
PERSALINAN</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l3 level1 lfo44; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penurunan terjadi secara lengkap</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l3 level1 lfo44; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Engagement pinggul terjadi pada posisi
RSA dengan sakrum berada pada bagian aterior kiri prlvis ibu dan diameter
bintro kanterik berad pada diameter oblik kanan pelvis ibu.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l3 level1 lfo44; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Rotasi internal bokong sebesar 45
derajat dari RSA ke RST.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l3 level1 lfo44; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pelahiran bokong dengan fleksi lateral </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l3 level1 lfo44; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">(A) Rotasi ekternal bokong sebesar 45
derajat dari RST ke RSA dan (B) engagement bahu dengan diameter bisakrumial <span style="mso-spacerun: yes;"> </span>dalam diameter oblik kanan pelvis ibu ( sama
dengan engagement bokong ).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l3 level1 lfo44; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Rotasi inernal bahu 45 derajat membwa
diameter bisa kromial janin dari diameter oblik kanan ke diameter
ateroposterior pelvis ibu.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l3 level1 lfo44; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kelhiran bahu dengan fleksi lateral</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l3 level1 lfo44; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Engagement kepala terjadi dengan suktura
sagitalis berada pada diameter tranversal atau oblik kiri pelvis ibu dan
oksiput berada disisi kanan pelvis.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l3 level1 lfo44; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Rotasi internal kepala sebesar 45
derajat atau 90 derajat m,embaw suktura sagitalis dari diameter oblik kiri atau
tranversal, secara berturut turut, kediameter ateroposterior pelvis ibu dengan
oksiput tepat dianterior dan dahi dalam lubang sakrum pada pelvis ibu.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l3 level1 lfo44; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">10.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pelahiran
kepala bayi dengan fleksi.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2.2.4 PERSALINAN LETAK SUNGSANG</span></b></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perkiraan
komposisi letak janin dalam rahim adalah : 96% letak kepala, 2,5-3% letak
sugsang, sedangkan sekitar 0,5% letak lintang.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span>Mekanisme persalinan letak sungsang berlangsung
melalui 3 tahap yaitu :</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; mso-list: l34 level1 lfo33; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Persalinan
bokong</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l34 level1 lfo33; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Persalinan
bahu</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; mso-list: l34 level1 lfo33; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Persalinan
kepala</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Masing-masing
bagian besar bayi mempunyai dan dapat mengalami kesulitan, terutama kepala,
yang akan menentukan morbiditas dan mortalitas bayi letak sungsang pada persalinan.
</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span>Indikasi primer seksio sesarea pada
letak sungsang adalah :</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l27 level1 lfo34; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Letak
sugsang pada primigravida</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l27 level1 lfo34; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Letak
sungsang prematuritas</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l27 level1 lfo34; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Letak
sungsang dengan sejarah obsteri yang buruk.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l27 level1 lfo34; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Letak
sungsang dengan penyakit diabetus melitus</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l27 level1 lfo34; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Letak
sungsang dengan perjalanan persalinan :</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; mso-list: l21 level1 lfo35; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ketuban
pecah dalam pembukaan kecil</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; mso-list: l21 level1 lfo35; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pembukaan
lambat</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; mso-list: l21 level1 lfo35; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Disertai
prolapsus funikuli</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l39 level1 lfo36; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Letak
sungsang dengan kemungkinan disproporsi sefalo-pelvik</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l39 level1 lfo36; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Letak
sungsang dengan janin besar</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l39 level1 lfo36; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Letak
sungsang dengan hiperekstensi kepala.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Persalinan letak
sungsang mempunyai prognosa yang buruk, dengan terbatasnya waktu dan tidak
terdapatnya mekanisme moulase pada susunan tulang dasar kepala janin. Disamping
itu morbiditas dan mortalitas pada persalinan letak sungsang dengan
prematuritas lebih tinggi. Pada prematuritas perbandingan kepala relatif besar,
dengan susunan tulang tengkorak dan persendian tulang leher yang masih lemah,
memberikan peluang terjadinya pendarahan intrakranial yang lebih besar dan
kerusakan pada pusat vital.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">MEKANISME PERSALINAN LETAK SUNGSANG</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Persalinan letak
sungsang mempunyai mekanisme tersendiri karena yang melalui jalan lahir
berturut-turut adalah : bokong, bahu, dan kepala janin.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mekanisme persalinannya dapat
disampaikan<span style="mso-spacerun: yes;"> </span>sebagai berikut :</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l40 level1 lfo38; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Persalinan
bokong. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; mso-list: l14 level1 lfo37; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bokong
masuk ke pintu ats panggul dalam posisi melintang atau miring.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; mso-list: l14 level1 lfo37; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Setelah
trokanter belakang mencapai dasar panggul, teerjadi putaran paksi dalam
sehingga trokanter depan berada di bawah simfisis.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; mso-list: l14 level1 lfo37; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penurunan
bokong dengan trokanter belakang yang berlanjut, sehingga distansia
bintrokanterika janin berada di pintu bawah panggul.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; mso-list: l14 level1 lfo37; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Terjadi
persalinan bokong, dengan trokanter depan sebagai hipomoklion.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; mso-list: l14 level1 lfo37; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Setelah
trokanter belakang lahir, terjadi fleksi lateral janin untuk persalinan
trokanter depan, sehingga seluruh bokong janin lahir.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; mso-list: l14 level1 lfo37; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Terjadi
putaran paksi luar, yang menempatkan punggung bayi kearah perut ibu.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; mso-list: l14 level1 lfo37; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penurunan
bokong berkelanjutan, sampai kedua tungkai bawah lahir.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l40 level1 lfo38; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Persalinan<span style="mso-spacerun: yes;"> </span>bahu</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; mso-list: l41 level1 lfo39; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bahu
janin memasuki pintu atas panggul dalam posisi melintang atau miring</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; mso-list: l41 level1 lfo39; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bahu
belakang masuk dan<span style="mso-spacerun: yes;"> </span>turun sampai mencapai
dasar panggul</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; mso-list: l41 level1 lfo39; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Terjadi
putaran paksi dalam, yang menempatkan bahu depan dibawah simpisis, dan
bertindak sebagai hipomoklion.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; mso-list: l41 level1 lfo39; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bahu
belakang lahir diikuti lengan dan tangan belakang.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; mso-list: l41 level1 lfo39; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penurunan
persalinan bahu depan diikuti lengan dan tangan depan sehingga seluruh bahu
janin lahir.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; mso-list: l41 level1 lfo39; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kepala
janin masuk pintu atas panggul, dengan posisi melintang atau miring.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; mso-list: l41 level1 lfo39; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bahu
melakukan paksi luar</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l40 level1 lfo38; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Persalinan
kepala janin</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; mso-list: l6 level1 lfo40; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kepal
janin masuk pintu atas panggul dalam keadaan fleksi, dengan posisi dagu berada
dibagian belakang.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; mso-list: l6 level1 lfo40; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Setelah
dagu mencapai dasar panggul, dan kepala bagian belakang tertahan oleh simfisis,
kemudian terjadi putaran paksi dalam dan menempatkan sub-oksiput sebagai
hipomoklin.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; mso-list: l6 level1 lfo40; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Persalinan
kepala, berturut-turut lahir : dagu, mulut, hidung, mata, dahi dan muka
seluruhnya.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; mso-list: l6 level1 lfo40; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Setelah
muka lahir, badan bayi akan tergantung sehingga seluruh kepala bayi dapat
lahir.</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">( Buku Asuhan Kebidanan
Edisi 4 Volume 2 )</span></div>
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<span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Algerian; mso-fareast-font-family: Algerian;"><span style="mso-list: Ignore;">2.3<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Arial;">Gemeli ( KEMBAR )</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kehamilan
gemeli/multipel merupakan suatu istila yang digunakan apabila terdapat lebih
dari satu janin didalam rongga uterus<i style="mso-bidi-font-style: normal;">.
Twins</i> menggambarkan dua janin, <i style="mso-bidi-font-style: normal;">Tripelets</i>
menggambarkan tiga janin dan seterusnya. Insiden kembar dua adalah 40 per 1000
kelahiran pada orang Afrika Barat, 12 per 1000 untuk orang kaukasia dan 6 per
1000 untuk orang Asia. Angka kembar lebih tinggi pada wanita subur dan
multipara. Kemajuan terapi pembantu kesuburan meningkatkan insiden kehamilan
multipel.( Buku Manual Persalinan Edisi 3 Hal:283)</span></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">JENIS </span></b></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">KEMBAR MONOZIGOT atau MONOKORIONIK (
Uniovular / Monovular/ Identik)</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kembar
seperti ini dihasilkan jika satu ovum membagi ke dalam bentuk dua janin. Kembar
ini dapat menjadi dikorionik diamniotik, korionik diamniotik atau monokorionik
monoamniotik. Angka kembar dua monozigotik sebanyak 3-5 per 1000 sama bagi
semua kelompok etnik. ( jenis kelamin janin selalu sama.) Komplikasi seperti
hidromnion , abnormlitas janin ketidaksesuain berat badan janin dan sindrom
tranfusi janin lebih cenderung terjadi, karena komplikasi intrapartum dan akibat
perinatal yang buruk. Jika salah satu kembar nanti didalam uterus, terdapat 25%
resiko nekrotik neurologis dan lesi ginjal serta kematian intrauterus pada
janin yang hidup.</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">KEMBAR DIZIGOT ( Binovular, non-identik)</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pada
kembar dizigot dua telur terpisah, biasanya pada siklus menstruasi yang sama,
dan dibuahi oleh dua sperma yang berbeda. Jenis kelamin janin sering berbeda.
Angka kembar berbeda beda pada kelompok etnik yang berbeda dan dipengaruhi oleh
penggunaan obat obatan penyubur untuk menginduksi ovulasi.</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">JANIN MULTIPEL YANG LAIN</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Multipelini
sering monovular, biasanya terjadi setelah ovulasi multipel atau kombinasi
monovular dan ovulasi multipel.</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">DIAGNOSIS</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Diagnosis
sebelum kelahiran penting artinya. Kembar yang tak terdiagnosis memunculkan
resiko tambahan terhadap ibu dan kembar kedua.</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Lakukan
pemindaian ultrasonografi pada semua ibu yang memiliki riwayat kelurga kembar
atau jika telah diberikan obat penyubur. Faktor faktor kemungkinan kehamilan
kembar berikut harus disadari oleh dokter sendiri.</span></div>
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<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Uterus
besar untuk seusianya atau terdapat riwayat hidromnion akut ( memperberat 12%
dari kehamilan kembar).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l11 level1 lfo31; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ibu
menjelaskan bahwa gerakan janin terasa disemua bagian uterus.</span></div>
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<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perabaan
lebih dari dua kutub janin ( Kepala dan Bokong), kepala kecil pada uterus yang
besar atau bagian janin multipel.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l11 level1 lfo31; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Deteksi
simultan pada denyut jantung janin dengan kecepayan yang berbeda 10 kali per
menit atau lebih.</span></div>
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<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Persalinan
prematur dengan uterus lebih besar dari pada usia kehamilan. Kembar dua lima
kali lebih cenderung melahirkan janin prematur dibandingkan janin tunggal,
khususnya sebelum 32 minggu.</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jika
kehamilan multipel dicurigai<span style="mso-spacerun: yes;"> </span>pastikan
dengan pemindaian sonar. Kembar yang tidak terdiagnosis tidak akan terjadi jika
dilakukan program pemindaian ultrasonografi atenatal rutin. Korionitas harus
dinilai. Penggunaan ultrasonografi untuk pemindaian 100% akurat pada trimester
pertama dan 80-90% pada trimester kedua. (Buku Manual Persalinan Edisi 3
Hal:284)</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PRESENTASI PADA SAAT PELAHIRAN </span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Malpresentasi
atau malposisi khususnya pada kembar kdua sering terjadi sehngga insiden
pelahiran dengan bantuan atau operatif tinggi. Pada 75% kembar pertama dengan
presentasi verteks, tetapi presentasi abnormal terjadi lebih dari 50% kelahiran
kembar.</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">FREKUENSI KOMBINASI PRESENTASI</span></div>
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<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Varteks/Verteks-45%</span></div>
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<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Verteks/bokong-25%</span></div>
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<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bokong/verteks-10%</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l13 level1 lfo32; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bokong/bokong-9%</span></div>
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<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Verteks/transversa-11%</span></div>
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<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bokong/tranversa-11%</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l13 level1 lfo32; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Transversa/transversa-11%</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">( Buku Manual
Persalinan Edisi 3 Hal : 285 )</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">KOMPLIKASI KEHAMILAN DAN PELAHIRAN
KEMBAR</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pre-eklamsia
(20%), atonia uterus, anemia dan plasenta besar meningkatkan kemungkinan
perdarahan pasca melahirkan. Lakukan pencocokan silang dan siapkn persediaan
darah ketika ibu masuk keruang persalinan. Peningkatan angka abnormalitas
kongenital (Sebanyak dua kali dan termasuk kelainan jatung, atresia usus,defek
tuba neural), keterlambatan pertumbuhan intrauterus (30%) dan persalinan serta
pelahiran prematur (10% sebelum 34 minggu, 40%sebelum 37 minggu) turut berperan
terhadap mortaltas perinatal yang lebih tinggi 3-5%. Hingga tiga per empat
kehinilangan perinatal adalah karena pelahiran sebelum 34 minggu. Dibandingkan
dengan kehamilan janin tunggal serebral palpasi 8 kali lebih banyak pada kembar
2 dankembar 47 kali lebih banyak pada kembar 3.</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l8 level1 lfo30; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">KEMBAR PERTAMA</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kembar
pertama memiliki mortalitas perinatal lebih tinggi dari pada kelahiran
tunggal<span style="mso-spacerun: yes;"> </span>kibat prematuritas,prolap tali
pusat,abnormalitas janin dan cedera lahir (2 kali dari angka janin tunggal)</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l8 level1 lfo30; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">KEMBAR DUA</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dengan
adanya malposisi, malpresentasi,interval pelahiran yang lama, kemungkinan terlepasnya
plasenta dan kebutuhan untuk pelahiran operative pada kembar dua mengkibatkan
skor abgar lebih rendah. Mortalitas neontus, terutama karena trauma kelahiran,
dua kali lipat dari pada kembra pertama. Bahaya hipoksia mengakbatkan resiko
serebral palsi pada kembar kedua.Pada umumnya angka mortalitas perinatal kembar
adalah 4/5 kali lipat dari pada yang tunggal.resiko lahir mati antara 37 dan 42
minggu adalah 6-9 per 1000 kelahiran. Pelahiran pada usia 38 minggu danjurkan.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">(
Buku Manual Persalinan Edisi 3 Hal : 285-286 )</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PELAHIRAN PER VAGINAM ATAU SEKSIO
SESARIA</span></b></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tingginya
insiden prematuritas bersama dengan resiko hipoksia dan kerusakan pada kembar
kedua menunjukkan bahwa pelahiran per vaginam hanya aman jika kondisinya ideal.
Pengetahuan yang akurat tentang usia gestasi dan berat badan janin adalah
penting. Pemeriksaan ultrasonografi memberi peringatan tentang abnormalitas
janin. Pelvimetri tegak lateral atau MRI pelvis dianjurkan jika pengkajian
pelvi secara klinis menunjukkan penurunan diameter pelvis. Pada umumnya
pelahiran pervaginam lebih dipilih untuk presentasi varteks-vartek.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pelahiran pervaginam dapat
dipertimbangkan jika :</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l31 level1 lfo27; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tidak
ada komplikasi obstetri</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l31 level1 lfo27; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pemantauan
dapat diandalkan pada denyut jantung kedua janin tercapai</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l31 level1 lfo27; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Usia
destasi 32 minggu atau berat badan janin 1500 gram atau lebih</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sectio
caesaria dapat dilakuakn jika :</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l4 level1 lfo28; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Terdapat
komplikasi obstetri atau adanya putih pertumbuhan intra uterus yag bruk,
khususnya pada kembar kedua</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l4 level1 lfo28; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kembar
pertama berada pada presentasi bokong dan atau usia gestasikura kung dari 32
minggu</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l4 level1 lfo28; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Terdapat
presentasi yang abnormal pada kembar pertama</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l4 level1 lfo28; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Diameter
pelvi ibu mengecil </span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l4 level1 lfo28; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Setelah
sectio caesaria sebelumnya.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Untuk
presentasi bokong pada kembar kedua, apabila telah disetuji oleh ibu setela
diberi penjelasan pelahiran per vaginam hanya dianjurkan bila kondisinya
memungkinkan dan terdapat dokter obstetri yang berpengalaan. Demikian juga
untuk kemar kedua non verteks, versipodalik internal yang diikuti dengan
ekstrasi bokong dianjurkan sebagai prosedur utama jika kondisinya memungkinkan.
Sectio caesarea elektif merupakan pilihan yang di putuskan dengan kesadaran.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">(
Buku Manual Persalinan Edisi 3 Hal : 286-288 )</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">MASALAH KHUSUS</span></b></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kembar
Siam</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Curigai
kondisi ini jika kedua janin selalu dalam tingkat penurunan dan presentasi yang
sama. Selama persalinan kembar siam dapa memunculkan kegagalan kemajuan
persalinan. Pemeriksaan radiologi aau pemindaian ultrasonografi akan membantu
penegakan diagnosis. Pelahiran dilakukan dengan menggunakan insisis abdomen
garis tengah dan sectio caesarea klasik. </span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kembar
Kedua Yang Tidak Terdiagnosis</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Oksitisik
mungkit telah diberikan sebelum diagnisis kehamilan kembar ditegakkan. Janin
dalam bahaya karena uterus berkontraksi dan suplay darah plasenta menurun.
Lakukan hal-hal berikut :</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l19 level1 lfo29; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Koreksi
letak dan pecahkan ketuban </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l19 level1 lfo29; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Forsep/
ventause untuk presenttasi forteks atau ekstrasi bokong merupakan cara
pelahoran yang paling cepat</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l19 level1 lfo29; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jika
janin hidup dan terperangkap oleh serviks yang idak berdilatasi lahirkan dengan
sectio caesarea</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l19 level1 lfo29; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jika
janin meninggal, ubah keletak longitudinal dan tunggu pelahiran pervaginam. </span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kembar
Terkunci</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hal
ini terjadi jika kepala kembar pertama yang dilahirkan dengan presenntasi
bokong terhambat oleh kepala kembar kedua dalam menuruni pelvis. Jika kepala
janin tidak dapat dikeluarkan lahirkan dengan sectio caesarea klasik.
Dekapitasi kembar pertama yang meninggal dapat dipertimbangkan. Kondisi ini
dapat dihindari jika semua kembar pertama dalam presentasi bokong dilahirkan
dengan sectio caesarea elektif</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kembar
Tiga Dan Multipel yang lebih banyak</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Peningkatan
resiko prematuritas janin, hopiksia dan trauma dengan pelahiran manipulatif
mendukung penggunaaan sectio caesarea untuk semua pelahiran. Plasenta menutupi
sebagian besar uterus, sehingga kerusakan plasenta selama insisi uterus
cenderung terjadi akibat kehilangan darah janin.siapkan darah O negatif untuk
mengantisipasi perlunya transfusi janin.dibandingkan dengan kehamilan
tunggalangka morbiditas dan mortalitas perinatal, berat badab lahir rendah, dan
cerebral palsi lebih meningkat. </span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kematian
Antepartum Salah Satu Janin Kembar</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kondisi
ini dapat terjadi seperti syndrom tranfusi kembar dua-dua. Kembar yang bertahan
dapat menderita lesi cerebral dan renal dan beresiko mengalami kematian intra
uterus. Berika harapan dan dukungan kepada orang tua untuk mengatasi duka
terhadap kehilangan salah satu anak kembarny. Orang tua harus mengetahui
komplikasi janin apat muncul sebelum pelahiran. </span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">(
Buku Manual Persalinan Edisi 3 Hal : 289 )</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Algerian; font-size: 14.0pt; mso-bidi-font-family: Arial;">Bab
iii</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Algerian; font-size: 14.0pt; mso-bidi-font-family: Arial;">penutup</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l7 level1 lfo45; text-indent: -14.2pt;">
<span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Algerian; mso-fareast-font-family: Algerian;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman";">Kesimpulan</span></div>
<div style="line-height: 150%; text-align: justify; text-indent: 14.2pt;">
Ada bayak
mekanisme persalinan. Ada persalinan fisiologis dan pathologis yang dialami
setiap wanita. Persalinan pada setiap wanita memiliki banyak perbedaan
khususnya pada wanita yang mengalami persalinan bermasalah atau pathologis
contohnya letak sungsang, letak muka, letak bokong, dan gemeli. Tetapi setiap
masalah persalinan dapat ditangani oleh tenaga kesehatan. Setiap masalah
persalinan ada penatalaksanaan sendiri sehingga setiap persalinan dapat
ditangani oleh tenaga kesehatan.</div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 14.2pt; mso-add-space: auto; mso-list: l7 level1 lfo45; text-indent: -14.2pt;">
<span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Algerian; mso-fareast-font-family: Algerian;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: Algerian; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman";">KRITIK DAN saran</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Semoga
makalah ini dapat memberi manfaat bagi pembaca dan apabila ada kekurangan, kami
mohon saran dan kritik membangun sehingga dapat kami tingkatkan dikemudian
hari. Terima kasih. </span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Algerian; font-size: 14.0pt; mso-bidi-font-family: Arial;">Daftar
pustaka<br style="mso-special-character: line-break;" />
<br style="mso-special-character: line-break;" />
</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Buku
Asuhan Persalinan Normal & Inisiasi Menyusu Dini Hal : 55 – 63</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Buku
Manual Persalinan Edisi 3 Hal : 283 – 289</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Buku
Asuhan Kebidanan Edisi 4 Volume 2</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 0cm; margin-right: 18.0pt; margin-top: 0cm; text-align: justify;">
<br /></div>
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