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By: aimaq9a
ANTENATAL CARE(ANC) : ANTENATAL CARE(ANC) Slide 2: Antenatal care(ANC) pemeriksaan kehamilan untuk mengoptimalisasikan kesehatan fisik dan mental ibu hamil,sehingga mampu menghadapi persalinan,kala nifas,persiapan memberikan ASI dan kembalinya kesehatan reproduksi secara wajar. Definisi : Definisi Optimalisasi kes fisik + mental Persalinan Nifas Laktasi Kes. ibu Kesejahteran janin Abnormalitas Kehamilan Cukup bulan Partus aman Trauma minim Normal ASI eksklusif Tujuan DEFINISI : DEFINISI Gestational Age : usia hamil mulai HPHT Developmental age : usia hamil mulai fertilisasi Trim 1 : 0 – 14 mgg Trim 2 : 14 – 28 mgg Trim3 : 28 – lahir Embrio : fertilisasi – 8 mgg Fetus : 8 mgg – lahir Previable : sbl 24 mgg Preterm : 24 - 37 mgg Term : 37 – 42 mgg PELAKSANAAN : PELAKSANAAN Nas minim 4 x Ideal : 1x /bl sd UK 28 mgg 2 mgg an UK 28 - 36 mgg 1 x /mgg UK > 36 mgg Standar minimal 7 T TFU : TFU Konseling : Konseling Gizi AKtifitas normal Perubahan fisiologis Hub suami istri Rencana ANC Pantau janin 10 gerak/12 jam Tanda-tanda bahaya Rencana partus Kebersihan Keterlibatan keluarga Suami SIAGA, Tab dll GIZI : GIZI Kenaikan BB 1 – 2 kg/ bl Kalori : (+) 300 kcal/hr dari kebutuhan awal Vitamin As. Folat : 400 µg/hr Zat besi : 30 mg/hr elemental Calcium : 1200 mg/hr MUAL & MUNTAH : MUAL & MUNTAH Terjadi 50 % pd T1 Berat hipermesis gravidarum Management MM ringan : Hindari makanan berlemak Makan sedikit tapi sering Minum teh jahe Management MM berat Hentikan suplemen Antihistamin Prometazine Metoclopramide AKTIFITAS FISIK : AKTIFITAS FISIK Tidak perlu dibatasi Hindari posisi OR supinasi yg lama pada T2 dan T3 Stop bila kelelahan (++), sesak) Kontraindikasi : IUGR Vag bleeding Incompetenc Cx Faktor risiko partus prematur KPD HT dlam kehamilan
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