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TUGAS JIWA

Diajukan Untuk Memenuhi Persyaratan Pendidikan Dokter Umum


Fakultas Kedokteran Universitas Muhammadiyah Surakarta

Pembimbing : dr. RH. Budi Sp.KJ

DisusunOleh :

Rez Gusni Saputra, S.Ked


J510165006

BAGIAN ILMU KESEHATAN JIWA


RSUD KABUPATEN SUKOHARJO
FAKULTAS KEDOKTERAN
UNIVERSITAS MUHAMMADIYAH SURAKARTA
2016
CASE REPORT
KEHAMILAN LETAK LINTANG PADA G2P1A0 HAMIL 40+6 MINGGU
DENGAN OBESITAS DAN SUSPEK BAYI BESAR

Oleh :
Reza Gusni Saputra, S.Ked
J510165095

Telah disetujui dan disahkan oleh bagian Program Pendidikan Profesi Dokter
Fakultas Kedokteran Universitas Muhammadiyah Surakarta.

Pembimbing :
dr. Ali Samhur, Sp.OG (................................)

Dipresentasikan di Hadapan :
dr. Ali Samhur, Sp.OG (................................)

Disahkan Oleh Ka Profesi :


dr. Dona Dewi Nirlawati (.................................)

BAGIAN ILMU KESEHATAN OBSTETRI DAN GINEKOLOGI


RSUD KABUPATEN SUKOHARJO
FAKULTAS KEDOKTERAN
UNIVERSITAS MUHAMMADIYAH SURAKARTA
2016

ii
DAFTAR ISI

Halaman

HALAMAN JUDUL...................................................................................... i
HALAMAN PENGESAHAN ........................................................................ ii
DAFTAR ISI ................................................................................................. iii
BAB I CASE REPORT.................................................................................. 1
A. IDENTITAS PASIEN .......................................................................... 1
B. KRONOLOGI....................................................................................... 1
C. ANAMNESIS ....................................................................................... 2
D. PEMERIKSAAN FISIK ....................................................................... 4
E. PEMERIKSAAN PENUNJANG ......................................................... 7
F. DIAGNOSIS ......................................................................................... 8
G. OBSERVASI ........................................................................................ 9
H. OBSERVASI POST SECSIO SESARIA ............................................. 11
BAB II PEMBAHASAN ............................................................................... 16
A. LETAK LINTANG
1. DEFINISI ...................................................................................... 16
2. EPIDEMIOLOGI .......................................................................... 16
3. ETIOLOGI ................................................................................... 16
4. KLASIFIKASI .............................................................................. 17
5. DIAGNOSIS .................................................................................. 18
6. KOMPLIKASI .............................................................................. 20
7. PROGNOSIS ................................................................................. 20
8. TATALAKSANA ......................................................................... 21
B. OBESITAS ......................................................................................... 22
1. DEFINISI ..................................................................................... 22
2. EPIDEMOLOGI .......................................................................... 23
3. ETIOLOGI ................................................................................... 24

iii
4. OBESITAS DALAM KEHAMILAN .......................................... 24
C. MAKROSOMIA ................................................................................ 27
1. DEFINISI ..................................................................................... 27
2. FAKTOR RISIKO ....................................................................... 27
3. PATOFISIOLOGI ........................................................................ 28
4. DIAGNOSIS ................................................................................ 29
5. PENATALAKSANAAN ............................................................. 29
D. KEHAMILAN POSTDATE .............................................................. 32
1. DEFINISI ..................................................................................... 32
2. ETIOLOGI ................................................................................... 33
3. KOMPLIKASI ............................................................................. 33
E. SEKSIO SESARIA ............................................................................ 33
1. DEFINISI ..................................................................................... 34
2. EPIDEMOLOGI .......................................................................... 34
3. INDIKASI .................................................................................... 35

BAB III KESIMPULAN DAN SARAN

A. KESIMPULAN .................................................................................. 38
B. SARAN ............................................................................................. 38
DAFTAR PUSTAKA .................................................................................... 39

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