DAFTAR ISI

Daftar Isi..............................................................................................................i
Daftar Gambar....................................................................................................ii
Daftar Tabel......................................................................................................iii
BAB I

Pendahuluan.........................................................................................1

BAB II Tinjauan Pustaka.................................................................................2

2.1. Definisi.........................................................................................2
2.2. Insidensi.......................................................................................3
2.3. Etiologi.........................................................................................5
2.4. Diagnosis......................................................................................7
2.4.1. Riwayat Haid.......................................................................7
2.4.2. Riwayat Pemeriksaan Antenatal..........................................8
2.4.3. Tinggi Fundus Uteri............................................................8
2.4.4. Pemeriksaan Ultrasonografi (USG).....................................9
2.4.5. Pemeriksaan Radiologis....................................................10
2.4.6. Pemeriksaan Cairan Amnion.............................................10
2.5. Perubahan pada Kehamilan Postterm.........................................11
2.5.1. Perubahan Cairan Amnion................................................11
2.5.2. Perubahan pada Placenta...................................................14
2.5.3.Perubahan pada Janin.........................................................15
2.5.4.Pengaruh pada Ibu..............................................................21
2.6. PenatalaksanaanKehamilan Postterm.........................................22
2.6.1 Cervix tidak Menunjang....................................................26
2.6.2. Induksi versus Pemeriksaan Antenatal..............................27
2.6.3. Rekomendasi ACOG.........................................................29
2.6.4. Pengelolaan Antepartum...................................................30
2.6.5. Pengelolaan Intrapartum....................................................33
2.6.6. Pencegahan Kehamilan Postterm......................................35
BAB III Kesimpulan.......................................................................................37
Daftar pustaka........................................................................................................38

Daftar Gambar

2.1 Jumlah kehamilan dibandingkan lama kehamilan....................................4

2.2 Tinggi fundus uteri pada wanita hamil....................................................9
2.3 Pengukuran crown-rump length pada trimester pertama kehamilan
menggunakan pemeriksaan USG............................................................10
2.4 Pengukuran volume cairan amnion dengan Metode pengukuran 4
kuadran....................................................................................................12
2.5 Rata-rata pertumbuhan janin per hari menurut minggu kehamilan........16
2.6 Bayi postprematur yang dilahirkan pada minggu ke-43 kehamilan.......18
2.7 Volume cairan amnion pada minggu-minggu terakhir kehamilan.........19
2.8 Perbandingan perinatal index dengan mortalitas perinatal.....................21
2.9 Algoritma manajemen kehamilan postterm............................................30
2.10 Penatalaksanaan Kehamilan Postterm..................................................35

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Daftar Tabel
2.1 Volume cairan amnion menurut umur kehamilan............................12
2.2 Estimasi volume cairan amnion dengan USG..................................13
2.3 Resiko yang berhubungan dengan kehamilan postterm....................22
2.4 Kriteria NST.....................................................................................23
2.5 Bishop Score.....................................................................................23
2.6 Evaluasi dan penatalaksanaan kehamilan postterm..........................29
2.7 Skoring biofisik menurut Manning...................................................32
2.8 Skoring Biophysical Profile dan Protokol Penatalaksanaan.............32
2.9 Kontraindikasi Induksi Persalinan....................................................34

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