00 Daftar Isi Acuan

PELATIHAN ASUHAN PERSALINAN NORMAL ACUAN Kata Pengantar .......................................................................................................... Sambutan.................................................................................................................... Pendahuluan .............................................................................................................. Pergeseran Paradigma................................................................................................ Pelatihan Asuhan Persalinan Normal......................................................................... Asuhan Persalinan Normal........................................................................................

1 1 2 3

Bab 1 Lima Benang Merah dalam Asuhan Persalinan dan Kelahiran Bayi .... Tujuan................................................................................................ Membuat Keputusan Klinik............................................................... Asuhan Sayang Ibu............................................................................ Pencegahan Infeksi............................................................................ Pencatatan (Dokumentasi)................................................................. Rujukan..............................................................................................

5 5 5 12 14 32 33

Bab 2 Kala Satu Persalinan .................................................................................. Pendahuluan....................................................................................... Tujuan................................................................................................ Batasan............................................................................................... Fase-fase dalam Persalinan Kala Satu............................................... Anamnesis dan Pemeriksaan Fisik Ibu Bersalin................................ Pengenalan Dini Terhadap Masalah dan Penyulit.............................. Persiapan Asuhan Persalinan............................................................. Partograf.............................................................................................

37 37 37 37 38 38 45 50 55

Bab 3 Kala Dua Persalinan ................................................................................... Pendahuluan....................................................................................... Tujuan................................................................................................ Batasan............................................................................................... Persiapan Penolong Persalinan.......................................................... Penatalaksanaan Fisiologis Kala Dua................................................ Menolong Kelahiran Bayi.................................................................. Pemantauan Selama Kala Dua Persalinan ........................................

75 75 75 75 76 78 83 94

Bab 4 Asuhan Bayi Baru Lahir............................................................................ Pendahuluan....................................................................................... Tujuan................................................................................................ Pencegahan Infeksi............................................................................ Penilaian............................................................................................. Pencegahan Kehilangan Panas........................................................... Merawat Tali Pusat............................................................................. Pemberian ASI...................................................................................

95 95 95 95 96 96 99 100

Asuhan Persalinan Normal

i

Pencegahan Infeksi pada Mata........................................................... Profilaksis Perdarahan Bayi Baru Lahir............................................ Pemberian Imunisasi Hepatitis B ......................................................

105 106 106

Bab 5 Penatalaksanaan Bayi Baru Lahir dengan Asfiksia................................. Pendahuluan....................................................................................... Tujuan................................................................................................ Asfiksia.............................................................................................. Persiapan Resusitasi Bayi Baru Lahir................................................ Penilaian Segera................................................................................. Langkah-langkah Resusitasi BBL...................................................... Asuhan Pascaresusitasi...................................................................... Langkah-langkah Resusitasi BBL dengan Air Ketuban Bercampur Mekonium..........................................................................................

107 107 107 107 110 112 112 118 122

Bab 6 Kala Tiga dan Empat Persalinan............................................................... Pendahuluan....................................................................................... Tujuan................................................................................................ Batasan............................................................................................... Fisiologi Persalinan Kala Tiga........................................................... Manajemen Aktif Kala Tiga............................................................... Atonia Uteri....................................................................................... Asuhan dan Pemantauan Pada Kala Empat....................................... Pemantauan Keadaan Umum Ibu.......................................................

123 123 123 123 123 124 131 137 139

Lampiran 1 Lampiran 2 Lampiran 3 Lampiran 4 Lampiran 5 Lampiran 6

145 146 149 151 158 161

Amniotomi......................................................................................... Melakukan Episiotomi dengan Anestesi Lokal ................................ Penatalaksanaan Distosia Bahu ......................................................... Menjahit Laserasi Perineum atau Episiotomi ................................... AKDR (IUD) Post plasenta .............................................................. Perlengkapan, Bahan dan Obat Esensial ...........................................

Asuhan Persalinan Normal

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