Woc Distosia Xixi.docx

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WOC DISTOSIA Kelainan tenaga

Kelainan bentuk dan letak janin (janin besar, letsu)

Kelainan jalan lahir

Kelaianan respon psikologis

Ketokolamin

PAP sempit

Kurang pengetahuan ttg cara mengejan dengan benar

Vasokontriksi pmb. Darah di miometrium

Kontraksi tidak singkron dengan tenaga Janin kesulitan melewati PAP

His/ kontraksi uterus

Tenaga cepat habis

Kesulitan persalinan/ macet DISTOSIA

Tonus otot Obstruksi mekanisme pada penurunan janin

Resiko cedera maternal

Partus lama

Penekanan pada jalan lahir Menekan saraf

Respon hipotalamus Pengeluaran mediator nyeri

Penekanan kepala pd panggul

Rencana tindakan SC Energy ibu

Hipermetabolisme Resiko cedera janin Resiko kekurangan vol. cairan dan elektrolit

Jalan lahir terpapar terlalu lama dg udara luar Pathogen mudah masuk

Krisis situasi

Ketokolamin

Stress Resiko infeksi ansietas

Respon nyeri

Nyeri akut

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