HEMORRHAGIC POST PARTUM: SYOK HEMORRHAGIC ec LATE HEMORRHAGIC POST PARTUM

Abstract

AbstrakPendahuluan: Kematian ibu terjadi sebagai akibat dari komplikasi selama dan setelah kehamilan dan persalinan. Sebanyak 80 % kematian ibu di dunia disebabkan perdarahan berat (terutama perdarahan setelah persalinan), infeksi, tekanan darah tinggi selama kehamilan. Menurut data Kementrian Kesehatan tahun 2010, perdarahan menempati presentasi tertinggi penyebab kematian ibu di Indonesia yaitu sebesar 28%. Laporan Kasus:Seorang wanita, 31 tahun, datang dengan penurunan kesadaran dan perdarahan banyak dari kemaluan sejak 3 jam sebelum masuk rumah sakit, nadi teraba cepat dan halus. Pasien sebelumnya melahirkan di rumah ditolong bidan 10 hari yang lalu, kakak anak lahir 30 menit setelah anak lahir dan kesan diakui bidan lengkap. Diagnosa akhir pada pasien ini Syok Hemoragik Teratasi ec Late HPP ec Sisa plasenta + Anemia Sedang (Hb 7,0 gr/dl). Simpulan: Pada kasus ini membuktikan bahwa HPP masih menjadi hal yang menakutkan sebagai penyebab kematian ibu. Dalam hal ini dirasa perlu adanya alur rujukan untuk kasus emergensi, yaitu pengelompokkan kasus pada persalinan dengan komplikasi segera dilakukan pelaporan kasus ke DINKES untuk rujukan ke RS. Setelah perawatan di RS selesai, perawatan lanjutan atau postnatal care dilakukan sesuai jadwal. Pasien diantar kembali setelah selesai perawatannya, dan hasil rujukan dilaporkan kembali ke hotline Dinkes Kabupaten/kota. AbstractIntroduction: Maternal death occurs as a result of complications during and after pregnancy and childbirth. As many as 80% of maternal deaths in the world are caused by heavy bleeding (especially bleeding after childbirth), infections, high blood pressure during pregnancy. According to data from the Ministry of Health in 2010, bleeding was the highest presentation of maternal mortality in Indonesia, which was 28%. Case Report: A woman, 31 years old, came with a decrease in consciousness and heavy bleeding from the genitals 3 hours before hospitalization, pulse felt quickly and smooth. Patients previously delivered at home were helped by a midwife 10 days ago, older siblings born 30 minutes after the child was born and the impression that the midwife was fully recognized. Final diagnosis in this patient Hemorrhagic shock Overcoming ec Late HPP ec Placental residue + Moderate anemia (Hb 7.0 gr / dl).Conclusion: In this case prove that HPP is still a frightening thing as a cause of maternal death. In this case it is felt necessary to have a referral pathway for emergency cases, namely the grouping of cases in labor with complication of immediately reporting cases to DINKES for referral to the hospital. After treatment at the hospital is complete, continued treatment or postnatal care is carried out on schedule. The patient is resettled after completion of treatment, and the referral results are reported back to the District / city Health Office hotline.

Anemia Prenatal is A Risk Factor for Postpartum Hemorrhage

“…Postpartum Hemorrhagic is the most common cause of maternal death worldwide. Most cases of morbidity and mortality due to Postpartum Hemorrhagic occur within the first 24 hours after delivery and this is considered as primary HPP while abnormal or excessive bleeding from the birth canal that occurs between 24 hours and 12 weeks postpartum is considered as secondary Postpartum Hemorrhagic (Fegita & Satria, 2018).…”

Faktor-Faktor Yang Berhubungan Dengan Kejadian Haemoragik Post Partum Pada Ibu Bersalin Di Rsud Cibinong

“…Kondisi saat persalinan menyebabkan kesulitan untuk menentukan jumlah perdarahan yang terjadi batas jumlah perdarahan adalah perdarahan yang lebih berat dari biasanya di tempat yang telah terjadi menyebabkan perubahan tanda-tanda vital, antara lain pasien mengeluh lemas, pusing, keringat dingin, Tremor, hiperapnea, tekanan darah sistolik 100 x/menit, nilai Hb. (Ramadhani, 2022). Di Inggris (2000), separuh kematian ibu hamil akibat perdarahan disebabkan oleh perdarahan post partum.…”

The Use of O Universal Profile Within Hemorrhagic Shock Post-partum Bleeding Patients in Dr. Soetomo General Hospital’s Emergency Installation

“…5 Post-partum bleeding is bleeding that occurs after delivery exceeding 500 mL in vaginal delivery or more than 1000 mL in cesarean section. 6 Post-partum hemorrhagic is one of the main causes of maternal death worldwide with an estimated 140.000 women dying each year or equal to 1 woman dying every 4 minutes. 7 To support physiological hypervolemia, one of the treatments is through blood transfusion.…”