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Komplikasi Dalam Kehamilan: Dr. Dian Ika Putri Syafaruddin, Spog Smf. Obgyn Rsud Soehadi Prijonegoro Sragen

This document discusses various complications that can occur during pregnancy, including cardiomyopathy, intrauterine growth restriction, seizures, and ectopic pregnancy. It provides information on the criteria and symptoms of peripartum cardiomyopathy, classifications and risk factors for intrauterine growth restriction, common causes and treatment of seizures during pregnancy, and the symptoms, risk factors, outcomes, and classifications of ectopic pregnancy. The document is written by Dr. Dian Ika Putri Syafaruddin and appears to be part of a curriculum vitae or presentation on complications during pregnancy.

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Aldha S Putrii
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96 views

Komplikasi Dalam Kehamilan: Dr. Dian Ika Putri Syafaruddin, Spog Smf. Obgyn Rsud Soehadi Prijonegoro Sragen

This document discusses various complications that can occur during pregnancy, including cardiomyopathy, intrauterine growth restriction, seizures, and ectopic pregnancy. It provides information on the criteria and symptoms of peripartum cardiomyopathy, classifications and risk factors for intrauterine growth restriction, common causes and treatment of seizures during pregnancy, and the symptoms, risk factors, outcomes, and classifications of ectopic pregnancy. The document is written by Dr. Dian Ika Putri Syafaruddin and appears to be part of a curriculum vitae or presentation on complications during pregnancy.

Uploaded by

Aldha S Putrii
Copyright
© © All Rights Reserved
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
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Komplikasi Dalam Kehamilan

Dr. Dian Ika Putri Syafaruddin, SpOG


SMF. OBGYN RSUD Soehadi Prijonegoro Sragen
Page 1
CURRICULUM
CURRICULUM VITAE
VITAE
Personal
Personal Information
Information ::

Name : dr. Dian Ika Putri Syafaruddin, SpOG


Address : jl. Abiyoso 48 Taman Asri, Sragen
E-mail : [email protected]
Place of Birth/ Date of Birth: Sragen/October, 07 th, 1971
Martial Status: Married with two children (boy & girl)
Education:
- 1976-1983 SDN IV , and
- 1983-1986 SMPN II, in Sragen
- 1986- 1990 SMA I Sragen –(1988-1989 Florens Radewijns College, Raalte, Netherland)
- 2000 Medical Faculty, Unissula, Semarang
- 2004 PPDS I Obsgyn, FK. UGM, Yogyakarta
Languages :
- Dutch & English : good written and oral skills
- Indonesia: Excellent written and oral skills
Experience:- March 01, -May 31, 2005: Pkm. Tanjung Uban, Kepulauan Riau, as an Obstetrician
- 2005-2007: RSUD H.M. Sani Tanjung Balai Karimun, PMTC HIV/AIDS Conselor, chapter
Karimun-Kepulauan Riau
- 2008-till today: SMF Obgyn, RSUD Kab. Sragen
Page 2
Cardiomyop
peripa
First Page

Page 3
CRITERIA FOR
PERIPARTUM CARDIOMYOPATHY

• Perkembangan Cardiac failure pada TM III


sampai dengan 5 Minggu pasca salin
• Tanpa gangguan kelainan jantung sebelum
hamil
• Disfungsi Ventriculer kiri yang akan tampak
pada pemeriksaan echocardiografi

Page 4
ETIOLOGY

Still unknown.
nutritional deficiencies
small vessel coronary artery abnormality
hormonal effects
toxemia
maternal immunologic response to fetal
antigen or
myocarditis
Page 5
SYMPTOMS
Symptoms of worsening cardiac failure like:
 Dyspnoea on exertion  Haemoptysis.
 fatigue  Palpitation
 ankle oedema  Abdominal
discomfort
 embolic phenomena
 Cough
 atypical chest pains  orthopnoea
Many of above symptoms may occur even in normal pregnancy and
can be mistaken for a diseased state.

Page 6
Intra Uterine Growth Retardation

Intra Uterine Growth Restriction


Small for gestational age (SGA)
Foetal growth restriction
'wasted' and 'stunted'

Page 7
Intra Uterine Growth Retardation

Classification
Symmetrical Asymmetrical

the baby's head and body are baby's brain is abnormally large when
proportionately small. compared to the liver.
may occur when the foetus may occur when the foetus
experiences a problem during early experiences a problem during later
development. development

In a normal infant, the brain weighs about three times more than the liver. In
asymmetrical IUGR, the brain can weigh five or six times more than the liver.
Page 8
KEJANG PADA
KEHAMILAN

Dr. Dian Ika Putri,


Putri, SpOG
SpOG
RSUD Sragen
SMF Obgyn RSUD Sragen

Page 9
Kejang pada kehamilan

• Mengkonsumsi alkohol
Cerebral haemorrhage
• Cerebral tumour
• Cerebrovascular accident
• Eclampsia
• Encephalitis
• Epilepsi
• Hipoglikemia
• Meningitis

Page 10
• Diagnosis
• Tatalaksana
• Penilaian Janin/Ibu
• Terapi Anti-Hipertensi
• Terapi Anti-Kejang
• Rujukan
Page 11
– Mual dan Muntah
• antiemetik pilihan
– Nyeri subhepatik -Epigastrik
• antasid
• minimalkan palpasi

•CURIGA Impending
Eklamsia Page 12
•Profilaksis Kejang:
–Sulit diprediksi siapa yang
akan mengalami kejang
• Tidak berhubungan langsung
dengan derajat hipertensi atau
proteinuria
–MgSO4 merupakan agen pilihan
Page 13
• jika merujuk:
– Infus sudah terpasang
– Kateter terpasang (jika
memungkinkan)
– Sudip lidah disertakan
– Sedia profilaksis jika kejang
kembali terjadi Page 14
ECTOPIC PREGNANCY

Page 15
RISK
FACTORS

• Hx of tubal surgery
• Hx of STD’s (such as
chlamydia)
• Hx of ART
• Hx of ectopic (esp if
conservatively managed
without surgery)
• Smoking
• IUD in place at time of
conception
Page 16
Prior history of PID
(pelvic inflammatory disease)

Page 17
Outcomes
Tubal abortion

Page 18
Rupture of tubal
pregnancy

Page 19
Symptoms & Signs:

Jika ada wanita usiasubur, datang


dengan keluhan: Nyeri di
Pelvi_Abdominal, disertai perdarahan
vaginal, PIKIRKAN:

Ectopic pregnancy
Page 20
Classification of
ectopic pregnancy

>95%

Page 21
Secondary abdominal pregnancy

Page 22
Segmental resection:
removal of a portion of the affected tube.

Page 23
Terima
Kasih

Page 24

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