ekstraksi forceps vacuum mahasiswa fkui tk vi
TRANSCRIPT
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FORCEP’S STRUCTURE
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FORCEPS
ELLIOT
SIMPSON
KIELLAND
PIPER
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FORCEP’S LOCK
FRENCH GERMANY SLIDING
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FORCEP’S LOCK
PIVOT
ENGLISH
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SEBELUM TINDAKAN
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FORCEPSA ANAESTHESIA Adequate - epidural or pudendal
Appropriate positioning and access
B BLADDER In/out catheterization or ensure bladder empty
C CERVIX Fully dilated, membranes ruptured
D DETERMINE Position, station and pelvic adequacy
E EQUIPMENT Complete and working forceps, anesthesia support
F FORCEPS Phantom application
Left blade, left hand, maternal left side, pencil grip and vertical
insertion, with right thumb directing blade right blade, right hand,
maternal right side, pencil grip and vertical insertion with left thumb
directing blade
(PFS) lock blades and support & check application posterior fontanelle 1 cm above plane of
shanks fenestration no >fingerbreadth between it and scalp sagittal suture in perpendicular
to plane of shanks with occipital sutures 1cm above respective blades
G GENTLE Traction - applied with contraction/expulsive effort
H HANDLE Elevated - traction in axis of birth canal do no elevate handle too early
I INCISION Consider episiotomy if laceration imminent
J JAW Remove forceps when Jaw is reachable or delivery assured
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Forceps operations are of two kinds:
Low Forceps
The fetal head has reached the
perineal floor and is visible at the
vulva.
Mid Forceps
Engagement has taken place and
the leading part of the head is
below the level of the ischial spines
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TEHNIK
EKSTRAKSI VAKUM
TEHNIK
EKSTRAKSI VAKUM
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TEHNIK
EKSTRAKSI VAKUM
TEHNIK
EKSTRAKSI VAKUM
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Vacuum Devices
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BERBAGAI ALAT
EKSTRAKSI
VAKUM
BERBAGAI ALAT
EKSTRAKSI
VAKUM
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SYARATSYARATSYARATSYARATSYARATSYARATSYARATSYARAT• PEMBUKAAN SERVIKS LENGKAP
• PRESENTASI KEPALA
• ATERM
• TIDAK ADA KESEMPITAN PANGGUL
• ANAK HIDUP
• PEMBUKAAN SERVIKS LENGKAP
• PRESENTASI KEPALA
• ATERM
• TIDAK ADA KESEMPITAN PANGGUL
• ANAK HIDUP• ANAK HIDUP
• PENURUNAN KEPALA STASION 0 ATAU
TIDAK LEBIH DARI 2/5
• KONDISI BAIK
• IBU KOOPERATIF DAN MASIH MAMPU
MENGEJAN
• ANAK HIDUP
• PENURUNAN KEPALA STASION 0 ATAU
TIDAK LEBIH DARI 2/5
• KONDISI BAIK
• IBU KOOPERATIF DAN MASIH MAMPU
MENGEJAN
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• KEPALA TIDAK TURUN SETELAH 3 TARIKAN / TIDAK LAHIR 25 MENIT
– CPD
• KEPALA TIDAK TURUN SETELAH 3 TARIKAN / TIDAK LAHIR 25 MENIT
– CPD
KEGAGALAN
EKSTRAKSI VAKUM
KEGAGALAN
EKSTRAKSI VAKUM
– CPD
– LILITAN ERAT TALI PUSAT
• TEKANAN VAKUM BOCOR / ALAT TIDAK BERFUNGSI
– CPD
– LILITAN ERAT TALI PUSAT
• TEKANAN VAKUM BOCOR / ALAT TIDAK BERFUNGSI
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INDIKASIINDIKASIINDIKASIINDIKASIINDIKASIINDIKASIINDIKASIINDIKASI
• KALA II LAMA DENGAN PRESENTASI BELAKANG KEPALA / VERTEKS
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• MALPRESENTASI (DAHI, PUNCAK KEPALA, MUKA, BOKONG)
• PANGGUL SEMPIT (DISPROPORSI KEPALA-PANGGUL)
• MALPRESENTASI (DAHI, PUNCAK KEPALA, MUKA, BOKONG)
• PANGGUL SEMPIT (DISPROPORSI KEPALA-PANGGUL)
KONTRA INDIKASIKONTRA INDIKASIKONTRA INDIKASIKONTRA INDIKASIKONTRA INDIKASIKONTRA INDIKASIKONTRA INDIKASIKONTRA INDIKASI
KEPALA-PANGGUL)KEPALA-PANGGUL)