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JURNAL READING
Leni karlina hakimSeptika purnastuti Hapsari
Pembimbing: dr Moch. Ma’roef Sp.OG
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Prevention of Preterm Parturition
The new england journal of medicine
Jay D. Iams, M.D. february 15, 2014
N Engl J Med 2014;370:254-61.DOI: 10.1056/NEJMcp1103640Copyright © 2014 Massachusetts Medical Society.
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ABSTRAK
- Di AS, kelahiran prematur (< 37 minggu) tahun 201111,7%
- Kelahiran prematur 35% kematian pada tahun pertama kehidupan
- Semakin kecil usia kehamilan, semakin besar mortalitas dan mobiditas pada janin
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Faktor resiko• Ras ibu hitam• kehamilan sebelumnya dengan abortus• Infeksi genitourinaria• Merokok• Berat badan ekstrem• Depresi, stres sebelum hamil, • Pola makan yang buruk• Kesuburan dibantu• Penyakit periodontal• Panjang servik pendek (≤ 20 mm)
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Kelahiran normal dan preterm Aktifvasi
faktor preterm
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Aktivasi faktor preterm
• Faktor genetik
• Faktor lingkungan:– Inflamasi choriodecidual– Perdarahan desidua– Ruptur membran– Trauma – Peregangan rahim– Sinyal janin yang tidak sesuai.
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Tanda dan gejala
• Tekanan ringan pada panggul terus-menerus
• Kram perut
• Peningkatan lendir vagina
• Spoting
• Ketuban pecah
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Pencegahan kelahiran prematur
• Terapi progesteron– 17OHPC 250mg IM/minggu– Capsul progesteron 200mg pervaginal– Gel progesteron 90mg pervaginal– Pemberian hingga UK 36 minggu
• Servikal cerclage– Riwayat kelahiran prematur sebelumnya– Panjang serviks <25mm– UK < 24minggu
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Progesteron Aktifvasi faktor
preterm
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Cervical cerclage Aktifvasi faktor
preterm
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