tag:blogger.com,1999:blog-12400676502600376872024-02-19T01:27:59.767-08:00..me and my world..QQhttp://www.blogger.com/profile/08812756639247377272noreply@blogger.comBlogger65125tag:blogger.com,1999:blog-1240067650260037687.post-80417095554689632562011-02-06T04:26:00.000-08:002011-02-06T04:28:25.857-08:00a love letter..<p><strong>I miss you when something really good happens, because you are the one I want to share it with. I miss you when something is troubling me, because you are the one who understands me so well. I miss you when I laugh and cry because i know that you are the one that makes my laughter grow and my tears disappear. I miss you all the time, but I miss you most when i lay awake at night and think of all the wonderful times we spent with each other;<span style="color: rgb(255, 102, 102);font-size:180%;" >for those were some of the best times of my life.</span></strong></p><p><strong><br /></strong></p><p><strong>Secretly you have taken each broken piece of my heart from all those before you and put it together like a puzzle. Our troubled times were those of which my heart was not put completely together, but once the last piece was placed, that was when I realized I can't live without you. <span style="color: rgb(255, 102, 102);font-size:180%;" >i really miss you.....</span></strong></p><p><strong><br /></strong></p><p><strong>I promise you from this day forward you will never have to think of us not being together again. <span style="font-size:180%;"><span style="color: rgb(255, 102, 102);">You have me forever..</span></span></strong></p>QQhttp://www.blogger.com/profile/08812756639247377272noreply@blogger.com0tag:blogger.com,1999:blog-1240067650260037687.post-70049379216962907822011-02-05T15:10:00.000-08:002011-02-05T15:13:14.127-08:00Please dont leave meGod i miss you so much :((((<br />really sry for the things i did that hurt u so much..<br />i miss you a lot<br />i need you back<br />pleaseQQhttp://www.blogger.com/profile/08812756639247377272noreply@blogger.com0tag:blogger.com,1999:blog-1240067650260037687.post-49151591790496064162010-12-25T03:29:00.000-08:002010-12-25T03:37:36.535-08:00my anger management<span style="color: rgb(255, 0, 0);font-size:180%;" class="sqq" >“<a class="sqq" href="http://en.thinkexist.com/quotation/anger_is_natural-it-s_part_of_the_force-you_just/9476.html"><b>Anger</b> is natural. It's part of the force. You just have to learn to hang out with it.</a>”<br /></span><span style="color: rgb(255, 0, 0);font-size:180%;" ><img src="http://en.thinkexist.com/i/sq/as5.gif" title="Author Popularity 10/10" alt="" width="11" align="middle" height="9" /> <a class="sqa" href="http://en.thinkexist.com/quotes/tori_amos/">Tori Amos quotes</a></span><br /><br /><span style="font-weight: bold;">akhir2 ini ntah knp, ak sering bgt marah2. Dkit2 ngomel. Dikit2 marah. its not gud. I know. but i really cant control it. i know, dr dlu ak jg antagonis n sinis orgny. i'm not proud of it actually. but now, its getting worse. Ak skrg bhkn bs terang2an nunjukin kesal sm org and sometimes it just because a small things that i should just let it. I hate my self rite now. i'm loosing it. i'm loosing my self.<br />i really need a better anger management. i really need help rite mow i guess. i need to control this anger before it controls me and destroy my life..<br />i am so pathetic and full of anger. i'm so not proud with it. please help..<br /></span>QQhttp://www.blogger.com/profile/08812756639247377272noreply@blogger.com0tag:blogger.com,1999:blog-1240067650260037687.post-37058079391380339102010-12-06T03:43:00.000-08:002010-12-12T06:33:50.006-08:00Case Plasenta Previa<meta equiv="Content-Type" content="text/html; charset=utf-8"><meta name="ProgId" content="Word.Document"><meta name="Generator" content="Microsoft Word 12"><meta name="Originator" content="Microsoft Word 12"><link rel="File-List" href="file:///C:%5CUsers%5CSony%5CAppData%5CLocal%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_filelist.xml"><!--[if gte mso 9]><xml> <o:officedocumentsettings> <o:relyonvml/> <o:allowpng/> </o:OfficeDocumentSettings> </xml><![endif]--><link 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mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-fareast-language:EN-US;} </style> <![endif]--> <h1 style="text-align: center;" align="center"><b style=""><span style="">STATUS PASIEN</span></b><b style=""><span style="line-height: 150%;font-size:14;" ><o:p></o:p></span></b></h1> <p class="MsoNormal" style="line-height: 150%;"><span style="">Identitas Pasien<o:p></o:p></span></p> <p class="MsoNormal" style="line-height: 150%;"><span style="">Nama<span style=""> </span><span style=""> </span>: NY. G<o:p></o:p></span></p> <p class="MsoNormal" style="line-height: 150%;"><span style="">Umur<span style=""> </span><span style=""> </span>: 34 tahun<o:p></o:p></span></p> <p class="MsoNormal" style="line-height: 150%;"><span style="">Alamat<span style=""> </span>: Padang <span style=""> </span><o:p></o:p></span></p> <div style="border-style: none none double; padding: 0cm 0cm 1pt;"> <p class="MsoNormal" style="border: medium none ; padding: 0cm; line-height: 150%;"><span style="">MR<span style=""> </span><span style=""> </span>: 631219<o:p></o:p></span></p> <p class="MsoNormal" style="border: medium none ; padding: 0cm; line-height: 150%;"><span style=""><o:p> </o:p></span></p> </div> <p class="MsoNormal" style="line-height: 150%;"><span style=""><o:p> </o:p></span></p> <p class="MsoBodyTextIndent3" style="text-align: justify;">Seorang pasien wanita umur 34 tahun masuk bangsal kebidanan RSUP M. Djamil Padang tanggal 07 November 2010 jam 03.00 WIB dengan..</p> <p class="MsoBodyTextIndent3" style="text-align: justify; text-indent: 0cm;"><b style="">Keluhan Utama:</b><span style=""> </span><span style=""> </span></p> <p class="MsoBodyTextIndent3" style="text-align: justify; text-indent: 0cm;">Keluar darah sedikit-sedikit dari kemaluan sejak 1 jam yang lalu.</p> <p class="MsoBodyText"><b style=""><span style="line-height: 150%;">Riwayat Penyakit Sekarang :<o:p></o:p></span></b></p> <p class="MsoNormal" style="margin-left: 17pt; text-align: justify; text-indent: -17pt; line-height: 150%;"><!--[if !supportLists]--><span style="font-family:Wingdings;"><span style="">v<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="">Keluar darah sedikit-sedikit dari kemaluan sejak 1 jam yang lalu, warna merah terang, membercaki 1 helai celana dalam, nyeri tidak ada.<o:p></o:p></span></p> <p class="MsoNormal" style="margin-left: 17pt; text-align: justify; text-indent: -17pt; line-height: 150%;"><!--[if !supportLists]--><span style="font-family:Wingdings;"><span style="">v<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="">Nyeri pinggang menjalar keari-ari tidak ada.<o:p></o:p></span></p> <p class="MsoNormal" style="margin-left: 17pt; text-align: justify; text-indent: -17pt; line-height: 150%;"><!--[if !supportLists]--><span style="font-family:Wingdings;"><span style="">v<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="">Keluar lendir bercampur darah dari kemaluan tidak ada.<o:p></o:p></span></p> <p class="MsoNormal" style="margin-left: 17pt; text-align: justify; text-indent: -17pt; line-height: 150%;"><!--[if !supportLists]--><span style="font-family:Wingdings;"><span style="">v<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="">Keluar air-air yang banyak dari kemaluan tidak ada<o:p></o:p></span></p> <p class="MsoNormal" style="margin-left: 17pt; text-align: justify; text-indent: -17pt; line-height: 150%;"><!--[if !supportLists]--><span style="font-family:Wingdings;"><span style="">v<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="">Tidak haid sejak lebih kurang 8 bulan yang lalu.<o:p></o:p></span></p> <p class="MsoNormal" style="margin-left: 17pt; text-align: justify; text-indent: -17pt; line-height: 150%;"><!--[if !supportLists]--><span style="font-family:Wingdings;"><span style="">v<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="">HPHT : lupa, Taksiran Partus : Sukar dinilai.<o:p></o:p></span></p> <p class="MsoNormal" style="margin-left: 17pt; text-align: justify; text-indent: -17pt; line-height: 150%;"><!--[if !supportLists]--><span style="font-family:Wingdings;"><span style="">v<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="">Gerak anak dirasakan sejak 4 bulan yang lalu.<o:p></o:p></span></p> <p class="MsoNormal" style="margin-left: 17pt; text-align: justify; text-indent: -17pt; line-height: 150%;"><!--[if !supportLists]--><span style="font-family:Wingdings;"><span style="">v<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="">Riwayat hamil muda : mual (-), muntah (-), perdarahan (-).<o:p></o:p></span></p> <p class="MsoNormal" style="margin-left: 17pt; text-align: justify; text-indent: -17pt; line-height: 150%;"><!--[if !supportLists]--><span style="font-family:Wingdings;"><span style="">v<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="">Prenatal Care teratur : teratur, bidan > 4x<o:p></o:p></span></p> <p class="MsoNormal" style="margin-left: 17pt; text-align: justify; text-indent: -17pt; line-height: 150%;"><!--[if !supportLists]--><span style="font-family:Wingdings;"><span style="">v<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="">Riwayat hamil tu : mual (-), muntah (-), perdarahan (-).<o:p></o:p></span></p> <p class="MsoNormal" style="margin-left: 17pt; text-align: justify; text-indent: -17pt; line-height: 150%;"><!--[if !supportLists]--><span style="font-family:Wingdings;"><span style="">v<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="">Riwayat Menstruasi: menarche: 12 tahun, siklus teratur 1 x<span style=""> </span>28 hari, lamanya 5 hari, banyaknya 2- 3 x ganti duk/hari, nyeri (-).<o:p></o:p></span></p> <p class="MsoNormal" style="margin-left: 17pt; text-align: justify; text-indent: -17pt; line-height: 150%;"><!--[if !supportLists]--><span style="font-family:Wingdings;"><span style="">v<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="">Riwayat merokok tidak ada<o:p></o:p></span></p> <p class="MsoNormal" style="text-align: justify; line-height: 150%;"><b style=""><span style=""><o:p> </o:p></span></b></p> <p class="MsoNormal" style="text-align: justify; line-height: 150%;"><b style=""><span style="">Riwayat Penyakit Dahulu <o:p></o:p></span></b></p> <p class="MsoNormal" style="margin-left: 36pt; text-align: justify; line-height: 150%;"><span style="">Tidak pernah menderita penyakit jantung, penyakit paru, penyakit ginjal, penyakit hepar, hipertensi dan penyakit diabetes melitus.<o:p></o:p></span></p> <p class="MsoNormal" style="text-align: justify; line-height: 150%;"><b style=""><span style=""><o:p> </o:p></span></b></p> <p class="MsoNormal" style="text-align: justify; line-height: 150%;"><b style=""><span style=""><o:p> </o:p></span></b></p> <p class="MsoNormal" style="text-align: justify; line-height: 150%;"><b style=""><span style="">Riwayat Penyakit Keluarga <o:p></o:p></span></b></p> <p class="MsoNormal" style="margin-left: 36pt; text-align: justify; line-height: 150%;"><span style="">Tidak ada anggota keluarga yang menderita penyakit keturunan, penyakit menular dan penyakit kejiwaan. <o:p></o:p></span></p> <p class="MsoNormal" style="margin-left: 36pt; text-align: justify; line-height: 150%;"><span style=""><o:p> </o:p></span></p> <h4><b style=""><span style="line-height: 150%;">Riwayat perkawinan</span></b><span style="line-height: 150%;"> : 2 x<span style=""> </span>tahun 1995, tahun 2008.<o:p></o:p></span></h4> <p class="MsoNormal" style="line-height: 150%;"><span style=""><o:p> </o:p></span></p> <p class="MsoNormal" style="text-align: justify; line-height: 150%;"><b style=""><span style="">Riwayat kehamilan / abortus / persalinan</span></b><span style=""> :<span style=""> </span>4/0/3<o:p></o:p></span></p> <p class="MsoNormal" style="margin-left: 17pt; text-align: justify; text-indent: -17pt; line-height: 150%;"><!--[if !supportLists]--><span style=""><span style="">1.<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="">1996, perempuan, 2400 gram, cukup bulan, bidan, spontan , hidup.<o:p></o:p></span></p> <p class="MsoNormal" style="margin-left: 17pt; text-align: justify; text-indent: -17pt; line-height: 150%;"><!--[if !supportLists]--><span style=""><span style="">2.<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="">2001, perempuan, 2700 gram, cukup bulan, bidan, spontan, hidup.<o:p></o:p></span></p> <p class="MsoNormal" style="margin-left: 17pt; text-align: justify; text-indent: -17pt; line-height: 150%;"><!--[if !supportLists]--><span style=""><span style="">3.<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="">2009, perempuan, 2700 gram, cukup bulan,dokter, spontan, hidup.<o:p></o:p></span></p> <p class="MsoNormal" style="margin-left: 17pt; text-align: justify; text-indent: -17pt; line-height: 150%;"><!--[if !supportLists]--><span style=""><span style="">4.<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="">Sekarang. <o:p></o:p></span></p> <p class="MsoNormal" style="text-align: justify; line-height: 150%;"><b style=""><span style=""><o:p> </o:p></span></b></p> <p class="MsoNormal" style="text-align: justify; line-height: 150%;"><b style=""><span style="">Riwayat pemakaian kontrasepsi </span></b><span style="">:<span style=""> </span>Pil KB (2009-2010)<o:p></o:p></span></p> <p class="MsoNormal" style="text-align: justify; line-height: 150%;"><span style=""><span style=""> </span><o:p></o:p></span></p> <p class="MsoNormal" style="text-align: justify; line-height: 150%;"><b style=""><span style="">Riwayat Imunisasi </span></b><span style=""><span style=""> </span>: (-)<o:p></o:p></span></p> <p class="MsoNormal" style="text-align: justify; line-height: 150%;"><b style=""><span style=""><o:p> </o:p></span></b></p> <p class="MsoNormal" style="text-align: justify; line-height: 150%;"><b style=""><span style="">Pemeriksaan Fisik<span style=""> </span></span></b><span style="">:<b style=""> <o:p></o:p></b></span></p> <p class="MsoNormal" style="text-align: justify; line-height: 150%;"><span style=""><span style=""> </span>Keadaan umum<span style=""> </span>: sedang<o:p></o:p></span></p> <p class="MsoNormal" style="text-align: justify; line-height: 150%;"><span style=""><span style=""> </span>Kesadaran<span style=""> </span>: komposmentis kooperatif<o:p></o:p></span></p> <p class="MsoNormal" style="text-align: justify; line-height: 150%;"><span style=""><span style=""> </span>Tekanan darah<span style=""> </span>: 120/80 mmHg<o:p></o:p></span></p> <p class="MsoNormal" style="text-align: justify; line-height: 150%;"><span style=""><span style=""> </span>Frekuensi nadi<span style=""> </span>: 80 x / menit<o:p></o:p></span></p> <p class="MsoNormal" style="text-align: justify; line-height: 150%;"><span style=""><span style=""> </span>Frekuensi nafas<span style=""> </span>: 23 x / menit<o:p></o:p></span></p> <p class="MsoNormal" style="text-align: justify; line-height: 150%;"><span style=""><span style=""> </span>Suhu<span style=""> </span>: 37<sup>0</sup> C<span style=""> </span><o:p></o:p></span></p> <p class="MsoNormal" style="text-align: justify; line-height: 150%;"><span style=""><span style=""> </span>TB<span style=""> </span>:<span style=""> </span>155 cm<o:p></o:p></span></p> <p class="MsoNormal" style="text-align: justify; line-height: 150%;"><span style=""><span style=""> </span>BB<span style=""> </span>:<span style=""> </span>55 kg<o:p></o:p></span></p> <p class="MsoNormal" style="text-align: justify; line-height: 150%;"><span style=""><span style=""> </span><o:p></o:p></span></p> <p class="MsoNormal" style="text-align: justify; line-height: 150%;"><span style="">Mata<span style=""> </span>: <span style=""> </span>Konjungtiva tidak anemis, sklera tidak ikterik<o:p></o:p></span></p> <p class="MsoNormal" style="text-align: justify; line-height: 150%;"><span style="">Leher<span style=""> </span>:<span style=""> </span>JVP 5 – 2 cmH2O, Kelenjer tiroid tidak membesar <o:p></o:p></span></p> <p class="MsoNormal" style="text-align: justify; line-height: 150%;"><span style=""><o:p> </o:p></span></p> <p class="MsoNormal" style="text-align: justify; line-height: 150%;"><span style="">Dada<span style=""> </span>:<o:p></o:p></span></p> <p class="MsoNormal" style="text-align: justify; line-height: 150%;"><span style=""><span style=""> </span>paru :<span style=""> </span>Inspeksi : simetris statis dan dinamis<o:p></o:p></span></p> <p class="MsoNormal" style="text-align: justify; line-height: 150%;"><span style=""><span style=""> </span><span style=""> </span>Palpasi : fremitus kiri = kanan<o:p></o:p></span></p> <p class="MsoNormal" style="text-align: justify; line-height: 150%;"><span style=""><span style=""> </span><span style=""> </span>Perkusi : sonor seluruh lapangan paru<o:p></o:p></span></p> <p class="MsoNormal" style="margin-left: 36pt; text-align: justify; text-indent: 36pt; line-height: 150%;"><span style="">Auskultasi : vesikuler normal, rhonki tdak ada, wheezing tidak ada<o:p></o:p></span></p> <p class="MsoNormal" style="text-align: justify; line-height: 150%;"><span style=""><span style=""> </span>Jantung :<span style=""> </span>Inspeksi <span style=""> </span>: iktus tidak terlihat<o:p></o:p></span></p> <p class="MsoNormal" style="margin-left: 108pt; text-align: justify; line-height: 150%;"><span style="">Palpasi <span style=""> </span>: iktus teraba 1 jari medial Linea Mid Clavicularis Sinistra Ruang Inter Costal V<o:p></o:p></span></p> <p class="MsoNormal" style="margin-left: 72pt; text-align: justify; text-indent: 36pt; line-height: 150%;"><span style="">Perkusi <span style=""> </span>: <span style=""> </span>Batas jantung atas : ruang inter costal II<o:p></o:p></span></p> <p class="MsoNormal" style="margin-left: 180pt; text-align: justify; text-indent: 36pt; line-height: 150%;"><span style="">Batas jantung kiri : = iktus<o:p></o:p></span></p> <p class="MsoNormal" style="margin-left: 180pt; text-align: justify; text-indent: 36pt; line-height: 150%;"><span style="">Batas jantung kanan : Linea sternalis dextra<o:p></o:p></span></p> <p class="MsoNormal" style="text-align: justify; line-height: 150%;"><span style=""><span style=""> </span>Auskultasi<span style=""> </span>:<span style=""> </span>Bising (-), irama teratur<o:p></o:p></span></p> <p class="MsoNormal" style="text-align: justify; line-height: 150%;"><span style="">Perut<span style=""> </span>:<span style=""> </span>Status Obstetri<o:p></o:p></span></p> <p class="MsoNormal" style="text-align: justify; line-height: 150%;"><span style="">Genitalia<span style=""> </span>:<span style=""> </span>Status Obstetri<o:p></o:p></span></p> <p class="MsoNormal" style="text-align: justify; line-height: 150%;"><span style="">Ekstremitas <span style=""> </span><span style=""> </span>:<span style=""> </span>edema -/- , reflek fisiologis +/+ , reflek patologis -/-<o:p></o:p></span></p> <p class="MsoNormal" style="text-align: justify; line-height: 150%;"><span style=""><o:p> </o:p></span></p> <h3><span style="line-height: 150%;">STATUS OBSTETRI<o:p></o:p></span></h3> <p class="MsoNormal" style="text-align: justify; line-height: 150%;"><span style="">Muka<span style=""> </span>: cloasma gravidarum (+)<o:p></o:p></span></p> <p class="MsoNormal" style="text-align: justify; line-height: 150%;"><span style="">Mammae<span style=""> </span>: membesar, tegang, areola dan papila hiperpigmentasi, kolustrum (+)<o:p></o:p></span></p> <p class="MsoBodyText" style=""><span style="line-height: 150%;">Abdomen<span style=""> </span><span style=""> </span>: <span style=""> </span><o:p></o:p></span></p> <p class="MsoBodyTextIndent"><span style="line-height: 150%;">Inspeksi<span style=""> </span>: <span style=""> </span>tampak membuncit sesuai usia kehamilan preterm,<span style=""> </span>linea mediana hiperpigmentasi, striae gravidarum (+), sikatrik (-).<o:p></o:p></span></p> <p class="MsoNormal" style="margin-right: -43.2pt; text-align: justify; line-height: 150%;"><span style=""><span style=""> </span><span style=""> </span><i style=""><span style=""> </span></i>Palpasi <span style=""> </span>:<o:p></o:p></span></p> <p class="MsoNormal" style="margin: 0cm -43.2pt 0.0001pt 36pt; text-align: justify; text-indent: 36pt; line-height: 150%;"><span style="">L<span style=""> </span>I<span style=""> </span><span style=""> </span>:<span style=""> </span><span style=""> </span>FUT :<span style=""> </span>teraba ½ pusat – proc. Xiphoideus<o:p></o:p></span></p> <p class="MsoNormal" style="margin: 0cm -43.2pt 0.0001pt 36pt; text-align: justify; text-indent: 36pt; line-height: 150%;"><span style=""><span style=""> </span>Teraba massa besar, lubak, noduler <o:p></o:p></span></p> <p class="MsoNormal" style="margin: 0cm -43.2pt 0.0001pt 36pt; text-align: justify; text-indent: 36pt; line-height: 150%;"><span style="">L<span style=""> </span>II<span style=""> </span><span style=""> </span>:<span style=""> </span><span style=""> </span>Tahanan terbesar di kiri.\<o:p></o:p></span></p> <p class="MsoNormal" style="margin: 0cm -43.2pt 0.0001pt 36pt; text-align: justify; text-indent: 36pt; line-height: 150%;"><span style=""><span style=""> </span>Bagian-bagian kecil di kanan<o:p></o:p></span></p> <p class="MsoNormal" style="margin-right: -43.2pt; text-align: justify; line-height: 150%;"><span style=""><span style=""> </span><span style=""> </span><span style=""> </span>L<span style=""> </span>III <span style=""> </span>:<span style=""> </span>Teraba massa bulat, keras, floating<o:p></o:p></span></p> <p class="MsoNormal" style="margin-right: -43.2pt; text-align: justify; line-height: 150%;"><span style=""><span style=""> </span><span style=""> </span><span style=""> </span><span style=""> </span>L<span style=""> </span>IV <span style=""> </span>:<span style=""> </span>Tidak dilakukan pemeriksaan <span style=""> </span><o:p></o:p></span></p> <p class="MsoNormal" style="margin: 0cm -43.2pt 0.0001pt 36pt; text-align: justify; text-indent: 36pt; line-height: 150%;"><span style="">TFU<span style=""> </span>:<span style=""> </span>28cm<span style=""> </span>HIS<span style=""> </span>: (-)<o:p></o:p></span></p> <p class="MsoNormal" style="margin: 0cm -43.2pt 0.0001pt 36pt; text-align: justify; text-indent: 36pt; line-height: 150%;"><span style="">TBA<span style=""> </span>:<span style=""> </span>2325gr <o:p></o:p></span></p> <p class="MsoNormal" style="text-align: justify; line-height: 150%;"><span style=""><span style=""> </span><span style=""> </span>Perkusi <span style=""> </span>:<span style=""> </span>timpani<o:p></o:p></span></p> <p class="MsoNormal" style="text-align: justify; line-height: 150%;"><span style=""><span style=""> </span>Auskultasi <span style=""> </span>: bising usus (+) normal ; BJA : 150 x/menit<o:p></o:p></span></p> <p class="MsoNormal" style="line-height: 150%;"><span style=""><span style=""> </span>Genitalia <span style=""> </span>: Inspeksi U/V<span style=""> </span>tenang<o:p></o:p></span></p> <p class="MsoNormal" style="margin-left: 72pt; text-indent: -72pt; line-height: 150%;"><span style="">Inspekulo<span style=""> </span>: Vagina : , tumor (-), laserasi (-), lividae (+) fluxus (+) tampak darah <span style=""> </span>warna merah segar menumpuk di fornix posterior<o:p></o:p></span></p> <p class="MsoNormal" style="margin-left: 77.25pt; line-height: 150%;"><span style="">Portio<span style=""> </span>: MP, ukuran sebesar jempol kaki dewasa, tumor (-), laserasi (-), OUE tertutup, fluxus (+) warna merah segar sedikit merembes dari kanalis servikalis.<o:p></o:p></span></p> <p class="MsoNormal" style="line-height: 150%;"><b style=""><span style="">Laboratorium</span></b><span style=""> :<o:p></o:p></span></p> <p class="MsoNormal" style="line-height: 150%;"><span style="">HB<span style=""> </span>: 11,3 gr%, <o:p></o:p></span></p> <p class="MsoNormal" style="line-height: 150%;"><span style="">Lekosit <span style=""> </span>: 9.300/mm<sup>3</sup> <o:p></o:p></span></p> <p class="MsoNormal" style="line-height: 150%;"><span style="">Trombosit <span style=""> </span>: 272.000/mm<sup>3</sup><o:p></o:p></span></p> <p class="MsoNormal" style="line-height: 150%;"><b style=""><span style="">Diagnosis </span></b><span style="">: <o:p></o:p></span></p> <p class="MsoNormal" style="margin-left: 36pt; line-height: 150%;"><span style="">G4P3A0H3 Gravid preterm 32-34 mgg + HAP ec susp Plasenta Previa<o:p></o:p></span></p> <p class="MsoNormal" style="text-indent: 36pt; line-height: 150%;"><span style="">Janin hidup tunggal intra uterin, letak kepala kepala floating.<o:p></o:p></span></p> <p class="MsoNormal" style="line-height: 150%;"><b style=""><span style="">Sikap</span></b><span style="">: <o:p></o:p></span></p> <p class="MsoNormal" style="margin-left: 54pt; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style=""><span style="">-<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="">Kontrol KU, BJA, perdarahan pervaginam<o:p></o:p></span></p> <p class="MsoNormal" style="margin-left: 54pt; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style=""><span style="">-<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="">Bedrest total<o:p></o:p></span></p> <p class="MsoNormal" style="margin-left: 54pt; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style=""><span style="">-<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="">Cek lab darah rutin<o:p></o:p></span></p> <p class="MsoNormal" style="margin-left: 54pt; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style=""><span style="">-<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="">Sedia darah PMI<o:p></o:p></span></p> <p class="MsoNormal" style="margin-left: 54pt; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style=""><span style="">-<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="">USG<o:p></o:p></span></p> <p class="MsoNormal" style="line-height: 150%;"><b style=""><span style="">Terapi :<span style=""> </span><o:p></o:p></span></b></p> <p class="MsoListParagraphCxSpFirst" style="margin-left: 54pt; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style=""><span style="">-<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="">Antibiotik : amoxicillin 3x1 tab<b style=""><o:p></o:p></b></span></p> <p class="MsoListParagraphCxSpMiddle" style="margin-left: 54pt; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style=""><span style="">-<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="">Tokolitik : nifedipin 3x1 tab (apabila ada kontraksi)<b style=""><o:p></o:p></b></span></p> <p class="MsoListParagraphCxSpLast" style="margin-left: 54pt; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style=""><span style="">-<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="">Pematangan paru : deksametason 2x12 mg (selama 2 hari)<b style=""><o:p></o:p></b></span></p> <p class="MsoNormal" style="line-height: 150%;"><b style=""><span style="">Rencana</span></b><span style=""> :<o:p></o:p></span></p> <p class="MsoNormal" style="margin-left: 54pt; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style=""><span style="">-<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="">Ekspektatif<o:p></o:p></span></p> <p class="MsoHeading8"><b style=""><span style="line-height: 150%;"><o:p><span style="text-decoration: none;"> </span></o:p></span></b></p> <p class="MsoHeading8"><b style=""><span style="line-height: 150%;">Hasil USG</span></b><span style="line-height: 150%; text-decoration: none;"> (07-11-2010)</span><span style="line-height: 150%;"><o:p></o:p></span></p> <p class="MsoNormal" style="line-height: 150%;"><span style="">Janin tunggal, intra uterine, letak lintang, kepala.<o:p></o:p></span></p> <p class="MsoNormal" style="line-height: 150%;"><span style="">Aktifitas gerak janin baik.<o:p></o:p></span></p> <p class="MsoNormal" style="line-height: 150%;"><span style="">Biometri :<o:p></o:p></span></p> <p class="MsoNormal" style="line-height: 150%;"><span style="">DBP : 7,9 mm<span style=""> </span>FL : 6,3 mm<span style=""> </span>HL : 5,6 mm<span style=""> </span>AC : 30,1<o:p></o:p></span></p> <p class="MsoNormal" style="line-height: 150%;"><span style="">TBA : 2000-2100 gram<span style=""> </span>air ketuban : cukup<o:p></o:p></span></p> <p class="MsoNormal" style="line-height: 150%;"><span style="">Plasenta di korpus belakang meluas ke bawah menutupi OUI<o:p></o:p></span></p> <p class="MsoNormal" style="line-height: 150%;"><span style="">Kesan : Gravid 32-33 mgg + Plasenta previa totalis.<o:p></o:p></span></p> <p class="MsoHeading8"><b style=""><span style="line-height: 150%;"><o:p><span style="text-decoration: none;"> </span></o:p></span></b></p> <p class="MsoHeading8"><b style=""><span style="line-height: 150%;">Hasil CTG</span></b><span style="line-height: 150%; text-decoration: none;"> (08-11-2010)</span><span style="line-height: 150%;"><o:p></o:p></span></p> <p class="MsoNormal" style="margin-left: 108pt; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style=";font-family:";" ><span style="">o<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="">Baseline<span style=""> </span>=<span style=""> </span>140-150 dpm<o:p></o:p></span></p> <p class="MsoNormal" style="margin-left: 108pt; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style=";font-family:";" ><span style="">o<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="">Variabilitas<span style=""> </span>=<span style=""> </span>5-10 dpm<o:p></o:p></span></p> <p class="MsoNormal" style="margin-left: 108pt; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style=";font-family:";" ><span style="">o<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="">Akselerasi<span style=""> </span>=<span style=""> </span>(+)<o:p></o:p></span></p> <p class="MsoNormal" style="margin-left: 108pt; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style=";font-family:";" ><span style="">o<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="">Deselerasi<span style=""> </span>=<span style=""> </span>(-)<o:p></o:p></span></p> <p class="MsoNormal" style="margin-left: 108pt; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style=";font-family:";" ><span style="">o<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="">Gerak janin<span style=""> </span>=<span style=""> </span>(+)<o:p></o:p></span></p> <p class="MsoNormal" style="margin-left: 108pt; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style=";font-family:";" ><span style="">o<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="">Kontraksi<span style=""> </span>=<span style=""> </span>(-)<o:p></o:p></span></p> <p class="MsoNormal" style="line-height: 150%;"><b style=""><span style="">Kesan </span></b><span style="">: CTG reaktif<span style=""> </span><o:p></o:p></span></p> <p class="MsoNormal" style="line-height: 150%;"><span style=""><o:p> </o:p></span></p> <p class="MsoNormal" style="line-height: 150%;"><b style=""><span style="">Diagnosis :<o:p></o:p></span></b></p> <p class="MsoNormal" style="line-height: 150%;"><span style=""><span style=""> </span>G4P3A0H3 gravid preterm 32-34 minggu + HAP e.c plasenta previa totalis<o:p></o:p></span></p> <p class="MsoNormal" style="line-height: 150%;"><span style="">Janin hidup tunggal intrauterin let kep floating<o:p></o:p></span></p> <p class="MsoNormal" style="line-height: 150%;"><span style=""><o:p> </o:p></span></p> <p class="MsoHeading8"><b style=""><span style="line-height: 150%;">Follow Up<o:p></o:p></span></b></p> <p class="MsoHeading8"><b style=""><span style="line-height: 150%;">Hasil USG</span></b><span style="line-height: 150%; text-decoration: none;"> (22-11-2010)</span><span style="line-height: 150%;"><o:p></o:p></span></p> <p class="MsoNormal" style="line-height: 150%;"><span style="">Janin tunggal, intra uterine, letak lintang, kepala.<o:p></o:p></span></p> <p class="MsoNormal" style="line-height: 150%;"><span style="">Aktifitas gerak janin baik.<o:p></o:p></span></p> <p class="MsoNormal" style="line-height: 150%;"><span style="">Biometri :<span style=""> </span><o:p></o:p></span></p> <p class="MsoNormal" style="line-height: 150%;"><span style="">DBP : 80 mm<span style=""> </span>FL : 65 mm<span style=""> </span>HL : 56 mm<span style=""> </span>AC : 280<o:p></o:p></span></p> <p class="MsoNormal" style="line-height: 150%;"><span style="">TBA : 2000-2100 gram<span style=""> </span>air ketuban : cukup<o:p></o:p></span></p> <p class="MsoNormal" style="line-height: 150%;"><span style="">Plasenta tertanam di korpus belakang meluas ke bawah menutupi OUI<o:p></o:p></span></p> <p class="MsoNormal" style="line-height: 150%;"><span style="">Kesan : Gravid 33-34 mgg + Plasenta previa totalis. Janin hidup.<o:p></o:p></span></p> <p class="MsoNormal" style="line-height: 150%;"><span style=""><o:p> </o:p></span></p> <p class="MsoHeading8"><b style=""><span style="line-height: 150%;">Hasil CTG</span></b><span style="line-height: 150%; text-decoration: none;"> (22-11-2010)</span><span style="line-height: 150%;"><o:p></o:p></span></p> <p class="MsoNormal" style="margin-left: 108pt; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style=";font-family:";" ><span style="">o<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="">Baseline<span style=""> </span>=<span style=""> </span>140-150 dpm<o:p></o:p></span></p> <p class="MsoNormal" style="margin-left: 108pt; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style=";font-family:";" ><span style="">o<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="">Variabilitas<span style=""> </span>=<span style=""> </span>5-10 dpm<o:p></o:p></span></p> <p class="MsoNormal" style="margin-left: 108pt; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style=";font-family:";" ><span style="">o<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="">Akselerasi<span style=""> </span>=<span style=""> </span>(+)<o:p></o:p></span></p> <p class="MsoNormal" style="margin-left: 108pt; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style=";font-family:";" ><span style="">o<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="">Deselerasi<span style=""> </span>=<span style=""> </span>(-)<o:p></o:p></span></p> <p class="MsoNormal" style="margin-left: 108pt; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style=";font-family:";" ><span style="">o<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="">Gerak janin<span style=""> </span>=<span style=""> </span>(+)<o:p></o:p></span></p> <p class="MsoNormal" style="margin-left: 108pt; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style=";font-family:";" ><span style="">o<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="">Kontraksi<span style=""> </span>=<span style=""> </span>(-)<o:p></o:p></span></p> <p class="MsoNormal" style="line-height: 150%;"><b style=""><span style="">Kesan </span></b><span style="">: CTG reaktif<span style=""> </span><o:p></o:p></span></p> <p class="MsoNormal" style="line-height: 150%;"><span style=""><o:p> </o:p></span></p> <p class="MsoNormal" style="line-height: 150%;"><b style=""><span style="">Laboratorium</span></b><span style=""> : (25-11-2010)<o:p></o:p></span></p> <p class="MsoNormal" style="line-height: 150%;"><span style="">HB<span style=""> </span>: 10,5 gr%, <o:p></o:p></span></p> <p class="MsoNormal" style="line-height: 150%;"><span style="">Lekosit <span style=""> </span>: 9900/mm<sup>3</sup> <o:p></o:p></span></p> <p class="MsoNormal" style="line-height: 150%;"><span style="">Trombosit <span style=""> </span>: 329.000/mm<sup>3<o:p></o:p></sup></span></p> <p class="MsoNormal" style="line-height: 150%;"><span style="">Hematokrit<span style=""> </span>: 31%<o:p></o:p></span></p> <p class="MsoNormal" style="line-height: 150%;"><span style=""><o:p> </o:p></span></p> <p class="MsoNormal" style="line-height: 150%;"><b style=""><span style="">Laboratorium</span></b><span style=""> : (27-11-2010)<o:p></o:p></span></p> <p class="MsoNormal" style="line-height: 150%;"><span style="">HB<span style=""> </span>: 11,2 gr%, <o:p></o:p></span></p> <p class="MsoNormal" style="line-height: 150%;"><span style="">Lekosit <span style=""> </span>: 9500/mm<sup>3</sup> <o:p></o:p></span></p> <p class="MsoNormal" style="line-height: 150%;"><span style="">Trombosit <span style=""> </span>: 361.000/mm<sup>3<o:p></o:p></sup></span></p> <p class="MsoNormal" style="line-height: 150%;"><span style="">Hematokrit<span style=""> </span>: 34%<o:p></o:p></span></p> <p class="MsoNormal" style="line-height: 150%;"><span style=""><o:p> </o:p></span></p> <p class="MsoHeading8"><b style=""><span style="line-height: 150%;"><span style=""> </span>Hasil USG</span></b><span style="line-height: 150%; text-decoration: none;"> (02-12-2010)</span><span style="line-height: 150%;"><o:p></o:p></span></p> <p class="MsoNormal" style="line-height: 150%;"><span style="">Janin tunggal, intra uterine, letak lintang, kepala.<o:p></o:p></span></p> <p class="MsoNormal" style="line-height: 150%;"><span style="">Aktifitas gerak janin baik.<o:p></o:p></span></p> <p class="MsoNormal" style="line-height: 150%;"><span style="">Biometri :<span style=""> </span><o:p></o:p></span></p> <p class="MsoNormal" style="line-height: 150%;"><span style="">DBP : 82 mm<span style=""> </span>FL : 67 mm<span style=""> </span>HL : 58 mm<span style=""> </span>AC : 294<o:p></o:p></span></p> <p class="MsoNormal" style="line-height: 150%;"><span style="">TBA : 2100-2200 gram<span style=""> </span>air ketuban : cukup<o:p></o:p></span></p> <p class="MsoNormal" style="line-height: 150%;"><span style="">Plasenta tertanam di korpus belakang meluas ke bawah menutupi OUI<o:p></o:p></span></p> <p class="MsoNormal" style="line-height: 150%;"><span style="">Kesan : Gravid 34-35 mgg + Plasenta previa totalis. Janin hidup.<o:p></o:p></span></p> <p class="MsoHeading8"><b style=""><span style="line-height: 150%;"><o:p><span style="text-decoration: none;"> </span></o:p></span></b></p> <p class="MsoHeading8"><b style=""><span style="line-height: 150%;">Hasil CTG</span></b><span style="line-height: 150%; text-decoration: none;"> (02-12-2010)</span><span style="line-height: 150%;"><o:p></o:p></span></p> <p class="MsoNormal" style="margin-left: 108pt; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style=";font-family:";" ><span style="">o<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="">Baseline<span style=""> </span>=<span style=""> </span>140-150 dpm<o:p></o:p></span></p> <p class="MsoNormal" style="margin-left: 108pt; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style=";font-family:";" ><span style="">o<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="">Variabilitas<span style=""> </span>=<span style=""> </span>5-10 dpm<o:p></o:p></span></p> <p class="MsoNormal" style="margin-left: 108pt; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style=";font-family:";" ><span style="">o<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="">Akselerasi<span style=""> </span>=<span style=""> </span>(+)<o:p></o:p></span></p> <p class="MsoNormal" style="margin-left: 108pt; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style=";font-family:";" ><span style="">o<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="">Deselerasi<span style=""> </span>=<span style=""> </span>(-)<o:p></o:p></span></p> <p class="MsoNormal" style="margin-left: 108pt; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style=";font-family:";" ><span style="">o<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="">Gerak janin<span style=""> </span>=<span style=""> </span>(+)<o:p></o:p></span></p> <p class="MsoNormal" style="margin-left: 108pt; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style=";font-family:";" ><span style="">o<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="">Kontraksi<span style=""> </span>=<span style=""> </span>(-)<o:p></o:p></span></p> <p class="MsoNormal" style="line-height: 150%;"><b style=""><span style="">Kesan </span></b><span style="">: CTG reaktif<o:p></o:p></span></p> <p class="MsoNormal" style="line-height: 150%;"><span style=""><o:p> </o:p></span></p> <p class="MsoNormal" style="line-height: 150%;"><b style=""><span style="">Laboratorium</span></b><span style=""> : (2-12-2010)<o:p></o:p></span></p> <p class="MsoNormal" style="line-height: 150%;"><span style="">HB<span style=""> </span>: 10,6 gr%, <o:p></o:p></span></p> <p class="MsoNormal" style="line-height: 150%;"><span style="">Lekosit <span style=""> </span>: 9200/mm<sup>3</sup> <o:p></o:p></span></p> <p class="MsoNormal" style="line-height: 150%;"><span style="">Trombosit <span style=""> </span>: 385.000/mm<sup>3<o:p></o:p></sup></span></p> <p class="MsoNormal" style="line-height: 150%;"><span style="">Hematokrit<span style=""> </span>: 34%<o:p></o:p></span></p> <p class="MsoNormal" style="line-height: 150%;"><span style=""><span style=""> </span><o:p></o:p></span></p> <p class="MsoHeading8"><b style=""><span style="line-height: 150%;">Hasil CTG</span></b><span style="line-height: 150%; text-decoration: none;"> (08-12-2010)</span><span style="line-height: 150%;"><o:p></o:p></span></p> <p class="MsoNormal" style="margin-left: 108pt; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style=";font-family:";" ><span style="">o<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="">Baseline<span style=""> </span>=<span style=""> </span>145 dpm<o:p></o:p></span></p> <p class="MsoNormal" style="margin-left: 108pt; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style=";font-family:";" ><span style="">o<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="">Variabilitas<span style=""> </span>=<span style=""> </span>5-15 dpm<o:p></o:p></span></p> <p class="MsoNormal" style="margin-left: 108pt; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style=";font-family:";" ><span style="">o<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="">Akselerasi<span style=""> </span>=<span style=""> </span>(+)<o:p></o:p></span></p> <p class="MsoNormal" style="margin-left: 108pt; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style=";font-family:";" ><span style="">o<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="">Deselerasi<span style=""> </span>=<span style=""> </span>(-)<o:p></o:p></span></p> <p class="MsoNormal" style="margin-left: 108pt; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style=";font-family:";" ><span style="">o<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="">Gerak janin<span style=""> </span>=<span style=""> </span>(+)<o:p></o:p></span></p> <p class="MsoNormal" style="margin-left: 108pt; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style=";font-family:";" ><span style="">o<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="">Kontraksi<span style=""> </span>=<span style=""> </span>(-)<o:p></o:p></span></p> <p class="MsoNormal" style="line-height: 150%;"><b style=""><span style="">Kesan </span></b><span style="">: CTG reaktif<span style=""> </span><o:p></o:p></span></p> <p class="MsoNormal" style="line-height: 150%;"><span style=""><o:p> </o:p></span></p>
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<br /></td></tr><tr style=""><td color="-moz-use-text-color black black" style="border-style: none solid solid; padding: 0cm 5.4pt; width: 233.4pt;" valign="top" width="311">
<br /></td><td color="-moz-use-text-color black black -moz-use-text-color" style="border-style: none solid solid none; padding: 0cm 5.4pt; width: 233.45pt;" valign="top" width="311"><p class="MsoNormal" style="text-align: center; line-height: 150%;" align="center"><span style="line-height: 150%;font-size:11;" ></span></p>
<br /></td> </tr> </tbody></table> <p class="MsoNormal" style="line-height: 150%;"><span style=""><span style=""> </span></span><b style=""><span style="">Laboratorium</span></b><span style=""> : (10-12-2010)<o:p></o:p></span></p> <p class="MsoNormal" style="line-height: 150%;"><span style="">HB<span style=""> </span>: 11,3 gr%, <o:p></o:p></span></p> <p class="MsoNormal" style="line-height: 150%;"><span style="">Lekosit <span style=""> </span>: 15.300/mm<sup>3</sup> <o:p></o:p></span></p> <p class="MsoNormal" style="line-height: 150%;"><span style="">Trombosit <span style=""> </span>: 292.000/mm<sup>3<o:p></o:p></sup></span></p> <p class="MsoNormal" style="line-height: 150%;"><span style="">Hematokrit<span style=""> </span>: 36%<o:p></o:p></span></p> <p class="MsoNormal" style="line-height: 150%;"><span style=""><o:p> </o:p></span></p> <p class="MsoNormal" style="line-height: 150%;"><b style=""><span style="">Tanggal 9 Desember 2010, jam 07.00 WIB<o:p></o:p></span></b></p> <p class="MsoNormal" style="line-height: 150%;"><span style="">A/ nyeri pinggang (-), PPV (+) sedikit, gerak anak (+), demam (-)<o:p></o:p></span></p> <p class="MsoNormal" style="text-align: justify; line-height: 150%;"><span style="">PF/ <span style=""> </span>Keadaan umum<span style=""> </span>: sedang<o:p></o:p></span></p> <p class="MsoNormal" style="text-align: justify; line-height: 150%;"><span style=""><span style=""> </span>Kesadaran<span style=""> </span>: komposmentis kooperatif<o:p></o:p></span></p> <p class="MsoNormal" style="text-align: justify; line-height: 150%;"><span style=""><span style=""> </span>Tekanan darah<span style=""> </span><span style=""> </span>: 110/70 mmHg<o:p></o:p></span></p> <p class="MsoNormal" style="text-align: justify; line-height: 150%;"><span style=""><span style=""> </span>Frekuensi nadi<span style=""> </span>: 88 x / menit<o:p></o:p></span></p> <p class="MsoNormal" style="text-align: justify; line-height: 150%;"><span style=""><span style=""> </span>Frekuensi nafas<span style=""> </span>: 20 x / menit<o:p></o:p></span></p> <p class="MsoNormal" style="text-align: justify; line-height: 150%;"><span style=""><span style=""> </span>Suhu<span style=""> </span>: 37<sup>0</sup> C<span style=""> </span><span style=""> </span><o:p></o:p></span></p> <p class="MsoNormal" style="text-align: justify; line-height: 150%;"><span style="">Status Obstetric<span style=""> </span>:<o:p></o:p></span></p> <p class="MsoBodyTextIndent"><span style="line-height: 150%;">Inspeksi<span style=""> </span>: <span style=""> </span>tampak membuncit sesuai usia kehamilan preterm,<span style=""> </span>linea mediana hiperpigmentasi, striae gravidarum (+), sikatrik (-).<o:p></o:p></span></p> <p class="MsoNormal" style="margin-right: -43.2pt; text-align: justify; line-height: 150%;"><span style=""><span style=""> </span><span style=""> </span><i style=""><span style=""> </span></i>Palpasi <span style=""> </span>:<o:p></o:p></span></p> <p class="MsoNormal" style="margin: 0cm -43.2pt 0.0001pt 36pt; text-align: justify; text-indent: 36pt; line-height: 150%;"><span style="">L<span style=""> </span>I<span style=""> </span><span style=""> </span>:<span style=""> </span><span style=""> </span>FUT :<span style=""> </span>teraba ½ pusat – proc. Xiphoideus<o:p></o:p></span></p> <p class="MsoNormal" style="margin: 0cm -43.2pt 0.0001pt 36pt; text-align: justify; text-indent: 36pt; line-height: 150%;"><span style=""><span style=""> </span>Teraba massa besar, lubak, noduler <o:p></o:p></span></p> <p class="MsoNormal" style="margin: 0cm -43.2pt 0.0001pt 36pt; text-align: justify; text-indent: 36pt; line-height: 150%;"><span style="">L<span style=""> </span>II<span style=""> </span><span style=""> </span>:<span style=""> </span><span style=""> </span>Tahanan terbesar di kiri.\<o:p></o:p></span></p> <p class="MsoNormal" style="margin: 0cm -43.2pt 0.0001pt 36pt; text-align: justify; text-indent: 36pt; line-height: 150%;"><span style=""><span style=""> </span>Bagian-bagian kecil di kanan<o:p></o:p></span></p> <p class="MsoNormal" style="margin-right: -43.2pt; text-align: justify; line-height: 150%;"><span style=""><span style=""> </span><span style=""> </span><span style=""> </span>L<span style=""> </span>III <span style=""> </span>:<span style=""> </span>Teraba massa bulat, keras, floating<o:p></o:p></span></p> <p class="MsoNormal" style="margin-right: -43.2pt; text-align: justify; line-height: 150%;"><span style=""><span style=""> </span><span style=""> </span><span style=""> </span>L<span style=""> </span>IV <span style=""> </span>:<span style=""> </span>Tidak dilakukan pemeriksaan <o:p></o:p></span></p> <p class="MsoNormal" style="margin: 0cm -43.2pt 0.0001pt 36pt; text-align: justify; text-indent: 36pt; line-height: 150%;"><span style="">TFU<span style=""> </span>:<span style=""> </span>28cm<span style=""> </span>HIS<span style=""> </span>: (-)<o:p></o:p></span></p> <p class="MsoNormal" style="margin: 0cm -43.2pt 0.0001pt 36pt; text-align: justify; text-indent: 36pt; line-height: 150%;"><span style="">TBA<span style=""> </span>:<span style=""> </span>2325gr <o:p></o:p></span></p> <p class="MsoNormal" style="text-align: justify; line-height: 150%;"><span style=""><span style=""> </span><span style=""> </span><span style=""> </span>Perkusi <span style=""> </span>:<span style=""> </span>timpani<o:p></o:p></span></p> <p class="MsoNormal" style="text-align: justify; line-height: 150%;"><span style=""><span style=""> </span><span style=""> </span>Auskultasi <span style=""> </span>: bising usus (+) normal ; BJA : 150 x/menit<o:p></o:p></span></p> <p class="MsoNormal" style="line-height: 150%;"><span style=""><span style=""> </span>Genitalia <span style=""> </span>: Inspeksi U/V<span style=""> </span>tenang<span style=""> </span><o:p></o:p></span></p> <p class="MsoNormal" style="line-height: 150%;"><b style=""><span style="">Diagnosis </span></b><span style="">: <o:p></o:p></span></p> <p class="MsoNormal" style="line-height: 150%;"><span style="">G4P3A0H3 gravid preterm 35-36 minggu + HAP e.c plasenta previa totalis<o:p></o:p></span></p> <p class="MsoNormal" style="line-height: 150%;"><span style="">Janin hidup tunggal intrauterin let kep floating<o:p></o:p></span></p> <p class="MsoNormal" style="line-height: 150%;"><b style=""><span style="">Sikap</span></b><span style="">: <o:p></o:p></span></p> <p class="MsoNormal" style="margin-left: 54pt; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style=""><span style="">-<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="">Bedrest total<o:p></o:p></span></p> <p class="MsoNormal" style="margin-left: 54pt; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style=""><span style="">-<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="">Kontrol KU, BJA, perdarahan pervaginam<o:p></o:p></span></p> <p class="MsoNormal" style="line-height: 150%;"><b style=""><span style="">Terapi :<o:p></o:p></span></b></p> <p class="MsoListParagraphCxSpFirst" style="margin-left: 54pt; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style=""><span style="">-<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="">Antibiotik : amoxicillin 3x1 tab<b style=""><o:p></o:p></b></span></p> <p class="MsoListParagraphCxSpMiddle" style="margin-left: 54pt; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style=""><span style="">-<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="">Tokolitik : nifedipin 3x1 tab (apabila ada kontraksi)<b style=""><o:p></o:p></b></span></p> <p class="MsoListParagraphCxSpMiddle" style="margin-left: 54pt; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style=""><span style="">-<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="">Pematangan paru : deksametason 2x12 mg (selama 2 hari)<b style=""><o:p></o:p></b></span></p> <p class="MsoListParagraphCxSpLast" style="margin-left: 54pt; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style=""><span style="">-<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="">Benovit C 3x1<o:p></o:p></span></p> <p class="MsoNormal" style="line-height: 150%;"><b style=""><span style="">Rencana</span></b><span style=""> :<o:p></o:p></span></p> <p class="MsoNormal" style="margin-left: 54pt; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style=""><span style="">-<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="">Ekspektatif<o:p></o:p></span></p> <p class="MsoNormal" style="line-height: 150%;"><span style=""><o:p> </o:p></span></p> <p class="MsoNormal" style="line-height: 150%;"><b style=""><span style="">Tanggal 9 Desember 2010, jam 09.00 WIB<o:p></o:p></span></b></p> <p class="MsoNormal" style="line-height: 150%;"><b style=""><span style="">A/</span></b><span style=""> nyeri pinggang (-), PPV (+) sedikit, gerak anak (+), demam (-)<o:p></o:p></span></p> <p class="MsoNormal" style="text-align: justify; line-height: 150%;"><b style=""><span style="">PF/</span></b><span style=""> <span style=""> </span>Keadaan umum<span style=""> </span>: sedang<o:p></o:p></span></p> <p class="MsoNormal" style="text-align: justify; line-height: 150%;"><span style=""><span style=""> </span>Kesadaran<span style=""> </span>: komposmentis kooperatif<o:p></o:p></span></p> <p class="MsoNormal" style="text-align: justify; line-height: 150%;"><span style=""><span style=""> </span>Tekanan darah<span style=""> </span>: 120/70 mmHg<o:p></o:p></span></p> <p class="MsoNormal" style="text-align: justify; line-height: 150%;"><span style=""><span style=""> </span>Frekuensi nadi<span style=""> </span>: 80 x / menit<o:p></o:p></span></p> <p class="MsoNormal" style="text-align: justify; line-height: 150%;"><span style=""><span style=""> </span>Frekuensi nafas<span style=""> </span>: 21 x / menit<o:p></o:p></span></p> <p class="MsoNormal" style="text-align: justify; line-height: 150%;"><span style=""><span style=""> </span>Suhu<span style=""> </span>: 37<sup>0</sup> C<span style=""> </span><o:p></o:p></span></p> <p class="MsoNormal" style="text-align: justify; line-height: 150%;"><b style=""><span style="">Status Obstetric</span></b><span style=""><span style=""> </span>:<o:p></o:p></span></p> <p class="MsoBodyTextIndent"><span style="line-height: 150%;">Inspeksi<span style=""> </span>: <span style=""> </span>tampak membuncit sesuai usia kehamilan preterm,<span style=""> </span>linea mediana hiperpigmentasi, striae gravidarum (+), sikatrik (-).<o:p></o:p></span></p> <p class="MsoNormal" style="margin-right: -43.2pt; text-align: justify; line-height: 150%;"><span style=""><span style=""> </span><span style=""> </span><i style=""><span style=""> </span></i>Palpasi <span style=""> </span>:<o:p></o:p></span></p> <p class="MsoNormal" style="margin: 0cm -43.2pt 0.0001pt 36pt; text-align: justify; text-indent: 36pt; line-height: 150%;"><span style="">L<span style=""> </span>I<span style=""> </span><span style=""> </span>:<span style=""> </span><span style=""> </span>FUT :<span style=""> </span>teraba ½ pusat – proc. Xiphoideus<o:p></o:p></span></p> <p class="MsoNormal" style="margin: 0cm -43.2pt 0.0001pt 36pt; text-align: justify; text-indent: 36pt; line-height: 150%;"><span style=""><span style=""> </span>Teraba massa besar, lubak, noduler <o:p></o:p></span></p> <p class="MsoNormal" style="margin: 0cm -43.2pt 0.0001pt 36pt; text-align: justify; text-indent: 36pt; line-height: 150%;"><span style="">L<span style=""> </span>II<span style=""> </span><span style=""> </span>:<span style=""> </span><span style=""> </span>Tahanan terbesar di kiri.\<o:p></o:p></span></p> <p class="MsoNormal" style="margin: 0cm -43.2pt 0.0001pt 36pt; text-align: justify; text-indent: 36pt; line-height: 150%;"><span style=""><span style=""> </span>Bagian-bagian kecil di kanan<o:p></o:p></span></p> <p class="MsoNormal" style="margin-right: -43.2pt; text-align: justify; line-height: 150%;"><span style=""><span style=""> </span><span style=""> </span><span style=""> </span>L<span style=""> </span>III <span style=""> </span>:<span style=""> </span>Teraba massa bulat, keras, floating<o:p></o:p></span></p> <p class="MsoNormal" style="margin-right: -43.2pt; text-align: justify; line-height: 150%;"><span style=""><span style=""> </span><span style=""> </span><span style=""> </span>L<span style=""> </span>IV <span style=""> </span>:<span style=""> </span>Tidak dilakukan pemeriksaan <o:p></o:p></span></p> <p class="MsoBodyTextIndent2" style="margin-left: 21.3pt; line-height: 150%;"><span style="">TFU<span style=""> </span>:<span style=""> </span>28cm<span style=""> </span>HIS<span style=""> </span>: (+) </span><span style="" lang="FI">2-3x/menit/kuat<o:p></o:p></span></p> <p class="MsoNormal" style="margin: 0cm -43.2pt 0.0001pt 36pt; text-align: justify; text-indent: 36pt; line-height: 150%;"><span style=""><span style=""> </span><o:p></o:p></span></p> <p class="MsoNormal" style="margin: 0cm -43.2pt 0.0001pt 36pt; text-align: justify; text-indent: 36pt; line-height: 150%;"><span style="">TBA<span style=""> </span>:<span style=""> </span>2325gr <o:p></o:p></span></p> <p class="MsoNormal" style="text-align: justify; line-height: 150%;"><span style=""><span style=""> </span><span style=""> </span>Perkusi <span style=""> </span>:<span style=""> </span>timpani<o:p></o:p></span></p> <p class="MsoNormal" style="text-align: justify; line-height: 150%;"><span style=""><span style=""> </span><span style=""> </span>Auskultasi <span style=""> </span>: bising usus (+) normal ; BJA : 150 x/menit<o:p></o:p></span></p> <p class="MsoNormal" style="line-height: 150%;"><span style=""><span style=""> </span>Genitalia <span style=""> </span>: Inspeksi U/V<span style=""> </span>tenang<span style=""> </span><o:p></o:p></span></p> <p class="MsoNormal" style="line-height: 150%;"><b style=""><span style="">Diagnosis </span></b><span style="">: <o:p></o:p></span></p> <p class="MsoNormal" style="line-height: 150%;"><span style="">G4P3A0H3 gravid preterm 35-36 minggu + HAP e.c plasenta previa totalis + kontraksi<o:p></o:p></span></p> <p class="MsoNormal" style="line-height: 150%;"><span style="">Janin hidup tunggal intrauterin let kep floating<o:p></o:p></span></p> <p class="MsoNormal" style="line-height: 150%;"><b style=""><span style="">Sikap :<span style=""> </span><o:p></o:p></span></b></p> <p class="MsoListParagraphCxSpFirst" style="margin-left: 54pt; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style=""><span style="">-<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="">Kontrol KU, VS, PPV<o:p></o:p></span></p> <p class="MsoListParagraphCxSpMiddle" style="margin-left: 54pt; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style=""><span style="">-<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="">Siapkan SC<o:p></o:p></span></p> <p class="MsoListParagraphCxSpMiddle" style="margin-left: 54pt; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style=""><span style="">-<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="">Konsul anestesi<o:p></o:p></span></p> <p class="MsoListParagraphCxSpMiddle" style="margin-left: 54pt; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style=""><span style="">-<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="">Siapkan darah<o:p></o:p></span></p> <p class="MsoListParagraphCxSpLast" style="margin-left: 54pt; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style=""><span style="">-<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="">Lapor OK<o:p></o:p></span></p> <p class="MsoNormal" style="line-height: 150%;"><b style=""><span style="">Rencana :<o:p></o:p></span></b></p> <p class="MsoNormal" style="line-height: 150%;"><span style="">SC Cyto<o:p></o:p></span></p> <p class="MsoNormal" style="line-height: 150%;"><span style=""><o:p> </o:p></span></p> <p class="MsoBodyTextIndent2" style="margin-left: 1cm; text-indent: -1cm; line-height: 150%;"><b style=""><span style="">10</span><span lang="EN-US">.</span></b><b style=""><span style="">1</span><span lang="EN-US">5 WIB<o:p></o:p></span></b></p> <p class="MsoBodyTextIndent2" style="margin: 0cm 0cm 0.0001pt; text-align: justify; line-height: 150%;"><span lang="EN-US">Lahir seorang bayi perempuan secara spontan dengan :</span></p> <p class="MsoBodyTextIndent2" style="margin: 0cm 0cm 0.0001pt 36pt; text-align: justify; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span lang="EN-US" style="font-family:Symbol;"><span style="">·<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span lang="EN-US">BB : </span><span style="">267</span><span lang="EN-US">0 gram</span></p> <p class="MsoBodyTextIndent2" style="margin: 0cm 0cm 0.0001pt 36pt; text-align: justify; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span lang="EN-US" style="font-family:Symbol;"><span style="">·<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span lang="EN-US">PB : </span><span style="">47</span><span lang="EN-US"> cm</span></p> <p class="MsoBodyTextIndent2" style="margin: 0cm 0cm 0.0001pt 36pt; text-align: justify; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span lang="EN-US" style="font-family:Symbol;"><span style="">·<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span lang="EN-US">A/S : </span><span style="">7</span><span lang="EN-US">/</span><span style="">8</span></p> <p class="MsoBodyTextIndent2" style="margin: 0cm 0cm 0.0001pt; text-align: justify; line-height: 150%;"><span style="" lang="SV">Plasenta lahir lengkap</span><span style=""> dengan tarikan ringan pada tali pusat. B</span><span style="" lang="SV">erat ±</span><span style="">450</span><span style="" lang="SV"> gram, ukuran 1</span><span style="">6</span><span style="" lang="SV">x16x</span><span style="">7,5</span><span style="" lang="SV"> cm, panjang : </span><span style="">47</span><span style="" lang="SV"> c</span><span style="">m. Perdarahan selama tindakan ± 250 cc.<o:p></o:p></span></p> <p class="MsoBodyTextIndent2" style="margin: 0cm 0cm 0.0001pt; text-align: justify; line-height: 150%;"><b style=""><span style="">Diagnosa :<o:p></o:p></span></b></p> <p class="MsoBodyTextIndent2" style="margin: 0cm 0cm 0.0001pt; text-align: justify; line-height: 150%;"><span style="">P4A0H4 post SCTPP + TP ai. Plasenta previa totalis + partus prematurus imminens<o:p></o:p></span></p> <p class="MsoBodyTextIndent2" style="margin: 0cm 0cm 0.0001pt; text-align: justify; line-height: 150%;"><span style="">Anak dan ibu dalam perawatan<o:p></o:p></span></p> <p class="MsoBodyTextIndent2" style="margin: 0cm 0cm 0.0001pt; text-align: justify; line-height: 150%;"><b style=""><span style="">Sikap :<o:p></o:p></span></b></p> <p class="MsoBodyTextIndent2" style="margin: 0cm 0cm 0.0001pt 54pt; text-align: justify; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style=""><span style="">-<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="">Awasi pasca tindakan<o:p></o:p></span></p> <p class="MsoBodyTextIndent2" style="margin: 0cm 0cm 0.0001pt 54pt; text-align: justify; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style=""><span style="">-<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="">Kontrol ku, vs, ppv<o:p></o:p></span></p> <p class="MsoBodyTextIndent2" style="margin: 0cm 0cm 0.0001pt 54pt; text-align: justify; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style=""><span style="">-<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="">Tidur terlentang dengan 1 bantal 12 jam post op<o:p></o:p></span></p> <p class="MsoBodyTextIndent2" style="margin: 0cm 0cm 0.0001pt 54pt; text-align: justify; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style=""><span style="">-<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="">IVFD RL : D5 = 3:1<o:p></o:p></span></p> <p class="MsoBodyTextIndent2" style="margin: 0cm 0cm 0.0001pt 54pt; text-align: justify; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style=""><span style="">-<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="">Ceftriaxon vial 1 g (2x1)<o:p></o:p></span></p> <p class="MsoBodyTextIndent2" style="margin: 0cm 0cm 0.0001pt 54pt; text-align: justify; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style=""><span style="">-<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="">Pronalges supp bila nyeri<o:p></o:p></span></p> <p class="MsoBodyTextIndent2" style="margin: 0cm 0cm 0.0001pt 54pt; text-align: justify; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style=""><span style="">-<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="">Bila HB <></span></p> <p class="MsoBodyTextIndent2" style="margin: 0cm 0cm 0.0001pt 54pt; text-align: justify; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span style=""><span style="">-<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="">Bila BU (+) pasien boleh minum<o:p></o:p></span></p> <p class="MsoBodyTextIndent2" style="margin-bottom: 0.0001pt; text-align: justify; line-height: 150%;"><span style=""><o:p> </o:p></span></p> <p class="MsoBodyTextIndent" style="margin-left: 0cm;"><b style=""><span style="">Tanggal 10 desember 2011 </span></b><span style="">(09.00 wib)<o:p></o:p></span></p> <p class="MsoBodyTextIndent" style="margin-left: 0cm;"><b style=""><span style="">A/ :<span style=""> </span></span></b><span style="">Demam (-)<span style=""> </span>BAK : Dengan kateter terpasang (1000cc), warna kuning jernih<o:p></o:p></span></p> <p class="MsoBodyTextIndent" style="margin-left: 0cm;"><span style=""><span style=""> </span>PPV (+)<span style=""> </span>BAB : (-)<o:p></o:p></span></p> <p class="MsoBodyTextIndent" style="margin-left: 0cm;"><span style=""><span style=""> </span>Flatus (+)<span style=""> </span><o:p></o:p></span></p> <p class="MsoBodyTextIndent" style="margin-left: 0cm;"><b style=""><span style="">PF/ :<o:p></o:p></span></b></p> <p class="MsoBodyTextIndent" style="margin-left: 0cm;"><span lang="EN-GB">Kesadaran<span style=""> </span>: CMC<span style=""> </span>Nadi<span style=""> </span>: 8</span><span style="">9</span><span lang="EN-GB"> x/ menit</span></p> <p class="MsoBodyTextIndent" style="margin-left: 0cm;"><span lang="EN-GB">KU<span style=""> </span>: Sedang<span style=""> </span><span style=""> </span>Nafas<span style=""> </span>: 2</span><span style="">1</span><span lang="EN-GB"> x/ menit</span></p> <p class="MsoBodyTextIndent" style="margin-left: 0cm;"><span lang="EN-GB">TD<span style=""> </span>: 120/80 mmHg<span style=""> </span>Suhu<span style=""> </span>: 37</span><sup><span style="">0</span></sup><span lang="EN-GB"><span style=""> </span>C</span><span style=""><o:p></o:p></span></p> <p class="MsoBodyTextIndent" style="margin-left: 0cm;"><span lang="EN-GB">Kulit<span style=""> </span><span style=""> </span>: </span><span style=""><span style=""> </span></span><span lang="EN-GB">Sawo matang</span></p> <p class="MsoBodyTextIndent" style="margin-left: 0cm;"><span lang="EN-GB">Mata<span style=""> </span>: </span><span style=""><span style=""> </span></span><span lang="EN-GB">Konjungtiva tak anemis,<span style=""> </span>Sklera tak ikterik</span></p> <p class="MsoBodyTextIndent" style="margin-left: 0cm;"><span lang="EN-GB">Leher<span style=""> </span><span style=""> </span>: </span><span style=""><span style=""> </span></span><span lang="EN-GB">JVP 5-2 cm H2O</span></p> <p class="MsoBodyTextIndent" style="margin-left: 0cm;"><span lang="EN-GB">Thorak<span style=""> </span>: </span><span style=""><span style=""> </span></span><span lang="EN-GB">Cor dan Pulmo dalam batas Normal</span></p> <p class="MsoBodyTextIndent" style="margin-left: 0cm;"><span lang="EN-GB">Abdomen<span style=""> </span><span style=""> </span></span><span style=""><span style=""> </span><o:p></o:p></span></p> <p class="MsoBodyTextIndent" style="margin-left: 0cm; text-indent: 36pt;"><span lang="EN-GB">I<span style=""> </span> : </span><span style=""><span style=""> </span></span><span lang="EN-GB">tampak sedikit membuncit, luka operasi </span></p> <p class="MsoBodyTextIndent" style="margin-left: 0cm;"><span lang="EN-GB"><span style=""> </span></span><span style=""><span style=""> </span></span><span lang="EN-GB">tertutup verban </span></p> <p class="MsoBodyTextIndent" style="margin-left: 0cm; text-indent: 36pt;"><span lang="EN-GB">Pa<span style=""> </span> : </span><span style=""><span style=""> </span></span><span lang="EN-GB">TFU : </span><span style="">1</span><span lang="EN-GB"> jari di bawah pusat, kontraksi baik, </span></p> <p class="MsoBodyTextIndent" style="margin-left: 0cm;"><span lang="EN-GB"><span style=""> </span><span style=""> </span></span><span style=""><span style=""> </span></span><span lang="EN-GB">NT (-), NL (-)</span></p> <p class="MsoBodyTextIndent" style="margin-left: 0cm; text-indent: 36pt;"><span lang="EN-GB">Pe<span style=""> </span> :</span><span style=""><span style=""> </span></span><span lang="EN-GB">timpani</span></p> <p class="MsoBodyTextIndent" style="margin-left: 63.8pt; text-indent: -27.8pt;"><span lang="EN-GB">A<span style=""> </span></span><span style=""><span style=""> </span></span><span lang="EN-GB"> : </span><span style=""><span style=""> </span></span><span lang="EN-GB">BU (+) N</span><span style=""><o:p></o:p></span></p> <p class="MsoBodyTextIndent" style="margin-left: 0cm;"><span lang="EN-GB">Genitalia<span style=""> </span>:</span><span style=""><span style=""> </span>U/V tenang</span> </p> <p class="MsoBodyTextIndent" style="margin-left: 0cm;"><span lang="EN-GB">Ekstremitas<span style=""> </span>:</span><span style=""><span style=""> </span></span><span lang="EN-GB">Edema -/- , Reflek Fisiologis +/+, reflek patologis -/-</span><span style=""><o:p></o:p></span></p> <p class="MsoBodyTextIndent2" style="margin: 0cm 0cm 0.0001pt; text-align: justify; line-height: 150%;"><b style=""><span style="">Diagnosa<span style=""> </span>:<span style=""> </span><o:p></o:p></span></b></p> <p class="MsoBodyTextIndent2" style="margin: 0cm 0cm 0.0001pt; text-align: justify; line-height: 150%;"><span style="">P4A0H4 post SCTPP + TP ai. Plasenta previa totalis + partus prematurus imminens<o:p></o:p></span></p> <p class="MsoBodyTextIndent2" style="margin: 0cm 0cm 0.0001pt; text-align: justify; line-height: 150%;"><span style="">Anak dan ibu dalam perawatan<b style=""><span style=""> </span></b><o:p></o:p></span></p> <p class="MsoBodyTextIndent" style="margin-left: 0cm;"><b style=""><span style="">Sikap<span style=""> </span>:<span style=""> </span></span></b><span lang="EN-GB">kontrol KU, VS, PPV<span style=""> </span></span></p> <p class="MsoBodyTextIndent" style="margin-left: 0cm;"><span lang="EN-GB"><span style=""> </span></span><span style=""><span style=""> </span></span><span lang="EN-GB">mobilisasi bertahap</span><span style=""><o:p></o:p></span></p> <p class="MsoBodyTextIndent" style="margin-left: 0cm;"><b style=""><span style="">Terapi<span style=""> </span>:<span style=""> </span></span></b><span style="">Ceftriaxon 2 x 1gr</span> <span style=""><o:p></o:p></span></p> <p class="MsoBodyTextIndent" style="margin-left: 0cm;"><span style=""><span style=""> </span>Pronalges supp 1 x 2 <o:p></o:p></span></p> <p class="MsoBodyTextIndent" style="margin-left: 0cm;"><span style=""><span style=""> </span>Ciprofloxacin 3 x 500 mg<o:p></o:p></span></p> <p class="MsoBodyTextIndent" style="margin-left: 0cm;"><span style=""><span style=""> </span>Asam Mefenamat 3 x 500 mg<o:p></o:p></span></p> <p class="MsoBodyTextIndent" style="text-indent: 36pt;"><span style="">Benovit C 3x1<span style=""> </span><o:p></o:p></span></p> <p class="MsoBodyTextIndent" style="margin-left: 0cm;"><span style=""><span style=""> </span>Laktafit 3x1<o:p></o:p></span></p> <p class="MsoBodyTextIndent" style="margin-left: 0cm;"><span style=""><span style=""> </span><o:p></o:p></span></p> <p class="MsoBodyTextIndent2" style="margin-bottom: 0.0001pt; text-align: justify; line-height: 150%;"><span style=""><o:p> </o:p></span></p> <p class="MsoBodyTextIndent2" style="margin: 0cm 0cm 0.0001pt; text-align: justify; line-height: 150%;"><span style=""><o:p> </o:p></span></p> <p class="MsoNormal" style="margin-left: 36pt; text-align: justify; line-height: 150%;"><span style=""><o:p> </o:p></span></p> <p class="MsoNormal" style="margin-left: 36pt; text-align: justify; line-height: 150%;"><span style=""><o:p> </o:p></span></p> <p class="MsoNormal" style="text-align: center; line-height: 150%;" align="center"><b style=""><span style="">DISKUSI<o:p></o:p></span></b></p> <p class="MsoNormal" style="text-align: justify; line-height: 150%;"><span style=""><o:p> </o:p></span></p> <p class="MsoNormal" style="text-align: justify; text-indent: 36pt; line-height: 150%;"><span style="">Dibahas suatu kasus multigravida, 34 tahun, kehamilan 32-34 minggu dengan plasenta previa. Pasien masuk dengan keluhan keluar darah dari kemaluan sejak 1 jam yang lalu pada waktu pasien sedang istirahat, membercaki 1 celana dalam, warna merah terang, tanpa rasa nyeri. Darah keluar spontan tanpa ada faktor pendahulu seperti riwayat trauma, berurut-urut pada dukun beranak. Pada pemeriksaan fisik didapatkan keadaan umum ibu masih dalam keadaan baik, janin hidup letak kepala, floating. Dinding abdomen ibu lemas dan tidak ada kontraksi pada uterus. Pada pemeriksaan inspekulo tidak ditemukan kelainan pada vagina atau laserasi pada portio.<o:p></o:p></span></p> <p class="MsoNormal" style="text-align: justify; text-indent: 36pt; line-height: 150%;"><span style=""><span style=""> </span>Semua hal ini sesuai dengan kepustakaan dimana gambaran klasik plasenta previa adalah perdarahan tanpa rasa nyeri, tanpa faktor pencetus, dinding abdomen lemas dan bagian terbawah anak masih tinggi.<o:p></o:p></span></p> <p class="MsoNormal" style="text-align: justify; text-indent: 36pt; line-height: 150%;"><span style="">Perdarahan pervaginam lainnya tanpa rasa nyeri sudah dapat disingkirkan dengan cara dilakukannya pemeriksaan dengan inspekulo (vasa previa dan laserasi jalan lahir) dan solusio plasenta (rasa nyeri tidak ada, dinding abdomen lemas, tidak ada riwayat berurut)<o:p></o:p></span></p> <p class="MsoNormal" style="text-align: justify; text-indent: 36pt; line-height: 150%;"><span style="">Pasien dilakukan perawatan secara ekspetatif. Pasien dirawat di kamar rawat dengan tirah baring, persiapan darah<span style=""> </span>di PMI, diberikan deksamethasone 6 mg tiap 12 jam selama 4 kali pemberian untuk pematangan paru dan diberikan antibiotika profilaks. <o:p></o:p></span></p> <p class="MsoNormal" style="text-align: justify; text-indent: 36pt; line-height: 150%;"><span style="">Perawatan secara ekspetatif pada pasien ini dilakukan karena:<o:p></o:p></span></p> <p class="MsoNormal" style="margin-left: 25.7pt; text-align: justify; text-indent: -17.05pt; line-height: 150%;"><!--[if !supportLists]--><span style=""><span style="">1.<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="">Keadaan ibu yang masih stabil (vital sign dalam batas normal) dan perdarahan yang terjadi tidak banyak. (Hb. 11,3 gr%)<span style=""> </span><o:p></o:p></span></p> <p class="MsoNormal" style="margin-left: 25.7pt; text-align: justify; text-indent: -17.05pt; line-height: 150%;"><!--[if !supportLists]--><span style=""><span style="">2.<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="">Belum ada tanda inpartu.<o:p></o:p></span></p> <p class="MsoNormal" style="margin-left: 25.7pt; text-align: justify; text-indent: -17.05pt; line-height: 150%;"><!--[if !supportLists]--><span style=""><span style="">3.<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="">Janin hidup, BJA teratur dengan usia kehamilan yang masih jauh dari aterm (dengan taksiran berat janin 2325 gram).<o:p></o:p></span></p> <p class="MsoNormal" style="text-align: justify; text-indent: 36pt; line-height: 150%;"><span style="">Kemudian dilakukan pemeriksaan USG dan didapatkan hasil :<o:p></o:p></span></p> <p class="MsoNormal" style="line-height: 150%;"><span style="">Janin tunggal, intra uterine, letak lintang, kepala.<o:p></o:p></span></p> <p class="MsoNormal" style="line-height: 150%;"><span style="">Aktifitas gerak janin baik.<o:p></o:p></span></p> <p class="MsoNormal" style="line-height: 150%;"><span style="">Biometri :<o:p></o:p></span></p> <p class="MsoNormal" style="line-height: 150%;"><span style="">DBP : 7,9 mm<span style=""> </span>FL : 6,3 mm<span style=""> </span>HL : 5,6 mm<span style=""> </span>AC : 30,1<o:p></o:p></span></p> <p class="MsoNormal" style="line-height: 150%;"><span style="">TBA : 2000-2100 gram<span style=""> </span>air ketuban : cukup<o:p></o:p></span></p> <p class="MsoNormal" style="line-height: 150%;"><span style="">Plasenta di korpus belakang meluas ke bawah menutupi OUI<o:p></o:p></span></p> <p class="MsoNormal" style="line-height: 150%;"><span style="">Kesan : Gravid 32-33 mgg + Plasenta previa totalis.<o:p></o:p></span></p> <p class="MsoNormal" style="text-align: justify; text-indent: 36pt; line-height: 150%;"><span style="">Diagnosis plasenta previa dengan ultrasonografi merupakan cara terpilih. Cara ini mudah, tepat dan aman buat ibu dan janin. Ketepatan mencapai 98% ditangan ahlinya. <o:p></o:p></span></p> <p class="MsoNormal" style="text-align: justify; line-height: 150%;"><span style=""><span style=""> </span>Pada pemeriksaan cardiotokografi ditemukan tidak adanya kontraksi. Untuk itu pemakaian tokolitik disini belum perlu.<o:p></o:p></span></p> <p class="MsoNormal" style="text-align: justify; text-indent: 36pt; line-height: 150%;"><span style="">Perawatan ekspektatif pada pasien ini dapat dihentikan dan dilakukan terminasi persalinan jika ditemukan indikasi janin dan indikasi ibu. Jika dilakukan terminasi, cara terminasi kehamilan perlu mempertimbangkan :<o:p></o:p></span></p> <p class="MsoNormal" style="margin-left: 17pt; text-align: justify; text-indent: -11.35pt; line-height: 150%;"><!--[if !supportLists]--><span style="line-height: 150%;font-family:Symbol;font-size:14;" ><span style="">·<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="">Jenis plasenta previa<o:p></o:p></span></p> <p class="MsoNormal" style="margin-left: 17pt; text-align: justify; text-indent: -11.35pt; line-height: 150%;"><!--[if !supportLists]--><span style="line-height: 150%;font-family:Symbol;font-size:14;" ><span style="">·<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="">Banyak sedikitnya perdarahan<o:p></o:p></span></p> <p class="MsoNormal" style="margin-left: 17pt; text-align: justify; text-indent: -11.35pt; line-height: 150%;"><!--[if !supportLists]--><span style="line-height: 150%;font-family:Symbol;font-size:14;" ><span style="">·<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="">Keadaan umum ibu<o:p></o:p></span></p> <p class="MsoNormal" style="margin-left: 17pt; text-align: justify; text-indent: -11.35pt; line-height: 150%;"><!--[if !supportLists]--><span style="line-height: 150%;font-family:Symbol;font-size:14;" ><span style="">·<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="">Keadaan janin : hidup, gawat janin, meninggal<o:p></o:p></span></p> <p class="MsoNormal" style="margin-left: 17pt; text-align: justify; text-indent: -11.35pt; line-height: 150%;"><!--[if !supportLists]--><span style="line-height: 150%;font-family:Symbol;font-size:14;" ><span style="">·<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="">Pembukaan serviks<o:p></o:p></span></p> <p class="MsoNormal" style="margin-left: 17pt; text-align: justify; text-indent: -11.35pt; line-height: 150%;"><!--[if !supportLists]--><span style="line-height: 150%;font-family:Symbol;font-size:14;" ><span style="">·<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="">Paritas atau jumlah anak hidup<o:p></o:p></span></p> <p class="MsoNormal" style="margin-left: 17pt; text-align: justify; text-indent: -11.35pt; line-height: 150%;"><!--[if !supportLists]--><span style="line-height: 150%;font-family:Symbol;font-size:14;" ><span style="">·<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="">Fasilitas penolong dan rumah sakit.<o:p></o:p></span></p>
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class="MsoNormal" style="text-align: justify; line-height: 150%;"><b style=""><span lang="EN-US">Definisi<o:p></o:p></span></b></p> <p class="MsoNormal" style="text-align: justify; text-indent: 36pt; line-height: 150%;"><span lang="EN-US">Plasenta previa adalah plasenta yang letak abnormal, yaitu pada segmen bawah rahim menutupi sebagian atau seluruh pembukaan jalan lahir. Pada keadan normal plasenta terletak di bagian atas uterus.</span></p> <p class="MsoNormal" style="text-align: justify; line-height: 150%;"><b style=""><span lang="EN-US"><o:p> </o:p></span></b></p> <p class="MsoNormal" style="text-align: justify; line-height: 150%;"><b style=""><span lang="EN-US">Klasifikasi<o:p></o:p></span></b></p> <ol style="margin-top: 0cm;" start="1" type="1"><li class="MsoNormal" style="text-align: justify; line-height: 150%;"><span lang="EN-US">Plasenta previa totalis apabila seluruh pembukaan tertutup oleh jaringan plasenta.</span></li><li class="MsoNormal" style="text-align: justify; line-height: 150%;"><span lang="EN-US">Plasenta previa parsialis apabila sebagian pembukaan tertutup oleh jaringan plasenta.</span></li><li class="MsoNormal" style="text-align: justify; line-height: 150%;"><span lang="EN-US">Plasenta previa marginalis apabila pinggir plasenta berada tepat pada pinggir pembukaan.</span></li><li class="MsoNormal" style="text-align: justify; line-height: 150%;"><span lang="EN-US">Plasenta letak rendah apabila letaknya abnormal pada segmen bawah uterus akan tetapi belum sampai menutupi pembukaan jalan lahir. Pinggir plasenta kira-kira 2-3 cm diatas pinggir pembukaan.</span></li></ol> <p class="MsoNormal" style="text-align: justify; line-height: 150%;"><span lang="EN-US"><o:p> </o:p></span></p> <p class="MsoNormal" style="text-align: justify; line-height: 150%;"><b style=""><span lang="EN-US"><o:p> </o:p></span></b></p> <p class="MsoNormal" style="text-align: justify; line-height: 150%;"><b style=""><span lang="EN-US"><o:p> </o:p></span></b></p> <p class="MsoNormal" style="text-align: justify; line-height: 150%;"><b style=""><span lang="EN-US">Frekuensi <o:p></o:p></span></b></p> <p class="MsoNormal" style="text-align: justify; text-indent: 36pt; line-height: 150%;"><span lang="EN-US">Plasenta previa terjadi pada kira-kira 1 diantara 200 persalinan. Dirumah sakit cipto mangunkusumo antara 1971-1975 terjadi kira-kira 37 kasus plasenta previa.</span></p> <p class="MsoNormal" style="text-align: justify; line-height: 150%;"><span lang="EN-US"><o:p> </o:p></span></p> <p class="MsoNormal" style="text-align: justify; line-height: 150%;"><b style=""><span lang="EN-US">Etiologi<o:p></o:p></span></b></p> <p class="MsoNormal" style="text-align: justify; line-height: 150%;"><span lang="EN-US"><span style=""> </span>Mengapa plasenta bertumbuh pada segmen bawah uterus tidak selalu jelas dapat diterangkan. Bahwasanya vaskularisasi yang berkurang atau perubahan atropi pada desidua akibat persalinan yang lampau dapat mengakibatkan plasenta previa, tidaklah selalu benar karena tidaktidak nyata dengan jelas plasenta previa didapati pada paritas tinggi. Apabila aliran darah ke plasenta tidak cukup seperti pada kehamilan kembar, plasenta yang letaknya normal akan memperluas permukaannya sehingga mendekati atau menutupi pembukaan jalan lahir.</span></p> <p class="MsoNormal" style="text-align: justify; line-height: 150%;"><span lang="EN-US"><o:p> </o:p></span></p> <p class="MsoNormal" style="text-align: justify; line-height: 150%;"><b style=""><span lang="EN-US">Gambaran Klinik<o:p></o:p></span></b></p> <p class="MsoNormal" style="text-align: justify; text-indent: 36pt; line-height: 150%;"><span lang="EN-US">Gejala utamanya adalah perdarahan tanpa alasan tanpa nyeri. Perdarahan dapat terjadi selagi penderita tidur. Perdarahan pertama biasanya tidak banyak sehingga tidak akan berakibat fatal. Perdarahan berikut biasanya lebih banyak apalagi kalau dilakukan pemeriksaan dalam.</span></p> <p class="MsoNormal" style="text-align: justify; text-indent: 36pt; line-height: 150%;"><span lang="EN-US"><span style=""> </span>Darah berwarna merah segar, berlainan dengan solusio berwarna kehitam- hitaman. Sumber perdarahan adalah sinus uterus yang terobek karena terlepasnya plasenta dari dinding uterus atau karena robekan sinus<span style=""> </span>marginalis dari plasenta. Perdarahan tidak dapat dihindarkan karena serabut otot SBR tidak mampu berkontraksi untuk menghentikan darah. Makin rendah letak plasenta makin dini perdarahan</span></p> <p class="MsoNormal" style="text-align: justify; text-indent: 36pt; line-height: 150%;"><span lang="EN-US">Turunnya bagian terbawah janin akan terhalang. Pada plasenta previa totalis didapatkan kepala belum masuk pintu atas panggul, pada plasenta previa parsialis didapatkan<span style=""> </span>kepala mengolak kesamping, plasenta previa posterior kepala menonjol diatas simpisis, plasenta previa anterior<span style=""> </span>bagian terbawah janin sukar ditentukan.</span></p> <p class="MsoNormal" style="text-align: justify; text-indent: 36pt; line-height: 150%;"><span lang="EN-US"><o:p> </o:p></span></p> <p class="MsoNormal" style="text-align: justify; line-height: 150%;"><b style=""><span lang="EN-US">Diagnosis<o:p></o:p></span></b></p> <p class="MsoNormal" style="text-align: justify; text-indent: 36pt; line-height: 150%;"><span lang="EN-US">Setiap perdarahan antepartum curigai plasenta previa sampai terbukti bukan plasenta previa. Pada anamnesis didapatkan perdarahan setelah 22 minggu tanpa nyeri, tanpa sebab. Pemeriksaan luar didapatkan bagian terbawah janin belum masuk PAP dan sukar didorong kedalam. Inspekulo dapat melihat asal darah dari OUE.</span></p> <p class="MsoNormal" style="text-align: justify; text-indent: 36pt; line-height: 150%;"><span lang="EN-US">Penentuan letak plasenta tidak langsung dengan cara radiografi, radioisotop, USG. Penentuan letak plasenta<span style=""> </span>langsung dengan<span style=""> </span>perabaan fornik didapatkan lunak bila antara kepala janin terdapat plasenta, padat bila tidak terdapat plasenta dan pemeriksaan melalui canalis servikalis teraba kotiledon. Apabila kotiledon plasenta teraba segera jari telunjuk dikeluarkan dari kanalis servikalis. Hal ini harus dilakukan dengan hati-hati karena dapat menyebabkan <span style=""> </span>perdarahan banyak.</span></p> <p class="MsoNormal" style="text-align: justify; text-indent: 36pt; line-height: 150%;"><span lang="EN-US"><o:p> </o:p></span></p> <p class="MsoNormal" style="text-align: justify; line-height: 150%;"><b style=""><span lang="EN-US">Penanganan<o:p></o:p></span></b></p> <p class="MsoNormal" style="text-align: justify; text-indent: 36pt; line-height: 150%;"><span lang="EN-US">Prinsip penaganan adalah setiap ibu perdarahan harus segera dikirim ke rumah sakit yang memiliki fasilitas transfusi dan operasi. Perdarahan yang terjadi pertama sekali jarang sekali menyebabkan kematian, asal sebelumnya tidak diperiksa dalam. Peradarahan berikutnya akan selalu lebih banyak daripada perdarahan sebelumnya. </span></p> <p class="MsoNormal" style="text-align: justify; text-indent: 36pt; line-height: 150%;"><span lang="EN-US">Apabila dengan penilaian ternyata perdarahan yang telah berlagsung atau yang akan berlangsung tidak akan membahayakan ibu dan anak, kehamilan belum cukup 36 minggu atau taksiran berat janin kurang dari 2500 gram dan persalinan belum mulai dapat dibenarkan untuk menunda persalinan sampai janin dapat hidup di luar kandungan. </span></p> <p class="MsoNormal" style="text-align: justify; text-indent: 36pt; line-height: 150%;"><span lang="EN-US">Penanganan pasif., pada kasus tertentu sangat bermamfaat untuk mengurangi angka kematian neonatus. Penderita dirawat di RS sejak perdarahan pertama, operasi dan transfusi harus bisa setiap saat. Anemia harus segera diatasi mengingat kemungkinan perdarahan berikutnya. Menilai perdarahan harus didasarkan pada pemeriksaan hemoglobin dan hematorit. </span></p> <p class="MsoNormal" style="text-align: justify; text-indent: 36pt; line-height: 150%;"><span lang="EN-US"><span style=""> </span></span></p> <p class="MsoNormal" style="text-align: justify; line-height: 150%;"><b style=""><span lang="EN-US">Memilih cara persalinan<o:p></o:p></span></b></p> <p class="MsoNormal" style="text-align: justify; text-indent: 36pt; line-height: 150%;"><span lang="EN-US">Pada umumnya cara persalinan yang terbaik tergantung dari <span style=""> </span>derajat plasenta previa, paritas dan banyaknya perdarahan. Beberapa hal lain yang harus diperhatikan ialah apakah pernah diperiksa dalam, atau sudah mengalami infeksi. </span></p> <p class="MsoNormal" style="text-align: justify; text-indent: 36pt; line-height: 150%;"><span lang="EN-US">Plasenta previa totalis merupakan indikasi mutlak untuk seksio sesarea tanpa menghiraukan faktor-faktor lainnya. Plasenta previa parsialis pada primigravida sangat cenderung untuk seksio sesarea. Perdarahan banyak apalagi berulang juga harus di seksio sesarea.</span></p> <p class="MsoNormal" style="text-align: justify; text-indent: 36pt; line-height: 150%;"><span lang="EN-US">Persalinan pervaginam dipertimbangkan pada multigravida dengan plasenta letak rendah, plasenta previa marginalis, plasenta previa parsialis dengan pembukaan >5 setalah dipecahkan ketuban. Bila <span style=""> </span>tidak mengurangi perdarahan maka harus di seksio sesarea. Hindari persalinan lama dan sulit karena dapat bahaya bagi ibu dan janin </span></p> <p class="MsoNormal" style="text-align: justify; line-height: 150%;"><span lang="EN-US"><o:p> </o:p></span></p> <p class="MsoNormal" style="text-align: justify; line-height: 150%;"><span lang="EN-US">Tujuan pemecahan ketuban pada persalinan pervagainam:</span></p> <p class="MsoNormal" style="margin-left: 36pt; text-align: justify; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span lang="EN-US"><span style="">•<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span lang="EN-US">Bagian terbawah janin akan menekan plasenta dan bagian plasenta yang berdarah</span></p> <p class="MsoNormal" style="margin-left: 36pt; text-align: justify; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span lang="EN-US"><span style="">•<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span lang="EN-US">Bagian plasenta yang berdarah dapat bebas mengikuti renggangan SBR sehingga pelepasan plasenta dari segmen bawah rahim lebih lanjut dapat dihindarkan<span style=""> </span></span></p> <p class="MsoNormal" style="text-align: justify; text-indent: 36pt; line-height: 150%;"><span lang="EN-US">Bila pemecahan selaput ketuban belum menghentikan perdarahan terdapat 2 cara untuk menekan plasenta:</span></p> <p class="MsoNormal" style="margin-left: 36pt; text-align: justify; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span lang="EN-US"><span style="">•<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span lang="EN-US">1. pemasangan cunam willett</span></p> <p class="MsoNormal" style="margin-left: 36pt; text-align: justify; text-indent: -18pt; line-height: 150%;"><!--[if !supportLists]--><span lang="EN-US"><span style="">•<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span lang="EN-US">2. Versi Braxton Hicks</span></p> <p class="MsoNormal" style="text-align: justify; line-height: 150%;"><span lang="EN-US"><span style=""> </span>Kedua cara ini sudah ditinggalkan dalam dunia kebidanan mutakhir karena seksio sesarea lebih aman.</span></p> <p class="MsoNormal" style="text-align: justify; line-height: 150%;"><span lang="EN-US"><o:p> </o:p></span></p> <p class="MsoNormal" style="text-align: justify; line-height: 150%;"><span lang="EN-US">Seksio Sesaria</span></p> <p class="MsoNormal" style="text-align: justify; text-indent: 36pt; line-height: 150%;"><span lang="EN-US">Dirumah sakit yang lengkap seksio sesaria merupakan cara terpilih. Nesbitt (1962) melaporkan 65% plasenta previa diselesaikan dengan seksio sesarea. Gawat janin atau kematian janin tidak boleh menjadi halangan untuk dilakukan seksio sesarea demi keselamatan ibu. Akan tetapi gawat ibu mungkin terpaksa menunda seksio sesarea sampai keadaannya dapat diperbaiki apabila fasilitas memungkinkan. Apabila fasilitas tidak memungkinkan jangan ragu-ragu untuk melakukan seksio sesarea jika itu satu-satunya tindakan terbaik.</span></p> <p class="MsoNormal" style="text-align: justify; text-indent: 36pt; line-height: 150%;"><span lang="EN-US">Walaupun diakui bahwa seksio sesaria trasperitonealis profunda merupakan jenis operasi yang terbaik akan tetapi hendaknya jangan ragu-ragu untuk melakukan seksio sesaria korporalis apabila ternyata plasenta pada dinding depan uterus, untuk menghindarkan sayatan pada plasenta dan menghindarakan sayatan pada segmen bawah uterus yang biasanya rapuh dan dengan pembuluh darah besar besar dengan demikian menghindarkan perdarahan post partum.</span></p>
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<br />QQhttp://www.blogger.com/profile/08812756639247377272noreply@blogger.com1tag:blogger.com,1999:blog-1240067650260037687.post-58681748022642538612010-09-26T07:31:00.000-07:002010-09-26T07:54:48.143-07:00let me be your woman...<p style="font-weight: bold; text-align: justify; font-family: lucida grande; color: rgb(255, 102, 102);"><em>the one who wakes you up with a morning kiss and serve your favourite breakfast..<br /></em></p><div style="text-align: justify; font-family: lucida grande; color: rgb(255, 102, 102);"> </div><p style="font-weight: bold; text-align: justify; font-family: lucida grande; color: rgb(255, 102, 102);"><em>never let you be late for office and never let you leave home with an empty stomach..</em></p><div style="text-align: justify; font-family: lucida grande; color: rgb(255, 102, 102);"> </div><p style="font-weight: bold; text-align: justify; font-family: lucida grande; color: rgb(255, 102, 102);"><em>the one who hand you cup of coffe every time you reach home?</em></p><div style="text-align: justify; font-family: lucida grande; color: rgb(255, 102, 102);"> </div><p style="font-weight: bold; text-align: justify; font-family: lucida grande; color: rgb(255, 102, 102);"><em>and cooks for dinner while waiting for you to come home, then fall asleep on the sofa…</em></p><p style="font-weight: bold; text-align: justify; font-family: lucida grande; color: rgb(255, 102, 102);"><br /><em></em></p><div style="text-align: justify; font-family: lucida grande; color: rgb(255, 102, 102);"><strong style="font-weight: bold;"></strong></div><p style="font-weight: bold; text-align: justify; font-family: lucida grande; color: rgb(255, 102, 102);">i dont want present,.</p><p style="font-weight: bold; text-align: justify; font-family: lucida grande; color: rgb(255, 102, 102);">i dont need flowers,.<br /></p><p style="font-weight: bold; text-align: justify; font-family: lucida grande; color: rgb(255, 102, 102);"><span style="font-size:130%;">i just want you..</span></p><p style="font-weight: bold; text-align: justify; font-family: lucida grande; color: rgb(255, 102, 102);">and i hope<em> that you could be the one who will watch me, make sure every thing is okay with me, listen to my busy days, help me handling things, and<span style="font-size:130%;"> be there erverytime i need you..</span><br /></em></p><div style="text-align: justify; font-family: lucida grande; color: rgb(255, 102, 102);"> </div><p style="font-weight: bold; text-align: justify; font-family: lucida grande; color: rgb(255, 102, 102);"><em>bring me back to the bedroom when I fall asleep in the living room couch..<br />and kiss me good night, and <span style="font-size:130%;">lend me your arms not a pillow</span>, and cover me with a blanket..</em></p><div style="text-align: justify; font-family: lucida grande; color: rgb(255, 102, 102);"> <em style="font-weight: bold;">to smile and thank me and hug me and kiss me</em><br /><em style="font-weight: bold;"></em><br /><em style="font-weight: bold;"></em><span style="font-size:130%;"><span style="font-weight: bold;">be kind to me, never yell at me..</span></span> </div><p style="font-weight: bold; text-align: justify; font-family: lucida grande; color: rgb(255, 102, 102);">hold me when hard times are coming and teach me how to be a good wife for you and mother for our future children, and<span style="font-size:130%;"> please don’t ever let me cry..</span></p><p style="font-weight: bold; text-align: justify; font-family: lucida grande; color: rgb(255, 102, 102);"><strong><big><br /></big></strong></p><p style="font-weight: bold; text-align: justify; font-family: lucida grande; color: rgb(255, 102, 102);"><strong><big>again,</big></strong></p><p style="font-weight: bold; text-align: justify; font-family: lucida grande; color: rgb(255, 102, 102);"><strong><big>I just need you.</big></strong></p><div style="text-align: justify; font-family: lucida grande; color: rgb(255, 102, 102);"> </div><p style="font-weight: bold; text-align: justify; font-family: lucida grande; color: rgb(255, 102, 102);"><span style="font-size:180%;"><em>So my life journey would become complete</em>..</span></p><p style="font-weight: bold; text-align: justify; font-family: lucida grande; color: rgb(255, 102, 102);"><br /></p><p style="font-weight: bold; text-align: justify; font-family: lucida grande; color: rgb(255, 102, 102);"><span style="font-size:180%;">.i.l.o.v.e.y.o.u.m.y.S.D.<br /></span> </p>QQhttp://www.blogger.com/profile/08812756639247377272noreply@blogger.com0tag:blogger.com,1999:blog-1240067650260037687.post-20137444954257550252010-07-12T04:58:00.000-07:002010-07-12T05:02:12.061-07:00one day with you<blockquote><span style="font-weight: bold; color: rgb(255, 153, 255);">i just want <span style="font-size:130%;">one day</span> with <span style="font-size:130%;">you</span></span><br /><span style="font-weight: bold; color: rgb(255, 153, 255);"><span style="font-size:130%;">one day</span> that i can spend that 24 hours <span style="font-size:130%;">only with you</span></span><br /><span style="font-weight: bold; color: rgb(255, 153, 255);"><span style="font-size:130%;">one day</span> holiday that i can share <span style="font-size:180%;">with no one but you</span></span><br /><span style="font-size:130%;"><span style="font-weight: bold; color: rgb(255, 153, 255);">can you give me that one day???</span></span><br /></blockquote>QQhttp://www.blogger.com/profile/08812756639247377272noreply@blogger.com0tag:blogger.com,1999:blog-1240067650260037687.post-4676531168957335132010-05-24T05:48:00.000-07:002010-05-24T05:49:53.289-07:00wanna grow old with you my man..<span style="font-weight: bold;">dr si pacar..<br /><br /></span><div style="text-align: center; font-weight: bold; color: rgb(255, 102, 102);"><span style="font-size:180%;">"Wait For Me"<br /></span> <br /> <span style="font-size:130%;">You are not alone tonight<br />Imagine me there by your side<br />It's so hard to be here so far away from you<br />I'm counting the days till<br />I'm finally done<br />I'm counting them down, yeah, one by one<br />It feels like forever till I return to you<br />But it helps me on those lonely nights<br />It's that one thing that keeps me alive<br /><br /><i>[Chorus:]</i><br />Knowing that you wait for me<br />Ever so patiently<br /><br />No one else knows the feeling inside<br />We hang up the phone without saying goodnight<br />Because it's the sound of your voice that brings me home<br />It's never been easy to say<br />But it's easier when I've gone away<br /><br /><i>[Chorus:]</i><br />Knowing that you wait for me<br />Ever so patiently<br />Yeah, you're everything I've ever dreamed of having and<br />It's everything I need from you just knowing that you wait for me<br /><br /><i>[Bridge:]</i><br />What I'd give<br />What I'd do<br />Knowing I'm not there for you<br />Makes it so hard to leave<br />What I'd give<br />What I'd do<br />Anything to get me home to you<br />And this time I'll stay<br /><br />And you wait for me<br />Ever so patiently<br />Yeah, you're everything I've ever dreamed of having and<br />It's everything I need from you just knowing that you wait for me <br /></span> </div>QQhttp://www.blogger.com/profile/08812756639247377272noreply@blogger.com0tag:blogger.com,1999:blog-1240067650260037687.post-33072377926016067712010-03-23T04:29:00.000-07:002010-03-23T04:32:00.114-07:00a little bit too much in love with you..<div style="text-align: center;"><span style="color: rgb(255, 0, 0);"><span style="font-weight: bold;"><span style="font-size:130%;"><span style="color: rgb(255, 102, 102);">MRS. DOINI<br />;)<br /></span></span></span></span></div>QQhttp://www.blogger.com/profile/08812756639247377272noreply@blogger.com0tag:blogger.com,1999:blog-1240067650260037687.post-66236018355285441922010-03-21T00:22:00.000-07:002010-03-21T00:31:08.898-07:00hufhhhhAkhir-akhir ini ngrasa hidup ak gni gni aj. gk ada perubahan, gk ada prbaikan. iri bgt sm org2 yg uda move on sm hidupny, yg jd lbh baik, jd lbh menarik, yg uda kerja, yg uda nikah, dll.<br />ak ttp gni gni aj dr dlu. mgkin pola pikir ak salah kali ya slama ini. soalny d saat org smuany uda get a better life, ak masi dgn hidup yg sm kyk dlu.<br />bnyk yg ak pgnin dr hidup ak, pgn jd lbh wanita, pgn cpt tamat, cpt kerja (okee klu yg ini lg djalanin, gk bs dpercepat.), pgn hubungan sm si pacar teramat sangat baik (kadang irii bgt sm pacaran yg dket, tp y suw lah naseeb jarak jauh huhuuu)<br />ak pgn hidup ak jd lbh baiiikkk....<br />ooh God..QQhttp://www.blogger.com/profile/08812756639247377272noreply@blogger.com0tag:blogger.com,1999:blog-1240067650260037687.post-3454761449267549122010-02-24T04:21:00.000-08:002010-02-24T04:27:58.038-08:00i just want happinesssetahun lebih 19 hari<br />284 hari, 9216 jam, 552960 menit<br /><br />but y r we still fighting at the same thing????QQhttp://www.blogger.com/profile/08812756639247377272noreply@blogger.com0tag:blogger.com,1999:blog-1240067650260037687.post-37228396983099536042010-01-16T23:01:00.000-08:002010-01-16T23:56:07.081-08:00JANGAN MENYERAH..<span style="color: rgb(255, 0, 0);"><span style="font-weight: bold;">ahahahhaaa judul blog ny kyk lagu d'masiv :))<br />lg nyemangatin diri sendiri skrg spy brtahan ampe 1 taon k dpn.<br />klu kt si mr. , yg salah itu mind set ak krn nganggap ini berat. Mkny yg kerasa emang berat. Salah ak jg yg pesimis dluan nganggap diri sndri bego'.<br />emang siiy ini emang berat, gk ada jg org yg blg co ass itu nyenengin. but kt si mr. lg, ini part of my life yg hrs ak jalanin.<br />smua org pny fase susah dlm ngejalanin hidupny. gk ak aj. cm wkt dtgny aj yg beda2. gk ada hidup yg seneng2 aj. pasti ada ujianny cobaanny.<br />ak down. ak stress. bljar aj bs ampe nangis saking takutny gk bs jwb pas d tnyin konsulen. saking takutny d hina. d marahin.<br />But eniwei, knp ak gk nyoba bwt jalanin ini smua sebaik mungkin aj. Bljr yg rajin, tekun. Gk mcm2. Selebihny pasrah aj sm Allah. At least i've tried. Ak cm perlu brtahan 52 minggu lg. Setahun lagi.<br /><span style="font-size:180%;">Setahun lagi bwt bkin papa mama adek2 n mr. bangga...</span><br />Cm setahun lagi kok.<br />Lgan klu jd dokter gampang, bkl bnyk dong dokter yg malpraktek. emang harus susah jd dokter ahahahahhh sumpah lah iah kedokteran ini, uda blajarny susah, biaya kul ny jg mahal. Jd mau gk mau klu uda trlanjur, nyemplung aj skalian. jgn setengah2. *depresi X(<br />aduuh ayoo semangat ms. nurshal!!!<br />LGAN PASTI SEBENTAR KOK SETAHUN ITU.<br />AK JG PASTI BISA.<br />INSYAALLAH BISA.<br />AMIIIIN YA ALLAH.<br /></span></span>QQhttp://www.blogger.com/profile/08812756639247377272noreply@blogger.com0tag:blogger.com,1999:blog-1240067650260037687.post-31081197741495644922010-01-09T20:31:00.000-08:002010-01-09T21:15:08.300-08:00hepi nu year 4 all :)<div style="text-align: center;"><span style="font-weight: bold;"><span style="color: rgb(51, 204, 0);"><span style="font-weight: bold;"><span style="font-weight: bold;"><span style="font-size:180%;"><span style="color: rgb(255, 0, 0);"><br />HAPPY NU YEAAARR!!!!<br />^ ^<br /></span></span></span></span></span></span><div style="text-align: left;"><span style="font-weight: bold;"><br /></span><br /><span style="font-weight: bold;"><span style="font-weight: bold;"><span style="font-size:100%;"><span style="color: rgb(51, 204, 0);">Uda taun bru aj n bru nyadar klu uda lama bgt gk menyentuh blog ini. God, i miss blogging!!!<br />>> kmrn2 jg smpt mu nulis, tp krn uda klamaan gk bkin postingan jd ilang feel bwt bkin postingan ;(</span></span></span></span><br /><span style="font-weight: bold;"><span style="font-weight: bold;"><span style="font-size:100%;"><span style="color: rgb(51, 204, 0);"><br />eniwei, 2009 uda brlalu iah. Tramat cpt bwt gw.<br />Mgkin krn lots things happened. klu d flash back lagiii....<br /><span style="color: rgb(255, 153, 255);font-size:130%;" >Januari</span>, lg sibuk main2, senang2 ny pdkt hueheheee xp<br /><span style="color: rgb(255, 153, 255);font-size:130%;" >Februari</span>, lg hepi2 ny <span style="color: rgb(255, 102, 102);font-size:130%;" >jadian :)</span> trus tamat kuliah. yippiyyy!!<br /><span style="color: rgb(255, 153, 255);font-size:130%;" >Maret</span>, lg stress2ny bljr bwt ujian kompre.<br /><span style="color: rgb(255, 153, 255);font-size:130%;" >April</span>, sama aj. Sibuk blajar. Gk prnh2 ny bljr ampe enek wakakakakk<br /><span style="color: rgb(255, 153, 255);font-size:130%;" >Mei</span>, 1st time broke up ;( sm<span style="font-size:130%;"><span style="color: rgb(255, 102, 102);"> yudisium S.Ked</span></span>.. happy and sad at </span></span></span></span><span style="font-weight: bold;"><span style="font-weight: bold;"><span style="font-size:100%;"><span style="color: rgb(51, 204, 0);">the same time..<br /><span style="color: rgb(255, 153, 255);font-size:130%;" >Juni</span>, pengumuman klu gw gk lulus kompre. Ohh, God! bljr lbh gilaa lg dr kompre sbelumny bwt ngejar kompre k 2.<br /><span style="color: rgb(255, 153, 255);font-size:130%;" >July</span>, kompre k 2 n KKN!! Damn!!<br /><span style="color: rgb(255, 153, 255);font-size:130%;" >Agustus</span>, masi KKN n<span style="color: rgb(255, 102, 102);font-size:130%;" > wisuda S.KED!!</span> AYEYY!!<br /><span style="color: rgb(255, 153, 255);font-size:130%;" >September</span>, lulus kompre n <span style="font-size:130%;">co ass prtama d siklus mata!</span> :) n <span style="color: rgb(255, 102, 102);font-size:130%;" >ktemu mr. </span></span></span></span></span><span style="font-weight: bold;"><span style="font-weight: bold;"><span style="font-size:100%;"><span style="color: rgb(51, 204, 0);"><span style="color: rgb(255, 102, 102);font-size:130%;" >hubbybaby</span> stlh nyaris stahun gk ktemu. </span></span></span></span><span style="font-size:130%;"><span style="font-weight: bold;"><span style="color: rgb(255, 102, 102);">MISS YOU MUCH MISTEERR!! ;)</span></span></span><span style="font-weight: bold;"><span style="font-weight: bold;"><span style="font-size:100%;"><span style="color: rgb(51, 204, 0);"><br /><span style="color: rgb(255, 153, 255);font-size:130%;" >Oktober</span>, <span style="color: rgb(0, 0, 102);font-size:130%;" >GEMPA!! </span>:'( padang berduka. thnk God, gw selamat. Pdhl nyaris bgt. Huufht.<br /><span style="color: rgb(255, 153, 255);font-size:130%;" >November</span>, STRESS <span style="font-size:130%;">siklus Anestesi!!</span> Smoga gk ngulang siklus yg ini. AMIIIN.<br /><span style="color: rgb(255, 153, 255);font-size:130%;" >Desember</span>, Radiologi n <span style="color: rgb(255, 102, 102);font-size:130%;" >family holiday bareng my hubbybaby</span> jg ehehehehhh best holiday ever. walo cm bntar. Sedih bgt rasa ny wkt pisah d bandara huaaaaa :'(<span style="color: rgb(255, 102, 102);"> <span style="color: rgb(255, 102, 102);font-size:130%;" >bye mister. smoga kta cpt brtemu lg.</span></span><span style="color: rgb(255, 102, 102);font-size:130%;" > </span>huuukkssss.<br />daaaaaannnnnnnn skrg uda <span style="color: rgb(255, 153, 255);font-size:130%;" >Januariiiiiiiii 2010.</span> Bsk uda masuk <span style="font-size:130%;">siklus Interne.</span> </span></span></span></span><span style="font-weight: bold;"><span style="font-weight: bold;"><span style="font-size:100%;"><span style="color: rgb(51, 204, 0);">Huuufffhhh. Bkl capek bgt n blog ini bkl d anggurin lg.<br />Bln dpn uda februari lg, <span style="color: rgb(255, 102, 102);font-size:130%;" >my anniversary with mr. hubbybaby n my brthday</span>. tp kykny gk bkl brasa apa2 ulangtahunny scara capek interne. fheeewww. bru nyadar klu jd dokter itu susah ;(<br /><br />okeeey enough dlu kykny.<br />mu bljr bwt interne bsk. Wish me luck d interne people!!<br />X__X<br /><br /><br /></span></span></span></span><span style="font-weight: bold;"><span style="font-weight: bold;"><span style="font-size:100%;"><span style="color: rgb(51, 204, 0);">.,smpi postingan slanjutnya,.<br /></span></span></span></span><span style="font-weight: bold;"><span style="font-weight: bold;"><span style="font-size:100%;"><span style="color: rgb(51, 204, 0);"><span style="color: rgb(255, 102, 102);">XOXO ;)</span><br /><br /><br /></span></span></span></span><div style="text-align: center;"><a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiRUnPlgsN2lSPhaCjpvlKTnP8kNoGu3QjzsQrID_ahqmnhYbzTgbPY_uh1tSsi0n6-C6amRcdGRImbmRm7xEbZIIMjO-k47ooEaNmgp3aiaVcPfTu-oWh81MQyyayVd_YUqryyhgEA22yy/s1600-h/luv.jpg"><img style="margin: 0px auto 10px; display: block; text-align: center; cursor: pointer; width: 198px; height: 299px;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiRUnPlgsN2lSPhaCjpvlKTnP8kNoGu3QjzsQrID_ahqmnhYbzTgbPY_uh1tSsi0n6-C6amRcdGRImbmRm7xEbZIIMjO-k47ooEaNmgp3aiaVcPfTu-oWh81MQyyayVd_YUqryyhgEA22yy/s320/luv.jpg" alt="" id="BLOGGER_PHOTO_ID_5424972087620998354" border="0" /></a><br /><span style="color: rgb(255, 102, 102); font-weight: bold;"><span style="font-size:100%;">si mr. lg sidak d hp saia huehee xp<br /></span></span></div><br /><span style="font-weight: bold;"><span style="font-weight: bold;"><span style="font-size:100%;"><span style="color: rgb(51, 204, 0);"><br /><br /></span></span></span><span style="color: rgb(51, 204, 0);"><span style="font-weight: bold;"><span style="font-weight: bold;"><span style="font-size:180%;"><span style="color: rgb(255, 0, 0);"></span></span></span></span></span></span><span style="color: rgb(51, 204, 0);"></span><span style="font-weight: bold;"><span style="color: rgb(51, 204, 0);"><span style="font-weight: bold;"><span style="font-weight: bold;"><span style="font-size:180%;"><span style="color: rgb(255, 0, 0);"></span></span></span></span></span></span></div></div>QQhttp://www.blogger.com/profile/08812756639247377272noreply@blogger.com0tag:blogger.com,1999:blog-1240067650260037687.post-22509637618931085622009-07-08T08:53:00.000-07:002009-07-08T09:03:43.160-07:00i want theseee!!!!!<a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjk9llNud5oKKgui8pBXRNhHFL11Eq40VZognf9ejevyo8g0tdV_EhJAtWk0ve2ntqSsxIGfF-UJI3x7PcTTKPgxNhBBQuI8OMog5r590W4kujfe_a4JDLgvFWYJiN51EHvJDLdgmKh-Vgb/s1600-h/me+1.jpg"><img style="margin: 0px auto 10px; display: block; text-align: center; cursor: pointer; width: 320px; height: 210px;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjk9llNud5oKKgui8pBXRNhHFL11Eq40VZognf9ejevyo8g0tdV_EhJAtWk0ve2ntqSsxIGfF-UJI3x7PcTTKPgxNhBBQuI8OMog5r590W4kujfe_a4JDLgvFWYJiN51EHvJDLdgmKh-Vgb/s320/me+1.jpg" alt="" id="BLOGGER_PHOTO_ID_5356118933723877890" border="0" /></a><br /><a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhAq3jIhDFRnlFaYk6fod2IkwLaG9boXAY3mwvMSWBzpDnTIbal_7Yw873zaCaIjrSywcmsuEjojMZZB72AD8p5mKgXe9mD0BC-yMC9Md3kVQ2ppIZyGABH9VzmpKABUQDXc7lqakjHeWA2/s1600-h/me.jpg"><img style="margin: 0px auto 10px; display: block; text-align: center; cursor: pointer; width: 240px; height: 320px;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhAq3jIhDFRnlFaYk6fod2IkwLaG9boXAY3mwvMSWBzpDnTIbal_7Yw873zaCaIjrSywcmsuEjojMZZB72AD8p5mKgXe9mD0BC-yMC9Md3kVQ2ppIZyGABH9VzmpKABUQDXc7lqakjHeWA2/s320/me.jpg" alt="" id="BLOGGER_PHOTO_ID_5356118928710838594" border="0" /></a><span style="font-weight: bold; color: rgb(255, 0, 0);font-size:130%;" ><br />OOOOOOWWW MAAAIII GOD!!!<br />I'M DYING TO HAVE THOSE SHOES!!!!!<br />SOMEBODY PLIIS BUY ME THAT SHOES!!!!!!!!!!!!!!!!!!!!!!!</span><br /><br /><br /><br /><br /><span style="font-weight: bold;">* walo gk tawu mu d pake kmna spatu itu d padang ahahahahhh but i want it!!</span><br /><span style="font-weight: bold;">>.<</span>QQhttp://www.blogger.com/profile/08812756639247377272noreply@blogger.com0tag:blogger.com,1999:blog-1240067650260037687.post-88800760433743160302009-07-04T07:33:00.000-07:002009-07-04T07:57:30.640-07:00Tinggal brserah pasrah dan banyak berdoa.<strong><span style="color:#000099;">Akhirny selesai juga ujian kompre term k 2 saya <span style="font-size:130%;">MCQ</span> n <span style="font-size:130%;">OSCE.</span></span></strong><br /><strong><span style="color:#000099;">Y ALLAH tolong d lulus kan.</span></strong><br /><strong><span style="color:#000099;">Saya pengen cepet2 coass trus tamat jd dokter kluar dr padang kota nyebelin ini lalu bekerja. </span></strong><br /><strong><span style="color:#000099;">Spesialis?? tunggu deh nikah dlu ehehehh ;)</span></strong><br /><strong><span style="color:#000099;">amiiiiiiiiiiiiiiiiiiiiin.</span></strong><br /><strong><span style="color:#000099;">suda tak sanggup lagi lama2 dsni.</span></strong><br /><strong><span style="font-size:180%;color:#000099;">HARUS LULUS. AMIN.</span></strong><br /><strong><span style="color:#000099;">pgn bkin papa bangga.</span></strong><br /><strong><span style="color:#000099;">Cm ini yg bs ak kasih bwt papa.</span></strong>QQhttp://www.blogger.com/profile/08812756639247377272noreply@blogger.com0tag:blogger.com,1999:blog-1240067650260037687.post-32736042611404090592009-06-26T02:02:00.000-07:002009-06-26T03:15:51.737-07:00postingan gk pnting :P<strong>Td kan mkn sm lora d restoran gtuuw. trus ada rombongan ibu2 crewet yg bnyk gaya duduk d blkg kursi ak. pokony bnyk minta ny deh. kasian mbak2 pelayanNy. gaya ny jg sok tajir smua. jijay lah. ada 2 hal yg mintaaa ampuuun bgt sama ibu2 ini,.</strong><br /><strong></strong><br /><strong>yg pertama :</strong><br /><strong>ibu 1 : mbak mbak ini kok pesanan saya beda sama ibu ini? (tny si ibu k pelayan krn ngelied makanan temenny yg beda ma dy.)</strong><br /><strong>mbak2 pelayan : ibu td mesenny apa?</strong><br /><strong>ibu 1 : somay. tp kok ini temen saya ada kerupuk2 ny gtu?</strong><br /><strong>mbak2 pelayan : oooh. tmn ibu ini kan td mesenny batagor. ibu kan mesenny somay. klu batagor ada krupuk2ny gtu buk.</strong><br /><strong>ibu 1 : (dgn nyantainy) <span style="color:#ff0000;">oooh. itu batagor yah. saya kan gk tawu mbak.</span></strong><br /><strong></strong><br /><strong>*ak sama lora ngango dengerny. si ibu ini dr negara mana sih, batagor aj gk tawu. </strong><br /><strong></strong><br /><strong>scene 2 :</strong><br /><strong>ibu 2 : (ngomong sama ankny) gk kmu gk boleh mkn somay. pedes. kmu mkn nasi goreng aj.</strong><br /><strong>ankny : gk mauuu!! ak mau ny somay.</strong><br /><strong>ibu 2 : gk boleh. kmu turutin mama!!</strong><br /><strong>ankny : gak.</strong><br /><strong>ibu 2 : (pasang muka serius.) gak boleh. <span style="color:#ff0000;">ARE YOU UNDERSTAND!?!?</span></strong><br /><strong>ankny : yes. (sambil merengut.)</strong><br /><strong>ibu 2 : Good.</strong><br /><strong>trus si ibu 1 nglied ibu 2 dgn muka penuh kagum. Gk ngrti jg maksud pandangan kagum itu apa.</strong><br /><strong></strong><br /><strong>*ak ama lora sakit perut nahan ketawa. pantesan indonesia gk make english bwt bahasa k 2 ny kyk malaysia.</strong><br /><strong>ck,. ck,. ck,.</strong><br /><strong></strong><br /><strong></strong><br /><strong>eniwei td mlm debat capres seru yah, kyk lg nonton republik mimpi saking lucu ny ahahahahaa bwt saia yg paling yahuuudd itu waktu adegan kalla sm mega. kira2 gni deh dialogny,.</strong><br /><strong>mega : kalau pak jusuf kalla itu dulu karna ikut kerja sama saya,. (wkt bu mega masi jd presiden.)</strong><br /><strong>kalla : wkt itu kerja saya bagus kan buk? (wkt itu kalla jd menko kesra)</strong><br /><strong>mega : (dgn nyanteny n muka tak berdosa.) <span style="font-size:130%;color:#ff0000;">YA ENGGAK DOOONNGGG...</span></strong><span style="font-size:130%;"><br /><strong><span style="color:#ff0000;"></span></strong></span><br /><strong>pasti pak jusuf kalla malu bgt. penonton ktawa ngakak. Pak SBY senyum2 ahahahahahhhh</strong><br /><strong></strong><br /><strong>sekian deh postingan skrg. mksh uda baca yg gk pnting ini huehehehh</strong><br /><strong><span style="font-size:180%;color:#3366ff;">LANJUTKAN!!!!! ♥ ♥ </span></strong><br /><strong><span style="font-size:180%;color:#3366ff;">^ ^</span></strong>QQhttp://www.blogger.com/profile/08812756639247377272noreply@blogger.com0tag:blogger.com,1999:blog-1240067650260037687.post-46841187080772503432009-06-22T01:29:00.000-07:002009-06-22T01:34:13.773-07:00ntahLah,.,<strong><span style="color:#ffff99;">galau.</span></strong><br /><strong><span style="color:#ffff99;">resah.</span></strong><br /><strong><span style="color:#ffff99;">sial. perasaan macam apa ini!?</span></strong><br /><strong><span style="color:#ffff99;">knp jg menghampiri!<br />urgh.</span></strong><br /><strong><span style="color:#ffff99;">kacau rasanya.</span></strong><br /><strong><span style="color:#ffff99;">:'(</span></strong>QQhttp://www.blogger.com/profile/08812756639247377272noreply@blogger.com0tag:blogger.com,1999:blog-1240067650260037687.post-87628069514581847322009-06-19T07:31:00.000-07:002009-06-19T07:40:11.109-07:00ich vermisse dich.<strong></strong><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhnfcV8mhrSYsT3OTbsZWHqG3UD8z5uy5hd199tRpIc30Dh_T3PX7peuawsrosOLyulpttSzxbttJCXXopPPAyLm2eLYWSn0q8-FjlIgTKf-5pPmFcxv3Gn1tU3Y1BV_ukFrVIdg52sIW-G/s1600-h/nUn99u+kamUH.jpg"><img id="BLOGGER_PHOTO_ID_5349048174546568178" style="DISPLAY: block; MARGIN: 0px auto 10px; WIDTH: 193px; CURSOR: hand; HEIGHT: 228px; TEXT-ALIGN: center" alt="" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhnfcV8mhrSYsT3OTbsZWHqG3UD8z5uy5hd199tRpIc30Dh_T3PX7peuawsrosOLyulpttSzxbttJCXXopPPAyLm2eLYWSn0q8-FjlIgTKf-5pPmFcxv3Gn1tU3Y1BV_ukFrVIdg52sIW-G/s400/nUn99u+kamUH.jpg" border="0" /></a><br /><div align="center"><strong>i hate the feeling </strong></div><br /><div align="center"><strong>wen <span style="font-size:130%;">I MISS YOU BADLY</span> </strong></div><br /><div align="center"><strong>but i cant see you here, next to me. </strong></div><br /><div align="center"><strong>Not now, not today or even tomorrow. </strong></div><br /><div align="center"><strong>Must wait till i can hold ur hand or hug you,.</strong></div><br /><div align="center"><strong>:'( </strong></div><br /><div align="center"><strong>i hate dis longdistance between us,.</strong></div><br /><div align="center"><strong></strong></div><br /><div align="center"></div>QQhttp://www.blogger.com/profile/08812756639247377272noreply@blogger.com0tag:blogger.com,1999:blog-1240067650260037687.post-36967821203535716752009-06-15T00:35:00.000-07:002009-06-15T01:25:04.546-07:00if i fell in luv with yooouuuuuu... :)<p align="justify"><strong><span style="color:#ff99ff;">sukaaaaaa bgt ma lagu ini semenjak nonton <span style="font-size:130%;">ACROSS THE UNIVERSE :)</span></span></strong></p><p align="justify"><strong><span style="color:#ff99ff;">great movie. great songs. krn film ini d dedicated kan bwt the beatles. jd smua lagu d film ini lagu2 ny the beatles d nyanyiin ulang.</span></strong></p><p align="justify"><strong><span style="color:#ff99ff;">for me, lagu ini yg paling best. so i would like 2 share it. enjooooy., :)</span></strong></p><p align="justify"><strong><span style="color:#ff99ff;"> luv dis song muchmuch ^ ^</span></strong></p><p><iframe allowfullscreen='allowfullscreen' webkitallowfullscreen='webkitallowfullscreen' mozallowfullscreen='mozallowfullscreen' width='320' height='266' src='https://www.blogger.com/video.g?token=AD6v5dyDGjP2OhLqTpYuzvT7Hl1Mbdh_cCKm5PzUB_GBHwp4j4Vn3vFqHIhYNAbHVpvaivLLrxcFQfKHFbT0kDCYqQ' class='b-hbp-video b-uploaded' frameborder='0'></iframe></p><p align="center"><span style="font-size:180%;color:#ff6666;"><strong><em>IF I FELL</em></strong></span></p><p align="center"><strong><span style="color:#ff6666;">If I fell in love with you</span></strong></p><p align="center"><strong><span style="color:#ff6666;">Would you promise to be true</span></strong></p><p align="center"><strong><span style="color:#ff6666;">And help me understand</span></strong></p><p align="center"><strong><span style="color:#ff6666;">'cause I've been in love before</span></strong></p><p align="center"><strong><span style="color:#ff6666;">And I found that love was more</span></strong></p><p align="center"><strong><span style="color:#ff6666;">Than just holding hands</span></strong></p><p align="center"><strong><span style="color:#ff6666;">If I give my heart to you</span></strong></p><p align="center"><strong><span style="color:#ff6666;">I must be sure</span></strong></p><p align="center"><strong><span style="color:#ff6666;">From the very start</span></strong></p><p align="center"><strong><span style="color:#ff6666;">That you would love me more than her*</span></strong></p><p align="center"><strong><span style="color:#ff6666;">If I trust in you, oh please</span></strong></p><p align="center"><strong><span style="color:#ff6666;">Don't run and hide</span></strong></p><p align="center"><strong><span style="color:#ff6666;">If I love you too, oh please</span></strong></p><p align="center"><strong><span style="color:#ff6666;">Don't hurt my pride like her*</span></strong></p><p align="center"><strong><span style="color:#ff6666;">'cause I couldn't stand the pain</span></strong></p><p align="center"><strong><span style="color:#ff6666;">And I would be sad if our new love was in vain</span></strong></p><p align="center"><strong><span style="color:#ff6666;">So I hope you see that I</span></strong></p><p align="center"><strong><span style="color:#ff6666;">Would love to love you...</span></strong></p><p align="center"><strong><span style="color:#ff6666;">If I fell in love with you</span></strong></p><p align="justify"><strong><span style="color:#ff99ff;">*berhub ini lagu asliny punya the beatles. makany itu kata2ny "HER". So, NOPE. si rachel ini straight, bkn lebian. ehehehh.</span></strong></p><p align="justify"><strong><span style="color:#ff6666;"></span></strong> </p><p align="justify"><strong><span style="color:#ff6666;">P.S : if i fell in love with you bebb,,. oh noo wait,. i already fall for you. ehehh ;)</span></strong></p>QQhttp://www.blogger.com/profile/08812756639247377272noreply@blogger.com0tag:blogger.com,1999:blog-1240067650260037687.post-13028281999560751992009-06-12T06:45:00.000-07:002009-06-12T07:05:12.048-07:00i LOVE JUNE!!!!!!<strong><span style="font-size:130%;color:#33ff33;">SOOOOO HAAPPPIIYYYY.,.,.</span></strong><br /><strong><span style="color:#cc33cc;">br jg tgl 12,.</span></strong><br /><strong><span style="color:#cc33cc;"></span></strong><br /><strong><span style="color:#cc33cc;">first,.</span></strong><br /><strong><span style="color:#cc33cc;">10 june : <span style="font-size:130%;color:#33ff33;">daddy's brthday.</span> hepi brthdaiiy papahsayang</span></strong><br /><strong><span style="color:#cc33cc;"></span></strong><br /><strong><span style="color:#cc33cc;">12 june : which is today, <span style="font-size:130%;color:#33ff33;">bebebb's brthday</span> trustrus <span style="font-size:130%;"><span style="color:#33ff33;">si adek lulus ITB!!!!</span><br /></span></span></strong><br /><strong><span style="font-size:180%;color:#ff0000;">yippiyyaiiyippiyyyayyeyyy!!!<br />^ ^</span></strong><br /><strong><span style="color:#cc33cc;"></span></strong><br /><strong><span style="color:#cc33cc;">smoga smua kbahagiaan ini brlanjut. </span><span style="font-size:130%;color:#ff0000;">Smoga HARUS lulus kompre term k 2 ntar. AMIIIN.</span></strong><br /><strong><span style="color:#cc33cc;"></span></strong><br /><strong><span style="color:#cc33cc;">*dis is wat i want from my life, cm ini tujuan hidup ku. </span><span style="color:#33ff33;"><span style="font-size:130%;">seneng. bahagia.</span> </span></strong><br /><strong><span style="color:#cc33cc;">i really dont need a perfect life, just a happy one :) </span></strong><br /><strong><span style="font-size:180%;color:#ff0000;">thnk God. trimakasih Allah. alhamdulillah.</span></strong><br /><strong><span style="font-size:180%;color:#ff0000;"></span></strong><br /><strong><span style="font-size:180%;color:#ff0000;"></span></strong><br /><strong><span style="color:#cc33cc;">td si papa nelpon,. papa blg ini <span style="font-size:130%;">kado <span style="color:#ff0000;">paling hebaaat dr smua ultah papa.</span></span> ank ny lulus ITB. papa blg ak <span style="color:#ff0000;">harus lulus kompre ntar,</span> biar kado ultah papa lengkap. ak lgsg ngrasa geblek bgt yak jd kakak. yg paling tua justru ak yg males2an gni. hahahahh. sudasuda <span style="font-size:130%;color:#ff0000;">hrs brusaha jauh lbh keras k dpnny.</span> </span></strong><br /><strong><span style="font-size:180%;color:#ff0000;">Y ALLAH SMOGA BS NGASIH KADO YG PAPA PENGENIN ITU. AMIIIIIIIIN. CM PGN BKIN PAPA BAHAGIA.</span></strong>QQhttp://www.blogger.com/profile/08812756639247377272noreply@blogger.com0tag:blogger.com,1999:blog-1240067650260037687.post-26697144460884199962009-06-11T21:50:00.000-07:002009-06-11T22:02:32.508-07:00heppy belated birthday daarrlliinggggg :)<p><strong><span style="color:#ff6666;"><span style="font-size:180%;">Herzlichen Glückwunsch zum Geburtstag</span> <span style="font-size:180%;">bebebb,.</span></span></strong></p><br /><p><span style="font-size:130%;color:#cc66cc;"><strong>heppy brthdaaayyy,.</strong></span></p><br /><p><strong><span style="color:#cc33cc;">slamat hari lahiiiiiirrrrr,.</span></strong></p><br /><p><span style="font-size:180%;color:#ff0000;"><strong>^ ^</strong></span></p><br /><p><span style="font-size:180%;color:#ff0000;"><strong>slalusamaakuiah</strong></span></p><br /><p><strong><span style="color:#33ff33;">ichliebedichsoviieeell</span></strong></p><br /><p><span style="font-size:180%;color:#ff6666;"><strong>selalu sangad sayang kamu donny ku :)</strong></span></p><br /><p><strong><span style="font-size:180%;color:#ff6666;"></span></strong></p><img id="BLOGGER_PHOTO_ID_5346301762649379698" style="DISPLAY: block; MARGIN: 0px auto 10px; WIDTH: 177px; CURSOR: hand; HEIGHT: 160px; TEXT-ALIGN: center" alt="" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEidEQiqejR2O0YL3to7lslSa9MzKzGztkkMtawKdNosea3fvG2TvQwfn1sNHQHvRIEqRs8247OjNX1NE3ufUO7NXC9DsUOMFZCLHkPBw_map6C9hBwiNuk5M1nG0vfTr7kVXS4rmYrD3_vg/s400/i-love-you-this-much-award4.jpg" border="0" /><br /><p><strong><span style="font-size:180%;color:#ff6666;"></span></strong></p>QQhttp://www.blogger.com/profile/08812756639247377272noreply@blogger.com0tag:blogger.com,1999:blog-1240067650260037687.post-33844662857116080762009-06-11T01:33:00.000-07:002009-06-11T03:12:26.946-07:00(again) just a thought.<strong><em><span style="color:#ff0000;">' God wants us to meet a few wrong people before meeting the right one. So that when we finally do meet the right person. We will know how to be greatful for the gift of love we find in each other.'</span></em></strong><br /><br /><strong>si bebebb crita tntg tmnny yg bru putus. they used 2 love each other so much. but they decided 2 take a break 4 a while bcoz they both lg sibuk2 ny. mreka masi brhubungan. <span style="color:#3333ff;">suddenly the man with another girl.</span> just like dat. he just <span style="color:#ff0000;">TOTALLY</span> 4get all bout her. Pdhl kmrn putus ny alasanny cm krn lg sm2 sibuk, jd drpd klahi trus. break aj dlu.</strong><br /><strong>i bet the girl pasti bnr2 broke into pieces.</strong><br /><strong>i ever at dat girl place. <span style="color:#3366ff;">being left 4 someone else.</span> it really hurt like hell. being dump just like dat. kyk ak gk brarti apa2.</strong><br /><strong>at dat time, i wondeer,. [cewek itu jg pasti mikir hal yg sma] knp cowok stega itu? knp cowok bgtu mudah ngelupain? </strong><br /><strong>ak jg prnh baca survey, abis putus jangka waktu cowok nglupain mantanny n brhub ma cewek lain itu <span style="color:#ff0000;">paling lama 1 bulan!!</span> itu riset, yg jawab <span style="color:#ff0000;">83%.</span> Pdhl klu <span style="color:#ff0000;">cewek bisa ampe brtahun2.</span></strong><br /><strong>Td jg nonton d'show d trans tv, tntg selingkuh. D tanyain sapa yg prnh d selingkuhin k penonton, yg tunjuk tgn paling bnyk <span style="color:#ff0000;">CEWEK.</span> trus pas prtanyaan sapa yg prnh walo skali aj selingkuh, guess wat,. yg plg bnyk tunjuk tgn itu <span style="color:#ff0000;">COWOK.</span></strong><br /><strong>apa bner cowok itu mang makhluk yg paling susah bwt setia????</strong><br /><strong>why??? </strong><br /><strong><span style="color:#ff0000;">why cant u just stick 2 one woman 4 the rest of ur life???</span></strong><br /><strong>ak bknny nge judge smua cowok kyk gni,. tp memang flirting itu <span style="color:#3366ff;">sifat dasar cowok</span> yg gk bs d tawar lg. the temptation is just too high rite boys?? ahahahh tp knp cowok itu bru bs setia abis brpetualang cinta yg lamaaaa bgt, bru mikir bwt setia. knp gk mikir dr awal sih??? </strong><br /><strong>ak jg tawu klu cowok yg setia, setia ny bs setiiiaaaa bgt. i have friends like dis. ampe nangis2 waktu putus ma cewek ny. ehehehh, ak bnr2 <span style="color:#3366ff;">standing aplause</span> dee bwt cowok yg setia gini.</strong><br /><strong>bwt cowok yg gk setia d luar sana n masi kpikiran bwt brpetualang cinta trus nyakitin cewek2,, coba mikir, gmn klu kmu yg d gtuin?? gmn klu adk ato kakak cewek kmu yg d gtuin ma cowok ny ato mama kmu d slingkuhin papa kmu??? think about dat 4 a moment. </strong><br /><strong>we're girls.</strong><br /><strong>we're human just like you.</strong><br /><strong>and we have <span style="color:#ff0000;">heart</span>.</strong><br /><strong><span style="color:#cc0000;">so, CAN'T YOU JUST KEEP THAT HEART INSTEAD OF BREAKING IT????</span></strong><br /><strong><span style="color:#cc0000;"></span></strong><br /><strong></strong><br /><strong>oiah,. back 2 the topic,. mgkin jg,. krn sifat cowok yg gtuw lah, mkny putus. krn kyk quotes yg d atas td, mgkin aj abis nemu cowok yg salah, yg nyakitin kmu ini. abis itu kmu nemu cowok yg jauuuhhh lebih baik. krn in the end u'll marry <span style="color:#3366ff;">the perfect one.</span> the man. <span style="color:#33cc00;">cheer up girl!! :)</span></strong><br /><strong></strong><br /><strong>ak ngrasa brsyukur bgt skrg pny dy. scara klu dlu ak gk putus, i'll never meet <span style="color:#cc33cc;">him</span> rite? i'm really tired with <span style="color:#3366ff;">lies,</span> <span style="color:#3366ff;">cheating and all the never ending drama</span>. and 4 now i'm so glad <span style="color:#cc33cc;">he</span> promise me <span style="color:#cc33cc;">he'll be faithful</span>. coz <span style="color:#cc33cc;">i promise him</span> dat too. in the end, trserah Allah aj lg.</strong><br /><strong></strong><br /><strong>eniweiiiiyyzz,. brhub ini blog tntg <span style="color:#3366ff;">betapa unfaithful ny boys can be</span>,.</strong><br /><strong>ak mu ngutip lirik lagu ny <span style="color:#33cc00;">Beyonce</span> yg <span style="color:#33cc00;">IF I WERE A BOY,.</span></strong><br /><strong><span style="color:#000000;">aahahahahhhh</span></strong><br /><strong>enjooooyyy :)</strong><br /><strong></strong><br /><div align="center"><strong><span style="color:#33cc00;">"If I Were A Boy"</span></strong></div><div align="center"><strong></strong></div><div align="center"><strong>[Verse] If I were a boy </strong></div><div align="center"><strong>Even just for a day </strong></div><div align="center"><strong>I’d roll outta bed in the morning </strong></div><div align="center"><strong>And throw on what I wanted then go </strong></div><div align="center"><strong>Drink beer with the guys </strong></div><div align="center"><strong>And chase after girls </strong></div><div align="center"><strong>I’d kick it with who I wanted </strong></div><div align="center"><strong>And I’d never get confronted for it. </strong></div><div align="center"><strong>Cause they’d stick up for me. </strong></div><div align="center"><strong>[Chorus] </strong></div><div align="center"><strong>If I were a boy </strong></div><div align="center"><strong>I think I could understand </strong></div><div align="center"><strong>How it feels to love a girl </strong></div><div align="center"><strong>I swear I’d be a better man. </strong></div><div align="center"><strong><span style="color:#33cc00;">I’d listen to her </span></strong></div><div align="center"><strong><span style="color:#33cc00;">Cause I know how it hurts </span></strong></div><div align="center"><strong><span style="color:#33cc00;">When you lose the one you wanted </span></strong></div><div align="center"><strong><span style="color:#33cc00;">Cause he’s taken you for granted </span></strong></div><div align="center"><strong><span style="color:#33cc00;">And everything you had got destroyed</span> </strong></div><div align="center"><strong>[Verse] </strong></div><div align="center"><strong>If I were a boy </strong></div><div align="center"><strong>I would turn off my phone </strong></div><div align="center"><strong>Tell everyone it’s broken </strong></div><div align="center"><strong>So they’d think that I was sleepin’ alone </strong></div><div align="center"><strong><span style="color:#33cc00;">I’d put myself first </span></strong></div><div align="center"><strong><span style="color:#33cc00;">And make the rules as I go </span></strong></div><div align="center"><strong><span style="color:#33cc00;">Cause I know that she’d be faithful </span></strong></div><div align="center"><strong><span style="color:#33cc00;">Waitin’ for me to come home (to come home)</span> </strong></div><div align="center"><strong>[Chorus] </strong></div><div align="center"><strong>If I were a boy </strong></div><div align="center"><strong>I think I could understand </strong></div><div align="center"><strong>How it feels to love a girl </strong></div><div align="center"><strong>I swear I’d be a better man. </strong></div><div align="center"><strong><span style="color:#33cc00;">I’d listen to her </span></strong></div><div align="center"><strong><span style="color:#33cc00;">Cause I know how it hurts </span></strong></div><div align="center"><strong><span style="color:#33cc00;">When you lose the one you wanted (wanted) </span></strong></div><div align="center"><strong><span style="color:#33cc00;">Cause he’s taken you for granted (granted) </span></strong></div><div align="center"><strong><span style="color:#33cc00;">And everything you had got destroyed</span> </strong></div><div align="center"><strong>[Bridge] </strong></div><div align="center"><strong>It’s a little too late for you to come back </strong></div><div align="center"><strong>Say its just a mistake </strong></div><div align="center"><strong>Think I’d forgive you like that </strong></div><div align="center"><strong>If you thought I would wait for you </strong></div><div align="center"><strong>You thought wrong </strong></div><div align="center"><strong>[Chorus 2]</strong></div><div align="center"><strong>But you’re just a boy </strong></div><div align="center"><strong>You don’t understand </strong></div><div align="center"><strong>Yeah you don’t understand </strong></div><div align="center"><strong>How it feels to love a girl someday </strong></div><div align="center"><strong>You wish you were a better man </strong></div><div align="center"><strong><span style="color:#33cc00;">You don’t listen to her </span></strong></div><div align="center"><strong><span style="color:#33cc00;">You don’t care how it hurts</span></strong></div><div align="center"><strong><span style="color:#33cc00;">Until you lose the one you wanted </span></strong></div><div align="center"><strong><span style="color:#33cc00;">Cause you’ve taken her for granted </span></strong></div><div align="center"><strong><span style="color:#33cc00;">And everything you have got destroyed</span> </strong></div><div align="center"><strong><span style="color:#3366ff;">But you’re just a boy</span></strong></div><div align="justify"></div><div align="justify"></div><div align="justify"><strong>^ ^</strong></div><div align="justify"><strong>eniwei, postingan blog kali ini <span style="color:#ff0000;">no offence</span> iah?? :)</strong></div><div align="justify"><strong>its just my thought. i'm sure der's looooooooooooooots man out there really faithful with his girl.</strong></div><div align="justify"><strong>and der's some girls jg kok yg gk setia ehehh ;D</strong></div><div align="justify"><strong></strong></div><div align="justify"><strong></strong></div><div align="justify"><strong>byeee,. cheerriiooo,.</strong></div><div align="justify"><strong><span style="color:#cc33cc;">xoxo</span> :)</strong></div>QQhttp://www.blogger.com/profile/08812756639247377272noreply@blogger.com0tag:blogger.com,1999:blog-1240067650260037687.post-53203663508973896202009-05-23T19:18:00.000-07:002009-05-23T19:30:42.643-07:00sakit.kecewa.<strong>*maybe it will sound a bit cliche,. but its true,.<br /><br />Love is about accepting ur partner the way he/she is.<br /><br />a movie said :<br />"klu kmu nyari yg lbh baik dr pasangan kmu. Ada bnyk d luar sana. Klu nyari kecocokan ampe cocok bgt jg gk bkl nemu, krn sharusny itu kalian saling menghormati n nrima. Tp klu kmu nglied pasangan kmu seutuhny, lebih n kurangny. Kmu bkl blg dy itu uda pas bgt."<br /><br />dats how i feel bout u before.<br />i accept u the way u r.<br />now i realize,. dats me, not u.<br />dats not how u feel bout me,.<br /><br /><br /><br />.sakit.kecewa.</strong>QQhttp://www.blogger.com/profile/08812756639247377272noreply@blogger.com1tag:blogger.com,1999:blog-1240067650260037687.post-44213283503334727712009-05-23T08:28:00.000-07:002009-05-23T19:29:41.261-07:00kecewa.<strong>ingin menulis sesuatu d sni,. supaya kmu tawu,. supaya kmu ngerti,. supaya kmu..<br />gimana kecewa ny aku,.<br />sgtu kecewa ny aku,.<br />sm kmu.</strong>QQhttp://www.blogger.com/profile/08812756639247377272noreply@blogger.com0tag:blogger.com,1999:blog-1240067650260037687.post-21648315198269488352009-05-19T04:04:00.000-07:002009-05-19T04:18:48.893-07:00Man's language of love?????<strong><span style="color:#ff6666;">it said dat man are the type that speak trough actions rather than words. it's time to girls to learn that language.</span></strong><br /><strong><span style="color:#ff6666;"></span></strong><br /><strong><span style="color:#ff6666;">maybe i do really have 2 learn MOREEE bout dis,.</span></strong><br /><strong><span style="color:#ff6666;"></span></strong><br /><strong><span style="color:#ff6666;">and man should learn MORE too bout dat sometimes girls need u 2 tell dem how u feel bout her,. i know its kinda "movie", but sometimes speak wif words is important. not just about by doing, keeping her safe or caring.</span></strong><br /><strong><span style="color:#ff6666;">bknny pgn d gombal,.</span></strong><br /><strong><span style="color:#ff6666;">but wen u did things den u tell her how u feel,.</span></strong><br /><strong><span style="color:#ff6666;">4 her, its completely a perfect moment dat she will always remember. </span></strong><br /><strong><span style="color:#ff6666;">trust me.</span></strong><br /><strong><span style="color:#ff6666;">i'm sure dat all girls agree with me ahahahahahhhh</span></strong><br /><strong><span style="color:#ff6666;">krn ini masalah stiap wanita :D</span></strong><br /><strong><span style="color:#ff6666;"></span></strong><br /><strong><span style="color:#ff6666;"></span></strong><br /><strong><span style="color:#ff6666;">yeaaah,. we both should learn more bout the other opposite's language,.</span></strong><br /><strong><span style="color:#ff6666;">^ ^</span></strong>QQhttp://www.blogger.com/profile/08812756639247377272noreply@blogger.com0tag:blogger.com,1999:blog-1240067650260037687.post-52205245035367435202009-05-19T00:34:00.000-07:002009-05-19T00:42:58.014-07:00just a thought,.<strong><span style="color:#6600cc;">its been 2 months,.</span></strong><br /><strong><span style="color:#6600cc;">masii aj kpikiran ini,,,,,,</span></strong><br /><strong><span style="color:#6600cc;">gk ada jg yg brubh,.</span></strong><br /><strong><span style="color:#6600cc;">i thought i was gud.</span></strong><br /><strong><span style="color:#6600cc;">i thought i've changed a lot.</span></strong><br /><strong><span style="color:#6600cc;">tp ttp aj,.</span></strong><br /><strong><span style="color:#6600cc;">uda brkali2 menanyakan hal yg sm dan brakhir dgn jwbn yg sma. malah gk ada jwbn ahahahhh.</span></strong><br /><strong><span style="color:#6600cc;">huuuufh. kecewa sangad kali ini.</span></strong><br /><strong><span style="color:#6600cc;">tahlah.</span></strong><br /><strong><span style="color:#6600cc;">husssh,. hussssh,. pergi,. gk mw mikirin ini lg,. gk mw sedih lg,.</span></strong><br /><strong><span style="color:#6600cc;">;(</span></strong><br /><strong><span style="color:#6600cc;">damn.</span></strong><br /><strong><span style="color:#6600cc;">i hate dis feeling.</span></strong>QQhttp://www.blogger.com/profile/08812756639247377272noreply@blogger.com0