PDF Lembar Observasi Persalinan [PDF]

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LEMBAR OBSERVASI A. MASUK KAMAR BERSALIN Tgl : .............................. Jam : ........................ ANAMNESE His mulai tgl : ............................ .. Jam : ...................... .. Darah : ................................................................... Lendir : ................................................................... Ketuban pecah / belum Jam : ........................ Keluhan lain : .............................. Jam : ........................ B. KEADAAN UMUM Tensi : .............................. Jam : ........................



C.



PEMERIKSAAN OBSTETRI



Suhu/ Nadi Oedema Lain-lain 1. Palpasi 2. DJJ



: .............................. Jam : ........................ : .............................. Jam : ........................ : .............................. Jam : ........................ : ................................................................... : ................................................................... 3. His 10” : ........................... x, lama..............detik 4. VT. Tgl : .............................. Jam : ........................ 5. Hasil : ................................................................... 6. Pemeriksa : ...................................................................



OBSERVASI KALA I (Fase Laten Ø < 4 cm) His dlm 10”



TanggalJam



Berapa kali



Lamanya



DJJ



Tensi Suhu Nadi



VT



Keterangan