Journal Amnioinfusi

7/25/2019 Journal Amnioinfusi

1/32

DISUSUN OLEH:

NININ ANGGREANI

IMSAK NUR SUBECHI

TUGAS JOURNALAmnioinfusion for th !r"ntion

of th M#onium As$ir%tion

S&n'rom


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BACKGROUND:

m%sih ()um $%sti %$%*%h %mnioinfusion $%'%+%nit% 'n,%n #%ir%n *tu(%n &%n, (r#%m$ur

m*onium %*%n mn,ur%n,i rsi*o *m%ti%n$rin%t%)- ,.%)% %s$ir%si m*onium (r%t %t%us'%n,- %t%u *'u%n&%/

METHODSK%mi m)%*u*%n $r#o(%%n mu)ti#ntr $%'% 0112

+%nit% h%mi)

Usi% *h%mi)%n 34 %t%u )(ih 'n,%n %ir *tu(%n

&%n, su'%h (r#%m$ur 'n,%n m*onium (%i*'n,%n %'% %t%u t%n$% %'%n&% "%ri%()$r)%m(%t%n DJJ/

Kmu'i%n s#%r% %#%* 'i(ri*%n tr%$i %mnioinfusi/


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RESULTS

Km%ti%n !rin%t%)- s'%n, %t%u (r%t sin'rom

%s$ir%si m*onium- %t%u *'u%n&% tr.%'i $%'%55 (%&i 65-7 $rsn8 '%ri +%nit% &%n, t)%h 'i(ri%mnioinfusion

37 (%&i 63-7 $rsn8 $rm$u%n '%)%m *)om$o*

*ontro) 6risi*o r)%tif- 0/94 intr"%) *&%*in%n 17$rsn- ;-29


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Ktu(%n &%n, t)%h (r#%m$ur tr.%'i $%'%

=)%*sis f%rin, '%n tr%*% %s$ir%si$n,is%$%n ()um tr(u*ti mn,ur%n,i rsi*osin'rom %s$ir%si m*onium/

Amnioinfusion t)%h 'iusu)*%n s(%,%i mto'untu* mn,ur%n,i risi*o sin'rom %s$ir%sim*onium/


5/32

M*%nism $otnsi%) m)i$uti $n,n#r%n'%ri m*onium- shin,,% mn,ur%n,i f*

m*%nis '%n in?%m%si- '%n (%nt%)%n '%rit%)i $us%t- shin,,% mm$r(%i*i t*%n%n$%'% um(i)i*us &%n, mn,%r%h * .%nin%#i'mi% 6su%tu *on'isi $r'is$osisi $%'%

sin'rom %s$ir%si m*onium8/

%mnioinfusion 'i*%it*%n 'n,%n

$n,ur%n,%n s#%r% *s)uruh%n '%)%msin'rom %s$ir%si m*onium '%n o$r%si#%s%r/


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stu'i tr(s%r- &%n, mnun.u**%n m%nf%%t&%n, .)%s (rhu(un,%n 'n,%n

%mnioinfusion- 'i)%*u*%n '%)%m )in,*un,%n'i m%n% intr%$%rtum rutin- $m%nt%u%n'n&ut .%ntun, .%nin '%n rsusist%si (%&i

$m%nt%u%n ti'%* trs'i%/

*om$)i*%si srius &%n, (is% tr.%'i s$rti$ro)%$sus t%)i $us%t- m(o)i '%)%m #%ir%n

*tu(%h #%ir%n '%n ru$tur r%him/


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r%n'omi@'- #ontro))' tri%) %'%)%h untu*mnntu*%n %$%*%h %mnioinfusionmn,ur%n,i risi*o h%si) *m%ti%n- s'%n,%t%u (r%t sin'rom %s$ir%si m*onium- %t%u*'u%n&%/ K%mi .u,% mni)%i '%m$%* '%riintr"nsi trh%'%$ risi*o *)%hir%n ss%r '%n,%n,,u%n $%'% i(u/

K%mi m)%*s%n%*%n $n)iti%n '%ri A$ri) 0111s%m$%i A,ustus 9;;3 'i 74 #ntr 'i 03n,%r%/

Mto'


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Kritri% in*)usi:%nit% h%mi) 'n,%n #%ir%n *tu(%n (r#%m$ur

m*onium/Usi% *h%mi)%n 34 min,,u %t%u )(ih/Ktu(%n su'%h $#%hsr"i*s 'i)%t%si %nt%r% 9 '%n = #mti'%* %'% in'i*%si untu* $n,irim%n mn's%*

6mis%)n&%- *hi)%n,%n 'n&ut .%ntun, .%nin

"%ri%(i)it%s '%n tr)%m(%t $r)%m(%t%n $%'% 3;< mnit $rr%n'omi@%tion 'n&ut .%ntun, .%ninm)%#%*8/


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Kritri% *s*)usi:'i#uri,%i %nom%)i .%nin (s%r-#horio%mnionitis-$)%snt% $r"i% %t%u $r'%r%h%n "%,in%-'i*t%hui %t%u 'i'u,% sro$ositif untu* hum%n

immuno'>#in#& "irus- h$%titis B %t%u C-hr$s *)%min %*tif- $o)&h&'r%mnios-


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S(%n&%* 0112 $rm$u%n s#%r% %#%* $%'% r%sio0:0 - tr$us%t $%'% )%&%n%n #om$utrr%n'omi@%tion/

!n,%#%*%n itu (rtin,*%t


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Infus *mu'i%n 'i)%n.ut*%n $%'% tin,*%t 9 m)

$r mnit m%*simum #%ir%n %'%)%h 07;; m)/!rm$u%n 'ini)%i o)h $m%nt%u%n *ontinu

t*%n%n intr%utrin %t%u 'n,%n $%)$%siutrus $%'% 07 mnit untu* t%n'%rm%si 'i u)tr%sono,r%$hi# "%)u%si/


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!%nt%u 'n&ut .%ntun, .%nin $%'% *'u%*)om$o*/

!n,,un%%n o*sitosin 'i$r(o)h*%n .i*% %'%

*tr)%m(%t%n '%)%m $r*m(%n,%n tn%,%

*r.%-L%r&n,os#o$& '%n intu(%si tr%*% '%n

$n,is%$%n &%n, 'is'i%*%n untu* (%&i 'n,%n

'$rsi $rn%$%s%n &%n, mm(utuh*%n "nti)%si

t*%n%n $ositif/m*onium sin'rom %s$ir%si 'i'>nisi*%n s(%,%i

,%n,,u%n $rn%$%s%n $%'% m$%t .%m $rt%m%

st)%h *)%hir%n/


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K%t,ori*%n:(r%t 6&%n, mmr)u*%n (%ntu%n "nti)%si

m*%ni*8s'%n, 6mmr)u*%n o*si,n s)%m% $%)in,

s'i*it 52 .%m %t%u $%'% *onsntr%si 5; $rsn%t%u )(ih (s%r t%$i t%n$% "nti)%si m*%ni*8/


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D%m$%* &%n, mun,*in tr.%'i:*m%ti%n $rin%t%)-mor(i'it%s srius- %t%u *'u%n&%- &%n, 'i'>nisi*%n

s(%,%i *h%'ir%n s*ur%n,


16/32

K%mi mm(utuh*%n 125 $rm$u%n '%)%msti%$ *)om$o* untu* mn't*si $nurun%n

tin,*%t m*onium sin'rom %s$ir%si '%ri 7-;$rsn 'i *)om$o* *ontro) mn.%'i 9-7$rsn $%'% *)om$o* 'n,%n %mnioinfusion

Smu% +%nit% *#u%)i mr*% &%n, hi)%n,untu* i*ut%n 'i%n%)isis ssu%i 'n,%n*)om$o* &%n, mr*% t)%h s#%r% %#%*/

K%mi mn,,un%*%n Stu'nts t


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Ef* '%ri intr"nsi ini %'%)%h &%n,'in&%t%*%n s(%,%i risi*o r)%tif 'n,%nintr"%) *&%*in%n 17 $rsn/

K%mi mn,,un%*%n $%*t soft+%r st%tisti*SAS 6"rsi 2/;8/

S$onsor in'ustri ti'%* mmi)i*i $r%n '%)%m's%in $n)iti%n- $n,um$u)%n '%t%-

$n,)o)%%n '%t%- %n%)isis- %t%u $nu)is%nn%s*%h/


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S(%n&%* 0/112 $rm$u%n 620-3 $rsn 'i%nt%r%n&% ti'%* mmi)i*i "%ri%() $r)%m(%t%n(ru)%n, $%'% 'n&ut .%ntun, .%nin $%'%$m%nt%u%n8 mn,%)%mi $n,%#%*%n- 117 * ,ru$%mnioinfusion '%n 0;;3 untu* *)om$o* *ontro)/

Sm(i)%n ()%s $rm$u%n 6= '%)%m %mnioinfusion

*)om$o* '%n 09 '%)%m *)om$o* *ontro)8 &%n,hi)%n, untu* mnin'%*)%n.uti/

S)%in itu- m$%t $rm$u%n 6'u% 'i *)om$o*%mnioinfusion '%n 'u% 'i *)om$o* *ontro)8 ti'%*

mmnuhi *ritri% *)%&%*%n '%n 'i*)u%r*%n '%ri%n%)isis/ D%ri +%nit% ini- $rsnt%si sun,s%n, '%ns%)%h s%tu *h%mi)%n $un&% s%u'%r% *m(%r/


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Dn,%n 'mi*i%n- 01=7 $rm$u%n &%n,

'im%su**%n '%)%m %n%)isis/K)om$o*


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A)%s%nn&% ti'%* 'i'o*umnt%si*%n '%)%m 90+%nit%/ !%'% *)om$o* *ontro)- 9; +%nit% 69-;

$rsn8 mn,%)%mi %mnioinfusion %t%s '%s%r*$utus%n sor%n, 'o*tr %t%u $rmint%%n$%sin/

r*unsi ,%n,,u%n $rn%$%s%n rin,%n ti'%*

(r('% s#%r% si,ni>*%n %nt%r% (%&i '%ri+%nit% '%)%m *)om$o* %mnioinfusion '%nor%n,


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S(u%h %n%)isis (rtin,*%t ti'%*mnun.u**%n $n,%ruh &%n, si,ni>*%n$%'% tin,*%t %mnioinfusion '%ri h%si)ut%m%- tr)$%s '%ri %$%*%h $r)%m(%t%n'%)%m )%.u .%ntun, .%nin 63-5 $rsn '%)%m*)om$o* %mnioinfusion "s 3-9 $rsn 'i

*)om$o* *ontro) r)%tif risi*o- 0-;7intr"%) *$r#%&%%n 17 $rsn- ;-49


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K%mi ti'%* mnmu*%n (u*ti htro,nit%s*ti*% *it% str%ti>*%si mnurut $r)%m(%t%n

'n&ut .%ntun, .%nin 6! F ;-958Oro$h%r&n,%) tin,*%t $n,is%$%n-

)%r&n,os#o$&- '%n intu(%si 'i ru%n, (rs%)in%'%)%h sru$% 'i %nt%r% *)om$o*


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t%) t%)i*%n %nt%r%*)om$o*


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Tin,*%t *m%ti%n i(u %t%u mor(i'it%s srius.u,% sru$% '%)%m 'u% *)om$o*/

Sor%n, +%nit% '%)%m *)om$o* *ontro)mnin,,%) st)%h (s%r %s$ir%si '%ri isi)%m(un, $%'% tu(%tion st)%h %nstsiumum untu* o$r%si C%s%r

R%t%


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o)um tot%) ,%r%m &%n, 'i(ri*%n %'%)%hs*it%r 0 )itr/

Continuous )*troni* 'n&ut .%ntun, .%nin'i)%*u*%n $m%nt%u%n &%n, s'i*it )(ih$srt% '%)%m *)om$o* %mnioinfusion'%ri$%'% 'i *)om$o* *ontro)/

Ms*i$un $m%nt%u%n .%nin )*troni* '%$%tmn&(%(*%n %+%) %si'osis .%nin 't*si '%nintr"nsi o(sttri )(ih srin,- $r%nn&%'%)%m $n#,%h%n sin'rom %s$ir%si m*onium()um 'i'>nisi*%n


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$r#o(%%n %#%* mnun.u**%n (%h+% tin,*%t*m%ti%n $rin%t%)- s'%n, %t%u (r%tsin'rom %s$ir%si m*onium- %t%u *'u%n&%ti'%* (r('% mnurut %mnioinfusion %$%*%h

itu %t%u ti'%* 'i)%*u*%n/


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K%mi ti'%* mnmu*%n (u*ti (%h+%%mnioinfusion mn,ur%n,i risi*o srius $%'%(%&i %t%u

Amnioinfusion h%n&%)%h s%)%h s%tu '%ris.um)%h intr"nsi &%n, (rtu.u%nmn,ur%n,i risi*o '%ri sin'rom %s$ir%sim*onium/


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CONCLUSION

!m(ri%n #%ir%n %mnioinfusi ti'%*

mn,ur%n,i rsi*o $%'% $%sin 'n,%nm*onium hi.%u m%u$un ,.%)% %s$ir%sim*onium $%'% .%nin- *m%ti%n $rin%t%)- '%n,%n,,u%n $%'% i(u '%n (%&i/

K%mi mn&im$u)*%n (%h+% ti'%* (o)h%mnioinfusion 'ir*omn'%si*%n untu*$n#,%h%n sin'rom %s$ir%si m*onium'%)%m $n,%tur%n trs(ut/

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Journal Amnioinfusi