RETENSIO PLASENTA
September 2010
2.1.1 Pengertian
Retensio plasenta adalah placenta belum lahir setengah jam setelah janin lahir.
Dari berbagai sumber yang menyebutkan beberapa penyebab dari retensio plasenta, maka dapat ditarik kesimpulan bahwa penyebab retensio plasenta adalah sebagai berikut:
1. HIS / usaha kontraksi uterus yang kurang kuat
2. Perlekatan plasenta pada dinding uterus, dimana semakin dalam plasenta melekat pada dinding uterus maka sebakin besar usaha yang diperlukan untuk mengeluarkannya.
3. Pimpinan kala III yang salah
4. Kelainan bentuk plasenta sehingga plasenta sukar lepas
Penanganan dari retensio plasenta:
1. Bila tidak terjadi perdarahan : perbaiki keadaan umum penderita
2. Bila terjadi perdarahan : lepaskan plasenta secara manual, jika plasenta dengan pengeluaran manual tidak lengkap dapat disusul dengan upaya kuretase.
3. Cara untuk melahirkan plasenta:
a. Cara normal
b. Manual Plasenta
c. Hysterectomia

Etilogi, Patofisiologi, Tanda Dan Gejala, Komplikasi, Penanganan, serta Prosedur Manual Plasenta

SKEMA TATALAKSANA RETENSIO PLASENTA
(lihat link utk detail)
link RETPLAS disini!

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