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Drama klinik 1

Hari selasa.

Drama setiap hari di klinik. Tapi hari ini dapat 2 kes yang hampir sama.

Kes 1.
Mak anak pertama. 38minggu
Keluar cecair jernih 3 hari.
Baru dtg hari ini sbb temujanji.
Demam tiada. Tiada sakit perut. Baby gerak ok.
Mak tak tahu tu air ketuban ke tak sbb sbb tak sakit.
Dx: air ketuban pecah awal? (Preterm premature rupture of membrane)

Kes 2.
Mak anak kedua. 33minggu
Sakit perut kontraksi dari malam tadi. Setiap 10minit perut mengeras.
Datang hari ini sbb temujanji.
Demam tiada. Baby gerak ok.
Mak rasa ok je. Ingat biasa
Kiraan kontraksi : 1:10:20 - satu kontraksi dalam 10minit selama 20saat
Dx: premature labour contraction? False contraction?


Tiap kali datang follow up mmg akan ditekankan tanda perlu ke hospital segera.
: sakit perut/ tanda bersalin/ baby kurang gerak.

Ibu selalu beralasan ikut tarikh temujanji / ingat ini normal proses.
No. You must always ask. Dan masa misi educate tu tolong dengar. Huhu.
The effect akan kena ke baby / ibu.  Antaranya: infeksi ke baby.



Pic googled : i find this very informative tentang cairan vagina yang kita kena alert. 

Pic googled 

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