Solusio plasenta pada plasenta previa tanpa nyeri abdomen
Abstract
Abstrak. Kejadian solusio plasenta pada plasenta previa merupakan kasus yang jarang terjadi. Plasenta previa dapat menjadi faktor risiko dari solusio plasenta. Plasenta previa dan solusio plasenta secara klinis dibedakan dari gejala klinis adanya nyeri abdomen pada pasien sedangkan dari pemeriksaan USG, keakuratan diagnosis solusio plasenta diragukan. Solusio plasenta merupakan kasus kegawatdaruratan obstetric dengan outcome yang buruk pada ibu maupun janin. Laporan kasus ini melaporkan seorang wanita berusia 30 tahun G5P4A0 dengan usia kehamilan 36 minggu 5 hari yang datang ke IGD dengan keluhan utama perdarahan pervaginam tanpa adanya nyeri abdomen. Pasien telah dikenal menderita plasenta previa sebelumnya berdasarkan pemeriksaan USG terakhir. Pasien didiagnosis mengalami solusio plasenta pada plasenta previa tanpa adanya nyeri abdomen. Setelah dilakukan sectio caesarea dilahirkan bayi perempuan IUFD dengan berat badan 2800 gram, panjang badan 44 cm. Pada pasien juga ditemukan uterus couvelair kesan hipotonus dan dilakukan tindakan B-lynch.
Kata kunci: Solusio plasenta, plasenta previa, IUFD, uterus couvelair
Abstract. The occurrence of placental abruption in placenta previa is a rare case. Placenta previa can be a risk factor for placental abruption. Placenta previa and placental abruption were clinically distinguished from clinical symptoms of abdominal pain, whereas from ultrasound examination, the accuracy of the diagnosis of placental abruption was doubtful. Placental abruption is an obstetric emergency with poor outcomes for both mother and fetus. This study presented a 30-year-old woman G5P4A0 with 36 weeks gestasions came to the emergency room with the chief complaint of vaginal bleeding without abdominal pain. The patient had previous placenta previa based on the last ultrasound. The patient was diagnosed with placental abruption in placenta previa without abdominal pain. After a cesarean section, the fetus was stillbirth with a weight of 2800 grams, body length of 44 cm, grade 2 maceration.
Keyword: Placental abruption, placenta previa, stillbirth, Couvelair uterus
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DOI: 10.24815/jks.v22i3.26243
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