Sistem rujukan maternal dan neonatal membutuhkan perbaikan untuk meningkatkan kualitas pelayanan kesehatan ibu hamil, bersalin dan bayi baru lahir. Beberapa kendala yang dihadapi antara lain prosedur rujukan yang lambat, keterbatasan sarana prasarana, dan ketidaksesuaian standar pelayanan antar fasilitas kesehatan. Perlu adanya kerja sama lintas sektor dan pemantapan sistem rujukan melalui peningkatan kapasitas sumber
14. PEMERINTAH PROPINSI POKJA /TIM GSI PEMDA KAB./KOTA TIM POKJA GSI KECAMATAN SATGAS GSI RUMAH SAKIT PROPINSI RUMAH SAKIT PONEK 24 JAM PUSKESMAS PONED PUSKESMAS POLINDES KADER / DUKUN MASYARAKAT / BUMIL DINAS KESEHATAN PROPINSI DINAS KESEHATAN KABUPATEN RS SWASTA KESEHATAN PROPINSI DR SWASTA BPS
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19. Strategi pemantapan rujukan PERBAIKAN MUTU PELAYANAN KLINIK & NON KLINIK MONITORING & EVALUASI PERBAIKAN PERBAIKAN KOORDINASI LINTAS SEKTOR KESINAMBUNGAN & KELEMBAGAAN PERBAIKAN MANAJEMEN DINKES DATI-II & RS REORIENTASI DINKES & RS DATI-II PENYUSUNAN KESEPAKATAN MANAJEMEN STRATEJIK MOBILISASI SUMBER DAYA PELATIHAN PERBAIKAN SISTIM JARINGAN INFORMASI RUJUKAN MANAJEMEN STRATEGI PEMANTAPAN SISTEM RUJUKAN DATI-II
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22. Pelaporan DIREKTORAT KESEHATAN KELUARGA Sub Dit Kebidanan & Kandungan DINAS KESEHATAN PROPINSI DINAS KESEHATAN KABUPATEN / KOTA BIDAN / BIDAN DI DESA PUSKESMAS PONED RUMAH BERSALIN SWASTA RS PONEK KABUPATEN / KOTA DIREKTORAT PELAYANAN MEDIK
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Editor's Notes
12/07/11
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12/07/11 Detecting problems and managing them early is different from “risk assessment.” In risk assessment, most people who are classified as “high risk” do not ultimately have complications, and a significant proportion of women who have complications do not have any identifiable “risk factors.” For example, 20% of women with eclampsia have seizures that occur without any warning signs, such as hypertension. Every patient, therefore, should be considered at risk for potential problems at labor and childbirth. They should be monitored closely regarding her emotional well-being, the progress of labor and the fetal status. With a heightened awareness, the provider is more likely to be ready for complications and to treat them without delay.
12/07/11 The partograph is a useful tool for monitoring the progress of labor. Use it to avoid unnecessary interventions so maternal and neonatal morbidity are not needlessly increased, to intervene in a timely manner to avoid maternal and neonatal morbidity or mortality and to ensure close monitoring of the woman in labor. At the alert line, the onset of the active phase of labor (4 cm), the patient is expected to reach full dilation at the rate of 1 cm/hour. At the action line, which is 4 hours to the risk of the alert line, the practitioner is signaled to take action if the patient is not following the expected course of labor.
12/07/11 The partograph is a useful tool for monitoring the progress of labor. Use it to avoid unnecessary interventions so maternal and neonatal morbidity are not needlessly increased, to intervene in a timely manner to avoid maternal and neonatal morbidity or mortality and to ensure close monitoring of the woman in labor. At the alert line, the onset of the active phase of labor (4 cm), the patient is expected to reach full dilation at the rate of 1 cm/hour. At the action line, which is 4 hours to the risk of the alert line, the practitioner is signaled to take action if the patient is not following the expected course of labor.
12/07/11 The partograph is a useful tool for monitoring the progress of labor. Use it to avoid unnecessary interventions so maternal and neonatal morbidity are not needlessly increased, to intervene in a timely manner to avoid maternal and neonatal morbidity or mortality and to ensure close monitoring of the woman in labor. At the alert line, the onset of the active phase of labor (4 cm), the patient is expected to reach full dilation at the rate of 1 cm/hour. At the action line, which is 4 hours to the risk of the alert line, the practitioner is signaled to take action if the patient is not following the expected course of labor.
12/07/11 The partograph is a useful tool for monitoring the progress of labor. Use it to avoid unnecessary interventions so maternal and neonatal morbidity are not needlessly increased, to intervene in a timely manner to avoid maternal and neonatal morbidity or mortality and to ensure close monitoring of the woman in labor. At the alert line, the onset of the active phase of labor (4 cm), the patient is expected to reach full dilation at the rate of 1 cm/hour. At the action line, which is 4 hours to the risk of the alert line, the practitioner is signaled to take action if the patient is not following the expected course of labor.
12/07/11 This WHO trial started in 1987.
12/07/11 This WHO trial started in 1987.
12/07/11 In this WHO partograph study, after using the partograph, there were significantly fewer women who had labor longer than 18 hours, needed augmentation of labor or had postpartum infection.
12/07/11 A Cochrane Review also evaluated the usefulness of applying specific criteria to diagnose active labor, to see if it had any effect on the outcome of labor. Specific criteria were used.