Trombositopenia adalah penurunan jumlah trombosit dibawah normal. Umumnya terjadi pada 7 ̶ 8% kehamilan. Trombositopenia dapat terjadi pada beberapa kondisi, beberapa diantaranya adalah kehamilan. Trombositopenia merupakan kelainan hemotologis umum kedua setelah anemia pada kehamilan. Perdarahan pada kasus obstetri berperan besar terhadap kematian ibu, yaitu sekitar 127.000 kematian setiap tahun di dunia. Perdarahan post partum merupakan mayoritas penyebabnya dan penyebab umum dari perdarahan post partum adalah gangguan koagulasi dan koagulopati. Seorang wanita, G4P3A0 parturien aterm kala I fase aktif, trombositopenia, presentasi bokong murni, TBBJ >3.500 gr direncanakan seksio caesarea (SC). Hasil laboratorium didapatkan Trombosit 7.000 mm3. Pemeriksaan didapatkan ekimosis di keempat extremitas. Penatalaksanaan anestesi pada pasien ini dilakukan dalam anestesi umum. Kondisi pasien pasca operasi, tidak didapatkan defisit neurologis maupun perdarahan aktif. Setelah diobservasi di ruang pemulihan, pasien dipindahkan ke ruang perawatan.
Kata kunci: Kehamilan, seksio caesaria, trombositopenia
Trombositopenia is a term of decrease in platelet count below normal value. 7 ̶ 8% happens in pregnancy. Trombositopenia can happen in several conditions, one of them was pregnancy. Trombositopenia is a hemotologic disorder that commonly happen secondary after anemia in pregnancy. Hemorrhage in obstetri cases play major role in mother’s death, around 127,000 mother died each year. Post partum hemorrhage is the major cause and the general cause of post partum hemorrhage was coagulation disorder and coagulopathy. A woman G4P3A0 in parturient at term phase I, trombositopenia, frank breech presentation, prediction baby body weight >3500 plan for cesarian section (c-section). The lab result shows platelet count 7000 mm3. From physical examination shows echimosis in both extremity. We performed the c-section in general anesthesia. Post operative condition, no sign of defisit neurologis nor active bleeding. After close monitoring in the recovery room, the patient then transferred to regular ward.
Key words: C-seksion, pregnancy, trombositopenia
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