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  REFERAT OBSTETRIC CLINICAL ALGORITHMS KEPANITRAAN KLINIK ILMU Obstetrics & Gynecology RUMAH SAKIT PERTAMINA BINTANG AMIN BANDAR LAMPUNG ! # Ole$ %Aeng H'(i H'r)'ni S*+e(Pe,bi,bing(r*-on(' Oct'ri'ningsi$. S/*OG Errol R* Nor0it1. George R* S''(e. H2g$ Miller. 3$ristin' M*D')i(son  Tes Pap smear adalah pemeriksaan sitologi dari serviks dan porsio untukmelihat adanya perubahan atau keganasan pada epitel serviks atau porsio sebagai tanda awal keganasan serviks atau prakanker 1.ABNORMAL PAP SMEAR IN PREGNANCY  Kol/os+o/i ,er2/'+'n s2't2 /rose(2r /e,eri+s''n )'gin' ('n ser)i+s(eng'n ,engg2n'+'n instr2,en +'c' /e,bes'r (eng'n /enc'$'y''n* P'(' '0'lny' (ig2n'+'n 2nt2+ ,en(ete+si +'n+er ser)i+s in)'si5 (ini 'si,/to,'ti+ tet'/i se+'r'ng (ig2n'+'n 2nt2+ ,en(ete+si +el'in'n /re in)'si5 (eng'n t22'n,enceg'$ /er+e,b'ng'n +'n+er ser)i+s in)'si5*  (i(i'gnosis ,el'l2i /e,eri+s''n ,i+ros+o/is. +e('l','n in)'si 8 9 ,, ('n e+stensi terl2's : # ,,IA % In)'si stro,' se('l', 8 ; ,, ('n sel2's 8 # ,,IA% In)'si stro,' se('l', : ; ,, ('n sel2's : # ,,IB% Lesi y'ng n',/'+ sec'r' +linis. terb't's /'(' ser)i+s 2teri 't'2 +'n+er /re+linis y'ng lebi$ bes'r ('ri/'(' st'(i2, IAIB % Lesi y'ng n',/'+ 8 < c,IB% Lesi y'ng n',/'+ : < c, Stadium II:  K'rsino,' y'ng ,engin)'si (e+'t 2ter2s. t'/i ti('+ ,engin)'si (in(ing /el)is 't'2 se/ertig' b'0'$ )'gin'IIA% T'n/' in)'si +e /'r',etri2,IIA % Lesi y'ng n',/'+ 8 < c,IIA% Lesi y'ng n',/'+ : < c,IIB% N',/'+ in)'si +e /'r',etri2, Stadium III:  T2,or ,el2's +e (in(ing /el)is ('n='t'2 ,elib't+'n se/ertig' b'0'$ )'gin' ('n='t'2 ,enyeb'b+'n $i(rone5rosis 't'2 ,er2s'+ gin'lIIIA% T2,or ,elib't+'n se/ertig' b'0'$ )'gin'. t'n/' e+stensi +e (in(ing /el)isIIIB% E+stensi +e (in(ing /el)is ('n='t'2 $i(rone5rosis 't'2 ,er2s'+ gin'l Stadium IV:  K'rsino,' y'ng ,el2's +e /el)is se'ti 't'2 tel'$ ,elib't+'n ,2+os' +'n(2ng +e,i$ 't'2 re+t2,*

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