1. Home
  2. Vol 24, No 3
  3. Sihotang

Characteristics and postpartum outcomes of severe preeclampsia patients in Arifin Achmad Regional Hospital 2019 - 2022

Jojor Sihotang, Imelda E.B Hutagaol

Abstract


Introduction   : Maternal mortality in Indonesia was caused by several major complications, including bleeding, infection, preeclampsia, eclampsia, unsafe abortion, and complications during labor. Preeclampsia was a complication in 2-5% of all pregnancies in the developing country. The mortality rate is approximately 76,000 maternal deaths and 500,000 fetal or newborn deaths each year worldwide.

Objective         : To determine the risk factors, complications and the postpartum outcomes of patients with severe preeclampsia in Arifin Achmad Regional Hospital from 2019 to 2022.

Methods           : This study is an study with a cross sectional design. Primary data were obtained from questionnaires that have been validated and secondary data through medical records.

Results              : The results showed that the characteristics of pregnant patients with preeclampsia included reproductive age (56.3%), ANC visits ≥4 times (56.3%), multigravida (51.6%) and obesity (62.5%). The risk factor that has a significant relationship with the incidence rate of severe preeclampsia is parity (P value 0,002). The most common maternal and neonatal complications due to severe preeclampsia were HELLP syndrome (32%) and IUFD (40%). The most common postpartum outcome was chronic hypertension (40%).

Conclusion          : Parity was a significant risk factor in cases of severe preeclampsia, the most common maternal complication was HELPP Syndrome with the most common neonatal complication was IUFD. Most common postpartum outcome was chronic hypertension.

Keywords


Severe preeclampsia; Postpartum outcome; Pregnancy complications

References


Akbar, M.I.A., Dachlan, E.G. (2011). Comparison between Early-onset and Late-onset Severe Preeclampsia during Onset of the Disease by Echocardiography Examination of Cardiac Output, Total Vascular Peripheral Resistance, and Doppler Velocimetry Examination of Uterine Artery Resistance Index. Majalah Obstetri dan Ginekologi, 19(2), 63-68.

Aksornphusitaphong, A., Phupong, V. (2013). Risk Factors of Early and Late Onset Preeclampsia.The Journal of Obstetrics and Gynaecology Research, 39(3), 627-31.

Cunningham, F.G., Leveno, K.J., Bloom, S.L., Spong, C.Y., Dashe, J.S., Hoffman, B.L., et al. (2014.) Williams Obstetrics. (24th ed). McGraw Hill Education.

Dennis, A.T. (2010). Cardiac Function in Women With Preeclampsia (Doctoral dissertation). Retrieved from Minerva Access.

Eppes, C., Witter, F.R. (2011). Hypertensive Disorders of Pregnancy. In Hurt K.J, Guile M.W, Bienstock J.L, Fox H.E, Wallach E.E (Eds). The John Hopkins Manual of Gynecology and Obstetrics. (4th ed). (pp. 186-94). Lippincott Williams & Wilkins.

Fahriani, M., Sari, S.F., Ramadhaniati, Y. (2020). Hubungan Usia dan Paritas Dengan Kejadian Preeklampsia Pada Ibu Hamil di Rumah Sakit Dr. M Yunus Bengkulu Tahun 2018. Midwiferia, 6(2), 29-34.

Gustri Y., Sitorus, R.J., Utama, F. (2016). Determinan Kejadian Preeklampsia pada Ibu Hamil di RSUP Dr. Mohammad Hoesin Palembang. Jurnal Ilmu Kesehatan Masyarakat, 7(3), 209-217.

Li D.K., Wi, S. (2000). Changing Paternity and the Risk of Preeclampsia/Eclampsia in the Subsequent Pregnancy. Am J Epidemiol, 151, 57–62.

Naljayan, M.V., Karumanchi, S.A. (2013). Perkembangan Baru dalam Patogenesis Preeklampsia. Penyakit Ginjal Kronis Adv, 20, 265–270.

Nankali, A., Malek-khosravi, S., Zangeneh, M., Rezaei, M., Hemati, Z., Kohzadi, M. (2013). Maternal Complications Associated with Severe Preeclampsia. Journal Obstetric Gynecology India, 63(2), 112-115.

Ramma, W., Ahmed, A. (2014). Therapeutic Potential of Statins and the Induction of Heme oxygenase-1 in Preeclampsia. J Reprod Immunol, 101–102(100), 153-160.

RCOG. (2011) Cardiac Disease and Pregnancy. Royal College of Obstetricians and Gynaecologists.

SDKI 2012. Survey Demografi dan Kesehatan Indonesia 2012.

Sibai, B.M. Etiology and Management of Postpartum Hypertension Preeclampsia. (2012) American Journal of Obstetrics and Gynecology, 206(6), 470-5.

Suwanti., Wibowo, EP., Safitri, N.A. (2012). Hubungan Tekanan Darah Dan Paritas Dengan Kejadian Preklampsia Di Ruang Bersalin RSUP NTB Tahun 2012. Media Bina Ilmiah, 8, 25-30.

World Health Organization. (2019). Maternal mortality. Retrieved from https://www.who.int/news-room/fact-sheets/detail/maternal-mortality. Accsessed August 25, 2020.


Full Text: PDF

DOI: 10.24815/jks.v24i3.36578

Refbacks

  • There are currently no refbacks.