Karakteristik Hipertensi pada Kehamilan di Rumah Sakit Daerah Klungkung Tahun 2017

Anak Agung Gde Marvy Khrisna Pranamartha, Ida Bagus Made Sukadana, I Gede Sudiarta

Abstract


Tujuan: Untuk mengetahui karakteristik pasien hipertensi pada kehamilan di RSUD Klungkung tahun 2017.
Metode: Penelitian ini merupakan penelitian cros-sectional deskriptif yang dilakukan di unit bersalin RSUD Klungkung selama periode Januari hingga April 2017. Analisis data dilakukan secara deskriptif
Hasil: Kejadian hipertensi pada kehamilan lebih banyak terjadi pada ibu usia 20-24 tahun, didapatkan kejadian preeklamsia ringan tinggi pada kehamilan multigravida, kejadian preeklamsi berat cukup tinggi pada usia kehamilan preterm, kejadian preeklamsi ringan tinggi pada ibu dengan BMI kriteria overweight, persalinan sectio cesaria cukup tinggi pada ibu hamil dengan preeklamsi berat, terdapat kejadian bayi lahir mati sebanyak 3 bayi pada ibu dengan preeklamsi berat.
Pembahasan: Hipertensi pada kehamilan sangat dipengaruhi oleh banyak faktor selain dari pada faktor karakteristik itu sendiri, faktor imunologi juga memiliki peranan penting terhadap terjadinya hipertensi pada kehamilan.
Kesimpulan: Kejadian preeklamsi ringan masih mendominasi dari keseluruhan kasus hipertensi pada kehamilan, kemudian luaran klinis bayi lahir mati cederung terjadi pada kasus preeklamsi berat.

Characteristics of Hypertension in Pregnancy in Kungkung Regional General Hospital 2017

Abstract
Objective: To determine the characteristics of hypertensive patients in pregnancy in Klungkung Hospital in 2017
Method: This research was a descriptive cross-sectional study conducted at the maternity unit of Klungkung Hospital during the period of January 2017 to April 2017. Data analysis was carried out descriptively
Result: Gestational hypertension is more common in women aged 20-24 years, there is a high incidence of mild preeclampsia in multigravida pregnancies, the incidence of severe preeclampsia is quite high at preterm pregnancy, the incidence of mild preeclampsia in mothers with BMI overweight criteria, high rate cesarean delivery pregnant women with severe preeclampsia, there were 3 babies born to birth in mothers with severe preeclampsia.
Discussion: Hypertension in pregnancy is strongly influenced by many factors other than the characteristic factors themselves, immunological factors also have an important role in the occurrence of hypertension in pregnancy.
Conclusion: The incidence of mild preeclampsia still dominates from all cases of hypertension in pregnancy, and the clinical outcome of infant mortality is likely to occur in cases of severe preeclampsia.
 Key words: Hypertension, Pregnancy, Outcome, Characteristics.

Keywords


Hypertension, Pregnancy, Outcome, Characteristics.

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References


Cunningham F, Leveno K, Bloom. et al. Hypertensive Disorders in Pregnancy. in William Obstetrics, 26 nd edition. New York: McGraw-Hill; 20010: 843−866.

Wiknjosastro H, Saifuddin A, Rachimhadhi T, Penyunting. Ilmu Kebidanan. Jakarta: Yayasan Bina Pustaka Sarwono Prawirohardjo; 2010: 281−301.

Survei Demografi dan Kesehatan Indonesia. Badan Kependudukan dan Keluarga Berencana Nasional Badan Pusat Statistik Kementerian Kesehatan; 2012.

Kemenkes. Profil Kesehatan Indonesia Tahun 2013. Kementerian Kesehatan Republik Indonesia; 2013.

Dinkes. Profil Kesehatan Provinsi Bali Tahun 2017. Dinas Kesehatan Provinsi Bali; 2017.

RISKESDAS. Laporan Nasional 2009. Badan Penelitian dan Pengembangan Kesehatan. Departemen Kesehatan, Republik Indonesia; 2010.

Reynolds C, Mabie W, Sibai B. Hypertensive States of Pregnancy. dalam Current Obstetrics and Gynecologic Diagnosis and Treatment nineth edition. New York: McGraw-Hill; 2007: 338−353.

Burhanuddin MS, Krisnadi SR, Pusianawati D. Gambaran karakteristik dan luaran pada preeklamsi awitan dini dan awitan lanjut di RSUP Dr. Hasan Sadikin Bandung. Obgynia. 2018;1(2):117−124.

Ernawati, Gumilar E, Kuntoro, Seroso J, Dekker G. Expectant management of preterm preeclampsia in Indonesia and the role of steroids. J Matern Fetal Neonatal Med. 2016;29(11):1736-40.

Cole L. Preeclampsia, Preeclampsia Foundation, and Management. Int Jur Curr Obs. 2009;3(2):22−34.

Xiong X. Impact of preeclampsia and gestational hypertension on birth weight by gestational age. Gineco.Ro. 2012;1(1):1−4.

Gilbert ES, Harmon JS. Manual of high risk pregnancy and delivery Sixth Edition. St.Louis: Mosby; 2010:202−204.

Elizabeth M, Coviello DO, Sara NI, Grantz KL, Huang CC, Landy JH, Reddy UM. Early preterm preeclampsia outcomes by intended mode of delivery. AJOG. 2019;220(1):100.e1−100.e9.

Pretorius T, Rensburg GV, Dyer BM. The influence of fluid management on outcomesn in preeclampsia a systematic review and meta-analysis. International Journal of Obstetric Anesthesia. 2018;34:85−89.

Baszko DW, Charkewicz K, Laudanski P. Role of dyslipidemia in preeclampsia-A review of lipidomic analysis of blood, placenta, synctiotrophoblast microvesicles and umbilical cord artery from women with preeclampsia. Prostaglandins & Other Lipid Mediators, 2018;139:19−23.

Chiarello DI, Abad C, Rojas D, Toledo F, Vazquez CM, Mate A. et al. Oxidative stress: normal pregnancy versus preeclampsia. BBA-Molecular Basis Of Disease. 2018;24:14-19.

Carter EB, Conner SN, Cahill AG, Rampersar R, Marcones GA, Tuuli MG. Impact of fetal growth on pregnancy outcomes in women with severe preeclampsia. Pregnancy Hypertension: An International Journal of Women’s Cardiovascular Health. 2017;8:21−25.

Amel A, Sayed E. Preeclampsia: A review of the pathogenesis and possible management strategies based on its pathophysiological derangements. Taiwanese Journal of Obstetrics and Gynecology. 2017;56(5):593−98.

Bokslag A, Weissbenbrunch MV, Mol BW, Christianne JM, Groot D. Preeclampsia; short and long-term consequences for mother and neonate. Early Human Development. 2016;102:47−50.

Taravati A, Tohidi F. Comprehensive analysis of oxidative stress markers and antioxidant status in preeclampsia. Taiwanese Jpurnal of Obstetrics and Gynecology. 2018;57(6):779−790.

Inger EV, Vevatne K, Brinchman BS. An Integrative review of mother ecperience of preeclampsia. Journal of Obstetircs and Gynecology & Neonatal Nursing. 2016;45(3):300−307.

Fu ZM, Ma ZZ, Liu GJ, Wang LL, Guo Y. Vitamins supplementation affects the onset of preeclampsia. Journal of Formosan Medical Association. 2018;117(1):6−13.

Haskel NR, Eisen IS. Hass Y. Rahav R, Metzegar AM, Hendler I. Characteristics and severity of preeclampsia in young and elderly gravidas with hypertensive disease. Blood Pressure In Pregnancy. 2018;228:120-125.

Bodnar LM, Himes KP, Abrams B, Parisi SM, Hutcheon JA, Early pregnancy weight gain and the risk of preeclampsia: A case-cohort study. Pregnancy Hypertension. 2018;205−212.

Lacobelli S. Bonsante F, Robbilard PY. Comparison of risk factors and perinatal outcomes in early onset and late onset preeclampsia: A cohort based study in reunion island. Journal of Reproductive Immunology. 2017;123:12−16.




DOI: http://dx.doi.org/10.24198/obgynia.v2n2.129

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