Luaran Maternal dan Neonatal pada Preeklampsia Berat Perawatan Konservatif di RSUD Dr. Soetomo Surabaya
Abstract
Tujuan: Mengetahui luaran maternal dan neonatal pada PEB perawatan konservatif di RSUD Dr. Soetomo Surabaya
Metode: Deskriptif observational retrospektif menggunakan data sekunder dari rekam medis mulai Januari 2012 sampai dengan Desember 2017. Kriteria inklusi: semua pasien preeklampsia berat usia kehamilan < 34 minggu yang dilakukan perawatan konservatif di RSUD Dr. Soetomo Surabaya selama periode tersebut. Kriteria eksklusi: data pasien tidak lengkap, pasien dengan sindroma HELLP saat pertama kali didiagnosis PEB
Hasil: Lama perawatan terpanjang pada usia kehamilan 24−<28 minggu dengan rerata 18,24 hari. Komplikasi maternal tersering adalah sindroma HELLP, edema paru sebanyak 13 pasien dan 10 pasien. Rerata berat bayi yang dilahirkan pada usia kehamilan <24 minggu sampai usia kehamilan 32-<34 minggu adalah 572,22 g; 1.072,49g; 1.301,75g; 1.551,42g; 1.886,47g. Survival rate neonatus yang dilahirkan usia <24 minggu sampai 32−<34 minggu adalah 11,11%; 40,00%; 63,16%; 82,09%; 92,48%. IUFD terbesar pada usia kehamilan <24 minggu, yaitu 11,11%.
Kesimpulan: Perawatan PEB konservatif dapat memberikan manfaat untuk janin pada saat usia kehamilan 28 minggu. Survival rate pada luaran neonatal >28 minggu lebih dari 50%. Komplikasi maternal tersering adalah sindrom HELLP dan edema paru.
Maternal and Neonatal Outcomes in Severe Preeclampsia Patient with Conservative Treatment at Dr. Soetomo Surabaya Hospital
Abstract
Objective: To describe the maternal and neonatal outcome in severe preeclampsia patient with conservative treatment at Dr. Soetomo Surabaya Hospital
Method: This study is a retrospective observational study using secondary data from medical record from January 2012 to December 2017. Inclusion criteria: all severe preeclampsia patients with <34 weeks gestastional age who cared conservatively at Dr. Soetomo Surabaya Hospital during that period. Exclusion criteria: incomplete data and patients who were diagnosed with HELLP syndrome in the first visit
Result: The longest duration of treatment at 24-<28 weeks gestation with average of 18.24 days. The most common maternal complications were HELLP syndrome and lung edema with 13 and 10 patients. The mean of baby bormn weight at gestational age <24 weeks to 32-<34 weeks is 572,22g; 1.072,49g; 1.301,75g; 1.551,42g; and 1.886.47g with survival rate is 11,11%; 40%; 63,16%; 82,09%; and 92,48%. IUFD is the most common complication in neonatal side with <24 weeks gestational age.
Summary: Conservative treatment can give a benefit to fetus at 28 weeks gestation. Survival rate for neonatal outcome >28 weeks is more than 50%. The most maternal complication in Dr. Soeotmo Surabaya Hospital is HELLP syndrome and lung edema.
Key words: Preeclampsia, Conservative Treatment.
Keywords
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Opitasari C, Andayani L. Parity, education level and risk for (pre-) eclampsia in selected hospitals in Jakarta. Health Science Indones. 2014; 5(1):35−9.
Sibai BM, Barton JR. Expectant management of severe preeclampsia remote from term: patient selection, treatment, and delivery indications. Am J Obstet Gynecol. 2007;196(6):514 e1−9.
Divisi Fetomaternal. Data Kematian Perinatal. 2015. Surabaya.
Norwitz ER, Hsu CD, Repke JT. Acute complications of preeclampsia. Clin Obstet Gynecol. 2002;45(2):308−29.
Cunningham F, Leveno KJ, Bloom SL, Spong CY, Dashe JS, Hoffman BL, Casey BM, Sheffield JS. William Obstetric 24th ed. United States: McGraw-Hill Education. Chapter 40, Hypertensive disorders; p.1508.
Lamminpaa R, Vehvilainen-Julkunen K, Gissler M, Heinonen S. Preeclampsia complicated by advanced maternal age: a registry-based study on primiparous women in Finland 1997−2008. BMC pregnancy childbirth. 2012;12:47.
Bartsch E, Medcalf KE, Park AL Ray JG. Clinical risk factors for pre-eclampsia determined in early pregnancy: systematic review and meta-analysis of large cohort studies. BMJ. 2016;353:i1753.
Erliana. Hubungan antara Onset Preeklampsia Berat, Waktu Terminasi, dan Komplikasi Ibu dengan Luaran Neonatal Pada Preeklampsia Berat Perawatan Konservatif [Theses]. Surabaya: Universitas Airlangga. 2016.
Roberts JM, Bodnar LM, Patrick TE & Powers RW. The Role of Obesity in Preeclampsia. Pregnancy hypertens. 2011;1(1):6−16.
Lecarpentier E, Tsatsaris V, Goffinet F, Cabrol D, Sibai B, Haddad B. Risk factors of superimposed preeclampsia in women with essential chronic hypertension treated before pregnancy. PloS one. 2013;8(5):e62140.
Backes CH, Markham K, Moorehead P, Cordero L, Nankervis CA, Giannone PJ. Maternal preeclampsia and neonatal outcomes. J Pregnancy. 2011;214365.
Hemant S, Chabi S, Frey D. Review Article: Hellp Syndrome. J Obstet Gynecol India. 2009;59(1):30−40.
Wardhana MP, Dachlan EG, Dekker G. Pulmonary edema in preeclampsia: an Indonesian case-control study. J Matern Fetal Neonatal Med. 2018;31(6):689-95.
Gathiram P, Moodley J. Preeclampsia: its pathogenesis and pathophysiolgy. Cardiovasc J Afr. 2016;27(2):71−8.
DOI: http://dx.doi.org/10.24198/obgynia.v2i2.143
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