Gambaran Karakteristik Dan Luaran Maternal Pasien Obstetri Yang Dirawat di Ruang Perawatan Intensif RSUP Dr. Hasan Sadikin Selama Periode 2017-2018

Katharina Hiria Daundy, Muhammad Alamsyah Aziz, Siti Salima

Abstract


Tujuan: Penelitian ini  dilakukan untuk mengetahui  gambaran  karakteristik dan  luaran maternal   pasien obstetri yang  dirawat di ruang perawatan intensif  RSUP Dr. Hasan Sadikin selama periode  tahun 2017–2018.
Metode: Penelitian ini  menggunakan metode studi retrospektif deskriptif.
Hasil: Sebanyak 173 pasien obstetri yang dirawat di ruang perawatan intensif  dengan luaran maternal hidup 159 pasien dan kasus meninggal 14 kasus. Luaran maternal hidup dengan penyakit penyerta terbanyak yaitu hipertensi dalam kehamilan, seperti eklamsia  36 (22,6%), impending eklamsia  12 (7,5%)  dan  PEB  52 (32,7%). Selain itu terdapat  penyakit jantung sebanyak 31 (19,5%). Luaran maternal meninggal   terbanyak  dengan penyakit jantung sebanyak 5 pasien (35,7%), eklamsia  sebanyak 4 pasien (28,6%).
Kesimpulan: Indikasi rawat ruang intensif  terbanyak adalah hipertensi maligna 62 (39,0%). Jenis persalinan  terbanyak yaitu seksio sesarea 135 (78,0%).  Pasien dengan lama perawatan  selama <5 hari 99 (57,2%), 5–10 hari 63 (36,4%)  dan >10 hari 11 (6,4%).Bedasarkan hasil penelitian ini didapatkan penyakit terbanyak pasien obstetri yang dirawat di ruang perawatan intensif adalah  hipertensi dalam kehamilan meliputi eklamsia, impending eklamsia, dan preeklamsia berat.


Description of Maternal Characteristics and Outcomes of Obstetrical
Patients  in the Intensive Care Unit  Dr. Hasan Sadikin Hospital  during The Period 2017−2018

Abstract:
Objective: This study was conducted to determine the characteristics and maternal outcomes of obstetric patients who were treated in the intensive care unit of RSUP Dr. Hasan Sadikin during the 2017-2018 period.
Method: a research method using a descriptive retrospective study.
Result: A total of 173 obstetric patients were treated in intensive care unit 159 maternal outcomes and 14 cases died. Maternal outcomes of life with the most comorbidities are hypertension in pregnancy, such as eclampsia 36 (22.6%), impending eclampsia 12 (7.5%) and PEB 52 (32.7%). In addition there were heart disease as many as 31 (19.5%). Most maternal outcomes died with heart disease in 5 patients (35.7%), eclampsia in 4 patients (28.6%).
Discussion : The most indication of intensive care is malignant hypertension 62 (39.0%). The most type of childbirth is cesarean section 135 (78.0%). Patients with duration of treatment for <5 days 99 (57.2%), 5-10 days 63 (36.4%) and> 10 days 11 (6.4%).Based on the results of this study found that most obstetric patients treated in intensive care are hypertension in pregnancy including eclampsia, impending eclampsia, and severe preeclampsia.

Key words: Obstetric patients, intensive unit, maternal outcomes.



Keywords


Pasien obstetri, ruang intensif, luaran maternal

Full Text:

PDF

References


Kementerian Kesehatan RI. Kesehatan, Keputusan Direktur Jenderal Bina Upaya Sakit, Nomor : HK.03.05/I/2063/11 tentang petunjuk teknis High Care Unit (HCU) di rumah.

Atashkhoei S. c r v i h o e f h c iv o e f. 2015;2–4. Available from: http://dx.doi.org/10.15296/ijwhr.2015.32

Nur Baiti B, Dwi Cahyanti R. Kualitas Rujukan Ibu Hamil Dengan Preeklampsia/Eklampsia Di Ugd Obstetri-Ginekologi Rsup Dr. Kariadi Semarang Periode Tahun 2013-2016. 2018;7(1):81–99.

Treloar E. MATERNAL CRITICAL CARE. 2015;(May 2012):1–12.

Leonard A, Enebe J. Pattern and Outcome of Obstetric Admissions into the Intensive Care Unit of a Southeast Nigerian Hospital. 2018;(January).

Outcome IP. Critical Care and Emergency Medicine Role of Obstetric High Dependency and Intensive Care Unit in Improving Pregnancy Outcome and Reducing Maternal Mor - tality-A Study in Rural Central India. 2018;4(2):1–9.

Indonesia KK. Keputusan Menteri Kesehatan Republik Indonesia Nomor 834/Menkes/SK/VII/2010 Tentang Pedoman Penyelenggaraan High Care Unit (HCU) di Rumah Sakit. 2010.

Dattaray C, Mandal D, Shankar U, Bhattacharya P, Mandal S. Obstetric patients requiring high-dependency unit admission in a tertiary referral centre. Int J Crit Illn Inj Sci. 2013;3(1):31–5.

Saha R, Shakya A. Study of obstetric patients admitted to Intensive Care Unit ( ICU ) at Kathmandu Medical College Teaching Hospital. 2013;2(4):196–200.

Fetomaternal S, Obstetri D, Kedokteran F, Diponegoro U. Luaran Maternal dan Perinatal pada Hamil dengan Penyakit Jantung di RSUP Dr . Kariadi Semarang. 2013;21(1):20–30.

Sharma R, Gupta BD, Dubey K. Why Do The Obstetric Patients Go To The ICU / HDU ? A Retrospective Observational Study. 2016;(3):334–7.




DOI: http://dx.doi.org/10.24198/obgynia/v4n1.213

Refbacks

  • There are currently no refbacks.


Alamat Redaksi

 

KSM/Dep Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran RSUP Dr. Hasan Sadikin

Jl. Pasteur No 38 Bandung 40161 

Telp: 0813-2012-9954

Email: obgyniajurnal@gmail.com

 

 

 




Indexed By
         



Web Analytics
View My Stats

Indonesian Journal of Obstetrics & Gynecology Science @2017