Optimal Maternal-Fetal Interface Environment Affects Neonatal Viability in Preterm Preeclampsia and IUGR Pregnancy

Novi Resistantie, Semuel Semuel, Cindy Fawwaz Roviqoh, Taufik Ramdani


Abstract


Objective: to report rare case of fetal viability on preterm pregnancy with preeclampsia and IUGR
Methods: case report
Case: A 29-year-old woman (G1P0A0) at 29 weeks of gestation, came to the Obstetrics and Gynecology Outpatient Clinic of Bhayangkara Tk. I R. Said Sukanto Police Hospital Jakarta with complaints of left-sided headache since 25 weeks of gestation. After examination, the patient was diagnosed with preeclampsia with IUGR. The caesaria section was performed at 28 weeks and a baby was born with BW: 850 grams, BL: 31 cm, and an APGAR score of 5/6. No inflammatory cells were found in chorionic villi. The baby continues to live after being treated in the NICU for 30 days.
Conclusion: Optimal maternal fetal interface environment secures neonatal viability.

Lingkungan Antarmuka Maternal-Fetal yang Optimal Mempengaruhi Kelangsungan Hidup Neonatal pada Kehamilan Prematur dengan Preeklamsia dan IUGR

Abstrak
Tujuan: untuk melaporkan kasus jarang viabilitas fetus pada kehamilan preterm dengan preeklampsia dan IUGR
Metode: laporan kasus
Kasus: Seorang perempuan berusia 29 tahun (G1P0A0) dengan usia kehamilan 29 minggu, datang ke Poliklinik Obstetri dan Ginekologi Rumah Sakit Bhayangkara Tk. I R. Said Sukanto Jakarta mengalami pusing pada kepala sebelah kiri sejak usia kehamilan 25 minggu. Setelah pemeriksaan, pasien didiagnosa mengalami preeklamsia dengan perburukan IUGR. Operasi Seksio sesarea dilakukan pada usia kehamilan 28 minggu dan lahir seorang bayi dengan BB: 850 gram, PB: 31 cm, dan skor APGAR 5/6. Tidak ditemukan sel yang mengalami inflamasi pada vili chorionic. Bayi tetap hidup setelah dirawat di NICU selama 30 hari.
Kesimpulan: Interaksi maternal fetal yang optimal menjamin viabilitas fetus.

Kata kunci: Inflamasi, IUGR, Preeklamsia, Viabilitas Fetus, Preeklamsia.




Keywords


Fetus Viability, Inflammation, IUGR, Preeclampsia.

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DOI: http://dx.doi.org/10.24198/obgynia.v6i1.407

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