Severe Preeclamptic Patients in The Resuscitation Room of Dr. Soetomo General Academic Hospital Surabaya: A Retrospective Study
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Introduction: Preeclampsia is the leading cause of maternal and fetal death. This is an urgency in maternal health, especially in developing countries such as Indonesia. Patients with severe preeclampsia who had critical conditions tend to be admitted to the resuscitation room for assistance from more skilled personnel and more sophisticated technology. Objective: This study aims to determine the complications, treatments, and outcomes of severe preeclampsia patients managed in the resuscitation room at Dr. Soetomo General Academic Hospital from January 1st, 2018 – December 31th 2019. Methods: The method used in this study was retrospective descriptive using medical records and analyzed using Microsoft Excel. Eighty-one samples met the inclusion criteria. Results: The majority of patients were aged 20-35 years (65.43%) and had completed senior high school (88.89%). Most patients were having stage 2 obesity (44.44%) and multigravida (41.97%). A history of preeclampsia and hypertension was not found in the majority of patients. Most patients are diagnosed with late-onset preeclampsia (69.14%). The majority of patients were referred from secondary health facilities (96.30%). The most common complication was pulmonary edema(53.09%). The majority of patients had 2 complications (43.17%) with the most common combinations being eclampsia and HELPP syndrome (13.58%). Intubation is given to the majority of patients (70.37%) and most often in patients with eclampsia (56.14%). Termination of pregnancy by cesarean section is carried out in the majority of patients (72.84%). There were no cases of maternal death in this study. Most of the fetal born had prematurity (70.11%), low birth weight (60%), and asphyxia as assessed by the first minute APGAR score (72.97%) and fifth minute APGAR score (54.05%). Conclusion: The majority of preeclampsia patients with complications in the resuscitation room at Dr. Soetomo General Academic Hospital Surabaya from January 1st 2018-December 31rd 2019 had good maternal outcomes but not the fetal outcome.
Sumampouw CM, Tendean HMM, Wagey FW. Gambaran Preeklampsia Berat dan Eklampsia Ditinjau dari Faktor Risiko di RSUP Prof. Dr. RD Kandou Manado. J Med dan Rehabil. 2019;1(3).
Akbar MIA, Bachnas MA, Mose JC, Dachlan EG, Ernawati E, Dekker GA, et al. 28. The massive problem of preeclampsia in Indonesia: in need of a redesigned national health care system. Pregnancy Hypertens. 2018;13:S16.
Peres GM, Mariana M, Cairrí£o E. Pre-eclampsia and eclampsia: an update on the pharmacological treatment applied in Portugal. J Cardiovasc Dev Dis. 2018;5(1):3.
Dinas Kesehatan Jawa Timur. Profil Kesehatan Provinsi Jawa Timur Tahun 2017. Kementrian Kesehatan Republik Indonesia. Dinas Kesehatan Jawa Timur; 2017.
Lam MTC, Dierking E. Intensive Care Unit issues in eclampsia and HELLP syndrome. Int J Crit Illn Inj Sci. 2017;7(3):136.
Sircar M, Thadhani R, Karumanchi SA. Pathogenesis of preeclampsia. Curr Opin Nephrol Hypertens. 2015;24(2):131–8.
Espinoza J, Vidaeff A, Pettker christian m, Simhan H. Gestational Hypertension and Preeclampsia - Clinical Management Guidelines for Obstetrician – Gynecologists. Obstet Gynecol. 2019;133(76):168–86.
Wardhana MP, Dachlan EG, Dekker G. Pulmonary edema in preeclampsia: an Indonesian case--control study. J Matern Neonatal Med. 2018;31(6):689–95.
Marniati M, Rahmi N, Djokosujono K. Analisis Hubungan Usia, Status Gravida dan Usia Kehamilan dengan Pre-Eklampsia pada Ibu Hamil di Rumah Sakit Umum dr. Zaionel Abidin Provinsi Aceh Tahun. J Healthc Technol Med. 2019;2(1):99–109.
Opitasari C, Andayasari L. Parity, education level and risk for (pre-) eclampsia in selected hospitals in Jakarta. Heal Sci J Indones. 2014;5(1):35–9.
Katmini K, Nurcahyanti FD, Yunita A. The Association Between Health Belief Model Theory and Preeclampsia on Pregnant Women in Kediri Regency East Java. J Heal. 2019;6(1):1–5.
Wafiyatunisa Z, Rodiani R. Hubungan Obesitas dengan Terjadinya Preeklampsia. J Major. 2016;5(4):184–90.
Palupi DD, Indawati R. Faktor Risiko Kematian Ibu dengan Preeklampsia/Eklampsia dan Perdarahan di Provinsi Jawa Timur. J Biometrika dan Kependud. 2014;3(2):107–13.
Amalia IR. Hubungan Riwayat Preeklampsia Pada Kehamilan Sebelumnya Dengan Kejadian Preeklampsia Pada Kehamilan Berikutnya Di Poli Klinik Kebidanan RSUD Wangaya. Politeknik Kesehatan Kemenkes Denpasar Jurusan Keperawatan; 2019.
Hardianti FA, Mairo QKN. Kecemasan, riwayat preeklampsia dan kejadian preeklampsia pada ibu hamil multigravida. J Keperawatan Terap. 2018;4(1):21–6.
Widiastuti YP, Rimawati U, Istioningsih I. Indeks Massa Tubuh (IMT), Jarak Kehamilan dan Riwayat Hipertensi Mempengaruhi Kejadian Preeklampsia. J Ilmu Keperawatan Matern. 2019;2(2):6–22.
Ndwiga C, Odwe G, Pooja S, Ogutu O, Osoti A, E. Warren C. Clinical presentation and outcomes of pre-eclampsia and eclampsia at a national hospital, Kenya: A retrospective cohort study. PLoS One. 2020;15(6):e0233323.
Hapsari Kinanti N. KARAKTERISTIK PREEKLAMPSIA TIPE DINI DAN TIPE LAMBAT DI RSUD DR. SOETOMO SURABAYA PADA TAHUN 2016. Universitas Airlangga; 2018.
Danianto A, Ernawati E. Perbedaan Kadar IL-10 pada Preeklampsia Tipe Dini dan Lambat. Maj Obstet Ginekol. 2015;23(3):106–11.
Rochmatin H. Gambaran Determinan Kematian Ibu di Kota Surabaya Tahun
-2017. J Biometrika dan Kependud. 2018;7(2):178–87.
Wulandari ES, Ernawati E, Nuswantoro D. RISK FACTORS OF PREECLAMPSIA WITH SEVERE FEATURES AND ITS COMPLICATIONS. Indonesia Midwifery Heal Sci J. 2021;5(1):29–37.
Setiawan AH, Airlangga PS, Rahardjo E. Komplikasi Edema Paru pada Kasus Preeklampsia Berat dan Eklampsia. JAI (Jurnal Anestesiol Indones. 2019;11(3):136–44.
Mai C, Wang B, Chen R, Duan D, Lv L, Lei Q, et al. HELLP syndrome complicated by pulmonary edema: a case report. Open Med. 2018;13(1):509–11.
Vousden N, Lawley E, Seed PT, Gidiri MF, Goudar S, Sandall J, et al. Incidence of eclampsia and related complications across 10 low-and middle-resource geographical regions: secondary analysis of a cluster randomised controlled trial. PLoS Med. 2019;16(3):e1002775.
Ngwenya S. Severe preeclampsia and eclampsia: incidence, complications, and perinatal outcomes at a low-resource setting, Mpilo Central Hospital, Bulawayo, Zimbabwe. Int J Womens Health. 2017;9:353.
Maulydia RE. Sindrom HELLP, Eklampsia, dan Perdarahan Intrakranial. Maj Kedokt Ter Intensif. 2012;2(1).
Avva U, Lata JM, Kiel J. Airway Management. StatPearls [Internet]. 2021;
Magley M, Hinson MR, Haddad LM. Eclampsia (Nursing). StatPearls [Internet]. 2021;
Atikawati D, Ekawati D, Kusumajati P, Prasenohadi P, Rasmin M. Failure of Breathing in Heavy Preeklampsia With Peripartum Cardiomiopathy. J Respirologi Indones. 2017;37(4):325–36.
Sumulyo G, Iswari WA, Pardede TU, Darus F, Puspitasari B, Santana S, et al. Diagnosis dan Tatalaksana Preeklampsia Berat Tidak Tergantung Proteinuria. Cermin Dunia Kedokt. 2017;44(8):576–9.
Nomura Y, Finik J, Salzbank J, Ly J, Huynh N, Davey T, et al. The effects of preeclampsia on perinatal risks and infant temperaments among mothers with antenatal depression. Psychol Res (Libertyville, Ill). 2014;4(6):451.
Khairunnisa S. Hubungan Preeklampsia Terhadap Kejadian Persalinan Prematur di RSUP H. Adam Malik Tahun 2016--2017. 2018;
Mallisa B, Towidjojo VD. Hubungan antara Preeklampsia dengan Kejadian Bayi Berat Badan Lahir Rendah (BBLR) Di RSUD Undata Palu suatu Penelitian Case-Control. Med Tadulako J Ilm Kedokt Fak Kedokt dan Ilmu Kesehat. 2014;1(3):1–7.
Indah SN, Apriliana E. Hubungan antara Preeklamsia dalam Kehamilan dengan Kejadian Asfiksia pada Bayi Baru Lahir. J Major. 2016;5(5):55–60.
Aminah WMS. Hubungan Bayi Prematur dengan Kejadian Asfiksia Neonatorum. J Obstet Sci. 2016;4(2):521–34.
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