THE RELATIONSHIP BETWEEN THE ONSET OF SEVERE PREECLAMPSIA AND PERINATAL COMPLICATIONS AT RUMKITAL Dr. RAMELAN IN SURABAYA
Downloads
Abstract
Background: Preeclampsia is one of the biggest causes of maternal-fetal morbidity and mortality. Based on the prognosis, the classification of Preeclampsia is early onset (<34 weeks) and late onset (> 34 weeks). Purpose: to investigate the relationship between the onset of severe Preeclampsia and perinatal complications. Method: This research is a quantitative study with a retrospective observational analytic study type and collected medical record data. The study population was severe Preeclampsia patients who gave birth at RUMKITAL Dr. Ramelan Surabaya for the period January 2018 - June 2020 and has no previous history of chronic hypertension. The research sample was 79 subjects with 44 subjects early onset, and 35 subjects late onset. Perinatal complications examined are preterm delivery, asphyxia, LBW, IUGR, stillbirth. The chi-square test or Fisher's Exact Test was used to analyze relationships. Result: From the results of the study, the comparison of the percentage from early onset and late onset that experienced complications was 93.2% vs 48.6%, p-value = 0.000, OR = 14.5, CI = 3,764–55,635. At preterm delivery, it was found that 75% vs 28.6%, p-value = 0.000, OR = 7.5, CI = 2,754-20,422. . In asphyxia, it was found 41.7% vs 31.4%, p-value = 0.46. At LBW, it was found 72.7% vs 17.1%, p-value = 0,000, OR = 12.9, CI = 4,285-38,771. In IUGR, it was found that 15.9% vs 2.9%, p-value = 0.000. In stillbirth, it was found 18.2% vs 0% and p-value = 0.008. Conclusion: the onset of severe Preeclampsia is related with perinatal complications. Complications associated with the onset severe Preeclampsia are preterm, LBW, stillbirth. Meanwhile, complications that are not related with the onset severe Preeclampsia are asphyxia and IUGR
Amelia, R. and Azmi, S. (2016) ‘Perbedaan Berat Lahir Bayi Pasien Preeklampsia Berat / Eklampsia Early dan Late Onset di RSUP Dr . M . Djamil Padang', 5(1), pp. 135–138.
Barrett, P. M. et al. (2020) ‘Stillbirth is associated with increased risk of long-term maternal renal disease: a nationwide cohort study', American Journal of Obstetrics and Gynecology. Elsevier Inc., 223(3), pp. 427.e1-427.e14. doi: 10.1016/j.ajog.2020.02.031.
Boudewijn, B. (2015) Early-Onset Preeclampsia Constitutional Factors and Consequences for Future Pregnancy Outcome and Cardiovascular Health. Dutch: Utrecht University.
Burhanuddin, S. ., Krisnadi, S. . and Pusianawati, D. (2018) ‘Gambaran Karakteristik dan Luaran pada Preeklamsi Awitan Dini dan Awitan Lanjut Di RSUP Dr. Hasan Sadikin Bandung', Indonesian Journal of Obstetrics & Gynecology Science, 1(2), pp. 117–124. doi: 10.24198/obgynia.v1n2.12.
Dias, B. A. S., Santos, E. T. Dos and Andrade, M. A. C. (2017) ‘Classification systems for avoidability of infant deaths: different methods, different repercussions?', Cadernos de saude publica, 33(5), p. e00125916. doi: 10.1590/0102-311X00125916.
Dinkes Provinsi Jawa Timur (2019) ‘Profil Kesehatan Jawa Timur 2018', Dinas Kesehatan Provinsi Jawa Timur, p. 100.
Dwienda, O. et al. (2014) Buku Ajar Asuhan Kebidanan Neonatus, Bayi/ Balita dan Anak Prasekolah untuk Para Bidan. Yogyakarta: DEEPUBLISH.
Gathiram, P. and Moodley, J. (2016) ‘Pre-eclampsia: Its pathogenesis and pathophysiolgy', Cardiovascular Journal of Africa, 27(2), pp. 71–78. doi: 10.5830/CVJA-2016-009.
Gibbins, K. J. et al. (2018) ‘Stillbirth, Hypertensive Disorders of Pregnancy, and Placental Pathology', 8425, pp. 61–68. doi: 10.1016/j.placenta.2016.04.020.Stillbirth.
Gumilar, E., Hermanto and Agus, S. (2017) Buku Panduan Preeklampsia - Eklampsia & Perdarahan Pasca Persalinan. Jakarta: Tim Satuan Tugas Penurunan Angka Kematian Ibu.
Harmon, Q. . et al. (2015) ‘Risk of fetal death with preeclampsia', Obstetrics and Gynecology. Lippincott Williams and Wilkins, 125(3), pp. 628–635. doi: 10.1097/AOG.0000000000000696.
Hidayati, A. . (ed), Akbar, M. . (ed) and Rosyid, A. . (ed) (2018) Gawat Darurat Medis dan Bedah.
Hod, M. (ed) et al. (2014) Textbook of diabetes and pregnancy. Third. Boca Raton: CRC Press.
Hunegnaw, M. T., Gezie, L. D. and Teferra, A. S. (2017) ‘Exclusive breastfeeding and associated factors among mothers in Gozamin district, northwest Ethiopia: A community based cross-sectional study', International Breastfeeding Journal. BioMed Central Ltd., 12(1), p. 30. doi: 10.1186/s13006-017-0121-1.
Karlinah, N., Yanti, E. and Arma, N. (2015) Buku Ajar Embiologi Manusia. Yogyakarta: DEEPUBLISH.
Khader, Y. S., Alyahya, M. and Batieha, A. (2019) ‘Perinatal and Neonatal Mortality in Jordan', in Handbook of Healthcare in the Arab World. Springer International Publishing, pp. 1–22. doi: 10.1007/978-3-319-74365-3_161-1.
Le, Y., Ye, J. and Lin, J. (2019) ‘Expectant management of early-onset severe preeclampsia: a principal component analysis', Annals of Translational Medicine, 7(20), pp. 519–519. doi: 10.21037/atm.2019.10.11.
Osol, G. and Moore, L. G. (2014) ‘Maternal Uterine Vascular Remodeling During Pregnancy', Microcirculation, 21(1), pp. 38–47. doi: 10.1111/micc.12080.
Pribadi, A., Mose, J. . and Deborah, A. . (2015) Kehamilan Resiko Tinggi. Jakarta: CV Sagung Seto.
Rohmatin, H., Widayati, A. and Narsih, U. (2018) Mencegah Kematian Neonatal dengan P4K.
Saito, S. (Ed) (2018) Preeclampsia: Basic, Genomic, and Clinical.
Staff, A. C. (2019) ‘The two-stage placental model of preeclampsia: An update', Journal of Reproductive Immunology, 134–135(March), pp. 1–10. doi: 10.1016/j.jri.2019.07.004.
Wadhwani, P. et al. (2020) ‘A study to compare maternal and perinatal outcome in early vs. late onset preeclampsia', Obstetrics and Gynecology Science, 63(3), pp. 270–277. doi: 10.5468/OGS.2020.63.3.270.
WHO (2011) WHO Recomendations For Prevention And Treatment Of Pre-Eclampsia And Eclampsia Implications and Actions Background.
WHO (2016) ‘The WHO application of ICD-10 to deaths during the perinatal period: ICD-PM', World Health Organization, pp. 1–88.
1. The journal allows the author to hold the copyright of the article without restrictions.
2. The journal allows the author(s) to retain publishing rights without restrictions
3. The formal legal aspect of journal publication accessibility refers to Creative Commons Atribution-Share Alike 4.0 (CC BY-SA).
This Journal (e-ISSN 2656-7806) is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
