EARLY MANAGEMENT OF SEVERE PRE-ECLAMPTIC AND ECLAMPTIC REFFERAL PATIENT AT KOTABARU REGENCY
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ABSTRACT
Background: The maternal mortality rate is 305 per 100,000 live births in Indonesia. The most common cause of maternal death is preeclampsia / eclampsia. The maternal mortality rate is 247 per 100,000 live births in 2017 in Kotabaru Regency. Most preeclamptic referral patients are in critical condition when they arrive at the hospital. Method: This type of research is an observational descriptive study. The population is all patients with severe preeclampsia and eclampsia in the delivery room of RS Pangeran Jaya Sumitra Kabupaten Kotabaru from January - December 2018. The sample is total sampling.Results: PEB referral patients was 57 cases. Most of those are in the group age of 20 - 35 years which are 35 people (61.4%), not nullipara is 31 people (54,4%), 34-40 weeks of gestation is 43 people (75,4%), as many as 44 people (77,2%) with previous severe preeclampsia/ hypertension, 41 people (71,9%) brought referral letters, referred by Puskesmas are 47 people (82.5%), most of the locations of referral is from Pulau Laut as many as 35 referrals (61,4%). The initial management of PEB and eclampsia: IV Pathway in 11 patients (19.3%) of severe preeclamptic and eclamptic patients, 50 patients (87.7%) were not given MgSO4, 51 people (89.5% ) did not get anti-hypertension, 52 patients (91.2%) were not installed catheters. Conclusion: Early management of severe preeclamptic and eclamptic patients is not optimal and does not fulfil the standard yet. Proper and appropriate early management can reduce morbidity and maternal mortality from complications of severe preeclampsia and eclampsia that can be prevented by providing right initial management.
Ali, P. and Hossain, N. (2018) ‘Criteria based audit in the management of eclampsia at a public sector tertiary care hospital in Karachi , Pakistan', 11(August 2017), pp. 111–114. doi: 10.1016/j.preghy.2018.01.012.
Amoakoh-coleman, M., Ansah, E., Klipstein-grobusch, K. and Arhinful, D. (2019) ‘Completeness of obstetric referral letters / notes from subdistrict to district level in three rural districts in Greater Accra region of Ghana : an implementation research using mixed methods', pp. 1–10. doi: 10.1136/bmjopen-2019-029785.
Badan Pusat Statistik (2017) Statistik Kesejahteraan Rakyat 2017. Jakarta: Badan Pusat Statistik. doi: 10.1111/j.1469-7610.2010.02280.x.
Badan Pusat Statistik Provinsi Kalimantan Selatan (2018) ‘Jumlah Kecamatan Menurut Kabupaten/Kota di Kalimantan Selatan Tahun 2005-2015'. Available at: https://kalsel.bps.go.id/site/resultTab.
Cohen, W. R. (2014) ‘Does maternal age affect pregnancy outcome ?', pp. 252–254. doi: 10.1111/1471-0528.12563.
Gordon, R., Magee, L. A., Payne, B., Firoz, T., Sawchuck, D., Tu, D., Vidler, M., Silva, D. De, Dadelszen, P. Von, et al. (2014) ‘Magnesium Sulphate for the Management of Preeclampsia and Eclampsia in Low and Middle Income Countries : A Systematic Review of Tested Dosing Regimens', Journal of Obstetrics and Gynaecology Canada. Elsevier Masson SAS, 36(2), pp. 154–163. doi: 10.1016/S1701-2163(15)30662-9.
Handriani, I. and Melaniani, S. (2013) ‘Pengaruh Proses Rujukan dan Komplikasi Terhadap Kematian Ibu', pp. 400–411.
Hons, M., Aero, B. E. and Oxon, D. (2011) ‘What ' s in a referral letter : does the detail matter ?', 14(August), pp. 11–14.
Ispandiyah, W. and Endartiwi, S. S. (2019) ‘Implementation of Reference Policy Final for BPJS Health Participants Peserta BPJS Kesehatan dapat dirujuk dari fasilitas kesehatan yang lebih rendah ke fasilitas kesehatn yang lebih tinggi jika dijumpai permasalahan kesehatan peserta dapat ditangani oleh', 5, pp. 196–204. doi: 10.33485/jiik-wk.v5i2.129.
Kidanto, H., Wangwe, P., Sciences, A., Kilewo, C. and Sciences, A. (2014) ‘Improved quality of management of eclampsia patients through criteria based audit at Muhimbili National Hospital , Dar es Salaam , Tanzania . Bridging the quality gap', (November 2012). doi: 10.1186/1471-2393-12-134.
Morken, N. H., Irgens, L. and Vollset, S. E. (2012) ‘Secular trends in the epidemiology of pre-eclampsia throughout 40 years in Norway : prevalence , risk factors and perinatal survival', pp. 190–198. doi: 10.1111/j.1365-3016.2012.01260.x.
Myatt, L., Redman, C. W., Staff, A. C., Hansson, S., Wilson, M. L., Laivuori, H., Poston, L. and Roberts, J. M. (2014) ‘Strategy for Standardization of Preeclampsia Research Study Design', pp. 1293–1301. doi: 10.1161/HYPERTENSIONAHA.113.02664.
Okunade, K. S., Gbadegesin, A. and Akinsola, O. J. (2014) ‘Risk Factors for Pre-eclampsia in Multiparous Women in Lagos , Nigeria', 9633, pp. 3–6. doi: 10.7439/ijbr.
Sekretariat Jenderal Kementerian Kesehatan RI (2016) Profil Kesehatan RI 2015, Profil Kesehatan Indonesia Tahun 2015. doi: 10.1111/evo.12990.
Setiawati, M. E. and Nurrizka, R. H. (2019) ‘Evaluasi pelaksanaan sistem rujukan berjenjang dalam program jaminan kesehatan nasional', 08(01), pp. 35–40.
Shan, D., Qiu, P., Wu, Y., Chen, Q., Li, A. and Ramadoss, S. (2018) ‘Pregnancy Outcomes in Women of Advanced Maternal Age : a Retrospective Cohort Study from', (March), pp. 1–9. doi: 10.1038/s41598-018-29889-3.
Shen, M., Smith, G. N., Rodger, M., White, R. R., Walker, C. and Wen, S. W. (2017) ‘Comparison of risk factors and outcomes of gestational hypertension and pre-eclampsia', pp. 1–13.
Sibai, B. M. (2004) ‘Magnesium sulfate prophylaxis in preeclampsia : Lessons learned from recent trials', pp. 1520–1526. doi: 10.1016/j.ajog.2003.12.057.
The American College of Obstetricians and Gynecologists (2013) Hypertension In Pregnancy. Washington DC: The American College of Obstetricians and Gynecologist.
The Confidential Enquiries Maternal Deaths (2010) ‘The Management of Severe Pre-Eclampsia/Eclampsia', 10(10), pp. 1–11.
Villa, P. M., Marttinen, P., Gillberg, J., Lokki, A. I., Majander, K., Taipale, P., Pesonen, A., Ra, K. and Laivuori, H. (2017) ‘Cluster analysis to estimate the risk of preeclampsia in the high-risk Prediction and Prevention of Preeclampsia and Intrauterine Growth Restriction ( PREDO ) study', pp. 1–14.
Widarta, G. D., Ardian, M., Sulistyono, A. and Purnomo, W. (2015) ‘Deteksi Dini Risiko Ibu Hamil dengan Kartu Skor Poedji Rochjati dan Pencegahan Faktor Empat Terlambat', 23(1), pp. 28–32.
World Health Organization (2018) ‘WHO country cooperation strategy at a glance: Rwanda'. World Health Organization.
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