Preeclampsia correlates with maternal and perinatal outcomes in Regional Public Hospital, Madiun, Indonesia
Downloads
HIGHLIGHTS
1. Preeclampsia, the high blood pressure during pregnancy, and its complications has significant role in maternal outcomes.
2. Correlation between preeclampsia and maternal as well as perinatal outcomes was examined.
3. Preeclampsia correlated significantly with delivery process, IUGR, LBW, and preterm birth, but not significantly with antepartum and postpartum hemorrhages, eclampsia, HELLP syndrome, maternal and perinatal mortality, as well as with neonatal asphyxia.
ABSTRACT
Objectives: This research aimed to find correlation between preeclampsia and maternal as well as perinatal outcomes in Regional Public Hospital, Madiun, Indonesia, from 1 January 2017 to 30 September 2020.
Materials and Methods: An observational analysis was applied in this study with a cross-sectional design. This study used secondary data from medical records of Regional Public Hospital, Madiun, Indonesia, with retrospective sampling and total sampling methods. Samples were 250 preeclamptic mothers with or without severe symptoms.
Results: Of 250 preeclamptic mothers, only 216 samples could participate in this study. Maternal outcomes included spontaneous PV delivery (12.22%), SC (87.78%), antepartum hemorrhage (0.45%), postpartum hemorrhage (6.33%), eclampsia (0.45%), HELLP syndrome (0.90%), and maternal mortality (0.45%), while perinatal outcomes covered IUGR (7.69%), LBW (33.94%), preterm birth (12.67%), perinatal mortality (2.71%), and asphyxia neonatorum (13.12%).
Conclusion: There was a significant correlation between preeclampsia with or without severe symptoms and maternal outcomes, which was the delivery process, and perinatal outcomes, which were the IUGR, LBW, and preterm birth. However, there was no significant correlation for antepartum hemorrhage, postpartum hemorrhage, eclampsia, HELLP syndrome, maternal mortality (maternal outcomes), perinatal mortality and neonatal asphyxia (perinatal outcomes).
Prawirohardjo S. Ilmu kebidanan: Hipertensi pada kehamilan [Midwifery. Hypertension in pregnancy]. 4th edition. Jakarta: Yayasan Bina Pustaka Prawirohadjo; 2018.p.531-55.
Silomba W, Wantania J, Kaeng J. Karakteristik dan luaran preeklampsi di RSUP Prof. Dr. RD Kandou Manado [Preeclampsia characteristics and outcome in Prof Dr RD Kandou Hospital Manado]. E-Biomedik; 2013.
World Health Organization. Maternal Mortality in 2017. 2019. Available from: https://www.who.int/ news-room/fact-sheets/detail/ maternal-mortality.
Sunarsih. Hubungan preeklampsia terhadap kejadian asfiksia pada bayi baru lahir di RSUD Kota Madiun [Correlation between preeclampsia and asphyxia incidence in newborns]. Warta Bhakti Husada Mulia. 2014;1(1):10-5.
Prawirohardjo S. Ilmu kebidanan: Prinsip dasar penanganan kegawatdaruratan [Midwifery: Basic principles of emergency treatment]. 4th edn. Jakarta: Yayasan Bina Pustaka Sarwono Prawirohadjo; 2018. p. 391.
Manik IN, Sari RDP, Wulan AJ. Hubungan status preeklampsia dengan kejadian perdarahan postpartum pada ibu bersalin di RSUD Dr H Abdul Moeloek Provinsi Lampung Periode 1 Juli 2014-30 Juni 2015 [Correlation between preeclampsia and postpartum bleeding in mothers delivered at Abdul Moeloek Hospital, Lampung]. Jurnal Majority. 2017;6(3):51-7.
Palupi DD, Indawati R. Faktor risiko kematian ibu dengan preeklampsia/eklampsia dan perdarahan di Provinsi Jawa Timur [Risk of fatality among mothers with preeclampsia/eclampsia and bleeding in East Java]. Jurnal Biometrika dan Kependuduk-an. 2014;3(2):107-13.
Indriani N. Analisis faktor-faktor yang berhubung-an dengan preeklampsia pada ibu bersalin di RSU Daerah Kardinah Kota Tegal tahun 2011 [Analysis of factors related to preeclampsia in partus mothers], Depok: Faculty of Public Health, Universitas Indonesia, Midwifery Program; 2012.
Pratiwi I, Wantonoro W. Hubungan paritas dengan kejadian preeklampsia pada ibu hamil di RSUD Wonosari [Correlation between parity and preeclampsia incidence] [Dissertation]. STIKES Aisyiyah: Yogyakarta; 2015
Simarmata OS, Armagustini Y, Bisara D. Deter-minan kejadian komplikasi persalinan di Indonesia (Analisis data sekunder Survei Demografi dan Kesehatan Indonesia tahun 2007) [Determinant of delivery complications incidence in Indonesia (Seconday data analysis)]. [Undergradute Thesis]. Depok: Indonesia. Postgraduate Program, Faculty of Public Health, Universitas Indonesia; 2010.
Roberts JM, Bodnar LM, Patrick TE, Powers RW. The role of obesity in preeclampsia. Pregnancy Hypertens. 2011;1(1):6-16. doi: 10.1016/j.preghy. 2010.10.013. PMID: 21532964; PMCID: PMC 3082136.
Basri NF, Apriyanto DR, Sulistiyana CS. Hubungan antara jenis persalinan dengan kondisi janin saat lahir pada kejadian preeklampsia pada ibu bersalin di RSUD Waled Kabupaten Cirebon tahun 2017 [Correlation between delivery type and preeclampsia among delivering mothers]. Tunas Medika Jurnal Kedokteran & Kesehatan. 2020; 6(1).
Hartanto AI, Kusumosih TAR, Indrarto W. Luaran kehamilan dan persalinan pada ibu dengan preeklamsia berat di RS Panti Wilasa, Citarum, Semarang [Pregnancy and delivery outcome among mothers with severe preeclampsia]. Obgynia. 2021;4(1):20-27. doi: 10.24198/obgynia/v4n1.240
Chotimah C. Hubungan antara preeklamsia/ eklamsia dengan kejadian solusio plasenta di RSUD Prof. Dr. Margono Soekardjo Purwokerto Tahun 2012 [Correlation between preeclampsia/ eclampsia and placental abruption incidence]. Cirebon, Indonesia. Stikes YLPP Repository. 2013.
Julizar M, Sukandar H. Analisis faktor risiko atonia uteri [Risk factor analysis of uterine atoniy]. Care: Jurnal Ilmiah Ilmu Kesehatan, 2019. 7(3), p.108-117. doi: 10.33366/jc.v7i3.1399
Kınay T, Küçük C, Kayıkçıoğlu F, Karakaya J. Severe preeclampsia versus HELLP syndrome: Maternal and perinatal outcomes at <34 and ≥34 weeks' gestation. Balkan Med J. 2015;32(4):359-63. doi: 10.5152/balkanmedj.2015.15777. Epub 2015 Oct 1. PMID: 26740894; PMCID: PMC 4692334.
Cunningham FG, Leveno KJ, Bloom SL, et al. Hipertensi dalam kehamilan [Hypertension in pregnancy]. In: Williams Obstetrics vol. 2. 23 ed:. New York: Mc Graw Hill; 2010. p.740-7.
Noni HS. Hubungan preeklampsia berat dengan komplikasi neonatal di ruang rawat inap kebidanan RSUP di Dr. M. Djamil Padang tahun 2016 [Correlation between severe preeclampsia and neonatal complications in maternity ward]. [Dissertation]. Padang, Universitas Andalas.2017
Noroyono W, Irwinda R, Frisdiantiny E, et al. Pedoman nasional pelayanan kedokteran. Diagnosis dan tatalaksana pre-eklampsia [Medical care national guidelines. Pre-eclampsia diagnosis and management]. Perkumpulan Obstetri dan Ginekologi Indonesia. Himpunan Kedokteran Feto Maternal.2016. p. 6-21.
Dewi PSR. Hubungan tingkat preeklampsia dengan kejadian bayi berat lahir rendah (BBLR) di RSUD Dr. H. Abdul Moeloek Provinsi Lampung. [Correlation between preeclampsia rate and LBW incidence]. Proceeding of Konas Perinasia; 2018 October 15-16.
Faiza MMR, Ngo NF, Fikriah I. Hubungan preeklampsia berat dengan komplikasi pada janin di RSUD Abdul 2 Wahab Sjahranie Samarinda 3 Tahun 2017-2018 [Correlation between severe preeclampsia and fetal complications]. Jurnal Kebidanan Mutiara Mahakam. 2019;7(2):74-84. doi: 10.36998/jkmm.v7i2.59
Djaja S. Hubungan preeklamsia berat (PEB) dengan kejadian Intra Uterine Fetal Death (IUFD) di Ruang Teratai I BLUD RSU Kota Banjar Tahun 2016 [Correlation between severe preeclampsia and IUFD incidence]. Jurnal Kesehatan Mandiri Aktif. 2019; 2(2):64-9.
Heriyanti O. Hubungan antara preeklampsia berat dengan asfiksia perinatal di RSUD Dr Moewardi Surakarta [Correlation between severe preeclampsia and perinatal asphyxia]. Universitas Negeri Sebelas Maret, Indonesia. Repository. 2009.
Prihatini IJ. Hubungan antara preeklampsia dengan kejadian BBLR dan asfiksia neonatorum di VK IRD RSUD Dr. Soetomo Surabaya [Correlation between preeclampsia and LBW incidence and neonatal asphyxia] [Dissertation] Surabaya, Indonesia. Universitas Airlangga; 2013.
Copyright (c) 2022 Majalah Obstetri & Ginekologi
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
1. Copyright of the article is transferred to the journal, by the knowledge of the author, whilst the moral right of the publication belongs to the author.
2. The legal formal aspect of journal publication accessibility refers to Creative Commons Attribution-Non Commercial-Share alike (CC BY-NC-SA), (https://creativecommons.org/licenses/by-nc-sa/4.0/)
3. The articles published in the journal are open access and can be used for non-commercial purposes. Other than the aims mentioned above, the editorial board is not responsible for copyright violation
The manuscript authentic and copyright statement submission can be downloaded ON THIS FORM.
