International Journal of Healthcare Sciences ISSN 2348-5728 (Online) Vol. 9, Issue 2, pp: (7-11), Month: October 2021 - March 2022, Available at: www.researchpublish.com
PREVALENCE OF HYPERTENSION IN PREGNANCY AT DR R SOEHARSONO HOSPITAL BANJARMASIN IN 2019 I Made Aryasa Mugi Raharja1, Wina Kartika Wati2 1
Indonesian Doctor Internship Program at Dr. R. Soeharsono Hospital Banjarmasin, South Kalimantan, Indonesia
Abstract: Background: High blood pressure, especially preeclampsia and eclampsia, is still a major cause of maternal and/or perinatal morbidity and mortality in several parts of the world, including Indonesia. Purpose: Knowing the description of pregnancy cases with complications of high blood pressure at dr. R Soeharsono Hospital Result: Most cases (62.5%) of pregnancy with complications of Preeclampsiawere aged 35 years, but quite a lot (37.5%) cases were over 35 years old, in fact there were 6.25% aged 40 years and over. In addition, there is also 1 case who is 15 years old and unmarried. Although the majority (39.1%) of cases were second and third pregnancies, 28.12% were primi gravida, and 32.82% were fourth or more pregnancies or grande multipara. In fact, there are 1.56% of cases of pregnancy in the sixteenth. The age of pregnant women was mostly 84.12% of cases with gestational age at term, and 35.94% of cases of Preeclampsiawith severe features, 26.56% of cases of Preeclampsiawithout severe features, 4.69% of cases with superimposed pre-eclampsia, and only 1.56% of eclampsia cases. Almost all 98.44% were singleton pregnancies, most of them 89.06% had a body mass index above normal (over weight and obesity). A total of 93.75% used the financing of the National Health Insurance, and 79.69% were born by cesarean section. There were no cases of maternal death, most (85.94%) were born in a vigourous state, 7.82%) died and 1.56% were with asphyxia. Conclussion: The case of pregnancy with complications of high blood pressure at dr. R Soeharsono Hospital Banjarmasin is mostly Preeclampsiawith severe features, multiparity pregnancy, aged 35 years, singleton pregnancy, overweight and obesity. There are still many pregnancies with complications of high blood pressure over the age of 35 years, grande multipara, and caesarean section performed. Keywords: Preeclampsia, Ecclampsia, Hypertension, Pregnancy.
I. INTRODUCTION Preeclampsia is still a global maternal and perinatal health problem, especially in Indonesia. The cause of preeclampsia is pregnancy itself, but there is no agreement on the mechanism of its occurrence. The various theories put forward have not been able to satisfy the results of the treatment/prognosis so that it is still a disease of theories. These disease of theories lead to various variations in the management of PE and lead to different prognoses of maternal morbidity and mortality.4,5 The prevalence of Preeclampsia is reported to vary in different countries. In the world, the prevalence of Preeclampsia is around 4.6%. In Indonesia the incidence of Preeclampsia ranges from 5-10% and in Sanglah Hospital 9.23%, and 5.83%. The difference in the prevalence of Preeclampsia is not significant in developed countries versus developing countries, namely 2-8% in the United States, Canada, and Western Europe : 3.0-5.83% in several Major Hospitals in Indonesia.5,6
Page | 7 Research Publish Journals