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All Journal Indonesian Journal of Applied Sciences Jurnal Ilmu Kedokteran (Journal of Medical Science) Majalah Kedokteran Bandung Pharmaciana: Jurnal Kefarmasian Jurnal Kesehatan Andalas Jurnal Kesehatan Komunitas Indonesian Journal of Obstetrics & Gynecology Science Indonesian Journal of Obstetrics and Gynecology (Majalah Obstetri dan Ginekologi Indonesia) Jurnal Riset Kesehatan Poltekkes Depkes Bandung Medica Hospitalia Indian Journal of Forensic Medicine & Toxicology MAHESA : Malahayati Health Student Journal Narra J Malahayati International Journal of Nursing and Health Science
Donel S
Universitas Riau
Biochemistry, Genetics & Molecular Biology Dentistry Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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Fetal cardiomegaly in a preeclamptic pregnancy: A case report Muhammad Imam Muttaqien; Donel Suhaimi
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 6 (2025): Volume 8 Number 6
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i6.878

Abstract

Background: Preeclampsia is a pregnancy-specific condition characterized by hypertension and proteinuria after 20 weeks of gestation. This disorder is associated with endothelial dysfunction, abnormal placentation, and reduced uteroplacental perfusion. Preeclampsia increases the risk of complications for both mother and fetus, including intrauterine growth restriction, preterm birth, and perinatal mortality. In the fetus, placental insufficiency caused by preeclampsia may result in hypoxia and increased cardiac workload, which can subsequently lead to cardiomegaly. Early detection and proper management are essential to reduce morbidity and improve pregnancy outcomes. Purpose: To evaluate the association between preeclampsia and the occurrence of fetal cardiomegaly as detected through prenatal ultrasound. Method: This descriptive analytic study applied a case study approach involving a 20-year-old pregnant woman with preeclampsia who delivered preterm at the Obstetrics and Gynecology Department. Data collection included interviews, physical examinations, medical records, and diagnostic imaging, particularly fetal ultrasound. Ethical principles were followed, and informed consent was obtained from the patient. Data analysis was performed descriptively, comparing clinical findings with theoretical evidence to support discussion and management strategies. Results: Ultrasound examination revealed fetal cardiomegaly accompanied by reversed end-diastolic flow in the umbilical artery, indicating severe compromise of fetal well-being. The patient was closely monitored, and timely delivery was performed. The neonate required immediate neonatal intensive care management due to prematurity and cardiovascular complications. Conclusion: This case highlights the relationship between preeclampsia and fetal cardiomegaly, emphasizing the importance of comprehensive monitoring and timely intervention in high-risk pregnancies. Early recognition and appropriate management can improve maternal and neonatal outcomes in cases complicated by preeclampsia.
Co-Authors Admiral, Muhammad Z. Ahmad Fahruddin Amru Sofian Auren Nathania Darmawi Darmawi Dewi Anggraini Dhini Aiyulie Novri Fahruddin, Ahmad Farniga, Arnaldi Febriani Fitra Afdanil Hidayat, Fadler Ika A. Rini, Ika A. Ilmiah, Zidny Inayah Inayah Irwan Irwan Kemal, Rahmat A. Lalu Muhammad Irham Leina Putri Zahra M. Yulis Hamidy Machyuddin T.M Pangaribuan Mahargyarani, Azza E. Maya Savira Mayangsari, Nastiti Hemas Muhammad Arif Syafei Muhammad Imam Muttaqien Muhammad Yusuf Nurhapipa Nurlisis, Nurlisis Oktavia Dewi Putra, Andani E. Putri, Ratu Astuti Dwi Rachmadina, Rachmadina Rahmat Azhari Kemal Ratu Astuti Dwi Putri Ratu Astuti Dwi Putri, Ratu Astuti Razali, Renardy R. Renardy Reza Razali Resty Yuwandari Riandi, Diki Ruza Prima Rustam satiti rahayu ShintaPuja Tilusari sidri rizqi yuniati Sofie R. Krisnadi Syamsul Bahri Syamsul Bahri Syamsul Bahri Riva'i TB Odih Rhomdani Wahid Winarto Winarto Wirawan Adikusuma Wiwin Suhandri Wiwit Ade Fidiawati Yossi Maryanti Yulis Hamidy Yunita, Jasrida Zainal Abidin Zulmaeta