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All Journal JURNAL PENELITIAN PERAWAT PROFESIONAL Jurnal Peduli Masyarakat Kolaborasi Jurnal Pengabdian Masyarakat JURNAL PENELITIAN TERAPAN KESEHATAN Jurnal Pengabdian Masyarakat Bhinneka ASJN (Aisyiyah Surakarta Journal of Nursing) Al-DYAS : Jurnal Inovasi dan Pengabdian kepada Masyarakat Madani: Multidisciplinary Scientific Journal Jurnal Pengabdian Harapan Ibu (JPHI) Medika: Jurnal Ilmiah Kesehatan Jurnal Inovasi Global Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Yudha, Magenda Bisma
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Journal : Jurnal Ilmu Kedokteran dan Kesehatan Indonesia

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Perbandingan Pemberian Cairan Koloid dengan Pemberian Terapi Obat Ephedrine dalam Mencegah Terjadinya Hipotensi Pasca Anestesi Spinal pada Pasien Sectio Caesarea di RSUD Ajibarang Mulina, Napa; Yudha, Magenda Bisma; Andini, Amelia; Suandika, Made
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 5 No. 3 (2025): November : Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikki.v5i3.8359

Abstract

Hypotension is one of the most common complications following spinal anesthesia, particularly in patients undergoing cesarean section. If not properly managed, it can lead to serious consequences such as nausea, vomiting, loss of consciousness, cardiovascular collapse, and decreased uteroplacental blood flow, which may endanger both the mother and fetus. Therefore, preventive measures are essential to ensure patient safety during surgery. This study aimed to compare the effectiveness of colloid fluid administration and intravenous ephedrine therapy in preventing hypotension after spinal anesthesia in cesarean section patients. This was a quantitative comparative study using a two-group pretest-posttest design, involving 80 respondents at RSUD Ajibarang. The subjects were divided into two intervention groups: one receiving colloid fluids and the other receiving intravenous ephedrine. Blood pressure measurements were taken before and after the interventions, and data were analyzed using paired sample t-tests and independent t-tests to assess intra- and inter-group differences.The results showed that both interventions were able to increase blood pressure; however, intravenous ephedrine administration was more effective in maintaining hemodynamic stability. A statistically significant difference was found in post-intervention measurements between the two groups (p = 0.046), with the ephedrine group demonstrating a higher mean arterial pressure compared to the colloid fluid group. These findings suggest that intravenous ephedrine is superior to colloid fluid administration in preventing post-spinal anesthesia hypotension during cesarean section. Ephedrine can therefore be considered a preferred intervention for improving maternal safety and reducing the risk of complications during cesarean procedures.
Co-Authors Amalia, Cindy Andini, Amelia Auliya, Khidmatul Budi S, Ns. Martyarini Cantika, Virginia Raida Didik Iman Margatot Dwi Novitasari Dzuhuri, Muh Adnan Fajirin, Muhammad Aldi Giffari, Aidil Hidayanti, Fadila Indri Heri Susanti, Indri Heri Jerau, Emiliani Elsi Khoirul Anam, Ahmad Made Suandika Maitsa, Hilvi Mulina, Napa Nailli, Yuris Tri Nashya, Jhea Aqilla Nuranggreni, Maricha Nurhadi, Muhammad Zidan Putra Rahayu, Mella Budi Rahmaya Nova Handayani Ratri, Hong Nuring Madyo Setyawati, Martyarini Budi Suhendro, Anton Suryani, Roro Lintang Tanjung, Ar-Rahman Triana, Noor Yunida Tumbey, Chrynscialdy Wilis Sukmaningtyas Yudono, Danang Tri Zulita, Nabila Ulfa Zulvia, Risa