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All Journal e-CliniC Jurnal e-Biomedik JURNAL BIOMEDIK JURNAL KEDOKTERAN KOMUNITAS DAN TROPIK Indonesian Journal of Obstetrics and Gynecology (Majalah Obstetri dan Ginekologi Indonesia) Medical Scope Journal (MSJ) Health & Medical Sciences
Hermie M. M. Tendean
Universitas Sam Ratulangi
Biochemistry, Genetics & Molecular Biology Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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Journal : JURNAL BIOMEDIK

 1 
Luaran Maternal dan Perinatal pada Preeklampsia Berat dan Eklampsia Lumentut, Anastasia M.; Tendean, Hermie M. M.
JURNAL BIOMEDIK : JBM Vol 13, No 1 (2021): JURNAL BIOMEDIK : JBM
Publisher : UNIVERSITAS SAM RATULANGI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/jbm.13.1.2021.32109

Abstract

Abstract: Preeclampsia and  eclampsia are a complication in pregnancy which can increase the maternal and neonatal morbidity and mortality in Indonesia. This study aimed to illustrate outcome severe preeclampsia and eclampsia at RSUP Prof. Dr. R. D. Kandou Manado on period January 1st – December 31st, 2018. Design of study is descriptive retrospective method. The results of study, in the period from January 1st – December 31st, 2018 at RSUP Prof. Dr. R. D. Kandou Manado there are 1366 deliveries which 322 cases (23.57%) severe preeclampsia and 12 cases (0.88%) eclampsia. For severe preeclampsia obtained maternal age ≥ 35 years as much as 128 cases (39.8%), gestational age 37–40 weeks as much as 186 cases (56.3%), cesarean section delivery as much as 214 cases (66.5%), appropriate gestational age as much as 257 cases (79.8%), APGAR Score 4-6 as much as 165 cases (64.3%), perinatal mortality as much as 8 cases (6.08o/oo). For eclampsia obtained maternal age between 21-29 years as much as 5 cases (41.6%), gestational age < 37 weeks as much as 7 cases (58.3%), cesarean section delivery as much as 12 cases (100%), small gestational age as much as 9 cases (75%), maternal mortality as much as 8 cases (5.95%o), perinatal mortality as much as 2 cases (1.52o/oo). In conclusion, outcomes of severe preeclampsia and eclampsia obtained in accordance  with the literature where APGAR Score babies are not very good so it affects the rate of perinatal mortality. Perinatal mortality caused by intrauterine hypoxia and prematurity.Key Words: severe preeclampsia, eclampsia, maternal mortality, perinatal mortality  Abstrak: Preeklampsia dan eklampsia merupakan komplikasi kehamilan yang dapat meningkatkan morbiditas dan mortalitas maternal maupun perinatal di Indonesia. Tujuan penelitian utuk mengetahui luaran maternal dan perinatal pada preeklampsia berat dan eklampsia di RSUP Prof. Dr. R. D. Kandou Manado periode 1 Januari– 31 Desember 2018. Penelitian menggunakan metode deskriptif retrospektif. Hasil penelitian, pada periode 1 Januari - 31 Desember 2018 di RSUP Prof. Dr. R. D. Kandou Manado terdapat 1366 persalinan diantaranya 322 kasus (23.57%) preeklampsia berat dan 12 kasus (0.88%) eklampsia. Untuk preeklampsia berat didapatkan usia ≥ 35 tahun sebanyak 128 kasus (39.8%), kehamilan 37–40 minggu sebanyak 186 kasus (56.3%), persalinan seksio sesarea sebanyak 214 kasus (66.5%), berat badan bayi sesuai masa kehamilan sebanyak 257 kasus (79.8%), nilai APGAR 4–6 sebanyak 165 kasus (64.3%) dan kematian perinatal sebanyak 8 kasus (6.08o/oo). Untuk eklampsia didapatkan pada usia 21-29 tahun sebanyak 5 kasus (55.6%), kehamilan < 37 minggu sebanyak 6 kasus (66.7%), persalinan seksio sesarea sebanyak 12 kasus (100%), berat badan bayi kecil masa kehamilan sebanyak 9 kasus (75%), kematian maternal sebanyak 8 kasus (5.95%o), kematian perinatal sebanyak 2 kasus (1.52o/oo). Sebagai simpulan, hasil luaran preeklampsia berat dan eklampsia sesuai dengan kepustakaan bahwa nilai APGAR bayi yang tidak terlalu baik, sehingga mempengaruhi tingkat kematian perinatal. Kematian perinatal disebabkan oleh hipoksia intrauterin dan prematuritas.Kata Kunci: preeklampsia berat, eklampsia, AKI, AKP
Evaluasi Kasus Obstetri di Rumah Sakit Sebagai Pusat Rujukan Nasional Lumentut, Anastasia M.; Tendean, Hermie M. M.
Jurnal Biomedik : JBM Vol 12, No 3 (2020): JURNAL BIOMEDIK : JBM
Publisher : UNIVERSITAS SAM RATULANGI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/jbm.12.3.2020.31472

Abstract

Abstract: This study aimed to evaluate obstetric cases referred to Prof. Dr. R. D. Kandou Central General Hospital Manado as a reference center in North Sulawesi. This study was a retrospective-descriptive study with all single delivery cases both vaginal and caesarean section delivery which had complete medical record data at January 1 – December 31, 2018 period in the Obstetrics Department of Prof. Dr. R. D. Kandou Hospital Manado. From the results of research, the number of single deliveries was 1357 cases of labor, with 629 vaginal delivery and 728 caesarean section. Distribution based on age, parity, birth weight, APGAR score and address by delivery between vaginal delivery and caesarean section had no significant differences (p > 0.05). Perinatal death was 37 cases (27.52 ‰), with 18 cases vaginal delivery (13.39 ‰) and 19 cases caesarean section (14.13 ‰). In the distribution of maternal deaths there were 1344 live births with 17 maternal deaths, thus the maternal mortality rate was 12.64 ‰. In conclusion, based on the analysis, there was no relationship between age, parity, birth weight, APGAR score, address with deliveryKeywords : referral, obstetrics, system, maternal.  Abstrak: Penelitian ini bertujuan mengevaluasi kasus-kasus obstetri yang dirujuk ke RSUP Prof. Dr. R.D. Kandou Manado sebagai pusat rujukan di Sulawesi Utara. Metode penelitian berupa tinjauan deskriptif retrospektif semua persalinan tunggal per vaginam dan seksio sesarea dengan menggunakan data rekam medik di Bagian Obstetri & Ginekologi RSUP Prof. Dr. R.D. Kandou Manado periode 1 Januari – 31 Desember 2018. Diperoleh hasil 1357 persalinan tunggal yang terdiri dari 629 persalinan per vaginam dan 728 persalinan seksio sesarea. Distribusi berdasarkan usia, paritas, berat badan lahir, APGAR skor dan alamat tempat tinggal dengan cara persalinan antara per vaginam dan seksio sesarea tidak terdapat perbedaan yang bermakna    (p > 0,05). Didapatkan angka kematian perinatal sebesar 37 kasus (27,52‰) yaitu per vaginam 18 kasus (13,39‰), sedangkan seksio sesarea 19 kasus (14,13‰). Terdapat 17 kasus kematian maternal dari 1344 kelahiran hidup, sehingga angka kematian maternal adalah 12,64‰. Sebagai simpulan, berdasarkan analisa, maka tidak ditemukan adanya hubungan antara umur, paritas, berat badan lahir, skor APGAR, alamat tempat tinggal dengan cara persalinan.Kata kunci: rujukan, obstetri, sistem, maternal
Co-Authors . Sudarman Angelina Tuange Aprilia Fransiska Lantu, Aprilia Fransiska Eddy Suparman Erna Suparman Florence T. U. Latuharhary Frank M. M. Wagey, Frank M. M. Freddy W. Wagey Ginting, Joseph S. Inri Suryani Batan John J. E. Wantania, John J. E. Juneke J. Kaeng Lidya Kusumawati Limy, Ivan Lontaan, Gregorya I. A. Lumentut, Anastasia M. Maya Mewengkang Meyclin Dameria Sibuea Muchlis Syahputra, Muchlis Prisilia D. D. Sumoked, Prisilia D. D. Rotinsulu, Fioren G. F. Rumampuk, Tivan Z. S. Sangi, Shekinah Kabowd Puteri Sanusi, Jesslyn M Septa Ayu Bungasari Siva Oroh, Siva Syarwani, Teuku I. Tiara Faradita Rahim, Tiara Faradita Vidi Y. Y. Pontoh, Vidi Y. Y.