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All Journal Jurnal Kedokteran Brawijaya Asian Journal of Health Research
Daniati, Lidya
Unknown Affiliation
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

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Maternal and Fetal Outcome Differences in Pregnant Women with Preeclampsia and Severe Preeclampsia at Dr. Saiful Anwar General Hospital Daniati, Lidya; Rahardjo, Bambang
Asian Journal of Health Research Vol. 4 No. 2 (2025): Volume 4 No 2 (August) 2025
Publisher : Ikatan Dokter Indonesia Wilayah Jawa Timur

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55561/ajhr.v4i2.243

Abstract

Introduction: Preeclampsia is a major factor leading to complications for both mothers and infants, significantly raising maternal mortality rates in Indonesia, where severe instances result in approximately 1.5% of maternal deaths. It also heightens the chance of perinatal loss, with severe preeclampsia having a rate of around 4.6%. Frequent complications related to this condition are low birth weight, intrauterine growth restriction, asphyxia, and preterm delivery. The objective of this research was to evaluate the differences in outcomes for mothers and infants between those experiencing preeclampsia and those suffering from severe preeclampsia at Dr. Saiful Anwar General Hospital. Material and Methods: A retrospective analytical observational design was used, analyzing data from pregnant women treated at HKFM Education Center and Dr. Saiful Anwar General Hospital between January 2022 and December 2023. Statistical analysis involved the t-test or the Mann-Whitney test. Results: Findings revealed considerable variations in maternal results, such as eclampsia, elevated hypertension, and alterations in systolic blood pressure the day after delivery, among women diagnosed with preeclampsia versus those with severe preeclampsia. Distinct variations were observed in maternal well-being throughout pregnancy, during delivery, and in postpartum care. Nevertheless, fetal outcomes showed no significant disparities between the two categories, implying that the conditions for the infants during gestation and post-delivery were comparable. Conclusion: Women suffering from intense preeclampsia encountered various maternal outcomes in contrast to those without the condition, although fetal results were similar in both categories at the hospital that was examined.
Effectivity of Artery Ligation for Bleeding Control in Placenta Accreta Spectrum: A Systematic Review Daniati, Lidya; Rahardjo, Bambang
Jurnal Kedokteran Brawijaya Vol. 34 No. 1 (2026)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/

Abstract

Placenta accreta spectrum (PAS) is a potentially life-threatening obstetric condition that causes severe postpartum hemorrhage. This study aimed to evaluate these techniques and their effectiveness in controlling postpartum hemorrhage. This systematic review used four databases: ScienceDirect, PubMed, Embase, and Scopus. We included studies on arterial ligation or occlusion, particularly of the internal iliac, uterine, hypogastric, or abdominal arteries, that compared arterial occlusion with conservative therapy or other interventions in women with PAS. We included eighteen studies with 1,338 patients. A total of 884 patients underwent the arterial ligation technique, whereas 454 underwent the balloon technique. Several studies have shown that arterial ligation or ballooning may be beneficial in controlling bleeding and reducing the need for hysterectomy. In contrast, other studies found that arterial ligation and occlusion did not result in significant differences in terms of intraoperative blood loss, required hysterectomy, and blood transfusion. All studies consistently found that arterial ligation and occlusion led to an increase in overall operative time compared to the control group. In addition, arterial ligation and occlusion are considered safe techniques with few complications. Arterial ligation and occlusion are effective techniques for managing PAS, particularly for controlling blood loss. Arterial ligation and occlusion are safe procedures with minimal complications.
Co-Authors Bambang Rahardjo