PENGARUH PREEKLAMSIA BERAT PADA KEHAMILAN TERHADAP KELUARAN MATERNAL DAN PERINATAL DI RSUP DR KARIADI SEMARANG TAHUN 2010

Abstract

Background: Preeclampsia is one of the main causes of maternal death and it still becomes a problem in obstetrical services in Indonesia. Severe preeclampsia increases the risk of adverse maternal and perinatal outcomes. This study aims to determine the effect of severe preeclampsia in pregnancy on maternal and perinatal outcomes in RSUP dr Kariadi in 2010. Methods: This was descriptive study with cross-sectional design by collecting secondary data from medical records of severe preeclampsia patients at RSUP dr Kariadi in 2010. All samples fullfilled both inclusion and exclusion criterias. The data were described in frequency tables. Result: There were 234 (11,86%) cases of severe preeclampsia from a total of 1973 deliveries. The maternal outcomes cases consisted of 103 cases (44%) of caesarean section deliveries, 10 cases (4,3%) of placenta previa, 1 case (0,4%) of solusio placenta, 5 cases (2,1%) of postpartum hemorrhage, 7 cases (3%) of eclampsia, 19 cases (8,1%) of impending eclampsia, 4 cases (1,7%) of HELLP syndrome, 26 cases (11,1%) of partial HELLP syndrome, 24 cases (10,3%) of pulmonary oedema, 4 cases (1,7%) of acute renal failure, and 5 cases (2,1%) of maternal death. The perinatal outcomes cases consisted of 91 cases (37%) of low birth weight, 17 cases (6,9%) of intra uterine growth restriction, 70 cases (28,3%) of preterm birth, 38 cases (16,7%) of asphyxia neonatorum, and 23 cases (9,3%) of perinatal death. Conclusion: This descriptive study shows that severe preeclampsia patients have high prevalence of severe adverse effects with high morbidity and mortality rate thus affects maternal and perinatal outcomes.