scholarly journals Kasus Hipertensi pada Kehamilan di Indonesia

2018 ◽  
Vol 32 (9) ◽  
pp. 295
Author(s):  
Novi Kartika Sari ◽  
Theodola Baning Rahayujati ◽  
Mohammad Hakimi

Determinants of pregnancy hypertensive disorders in Indonesia PurposeThis study aimed to assess the determinant factors of gestational hypertension (HDP) in Indonesia.MethodsThis research was an observational analytic study using a cross-sectional design. Sampling was calculated using consecutive sampling technique. The subjects were all pregnant women aged 15-54 years old in 33 provinces in Indonesia and 9024 women were selected as subjects. Chi-square and binomial regression tests were used to analyze the determinants of HDP to see the value of the Ratio Prevalence (RP). ResultsThe prevalence of hypertension among pregnant women was 6.18% (558 people) after being adjusted with external variables which were potentially confounders. The highest of hypertension was found in West Java with 59 pregnant women (10.57%). Overweight and chronic hypertension were related to hypertensive disorders in pregnancy with RP: 2.13 (95% CI: 1.80-2.51); and in overweight with RP: 4.36 (95% CI: 3.6-5.26) in hypertension assessments. The use of contraceptives was not a risk factor for hypertensive disorders in Indonesia with RP 0.92 (95% CI: 0.76-1.10). ConclusionOverweight and chronic hypertension are risk factors for the incidence of hypertensive disorders in pregnancy in Indonesia.

2018 ◽  
Vol 8 (2) ◽  
Author(s):  
Uliyatul Laili

Analysis of factors Affecting The Participant Pregnant Women Gymnactics in BPS Nina Surabaya. Pregnant women should get treatment during pregnancy. Treatment during pregnancy or antenatal care can be done via examination of pregnancy, pregnancy exercise, nutrition and other compliance requirements. Pregnancy exercise is an exercise undertaken to prepare and train the muscles so that it can be used to function optimally in a normal delivery.This study uses an analytical method with cross sectional design prospective. Sampling using total sampling technique. The independent variable is education, parity and maternal knowledge, while the dependent variable is exclusive breastfeeding. Data were analyzed using chi square test.The results showed a correlation between age and support of husband / family with the participation of pregnant women during pregnancy exercise with a p-value of <0.05, whereas for education and parity are not related to the participation of pregnant women against pregnancy exercise with a value of p>0.05.The conclusions of this study are the factors that influence the participation of pregnant women during pregnancy exercise is aged and the support of husband / family.


2018 ◽  
Vol 5 (2) ◽  
pp. 46-50
Author(s):  
Catur Wulan ◽  
Wulan Ayu Fitria

Consumption of iron tablet 1 tablet per day during pregnancy can cause constipation. Based on the results of preliminary study in the Bandar Village, Pacitan through interviews with 14 pregnant women there were 12 pregnant women who consumed iron tablet regularly and 8 pregnant women complain of difficulty to defecate while not experiencing constipation 4 pregnant women. From two pregnant women who did not consume fe tablets they didn’t get constipation. The purpose of this study was to determine the relationship consuming Fe tablet with constipation in pregnant women. This type of research is quantitative with cross sectional design conducted in March 2016. The population of all pregnant women in Bandar Village Bandar Subdistrict District of Pacitan as many as 33 pregnant women. The respondents ware all pregnant women in the Bandar Village Bandar district Pacitan. Using total sampling technique, the research was conducted on March 1 until March 30, 2016. The variable in this study is the fe tablet intake and incidence of constipation. The research instrument used was observation about fe tablet consumption and interviewing about incidence of constipation. The data were tabulated and analyzed using a statistical test Chi Square test determined significant with p> 0.05. From the results showed that majority of 19 pregnant women (57.5%) consume iron tablet regularly, and majority of 18 pregnant women (54.5%) got constipation. There was a relationship consuming Fe tablet constipation with in pregnant women in the Bandar Village district ofPacitan. Evidenced by the significant level of 0.000> 0.05 so that Ho refused. Based on the results of the study, the researcher suggested to health workers to provide counseling to pregnant women about how to consume tablets fe correetly and balanced with foods contaiming high in fiber.


2020 ◽  
Vol 4 (2) ◽  
pp. 7-11
Author(s):  
Nelfi Sarlis

Every pregnant woman in the first trimester experiences nausea and vomiting. This situation is natural and often occurs in pregnancy, especially in the first trimester. Nausea usually occurs in the morning, this case can occur almost 50% of pregnant wowen and many occur at 6-12 weeks. The purpose of this study was to determine the relationship between knowledge and attitudes of pregnant women on how to cope with vomiting nausea in pregnancy trimester 1 in the work area of ​​Payung Sekaki health center in Pekanbaru. This study uses a quantitative method with a cross sectional, so that the number of samples obtained was 71 respondents. Sampling used consecutive sampling technique, nominal and ordinal measuring scales, questionnaire research instruments and univariate and bivariate data collection. Based on the results of the chi square test obtained the knowledge variable is related to how to overcome nausea and vomiting with p = 0.008 where the value of α <0.1 then, Ha accepted means there is a relationship between knowledge and attitudes of pregnant women on how to cope with nausea vomiting while the variable obtained p=0,000 where the value of α<0,1 in the working area of ​​payung sekaki health center in Pekanbaru in 2019. Advised to puskesmas payung sekaki pekanbaru to try to increase public knowledge abaout nausea vomiting in pregnancy and the attitude of pregnant women to overcome nause and vomiting. By providing counseling to pregnant women abaout nausea and vomiting in pregnancy.


2020 ◽  
Vol 9 (2) ◽  
pp. 572-579
Author(s):  
Nia Ike Lestari ◽  
Shinta Novelia ◽  
Anni Suciawati

This study aims to determine the factors related to the choice of delivery place. This research is an analytic survey research with cross sectional design. The sampling technique in this study was conducted with a total sampling method of 108 pregnant women. Data was collected using a questionnaire that had been tested for validity and reliability and was processed with the Chi-Square statistical test. The results showed that 61.1% of pregnant women chosed non-health facilities (home) in the selection of labor, then the statistical test found a significant relationship between economic status / income (ρ value = 0.008) and husband / family support (ρ value = 0.005 ) with the delivery place selection, other factors not related delivery place selection are education (ρ value = 0.231), knowledge (ρ value = 0.826) and distance (ρ value = 0.099). 


2018 ◽  
Vol 03 (02/03) ◽  
pp. 068-078
Author(s):  
Lalita Nemani

Abstract Hypertension in pregnancy is defined as systolic blood pressure (SBP) ≥ 140 mm Hg or diastolic blood pressure (DBP) ≥ 90 mm Hg or both on two different occasions at least 6 hours apart. Severe hypertension is SBP ≥ 160 mm Hg or DBP ≥ 110 mm Hg. Hypertension is the most common medical problem in pregnancy and one of the major causes of maternal and perinatal mortality and morbidity. Hypertensive disorders in pregnancy (HDP) are classified as (1) chronic hypertension, (2) chronic hypertension with superimposed preeclampsia, (3) preeclampsia-eclampsia, and (4) gestational hypertension. HDP contributes to increased risk of hypertension, stroke, and maternal cardiovascular disease (CVD) in later life. HDP can be considered as a failed cardiovascular stress test identifying women susceptible to CVD in later life. Further research is required to identify the mechanisms in HDP that contribute to CVD in later life so as to initiate appropriate prevention measures.


2016 ◽  
Vol 2 (1) ◽  
pp. 45-49
Author(s):  
R. Nety Rustikayanti ◽  
Ira Kartika ◽  
Yanti Herawati

A woman on the gestation period will experience both physical and psychological changes. These changes have  an  impact on the  fulfillment of  basic needs, including sexuality. Changes in pregnant women’s perceived psychology can result in decreased sexual desire of the women. This study aimed to describe the relationship of psychological changes of pregnant women with the husband’s sexual satisfaction level. The study used cross sectional design with a population of third  trimester pregnant women who  did  checkups in  May 2015 as  many as  183 couples. Sampling technique used accidental sampling and sample size was 46 couples. The instrument used was a questionnaire and Psychological Changes Index of Sexual Satisfaction (ISS). Data analysis  used  Chi-square test.  The  results  showed  that  as  many  as  54.3%  of  respondents experienced a positive psychological change.  Conclusion of the study is that the more positive physiological  changes  in  pregnant  women  will  result  in  higher  sexual  satisfaction  of  her husband.


2021 ◽  
Vol 10 (2) ◽  
pp. 46-49
Author(s):  
Lakshmi A ◽  
Akshatha DS ◽  
Pooja P ◽  
Prashanth FG ◽  
Veena MV ◽  
...  

Aims and objectives To determine the effect of hypertension in pregnancy To determine the maternal and fetal outcome in patients with hypertensive disorders of pregnancy. Materials and methods This is a retrospective study conducted in ESIC MC and PGIMSR, Bangalore from January 2020 to December 2020. All pregnant women who presented with Hypertensive disorder in pregnancy were included in the study. Results A total of 1503 patients who delivered during the study period were included in the study of which 172 patients had hypertensive disorder (11.44 %). Gestational hypertension occurred in 113 cases, preeclampsia in 45 cases, chronic hypertension in 8 cases, chronic hypertension with superimposed preeclampsia in 2 cases and eclampsia in 4 cases. Of these 85(49.41%) cases were primigravida and 87(50.58%) were multigravida. 38 deliveries occurred preterm and 134 were term. 4 patients had intrauterine fetal demise. Gestational diabetes occurred in 30(17.44%) cases, hypothyroidism in 45 cases(26.16%), IUGR in 11 cases(6.39%), oligohydramnios in 10 cases(5.81%). Discussion Hypertensive disorders in pregnancy is a spectrum of disease. It is one of the non communicable diseases occurring in pregnancy. It is the third most common cause of maternal mortality. By timely detection and proper management, it is possible to decrease the complications and adverse outcomes associated with this condition. Conclusion Hypertensive disorders in pregnancy is an important cause for maternal and fetal mortality and morbidity. Hence it is important to identify the risk factors and prevent it for better outcome.


2007 ◽  
Vol 1 (1) ◽  
pp. 13-20
Author(s):  
Andrea Ungar ◽  
Elena Lotti ◽  
Lorella Lambertucci

Hypertension is the most common medical problem encountered during pregnancy, complicating 2-3% of pregnancies. Hypertensive disorders during pregnancy are classified into 4 categories: chronic hypertension, pre-eclampsia/eclampsia, pre-eclampsia superimposed on chronic hypertension, and gestational hypertension. A relative paucity of investigative data, as well as the frequent difficulty in making an etiological diagnosis, may lead to problems in its management. This case report analyses current concepts regarding the hypertensive disorders of gestation, focusing on chronic hypertension. Chronic hypertension is defined as blood pressure exceeding 140/90 mmHg before pregnancy or before 20 weeks gestation. Hypertensive disorders in pregnancy may cause maternal and fetal morbidity and remain a leading source of maternal mortality. A prompt diagnosis is needed also because hypertension may be an indicator of pre-eclampsia, a condition which can evolve into serious complications. Maintaining blood pressure below 140/90 mmHg is recommended, although treatment should be determined on an individual basis. Many anti-hypertensive agents appear to be safe for use during pregnancy: methildopa has been the most studied of the anti-hypertensive drugs and has the best safety record. Labetalol, idralazine and nifedipine also have been found to be safe; ACE-inhibitors are absolutely contraindicated, because they are associated with intrauterine growth retardation.


2020 ◽  
Vol 15 (1) ◽  
pp. 52-61
Author(s):  
Nurfatimah Nurfatimah ◽  
Lisa Fiarsi ◽  
Lisda Widianti Longgupa ◽  
Kadar Ramadhan

The implementation of pregnancy class in the Puskesmas Mapane in Poso Regency is still ineffective because it is done every three months. The purpose of this study to find out knowledge and attitudes about danger signs in pregnancy and the activeness of mothers in classes of pregnant women in the working area of Puskesmas Mapane in Poso Regency. Research methods using cross-sectional design. The population in this study were second-trimester and third-trimester pregnant women in the working area of Puskesmas Mapane, 96 mothers. The sample in this study were 77 people who determined by simple random sampling. Chi square test is used to analyze the relationship between knowledge and attitudes with maternal activity in pregnant mother classes.The resultsshowed that from 77 people, there were 84.4% pregnant women who were not active in pregnancy class and pregnant women who had good knowledge and positive attitudes about the danger signs of pregnancy as many as 73.9%. The conclusion is that the activeness of the mother in the class of pregnant women is not very influential in increasing the mother's knowledge about the danger signs of pregnancy. Suggestions are expected to the Puskesmas so that they can better provide information and motivation to pregnant women to take pregnancy class programs in their working areas.


2021 ◽  
Vol 3 (2) ◽  
pp. 167
Author(s):  
Heni Hastanti ◽  
Budiono Budiono ◽  
Nining Febriyana

Abstrak Latar Belakang: Kecemasan merupakan salah satu gangguan jiwa yang umum terjadi pada masa kehamilan. Prevalensi kecemasan ibu hamil di negara berkembang rata-rata mencapai 20% atau lebih. Kecemasan ibu hamil berbeda-beda tergantung pada faktor yang mempengaruhi dan kemampuan ibu beradaptasi dalam menciptakan kondisi psikologis. Penelitian ini bertujuan untuk mengetahui perbedaan kejadian kecemasan ibu hamil primigravida dan multigravida. Metode: Jenis penelitian adalah analitik observasional dengan desain studi cross sectional comparative untuk membandingkan perbedaan kecemasan primigravida dan multigravida dengan kuesioner. Populasi adalah semua ibu hamil yang tercatat dan berkunjung di Puskesmas Jenggot Kota Pekalongan. Sampel dengan teknik consecutive sampling yang dibedakan menjadi dua kelompok yaitu kelompok primigravida dan multigravida. Masing-masing kelompok 43 orang dengan kriteria inklusi kehamilan tunggal, usia ibu saat hamil 20-35 tahun, kehamilan fisiologis. Penelitian ini dilakukan di Puskesmas Jenggot Kota Pekalongan pada Bulan Februari-April 2019. Analisis data dilakukan dengan teknik komparasi Mann-Whitney, Chi Square dan Independent Samples T-Test. Hasil: Karakteristik responden antara primigravida dan multigravida diketahui bahwa karakteristik yang berbeda adalah usia ibu hamil (p=0,000), pendidikan (p=0,009) dan tipe keluarga (p=0,000), disimpulkan bahwa ada perbedaan usia, pendidikan dan tipe keluarga. Rata-rata skor kecemasan pada ibu hamil primigravida yaitu 70,74 sedangkan pada multigravida yaitu 65,70. Hasil uji Independet Samples T-Test didapatkan nilai p sebesar 0,035 sehingga disimpulkan terdapat perbedaan kecemasan pada ibu hamil primigravida dan multigravida. Kesimpulan: Kecemasan pada primigravida lebih tinggi sebesar 7,67% dibandingkan dengan multigravida berdasarkan rata-rata skor kecemasan.Abstract Background: Anxiety is one of the common mental disorders in pregnancy. The prevalence of maternal anxiety in developing countries reaches an average of 20% and more. The anxiety in pregnancy depends on the influencing factors and the ability of the mothers to adapt and create a psychological condition. Therefore, this research aims to find out the differences in the prevalence of anxiety in primigravida and multigravida pregnancy. Method: The type of this research is analytic observational study with comparative cross-sectional design and questionnaires to compare the incidence of anxiety in primigravida and multigravida. The research population was all pregnant women who visited and recorded at Jenggot Public Health Center, Pekalongan. The sample was taken with consecutive sampling technique and divided into two groups, primigravida group, and multigravida group. Each group has 43 people with inclusion criteria of a single pregnancy, maternal age between 20 to 35 year


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