scholarly journals PERINATAL OUTCOME IN PREECLAMPSIA

2021 ◽  
pp. 17-18
Author(s):  
Yellamelli Megha Spandana

Preeclampsia is a disorder of pregnancy characterized by the onset of high blood pressure and often a significant amount of protein in the urine .When it arises , the condition begins after 20 weeks of pregnancy. Clinically , Preeclampsia presents as a new onset hypertension in a previously normotensive woman , with systolic and diastolic blood pressure readings of more than 140 and more than 90mmhg respectively on two separate occasions that are at least 6 hours apart together with proteinuria that develops after 20 weeks of gestation .Preeclampsia affects 5 to 7 percent of all pregnant women but is responsible for over 70,000 maternal deaths and 5000 foetal deaths worldwide every year .

Author(s):  
Anders Åberg

AbstractStandardized conditions for blood pressure measurements and strict definitions of systolic and diastolic blood pressure are essential for a consequent management of hypertension during pregnancy. In Sweden, it has been agreed to measure blood pressure with the pregnant women sitting in upright position. Home-monitoring of blood pressure is recommended in women at risk of preeclampsia.


2021 ◽  
Vol 8 (1) ◽  
pp. 24-31
Author(s):  
Maslahatul Inayah ◽  
Tri Anonim

Maternal Mortality Rate (MMR) can be a measuring tool to determine the quality of health services both during pregnancy and postpartum. Pregnant women with preeclampsia can cause complications that lead to increased maternal mortality and perinatal mortality. There are several attempts to control high blood pressure. This method can use pharmacological or non pharmacological.  The purpose of this study was to determine the effectiveness of warm water foot soak therapy on changes in blood pressure reduction of preeclamptic pregnant women. This type of research is a quantitative study with aresearch quasi-experimentaldesign, with adesign approach pre and post test in the intervention group and the conMtrol group. The sample for each group is 10 people, so that the total number of samples is 20 respondents.Bivariate analysis was performed using the Wilxocon test because the data distribution was not normal and the Mann-Whitney Test to determine the difference before and after the intervention was given.The results of the bivariate analysis showed that there was an effect of giving warm water foot soaking therapy to changes in the decrease in systolic and diastolic blood pressure of preeclamptic pregnant women with a value of p = 0.004 and p = 0.011 and there were differences in changes in the decrease in systolic and diastolic blood pressure between the intervention group and the control group. p = 0.001 and p = 0.007.


2018 ◽  
Vol 2 (1) ◽  
pp. 36-40
Author(s):  
Fitriana Ikhtiarinawati Fajrin

ABSTRAKKehamilan adalah masa dimulai dari hasil konsepsi sampai lahirnya janin dengan lama kehamilan 280 hari (40 minggu atau 9 bulan 7 hari) dihitung dari hari pertama haid terakhir. Hipertensi pada kehamilan adalah hipertensi yang timbul sebelum usia kehamilan 20 minggu tanpa disertai proteinuria. Hipertensi merupakan komplikasi yang disebabkan oleh kondisi lingkungan seperti faktor keturunan, emosi dan pola hidup yang tidak seimbang. Metode yang digunakan dalam penyusunan laporan penelitian ini adalah deskriptif yaitu metode yang dilakukandengan tujuan memberi gambaran tentang suatu keadaan secara obyektif dengan menggunakan studi kasus yaitu perbandingan antara teori dan kasus nyata. Berdasarkan data yang di peroleh dari Dinas Kesehatan Jawa Timur bulan Januari – Juni Tahun 2015 di dapatkan ibu hamil dengan hipertensi 11.056 orang, data dari Dinas Kesehatan Kabupaten Lamongan sebanyak 143 orang. Data yang diperoleh dari register kunjungan pemeriksaan Antenatal Care (ANC) di PuskesmasSukodadi bulan Januari – Juli Tahun 2015 terdapat 389 orang ibu hamil, di dapatkan 6 orang (1,5%) dengan hipertensi. di BPS Luluk Pusparini, AMd. Keb, didapatkan 2 orang (7,7%) dengan kehamilan hipertensi.Berdasarkan dari hasil pengkajian maka dapat ditegakkan diagnosa yaitu Asuhan Kebidanan pada Ny. “S” Trimester II dengan hipertensi gestasional. Dan dari hasil penelitian ini tidak terdapat kesenjangan antara tinjauan teori dan tinjauan kasus. Diharapkan bagi petugas kesehatan hendaknya dapat mengenali tanda dan gejala hipertensi sehingga dapat melakukan penatalaksanaan dengan baik dan sesuai standart kompetensi.Kata Kunci : Kehamilan, Hipertensi, GestasionalABSTRACTPregnancy is a period started from the conception to the birth in 280 days (40 weeks or 9 months and 7 days) counted from the first day of the last women’s period. Hypertention is a complication caused by many factors like genetics, emotional condition, and unhealthy lifestyle. Hypertension in pregnancy usually occure before 20 weeks of gestational age without any proteinuria. The prevalence of gestational hypertension is quite high in East Java and Kabupaten Lamongan. According to Dinas Kesehatan Jawa Timur, there were 11.056 pregnant women in East Java with hypertension in January-June 2015 while according to Dinas Kesehatan Kabupaten Lamongan, there were 143 case of gestational hypertension in Lamongan. In addition, at a primary care Puskesmas Sukodadi Lamongan, there were 6 of 389 women (1,5%) observed with gestational hypertension and at a midwifery practise, 2 pregnant women (7,7%) were reported had a high blood pressure. The recent studywas a case study of a pregnant woman with high blood pressure using descriptive analysis method.The results showed that there was no discrepancy between theorethical and practical midwifery care for the patient. Health care providers should be able to recognize the symtomps of gestational hypertention so that it could be treatproperly.Keywords : Pregnancy, Hypertension, Gestational.


Author(s):  
Miftah Nurlaily El Akhlaq ◽  
Suharyo Hadisaputro ◽  
Suhartono . ◽  
Sri Sumarni ◽  
M. Choiroel Anwar

Bay leaf (Syzygiumpolyanthum) or Daun Salam is one of the plants that has many benefits, one of them is to reduce blood pressure. The aim of this study is to prove the effect of adding nanoparticles supplementation of bay leaf (Syzygiumpolyanthum) to systolic and diastolic blood pressure in pregnancy hypertension.The study was quasi-experiment. 39 respondents were divided into 19 pregnant women in intervention group and 20 pregnant women in the control group. The intervention was given for 14 days by consumingnifedipine 10mg plus 80mg bay leaf nanoparticle capsules to the intervention group.The results of data analysis showed a decrease in systolic blood pressure (p = 0.000) and diastolic blood pressure (p = 0.004) when compared with the control group, which means that there were differences in the mean systolic and diastolic blood pressure between the two groups after treatment. The addition of bay leaf nanoparticle supplementation 1x80 mg for 14 days affected the decrease in systolic and diastolic blood pressure in pregnancy hypertension. So that the supplementation of bay leaf nanoparticles can be used as adjunctive therapy in pregnancy hypertension


2020 ◽  
Vol 14 (2) ◽  
pp. 82-85
Author(s):  
Swapna Biswas Joy ◽  
Md Rabiul Islam ◽  
Monika Khandoker ◽  
Ananta Kumar Biswas

Preeclampsia is one of the most important pregnancy disorder, diagnosed with hypertension and proteinuria. It is the leading cause of fetal and maternal morbidity and mortality. This cross-sectional study was conducted in 100 pregnant women, of them, 50 were diagnosed cases of preeclampsia and 50 were normal pregnant women attended in the Gynaecology and Obstetrics department of Dhaka Medical College Hospital, Dhaka, during July 2016 to June 2017. Five ml fasting blood sample was collected and was analysed for triglyceride using standard enzymatic method. Mean value of triglyceride was compared between two groups by student unpaired t-test and the triglyceride level was correlated with systolic, diastolic blood pressure and urine albumin in preeclamptic patient was correlated by Pearson's correlation coefficient test. A p-value was considered to be statistically significant at 0.05 at 95% confidence interval. Statistically significant difference of serum triglyceride level was found in preeclamptic women and normal pregnant women (p<0.05). The level was 248.90±31.36 mg/dl in preeclampsia and 197.00±27.04 mg/dl in normal pregnant women respectively. Serum triglyceride was positively correlated with systolic, diastolic blood pressure and urine albumin in preeclamptic women. Faridpur Med. Coll. J. Jul 2019;14(2): 82-85


2016 ◽  
Vol 80 (10) ◽  
pp. 2165-2172 ◽  
Author(s):  
Minako Inoue ◽  
Takuya Tsuchihashi ◽  
Yasuyuki Hasuo ◽  
Masanobu Ogawa ◽  
Mitsuhiro Tominaga ◽  
...  

2016 ◽  
Vol 34 ◽  
pp. e264
Author(s):  
D. Escouto ◽  
M.R. Vieira ◽  
B. Pinheiro da Costa ◽  
C.E. Poli-de-Figueiredo

2021 ◽  
Vol 6 (1) ◽  
pp. 27-31
Author(s):  
S. D. Babazhanova ◽  
A. S. Lyubchich ◽  
Yu. K. Jabbarova

Aim. To determine the factors contributing to maternal death due to preeclampsia.Materials and Methods. We performed a retrospective study of 149 maternal deaths from preeclampsia during 2013-2017, which included the analysis of birth histories, medical records, individual observation cards, outpatient records, and questionnaires of healthcare workers and relatives.Results. Preeclampsia was responsible for 24.1% of maternal deaths over 5 years (2013-2017). The causes of death in women with preeclampsia were: pulmonary oedema (33/149, 22.2% cases), acute renal failure (33/149, 22.2%), cerebral complications (43/149, 28.6%), and hepatic impairment (acute fatty liver of pregnancy or HELLP syndrome, 45/149, 30.2%). The majority of pregnant women admitted in critical condition because of acute fatty liver of pregnancy or HELLP syndrome (45/149, 30.2%), eclampsia at home (25/149, 16.8%), or severe hypertension (114/149, 76.5%). The majority of those who died from preeclampsia had premature births (86/149, 57.7%) and delivered by caesarean section (117, 78.5%), yet the latter was associated with a higher risk of maternal death in case of preeclampsia (OR = 30.028. 95% CI = 15.277-59.022) as compared with vaginal delivery. Risk factors of the maternal death in preeclampsia included late hospitalization (66% of deaths), inadequate antenatal care (64.4%), incorrect route of examination and hospitalization (31.6%), underestimation of the patient's condition (42.3 %), insufficient monitoring during pregnancy, childbirth and post childbirth (48.8%), and insufficient teamwork of medical staff (42.2%).Conclusions. Insufficient knowledge of preeclampsia symptoms by pregnant women and their families, insufficient monitoring of blood pressure, underestimation of organ dysfunction, late hospital admission, late delivery, insufficient antihypertensive therapy, delivery at elevated blood pressure, and insufficient teamwork of healthcare professionals increase the risk of maternal mortality in the patients with preeclampsia.


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