scholarly journals Maternal and Fetal Outcomes in Severe Preeclampsia with Acute Lung Edema in Dr. Soetomo General Hospital in 2018-2019

2021 ◽  
Vol 91 (1) ◽  
Author(s):  
Yohanis Timang ◽  
Dr. Ernawati
Keyword(s):  
General Hospital ◽  
Severe Preeclampsia ◽  
Lung Edema ◽  
Fetal Outcomes

scholarly journals Prevalence of raised Alanine Amino transaminase (ALT) in pregnant mothers: A Cross-sectional Study

2020 ◽  
Vol 24 (3) ◽  
pp. 187-192
Author(s):  
Tabinda Khalid ◽  
Rubaba Abid Naqvi ◽  
Nisar Ahmed Malik ◽  
Hamna Sarwar
Keyword(s):  
Viral Hepatitis ◽  
General Hospital ◽  
Acute Viral Hepatitis ◽  
Cross Sectional Study ◽  
Severe Preeclampsia ◽  
Chronic Hypertension ◽  
Sectional Study ◽  
Cross Sectional ◽  
Emergency Cesarean ◽  
Pregnant Mothers

bjective: To determine the prevalence of raised ALT, common causes, and associated fetomaternal morbidity  in pregnant mothers presenting, at cantonment general hospital Rawalpindi Materials and Methods: This was a cross-sectional study conducted at cantonment general hospital Rawalpindi from July 2016 till June 2017. Results: Out of 1924 women, 102 were identified with raised ALT making a prevalence of 5.3%. Sixty-one (59.8%) were booked. The hypertensive group which included severe preeclampsia, chronic hypertension with superimposed preeclampsia/eclampsia were 55(53.9%), intrahepatic cholestasis of pregnancy(ICP) 32(31.7%), acute viral hepatitis 9(8.8%), Acute fatty liver of pregnancy(AFLP) 2(1.96%), and unknown cause in 4(3.92%). Mean ALT levels were 54.1±6.94, 71.28±23.25, 84.22±27.82, 231.5±47.37 respectively. In four cases no definitive cause could be identified with the available tests were labeled as an unknown group, having a mean ALT level of 79.25±10.07. (p=0.01). Term delivery occurred in 71(69.6%), while 31(30.39%) were preterm. There was one termination of pregnancy. Vaginal birth occurred in 42(42.2%), and 53(51.9%) underwent emergency cesarean. There was one peripartum hysterectomy. Meconium stain of liquor was 19(18.6%). The birth weight of most babies 73(71.5%) was between 2-3 kilograms only three were ≤ 1 kilograms. Eight cases of postpartum hemorrhage, three maternal deaths, and six perinatal/early neonatal deaths were observed. Conclusion: Raised ALT in pregnancy leads to increased fetomaternal complications. Severe preeclampsia and obstetric cholestasis were the commonest causes. Women of younger age groups were having acute viral hepatitis. Timely recognition and diagnosis are essential to institute appropriate management strategies.

Evaluation of administration and use of antihypertensive drugs in severe preeclampsia patients at X General Hospital in Jakarta

2021 ◽  
Vol 2 (2) ◽  
Author(s):  
Abraham Simatupang ◽  
Ida Bagus Sutha Dwipajaya
Keyword(s):  
General Hospital ◽  
Antihypertensive Drugs ◽  
Monitoring And Evaluation ◽  
Severe Preeclampsia ◽  
Antihypertensive Drug Therapy ◽  
Close Monitoring ◽  
Further Training ◽  
Hypertension In Pregnancy ◽  
The Right ◽  
In Pregnancy

The high number of maternal mortality rate (MMR) is still a problem in Indonesia. Three ethyologies of maternal death are infection (12%), hypertension in pregnancy (25%) and bleeding (30%). Pre-eclampsia as a form of hypertension during pregnancy requires antihypertensive drug therapy. Rationality assessment for any kinds of pharmacotherapy is based on the right indication, the right medicine, the right patient, and the right dose. The main indication for antihypertensive medication in pregnancy is applied to the mother’s in preventing cerebrovascular disease. The aim of this study was to evaluate the characteristics, patterns and accuracy of the administration and use of antihypertensive drugs in patients with severe preeclampsia at X General Hospital in Jakarta in 2018. It was a non-experimental study with a descriptive and retrospective design using medical records. Administration and use of antihypertensive drugs in patients with severe preeclampsia at the X General Hospital in Jakarta showed 91.9% right indication, 86.72% right drug, 96.9% right patient and only 5.26% right dose with 4.0% accuracy of rational administration and use of drugs. In conclusion, the right dose in the management of patients with severe preeclampsia in X General Hospital in Jakarta is still low. Further training and close monitoring and evaluation on the rational use of antihypertension in severe preeclampsia is needed.

scholarly journals Maternal and Neonatal Outcome in Pregnant Women with Obesity in a Single Tertiary Referral Hospital in January - December 2017

2020 ◽  
Vol 1 (2) ◽  
pp. 59-67
Author(s):  
Dian Puspita Virdayanti ◽  
Khanisyah Erza Gumilar
Keyword(s):  
Gestational Diabetes ◽  
Pregnant Women ◽  
General Hospital ◽  
Congenital Malformation ◽  
Maternal Obesity ◽  
Mode Of Delivery ◽  
Severe Preeclampsia ◽  
Intrauterine Fetal Death ◽  
Pregestational Diabetes ◽  
Obesity Class

Background: Maternal obesity is defined when BMI is above 30. It is now considered one of the most commonly occurring risk factors seen in obstetric practice and it increased risks of specific complications, and to medical, surgical and technical challenges in providing safe maternity care. Objectives: This study aims to review maternal dan neonatal outcomes and complications from pregnant women with obesity in Soetomo General Hospital on January - December 2017. Methods: Retrospective cross-sectional study by using medical record data of Dr. Soetomo General Hospital on January - December 2017. Results: There were 297 (21,5%) of maternal obesity from 1384 deliveries, in which the majority age range from 20-34 years old and multiparity. The most BMI category was BMI class 1 (61%). Caesarean section (77,4%) in this study became a major proportion in mode of delivery. In our study, the incidence of hypertension in pregnancy was high (45,4%), while the incidence of severe preeclampsia were 20,9%. The incidence of gestational diabetes were 7,1%, and pregestational diabetes were 3,4%. In our cases, there were 294 cases (94,2%) of livebirth, while there were four stillbirth cases. The incidence of intrauterine fetal death were four cases. There were 11 cases of macrosomia, 7 in 11 came from mother with obesity class III. Other neonatal complications are intrauterine growth restriction which were 26 cases and 18 cases congenital malformation. Conclusion: Most maternal complications in obese pregnant women are severe preeclampsia with mode of delivery by cesarean section. Gestational diabetes cases were found mostly in maternal obesity class I, while pregestational diabetes cases were found mostly in maternal obesity class II. Most neonatal Apgar score in our study were between 7-10, while most of congenital malformation was omphalocele

scholarly journals Noninvasive Positive-Pressure Ventilation for Preeclampsia-Induced Pulmonary Edema: 3 Case Reports and a Literature Review

2018 ◽  
Vol 2018 ◽  
pp. 1-6
Author(s):  
Kohei Hamada ◽  
Yoshitsugu Chigusa ◽  
Eiji Kondoh ◽  
Yusuke Ueda ◽  
Shunsuke Kawahara ◽  
...  
Keyword(s):  
Literature Review ◽  
Pulmonary Edema ◽  
Positive Pressure Ventilation ◽  
Pregnancy Termination ◽  
Case Reports ◽  
Noninvasive Positive Pressure Ventilation ◽  
Severe Preeclampsia ◽  
Positive Pressure ◽  
Maternal Outcomes ◽  
Fetal Outcomes

Pulmonary edema caused by severe preeclampsia can be an indication for pregnancy termination. We aimed to investigate whether noninvasive positive-pressure ventilation (NPPV) was useful for preeclampsia-induced pulmonary edema. Three cases of preeclampsia-induced pulmonary edema managed with NPPV in our institute were reviewed retrospectively. A literature review was conducted regarding NPPV usage during pregnancy. NPPV was initiated at 30, 20, and 24 weeks of gestation in the 3 cases. In all cases, NPPV slowed the progression of pulmonary edema and succeeded in delaying pregnancy termination by 17 days on average. Maternal outcomes were positive, and no intubation was required. Between 1994 and 2017, there were 11 articles describing 12 cases in which NPPV was applied for pulmonary edema during pregnancy. However, there has been no case of NPPV management of preeclampsia-induced pulmonary edema thus far. Maternal and fetal outcomes were positive in these 12 cases. NPPV may contribute to prolonging pregnancy in patients with poor oxygenation due to preeclampsia-induced pulmonary edema. However, patients should be closely monitored, and the decision to intubate or terminate the pregnancy should be made without delay when the maternal or fetal condition worsens.

scholarly journals GAMBARAN HEMOGRAM DAN TES FUNGSI HATI PADA PENDERITA PREEKLAMPSIA BERAT DI BLU RSUP PROF. DR. R. D. KANDOU TAHUN 2013

e-CliniC ◽  
2015 ◽  
Vol 3 (1) ◽  
Author(s):  
Natasha Maryono ◽  
John Wantania ◽  
Rudy Lengkong
Keyword(s):  
Retrospective Study ◽  
Liver Function ◽  
Liver Function Test ◽  
General Hospital ◽  
Medical Records ◽  
Laboratory Tests ◽  
Normal Limit ◽  
Severe Preeclampsia ◽  
Morbidity And Mortality ◽  
Function Test

Abstract: Preeclampsia is still the main cause of morbidity and mortality in obstetric service in Indonesia. In preeclampsia treatment, routine diagnostic and prognostic laboratory tests are carried out, and progresivity of preeclampsia is observed. This study aimed to find out the description of hemogram and the liver function test of severe preeclampsia patients at Prof. Dr. R. D. Kandou General Hospital in 2013. This was a descriptive and retrospective study by using medical records of Obstetry and Gynecology Department in 2013. Out of 41 cases of severe preeclampsia, it was found that severe preeclampsia patients mostly had haemoglobin ranging from 10.0-12.0 g/dl. The leucocytes counts were 10.000-15.000/mm3, and thrombocyte counts 150.000-450.000/Mel. SGOT was less than 33 u/L, and SGPT was less than 43 u/L. Most impending eclampsia cases had haemoglobin >12 g/dl, leucocyte counts >15.000/mm3, and thrombocyte counts 150.000-450.000/Mel. Most severe preeclampsia cases without complication had trombocytes counts 150.000-450.000/Mel and SGPT <43 u/L. Most cases of severe preeclampsia without other complications had haemoglobin and thrombocytes counts within normal limit, however leucocyte counts increases slightly.Keywords: preeclampsia, hemogram, liver function testAbstrak: Preeklampsia saat ini masih merupakan penyebab utama morbiditas dan mortalitas dalam pelayanan obstetri di Indonesia. Dalam penanganan preeklampsia secara rutin dilakukan pemeriksaan laboratorium test diagnostik, prognostik dan memantau progresivitas dari penyakit preeklampsia. Penelitian ini bertujuan untuk mengetahui gambaran hemogram dan tes fungsi hati pada penderita preeklampsia berat di BLU RSUP Prof. DR. R. D. Kandou Manado tahun 2013. Penelitian ini bersifat deskriptif retrospektif yaitu dengan menggunakan catatan rekam medik kasus obstetrik di Bagian Obstetri Ginekologi tahun 2013. Dari 41 kasus Preeklampsia Berat, didapatkan paling banyak pada hemoglobin di rentang nilai 10.0-12.0 g/dl, leukosit di rentang nilai 10.000-15.000 mm3, trombosit di rentang nilai 150.000 – 450.000/Mel darah, SGOT di rentang nilai <33 u/L, dan SGPT di nilai <43 u/L. Impending eklampsia terbanyak mempunyai nilai hemoglobin >12 g/dl, nilai leukosit >15.000 mm3 dan rentang nilai 150.000 – 450.000/Mel darah untuk trombosit. Preeklampsia tanpa komplikasi, pada trombosit dengan rentang nilai 150.000 – 450.000/Mel darah dan terbanyak pada SGPT dengan nilai <43 u/L. Kadar hemoglobin dan trombosit pada Preeklampsia Berat tanpa komplikasi lain sebagian besar dalam batas normal, kecuali leukosit sedikit meningkatKata kunci :preeklampsia, hemogram, tes fungsi hati

scholarly journals Body Mass Index and Albumin Level In Severe Preeclampsia Conservative Treatment Cases

2020 ◽  
Vol 1 (2) ◽  
pp. 50-58
Author(s):  
Esmond Winarko ◽  
Muhammad Yusuf
Keyword(s):  
Conservative Treatment ◽  
General Hospital ◽  
Conservative Management ◽  
Fetal Outcome ◽  
Cross Sectional Study ◽  
Albumin Level ◽  
Risky Choice ◽  
Severe Preeclampsia ◽  
Cross Sectional ◽  
Management Groups

Background : Severe preeclampsia is an obstetrical problem and one of the leading cause of death in obstetric. Conservative treatment for severe preeclampsia is a complicated and risky choice, but still a considerable option to achieve a better fetal outcome. Many factors that influence the results of conservative management are complex and still very much controversial. Objective: To study the BMI and albumin level of severe preeclampsia patients who underwent conservative management in dr. Soetomo General Hospital obstetric ward in 2018 – 2019. Method: This is a descriptive cross sectional study, where the data are obtained from morning reports, obstetric ward registry and dr. Soetomo General Hospital medical record during 2018 – 2019. Results: The total conservative cases were 51 in 2018 and 69 in 2019. The majority of the patients were 20-34 years old, multigravida, non-booked cases, Javanese ethnicity, and addressed in Surabaya. Most of them were obese (with BMI ≥ 30 kg/m2) with similar BMI distribution in the successful and unsuccessful conservative management groups. Most of our patients had albumin level below 3,5 g/dl. The majority of the patients were terminated by caesarean section with the fetal outcome mostly weighed less than 2000 g. Conclusion: The majority of the patients treated conservatively were 20-34 years old, multigravida, non-booked cases, Javanese ethnicity, and addressed in Surabaya. Most of the patients have BMI ≥ 30 kg/m2 and albumin levels below 3,5.

scholarly journals Obstetric Patients Characteristics Labor in Dr. M. Djamil General Hospital Padang December 2019-February 2020 Period

2021 ◽  
Vol 5 (2) ◽  
pp. 215-222
Author(s):  
Syntia Ambelina ◽  
Desmiwarti Desmiwarti
Keyword(s):  
Birth Weight ◽  
Cesarean Section ◽  
Maternal Mortality ◽  
General Hospital ◽  
Apgar Score ◽  
Neonatal Death ◽  
Very Low Birth Weight ◽  
Severe Preeclampsia ◽  
Maternal Condition ◽  
History Of

Introduction : Maternal death in Indonesia was still high therefore efforts was needed to suppress this maternal mortality rate.Objective : To determine risk factors of maternal mortality and morbidity.Methods : This was a descriptive study using cross sectional design with study sample including all laboring mother in Obstetric Department of Dr. M. Djamil General Hospital Padang from December 2019 to February 2020 period. Sample were collected using total sampling technique with total of 119 samples included in this study. Data was collected from patients’ medical record, including age, gestational age, gravidity, history of labor, diagnosis, method of delivery, maternal condition, and neonates condition at birth.Results : Mean of age was 30.6 ± 5.4 years, mean of maternal age was 36.1 ± 3.8 weeks, about 77 patients (64.7%) were multipara, 49 patients (41.2%) had history of spontaneous labor, most frequent diagnosis were severe preeclampsia in 20 patients (16.8%), impending eclampsia in 9 patients (7.6%), history of cesarean section 8 patients (6.7%), twin pregnancy 7 patients (5.9%), and pregnancy with positive HBsAg in 7 patients (5,9%). Total 32 patients (26.9%) were referred patients from various general hospital in West Sumatra. A total of 105 patients (88.2%) had cesarean section. Mean birth weight of neonates was 2363.4 ± 964.7 gram, mean birth length was 44.1 ± 5.9 cm, mean apgar score in the first 1 minutes was 5,9 ± 2,2, and mean apgar score in the first 5 minutes 7.4 ± 2.3. During 3 months of study, total maternal deaths were found in 3 patients due to complicated eclampsia, severe preeclampsia, and maternal congenital heart disease, while neonatal death was found in 8 babies, where 6 (75%) had IUFD, and 2 (25%) had very low birth weight dying in the first 24 hours of life due to respiratory failure.Conclusion : Most of labored mother were multiparas with history of spontaneous birth, and mostly diagnosed as severe preeclampsia with method of delivery of cesarean section, and maternal and neonatal death were still occurred.Keywords: Death, Maternal, Neonatal

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