The Characteristics of Preeclampsia and Eclampsia Patients at Dr. T.C. Hillers Regional Hospital Maumere
DOI:
https://doi.org/10.21776/ub.jkb.2024.033.01.4Keywords:
Eclampsia, preeclampsia, risk factorAbstract
Preeclampsia can occur from the time the mother is pregnant until 48 hours to 6 weeks after giving birth and is associated with an increased complication rate of 2-8% during pregnancy, contributing to 9 - 26% of maternal deaths. This condition can have significant prolonged effects on both the mother and the baby. Considering the high rates of morbidity and mortality in mothers and babies due to preeclampsia, this study aims to understand the characteristics of patients with preeclampsia at T.C. Hillers Regional Hospital of Maumere within the period of January 1st to December 31st, 2022. This study is a retrospective descriptive study using secondary data. The data collection was performed on patients diagnosed with preeclampsia and eclampsia during the study period. The results showed that most participants were between 20-34 years old, had a body mass index (BMI) of ≥ 25, multigravida (had multiple pregnancies), housewives, High School graduates, and had a history of chronic hypertension. Based on risk factors, 35.5% of the subjects were ≥ 35 years old, 31% were primigravida (first-time pregnant), 26% were obese, 21% had a history of hypertension in previous pregnancies, 10,5% had chronic hypertension, 3% had multiple gestations, 1% of the subjects had a pregnancy interval >10 years, and 0.5% had diabetes mellitus. This study provides an overview of the characteristics and risk factors of pregnant women with preeclampsia in Maumere.
Downloads
References
Karrar SA and Hong PL. Preeclampsia. (Online) 2023. https://www.ncbi.nlm.nih.gov/books/NBK570611/ [accessed 2023 August 1].
Hauspurg A and Jeyabalan A. Postpartum Preeclampsia or Eclampsia: Defining Its Placea and Management among the Hypertensive Disorders of Pregnancy. American Journal of Obstetrics and Gynecology. 2022; 226(2S): S1211–1221.
Anderson UD, Olsson MG, Kristensen KH, Åkerström B, and Hansson SR. Review: Biochemical Markers To Predict Preeclampsia. Placenta. 2012; 33S: S42-S47.
National Institute for Health and Care Excellence. Hypertension in Pregnancy: Diagnosis and Management. (Online) 2019. https://www. nice.org.uk/guidance/ng133
Madazli R, Yuksel MA, Imamoglu M, et al. Comparison of Clinical and Perinatal Outcomes in Early- and Late-Onset Preeclampsia. Archives Gynecology Obstetric. 2014; 290(1): 53–57.
Rezk M, Gamal A, and Emara M. Maternal and Fetal Outcome in De Novo Preeclampsia in Comparison to Superimposed Preeclampsia: A Two-Year Observational Study. Hypertension in Pregnancy. 2015; 34(2): 137–144.
Nawsherwan, Mubarik S, Nabi G, Wang S,and Fan C. Preeclampsia Mediates the Association between Advanced Maternal Age and Adverse Pregnancy Outcomes: A Structural Equation Modeling Approach. Iranian Journal of Public Health. 2020; 49(9): 1727–1733.
Sun M, Luo M, Wang T, et al. Effect of the Interaction between Advanced Maternal Age and Pre-Pregnancy BMI on Pre-Eclampsia and GDM in Central China. BMJ Open Diabetes Research & Care. 2023; 11(2): 1-10.
Cunningham F, Leveno KJ, Bloom SL, et al. Williams Obstetrics. 25th Edition. New York: McGraw-Hill Education; 2018; p. 1344.
Tyas BD, Lestari P, and Ilham MIA. Maternal Perinatal Outcomes Related to Advanced Maternal Age in Preeclampsia Pregnant Women. Journal of Family and Reproductive Health. 2019; 13(4): 191–200.
Hinelo K, Sakung J, Gunarmi G, and Pramana C. Faktor Risiko Kejadian Preeklampsia di Rumah Sakit Umum Kabupaten Banggai Tahun 2020. Jurnal Ilmu Kedokteran dan Kesehatan. 2021; 8(4): 448-456.
Annafi MI, Jumsa MR, and Budyono C. Gambaran Preeklampsia Berat dengan Komplikasi di Rumah Sakit Umum Daerah Provinsi Nusa Tenggara Barat Periode Januari 2018 sampai Desember 2019. Lombok Medical Journal. 2022; 1(1): 17–22.
Akbar MIA, Wicaksono B, and Dachlan EG. OS018. Maternal Mortality and Its Mainly Possible Causepre-Eclampsia/Eclampsia in Developing Country (Surabaya-Indonesia as Themodel). Pregnancy Hypertension. 2012; 2(3): 184-184.
Abraham T and Romani AMP. The Relationship between Obesity and Pre-Eclampsia: Incidental Risks and Identification of Potential Biomarkers for Pre-Eclampsia. Cells. 2022; 11(9): 1-24.
Shao Y, Qiu J, Huang H, et al. Pre-Pregnancy BMI, Gestational Weight Gain and Risk of Preeclampsia: A Birth Cohort Study in Lanzhou, China. BMC Pregnancy and Childbirth. 2017; 17(1): 1-8.
Mamlukah M and Saprudin A. Gambaran Karakteristik Ibu Hamil Dengan Risiko Preeklampsia (Studi di Puskesmas Kabupaten Majalengka). Jurnal Ilmu Kesehatan Bhakti Husada: Health Sciences Journal. 2018; 9(2): 59-67.
Fuazia EF. Hubungan Usia, Paritas, Riwayat Hipertensi dan Frekuensi Pemeriksaan ANC terhadap Kejadian Preeklampsia pada Ibu Hamil. Jurnal Kebidanan Malayahati. 2019; 5(2): 128–136.
Lombo GE, Wagey FW, and Mamengko LS. Karakteristik Ibu Hamil dengan Preeklampsia di RSUP Prof Dr. R. D. Kandou Manado. Jurnal Kedokteran Klinik. 2017; 1(3): 9-15..
Juliantari KB and Sanjaya INH. Karakteristik Pasien Ibu Hamil dengan Preeklampsia di RSUP Sanglah Denpasar tahun 2015. Jurnal KEDOKTERAN KLINIK. 2017; 6(4): 1–9.
Zhou Y, Gormley MJ, Hunkapiller NM, et al. Reversal of Gene Dysregulation in Cultured Cytotrophoblasts Reveals Possible Causes of Preeclampsia. The Journal of Clinical Investigation. 2013; 123(7): 2862-2872.
Bdolah Y, Elchalal U, Natanson-Yaron S, et al. Relationship between Nulliparity and Preeclampsia May Be Explained by Altered Circulating Soluble Fms-Like Tyrosine Kinase 1. Hypertension in Pregnancy. 2014; 33(2): 250–259.
Sutan R, Aminuddin N, and Mahdy ZA. Prevalence, Maternal Characteristics, and Birth Outcomes of Preeclampsia: A Cross-Sectional Study in a Single Tertiary Healthcare Center in Greater Kuala Lumpur Malaysia. Frontiers in Public Health. 2022; 10: 1-14.
Djannah SN and Arianti IS. Gambaran Epidemiologi Kejadian Preeklampsia/Eklampsia di RSU PKU Muhammadiyah Yogyakarta Tahun 2007-2009. Buletin Penelitian Sistem Kesehatan. 2009; 13(4): 378-385.
Cormick G, Betrán AP, Ciapponi A, Hall DR, and Hofmeyr GJ. Inter-Pregnancy Interval and Risk of Recurrent Pre-Eclampsia: Systematic Review and Meta-Analysis. BioMed Central Reproductive Health. 2016; 13(1): 1-10.
Wang Y, Wu N, and Shen H. A Review of Research Progress of Pregnancy with Twins with Preeclampsia. Risk Management Healthcare Policy. 2021; 14: 1999–2010.
Valdés E, Sepúlveda-Martínez Á, Manukián B, and Parra-Cordero M. Assessment of Pregestational Insulin Resistance as a Risk Factor of Preeclampsia. Gynecologic and Obstetric Investigation. 2014; 77(2): 111–116.
Weissgerber TL and Mudd LM. Preeclampsia and Diabetes. Current Diabetes Reports. 2015; 15(3): 1-16.
Shan D, Qiu PY, Wu YX, et al. Pregnancy Outcomes in Women of Advanced Maternal Age: A Retrospective Cohort Study from China. Scientific Reports. 2018; 8(1): 1-9.
Downloads
Published
Issue
Section
License
Copyright (c) 2024 Jurnal Kedokteran Brawijaya
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Authors who publish with this journal agree to the following terms:- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
