[ABSTRAK
Preeklampsia berat merupakan salah satu penyebab kematian ibu di Indonesia. DiRSUD Dr. H. Abdul Moeloek, preeklampsia berat merupakan penyebab kematianibu tertinggi (47,25%). Penelitian ini bertujuan untuk mengetahui hubunganprediktor preeklampsi berat (PEB)yang dinilai dari tekanan darah sistolik, tekanandarah diastolik, proteiunuria, kejang, sindrom HELLP dan hubungan jumlahprediktor PEB dengan kematian ibu di RSUD Dr. H. Abdul Moeloek tahun 2010-2014. Desain penelitian yang digunakan kasus kontrol dengan jumlah sampel 60kasus dan 120 kontrol. Sindrom HELLP meningkatkan kematian ibu OR (OddsRatio) 12,5 (95% CI= 2,9-53,7), eklampsi OR 12,1 (95% CI= 3,8-38,6). Tekanandarah diastolik 110-119 OR 7,4 (95% CI=1,8-29,2), tekanan darah diastolik ≥120mmHg OR 5,5 (95%CI 1,1-23,1) setelah dikontrol oleh usia ibu, gravida, usiakehamilan, jenis persalinan,pemberian diasepam, pendidikan, tempat tinggalpekerjaan.Prediktor PEB berjumlah 4 atau 5meningkatkan risiko kematian OR 90(95%CI=13,7-591,3), prediktor berjumlah 3 OR16 (95%CI=3,9-66,7) danprediktor berjumlah 2 OR6,3 (95% CI= 1,4-22,2). Meningkatkan pelaksanaanauditmaternal untuk mengkaji kasus kematian ibu akibat preeklampsia berat.
ABSTRACT
Severe preeclampsia is one of the causes of maternal mortality in Indonesia. AtProvince public hospitalDr. H. Abdul Moeloek, Severe preeclampsia is thehighest cause of maternal mortality (47,25%). This research aimed to know therelation of predictor severe preeclampsiaassessed by systolic blood pressure,diastolic blood pressure, proteiunuria, eclampsia and HELLP syndromeand totalpredictor severe preeclampsiawith maternal mortality at public hospital Dr. H.Abdul Moeloek in the year of 2010-2014. The design used case control by using60 samples for case and 120 for controlers. HELLP syndrome increase risk ofmaternal mortality with OR (odds ratio) of 12.5 (95%CI= 2.90 to 53.72),eclampsia OR 12.1 (95% CI = 3.80 to 38.65), diastolic blood pressure 110-119OR 7,4 (95% CI=1,8-29,2), diastolic blood pressure ≥120 mmHg OR 5,5 (95%CI1,1-23,1) after controlled by maternal age, gravida, gestational age, type ofdelivery, giving diazepam, residence, employment andeducation.Predictorswhichconsists of 4or5increase risk of maternalmortalityOR90(95 % CI = 13.7 to 591.3), predictors totaling 3 OR 16(95 % CI =3.9 to 66.7) and predictors 2 OR 6.3 (95% CI = 1.4 to 22.2).Improve maternalaudit to assess the implementation of maternal deaths due to severe preeclampsia;Severe preeclampsia is one of the causes of maternal mortality in Indonesia. AtProvince public hospitalDr. H. Abdul Moeloek, Severe preeclampsia is thehighest cause of maternal mortality (47,25%). This research aimed to know therelation of predictor severe preeclampsiaassessed by systolic blood pressure,diastolic blood pressure, proteiunuria, eclampsia and HELLP syndromeand totalpredictor severe preeclampsiawith maternal mortality at public hospital Dr. H.Abdul Moeloek in the year of 2010-2014. The design used case control by using60 samples for case and 120 for controlers. HELLP syndrome increase risk ofmaternal mortality with OR (odds ratio) of 12.5 (95%CI= 2.90 to 53.72),eclampsia OR 12.1 (95% CI = 3.80 to 38.65), diastolic blood pressure 110-119OR 7,4 (95% CI=1,8-29,2), diastolic blood pressure ≥120 mmHg OR 5,5 (95%CI1,1-23,1) after controlled by maternal age, gravida, gestational age, type ofdelivery, giving diazepam, residence, employment andeducation.Predictorswhichconsists of 4or5increase risk of maternalmortalityOR90(95 % CI = 13.7 to 591.3), predictors totaling 3 OR 16(95 % CI =3.9 to 66.7) and predictors 2 OR 6.3 (95% CI = 1.4 to 22.2).Improve maternalaudit to assess the implementation of maternal deaths due to severe preeclampsia, Severe preeclampsia is one of the causes of maternal mortality in Indonesia. AtProvince public hospitalDr. H. Abdul Moeloek, Severe preeclampsia is thehighest cause of maternal mortality (47,25%). This research aimed to know therelation of predictor severe preeclampsiaassessed by systolic blood pressure,diastolic blood pressure, proteiunuria, eclampsia and HELLP syndromeand totalpredictor severe preeclampsiawith maternal mortality at public hospital Dr. H.Abdul Moeloek in the year of 2010-2014. The design used case control by using60 samples for case and 120 for controlers. HELLP syndrome increase risk ofmaternal mortality with OR (odds ratio) of 12.5 (95%CI= 2.90 to 53.72),eclampsia OR 12.1 (95% CI = 3.80 to 38.65), diastolic blood pressure 110-119OR 7,4 (95% CI=1,8-29,2), diastolic blood pressure ≥120 mmHg OR 5,5 (95%CI1,1-23,1) after controlled by maternal age, gravida, gestational age, type ofdelivery, giving diazepam, residence, employment andeducation.Predictorswhichconsists of 4or5increase risk of maternalmortalityOR90(95 % CI = 13.7 to 591.3), predictors totaling 3 OR 16(95 % CI =3.9 to 66.7) and predictors 2 OR 6.3 (95% CI = 1.4 to 22.2).Improve maternalaudit to assess the implementation of maternal deaths due to severe preeclampsia] |
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