Maternal and Neonatal Outcomes of Hypertensive Disorders of Pregnancy in Dr. Hasan Sadikin Hospital Bandung from January-December 2022
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2023-07-14
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Abstract
Background: Hypertensive disorder of pregnancy (HDP) is one of the leading causes of morbidity and mortality in maternal and neonatal that can be prevented by undergoing optimal antenatal care. This study aims to determine the proportion of HDP and the maternal and neonatal characteristics in Dr. Hasan Sadikin Hospital Bandung.
Methods: This descriptive observational study uses cross-sectional approach. Subjects were all mothers who gave birth to live birth baby with complete medical record data. Sampling was taken using consecutive sampling method. Data used in the study was collected from medical records at Dr. Hasan Sadikin Hospital Bandung from January to December 2022. The complete data included the maternal data (type of HDP, age, parity, gestational age, method of delivery, and death) and neonatal (FGR, birth weight, APGAR score, and death). Data analysis was presented in the form of statistical descriptive measures.
Results: Proportion of preeclampsia/eclampsia, superimposed preeclampsia, gestational hypertension, and chronic hypertension respectively were 49,5 %, 44,8%, 4,2% and 1,4%. In each HDP group, maternal age is most widely spread in the range of 1835 years with a gestational age of ≥37 weeks. 47,6% of the patient in the preeclampsia/eclampsia were nulliparas, while in the superimposed preeclampsia group 52,6% were multiparas. Neonatal outcome found in the preeclampsia/eclampsia and superimposed preeclampsia had FGR of 17,1% and 14,7% respectively, 49,5% and 65,3% of the neonates had birth weight of 1.500-<2.500g. Infant death was found in 7,6% of the preeclampsia/eclampsia group and 7,4% of the superimposed preeclampsia group.
Conclusion: Preeclampsia/eclampsia dan superimposed preeclampsia were found to be the most common cause of poor outcome in this study. Supervision during the antenatal period must be carried out continuously so that early intervention for HDP mothers can reduce the rate of maternal and neonatal morbidity and mortality.
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hypertensive disorders of pregnancy, maternal outcome, neonatal outcome