GAMBARAN LUARAN HASIL PERSALINAN PADA PASIEN PREEKLAMSIA-EKLAMSIA DI RSUD DR SOEDARSO PERIODE 1 JANUARI 2011-31 DESEMBER 2011

Abstract

Background. Preeclamsia is a pregnancy-specific syndrome which
reduce organ perfusion because of vasospasm and endothelial activation.
The combination of proteinuria and hypertension during pregnancy will
increase the risk of perinatal and maternal mortality and morbidity. 
Objective. This research would characterized patient, neonatal outcome
and maternal outcome at dr. Soedarso General Hospital Pontianak. 
Method. This research is a descriptive study. The sample was taken by
non probability sampling with consecutive sampling. This research was
carried out at dr. Soedarso General Hopital on December 2011-June
2012. The data were taken from Medical Record at dr. Soedarso General
Hospital Pontianak. 
Result. Total case of preeclamsia-eclamsia were 275 patient which 219
maternal and 232 neonatal became the sample of this research.
Characteristic of patients was mostly on 20-30 years old patiens (18,7%),
nullipara (39,7%) and gestational age >37 weeks (78,1%). Neonatal
outcome with severe asphyxia was 9,1% and moderate ashpyxia was
16,3%. Morbidity on maternal was 23,7%, which are hypertensive
retinopathy (5,9%), solutio placenta (1,8%), pain in epigastric regio (1,4%),
pulmonary edema (0,9%), HELLP syndrome (0,5%), postpartum eclamsia
(0,5%), hemiparesis sinistra and NVII peripheral lesion (0,5%), dyspnea
(0,5%), decompensation cordis (0,5%), hematoma placenta (0,5%) and
ascites (0,5%). Maternal mortality was 0,9% and neonatal mortality was
9,9%. 
Conclusion. The characterize of maternal preeclamptic-eclamptic patients
was 20-30 years old, nullipara and gestational age >37 weeks.
Preeclamsia-eclamsia cause morbidity and mortality on neonatal and
maternal. 
Keyword: Preeclamsia-eclamsia, neonatal outcome, maternal outcome
1. Medical School, Faculty of Medicine, University of Tanjungpura
Pontianak, West Kalimantan
2. Department of Obstetrics and Gynecology, dr. Soedarso General
Hospital Pontianak, West Kalimantan
3. Departement of Parasitology, Medical School, Faculty of Medicine,
University of Tanjungpura, Pontianak, West Kalimantan