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Journal : Indonesian Journal of Global Health research

Morbidity and Mortality Factors Analysis of Caesarean Section Ratna Dewi Puspita Sari; Winda Trijayanthi Utama; Ratu Nirmala Wahyunindita
Indonesian Journal of Global Health Research Vol 3 No 3 (2021): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (460.41 KB) | DOI: 10.37287/ijghr.v3i3.563

Abstract

Caesarean Section is the most common obstetric surgery performed today. CS delivery without medical indication increases the risk of maternal morbidity and mortality 3-5 times higher than vaginal delivery techniques. The increased risk of morbidity and mortality in CS delivery is due to complications caused, during intraoperative or postoperative. Lampung Province is one of the provinces with the highest MMR value in Indonesia (148 per 100,000 live births) with a CS birth selection of 13.18%. The aim of this research is to analyze the characteristics of factors associated with maternal morbidity and mortality in CS delivery. Both morbidity groups characteristics (case and control) show correlations were found between maternal age (p<0.02), obstetric complication (p<0.01), education (p<0.02) and the incidence of maternal deaths. Meanwhile, parity and delivery complication variables did not show significant. correlations to maternal deaths (p>0.05). Both mortality groups characteristics (case and control) show correlations were found between maternal age (p<0.02), obstetric complication (p<0.05), education (p<0.03), delivery complication (p<0.04) and the incidence of maternal deaths. Meanwhile, maternal age and parity variables did not show significant. corelations to maternal deaths (p>0.05).
Severe Pre-Eclampsia with Partial Hellp Syndrome in Multigravida Preterm Pregnancy Ratu Nirmala Wahyunindita; Ratna Dewi Puspita Sari
Indonesian Journal of Global Health Research Vol 4 No 1 (2022): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (371.264 KB) | DOI: 10.37287/ijghr.v4i1.706

Abstract

Preeclampsia is the second highest cause of maternal death in Indonesia. The incidence of preeclampsia in Indonesia is very high at 24%. West Java is a province in Indonesia with a high preeclampsia rate of 25%.Pre-eclampsia is a vascular endothelial dysfunction and vasospasm that occurs at gestational age above 20 months and is characterized by hypertension and proteinuria, with or without pathological edema. Severe preeclampsia (PEB) is characterized by a minimum of systolic blood pressure 160 mmHg or diastolic blood pressure 110, impaired liver function, progressive renal insufficiency, pulmonary edema, brain and visual disturbances, or thrombocytopenia. This research is descriptive observational with a case report approach. The aim of this research is to discuss updates on the occurrence, concept, pathophysiology, and management of preeclampsia. In the case reported, a female patient, aged 29 years G3P2A0, 36 weeks gestational age with severe pre-eclampsia, partial hemolysis, elevated liver enzymes, and low platelet count (HELLP) syndrome in a multigravida preterm pregnancy with grade I obesity and a history of cesarean section 5 years ago. After evaluation, the patient complained of headache and heartburn. After confirmation, the fetus has IUGR, then active management with Transperitoneal Sectio Caesarea is chosen.
Morbidity and Mortality Factors Analysis of Caesarean Section Ratna Dewi Puspita Sari; Winda Trijayanthi Utama; Ratu Nirmala Wahyunindita
Indonesian Journal of Global Health Research Vol 3 No 3 (2021): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (460.41 KB) | DOI: 10.37287/ijghr.v3i3.563

Abstract

Caesarean Section is the most common obstetric surgery performed today. CS delivery without medical indication increases the risk of maternal morbidity and mortality 3-5 times higher than vaginal delivery techniques. The increased risk of morbidity and mortality in CS delivery is due to complications caused, during intraoperative or postoperative. Lampung Province is one of the provinces with the highest MMR value in Indonesia (148 per 100,000 live births) with a CS birth selection of 13.18%. The aim of this research is to analyze the characteristics of factors associated with maternal morbidity and mortality in CS delivery. Both morbidity groups characteristics (case and control) show correlations were found between maternal age (p<0.02), obstetric complication (p<0.01), education (p<0.02) and the incidence of maternal deaths. Meanwhile, parity and delivery complication variables did not show significant. correlations to maternal deaths (p>0.05). Both mortality groups characteristics (case and control) show correlations were found between maternal age (p<0.02), obstetric complication (p<0.05), education (p<0.03), delivery complication (p<0.04) and the incidence of maternal deaths. Meanwhile, maternal age and parity variables did not show significant. corelations to maternal deaths (p>0.05).
Severe Pre-Eclampsia with Partial Hellp Syndrome in Multigravida Preterm Pregnancy Ratu Nirmala Wahyunindita; Ratna Dewi Puspita Sari
Indonesian Journal of Global Health Research Vol 4 No 1 (2022): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (371.264 KB) | DOI: 10.37287/ijghr.v4i1.706

Abstract

Preeclampsia is the second highest cause of maternal death in Indonesia. The incidence of preeclampsia in Indonesia is very high at 24%. West Java is a province in Indonesia with a high preeclampsia rate of 25%.Pre-eclampsia is a vascular endothelial dysfunction and vasospasm that occurs at gestational age above 20 months and is characterized by hypertension and proteinuria, with or without pathological edema. Severe preeclampsia (PEB) is characterized by a minimum of systolic blood pressure 160 mmHg or diastolic blood pressure 110, impaired liver function, progressive renal insufficiency, pulmonary edema, brain and visual disturbances, or thrombocytopenia. This research is descriptive observational with a case report approach. The aim of this research is to discuss updates on the occurrence, concept, pathophysiology, and management of preeclampsia. In the case reported, a female patient, aged 29 years G3P2A0, 36 weeks gestational age with severe pre-eclampsia, partial hemolysis, elevated liver enzymes, and low platelet count (HELLP) syndrome in a multigravida preterm pregnancy with grade I obesity and a history of cesarean section 5 years ago. After evaluation, the patient complained of headache and heartburn. After confirmation, the fetus has IUGR, then active management with Transperitoneal Sectio Caesarea is chosen.