<![CDATA[AbstrakTujuan: Mencari perbedaan faktor determinan (karakteristik dan faktor risiko), morbiditas dan mortalitas ibu dan bayi dalam kasus preeklamsi pada periode sebelum dan saat program Jaminan Kesehatan Nasional dilaksanakan.Metode: Rancangan penelitian ini adalah studi cross-sectional terhadap data sekunder untuk menganalisis karakteristik faktor risiko, morbiditas dan mortalitas pada kejadian preeklamsi di RSUP Dr. Hasan Sadikin antara periode Maret−September 2012−1 Januari 2016−31 Desember 2017. Penelitian ini dilakukan di RSUP Dr. Hasan Sadikin Bandung pada bulan Februari−Mei 2018.Hasil: Didapatkan perbedaan yang bermakna (p<0,05) pada(usia, pasien, indikator, antenatal care, dan penyakit-penyakit) subjek penelitian. Didapatkan peningkatan angka seksio sesarea pada kasus preeklamsi (p<0,001). Tidak ditemukan perbedaan yang bermakna pada angka kematian ibu dengan kasus preeklamsi (p=0,366). Tidak terdapat perbedaan yang bermakna pada hasil luaran perinatal pada subjek penelitian dari segi skor APGAR, kejadian stillbirth dan kematian neonatal dini.Simpulan: Pada periode saat program JKN dilaksanakan terdapat perbedaan karakteristik dan faktor risiko ibu preeklamsi, serta terdapat peningkatan angka seksio sesarea. Tidak didapatkan perbedaan angka mortalitas ibu dan luaran (morbiditas dan mortalitas) bayi.Comparison of Determinant Factors and Outcome of Preeclampsia in Periods Before and When the National Health Insurance Program was ImplementedAbstractObjective: To distinguish determinant factors (characteristics and risk factors), maternal and neonatal morbidity and mortality in preeclampsia cases in periods before and when the National Health Insurance program was implemented. Method: The study design is cross sectional analyticstudy by taking the data from medical record to analyze the determinant factor (characteristics and risk factors), morbidity and mortality of preeclampsia at Dr. Hasan Sadikin General Hospital Bandung on March−September 2012 and January 2016−December 2017. This study was conducted in Dr. Hasan Sadikin General Hospital Bandung during February-May 2018.Results: There is a significant difference (P<0.05) in characteristics and risk factor subject of research in terms of age, gestational age, parity, educational degree, ANC, a history of hypertension and cardiovascular disorder. There is an incrising of cesarean section rate on preeclampsia cases (p<0.001).There is no significant difference in maternal mortality and perinatal outcomes (APGAR score, stillbirth and early neonatal death). Conclusion: There are differences in determinant factor (characteristics and risk factors) preeclampsia when the National Health Insurance program was implemented. There was no difference in maternal mortality and perinatal outcomes.Key words: preeclampsia, National Health Insurance, maternal and perinatal outcome]]>
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