Khonsa’ Tsabitah, NIM011311133179 (2016) PROFIL LUARAN MATERNAL PADA PENDERITA PREEKLAMSIA BERAT (PEB) DI RSUD DR. SOETOMO SURABAYA PERIODE JANUARI 2013- DESEMBER 2014. Skripsi thesis, UNIVERSITAS AIRLANGGA.

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Abstract

Background. Preeclampsia is one of the main causes of maternal death especially in developing countries and remains as the obstetric problems in Indonesia. Severe preeclampsia increases the risk of maternal motality and morbidities. Aim. The purpose of this study was to determine the maternal outcomes of severe preeclampsia at RSUD Dr. Soetomo Surabaya in January 2013- December 2014. Methods. This research was a descriptive study with cross- sectional design to observe maternal characteristics and maternal outcomesof severe preeclampsia. Data were retrieved from medical records of severe preeclampsia patients admitted to Obstetric Ward of Dr Soetomo Hospital, from January 2013 to December 2014. This study used total sampling for collecting its data. The population of the study was patients with severe preeclampsia from January 2008 to December 2012 and had complete medical records. These data were proccessed descriptively and presented in graphic, tables, and short description. Results. From January 2013 to December 2014 there were 386 (44.2%) cases of severe preeclampsia that were included in this study from a total of 874 cases available. The maternal outcomes of severe preeclampsia consisted of 42 cases (10.9%) of HELLP syndrome, 36 cases (9.3%) of pulmonary edema, 225 cases (58.3%) of sectio caesarea, 7 cases(1.8%) of antepartum bleeding with 5 cases (1.3%) of placenta previa and 2 cases (0.5%) of solutio placenta, 2 cases (0.5%) of postpartum bleeding, 8 cases (2.1%) of eclampsia, 31 cases (8%) of impending eclampsia, 5 cases (1.3%) of acute kidney injury, and 2 cases (0.5%) of maternal death. Conclusion. In conclusion, this study shows that severe preeclampsia patients have high prevalence of mortality and morbidities that affects maternal outcomes. It also reccommends that all patients with severe preeclampsia need to receive intensive maternal and fetal care. It is necessary to do careful complication examination, prevention of seizures using magnesium sulfate, and continous fetal and maternal monitoring.

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