Mode of Delivery in Women With Hypertensive Disorders of Pregnancy

Abstrak

Abstrak

Latar belakang: Hipertensi dalam kehamilan (HDK) adalah kondisi serius yang meningkatkan risiko kematian dan komplikasi pada ibu dan bayi, termasuk hipertensi kronis, gestasional, preeklamsia, dan eklamsia. Penelitian ini bertujuan untuk menggambarkan metode persalinan pada ibu HDK.

Metode: Penelitian observasional deskriptif terhadap rekam medis dilakukan dengan desain potong lintang di RSUP Prof. Dr. I. G. N. G. Ngoerah tahun 2021–2022 yang memenuhi kriteria lalu dianalisis melalui SPSS.

Hasil: Penelitian melibatkan 86 kasus HDK dengan mayoritas ibu mengalami preeklamsia (73.3%), berusia 20-34 tahun (72.09%), memiliki IMT 25–30 kg/m² (39.53%), dan merupakan multigravida (60.46%) dan multiparitas (56.97%). Sebagian besar persalinan dilakukan dengan seksio sesarea (79.06%), sementara persalinan pervaginam spontan hanya 20.93% dan diantaranya dibantu dengan forsep (4.65%). Bayi aterm lahir sebanyak 58.13% dengan mortalitas perinatal 9.3%.

Kesimpulan: Hasil penelitian ini menunjukkan tingginya angka operasi SC (Sectio Caesarea) pada ibu HDK dibandingkan pervaginam spontan berserta gambarannya pada ibu dan bayi baru lahir terdampak.

Abstracts

Backgrounds: Hypertensive disorders of pregnancy (HDP) including chronic hypertension, gestational hypertension, preeclampsia, and eclampsia are among the major conditions that raise the risk of death and complications for both the mother and the unborn child. The purpose of this study is to characterize the delivery technique used in HDP women.

Methods: A descriptive observational study of medical records was conducted with a cross-sectional design at Prof. Dr. I. G. N. G. Ngoerah General Hospital in 2021-2022 which met the criteria and was analyzed through SPSS.

Results: Of the 86 HDP patients in the study, most of the women had preeclampsia (73.3%), were between the ages of 20 and 34 (72.09%), had a BMI of 25–30 kg/m² (39.53%), and were multigravida (60.46%) and multiparity (56.97%). The majority of deliveries (79.06%) were cesarean sections, whilst only 20.93% were vaginal, and some required forceps assistance (4.65%). 58.13% of term babies were born with a perinatal mortality of 9.3%.

Conclusions: This study finds that cesarean sections as the mode of delivery are more common in pregnant women with hypertensive disorders than spontaneous vaginal birth, and both the moms and the newborn babies who are impacted have been described in this study.