Hubungan  Stress dan Pekerjaan Dengan Preeklampsia di Wilayah Kabupaten Semarang

Khayati, Yulia Nur; Veftisia, Vistra

doi:10.35473/ijm.v1i1.38

Cited by 7 publications

(8 citation statements)

References 1 publication

(1 reference statement)

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“…Stres merupakan faktor resiko terjadinya preeclampsia dengan memicu beberapa mekanisme yaitu, mengaktifkan hipotalamus, melepaskan rantai peristiwa biokimia yang mengakibatkan desakan adrenalin dan non adrenalin ke dalam sistem, dan setelah itu diikuti oleh hormon kortisol. Apabila stress dibiarkan, tubuh tetap dalam keadaan aktif secara psikologis dengan hormon stress adrenalin dan kortisol yang berlebihan, Naiknya kortisol akan melumpuhkan sistem kekebalan tubuh sehingga tubuh ibu hamil menjadi rentan terhadap berbagai penyakit dan gangguan seperti, preeklampsia [9]. Selain itu, pekerjaan menjadi faktor penyebab preeklampsia karena ibu hamil yang bekerja cenderung mementingkan pekerjaannya sehingga tidak memiliki waktu luang untuk pemeriksaan kehamilannya [10].…”

Section: Umur Pasienunclassified

Studi Penatalaksanaan dan Ketepatan Pengobatan Antihipertensi pada Wanita Hamil di RSUD Toto Kabila

Madania,

Abdulkadir,

Djuwarno

et al. 2024

JSSCR

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Hypertension is a condition that can affect pregnancy. High blood pressure during pregnancy can hinder fetal and uterine growth, lead to fetal death in the womb, and result in premature birth. These complications can be minimized with appropriate antihypertensive therapy. The objective of this study is to determine the incidence rate, management, and accuracy of antihypertensive treatment according to the reference standards of the 2016 Preeclampsia National Medical Service Guidelines (PNPK). This research was an observational descriptive study where the data obtained were secondary data collected retrospectively from medical records at Regional Public Hospital of Toto Kabila from September 2022 to May 2023. The sample was taken using a saturated sampling technique, so the sample in this study included all pregnant women diagnosed with preeclampsia. The results of the study obtained 65 patients, consisting of 36 severe preeclampsia patients and 29 mild preeclampsia patients. The study showed that hypertension in pregnant women was often found in the age group of 26-35 years, with 25 patients (39%), and in the third trimester of pregnancy, with 23 cases, while 2 experienced hypertension in the first trimester. 12 patients were diagnosed with severe preeclampsia and 13 patients with mild preeclampsia. The treatment of hypertension in pregnant women for mild preeclampsia included methyldopa (34%) and nifedipine (7%). For severe preeclampsia, single therapy included methyldopa (39%), amlodipine (8%), and combination therapy such as nifedipine + methyldopa (36%) and methyldopa + amlodipine (17%). The accuracy of antihypertensive drug use in pregnant women based on the 2016 Preeclampsia PNPK was 86%, including appropriate indications, correct drugs and correct doses.

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Section: Umur Pasienunclassified

Studi Penatalaksanaan dan Ketepatan Pengobatan Antihipertensi pada Wanita Hamil di RSUD Toto Kabila

Madania,

Abdulkadir,

Djuwarno

et al. 2024

JSSCR

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“…Adapun untuk status pekerjaan, ibu yang tidak bekerja cenderung memiliki prevalensi yang lebih tinggi (76,1%). Meskipun demikian, sebuah studi menunjukkan bahwa status pekerjaan tidak berhubungan dengan kejadian preeklamsia [22].…”

Section: Hasil Dan Pembahasanunclassified

Hubungan Penggunaan Kombinasi Antihipertensi Dengan Luaran Neonatal pada Pasien Preeklamsia

Awaludin,

Nurzaman,

Annisa

et al. 2023

MPI

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Hipertensi selama kehamilan meningkatkan risiko terjadinya komplikasi maternal. Preeklamsia merupakan komplikasi yang umumnya paling sering terjadi selama masa kehamilan. Komplikasi pada masa kehamilan berdampak pada pemburukan luaran neonatal. Manajemen terapi yang tepat pada pasien preeklamsia dihubungkan dengan luaran neonatal yang lebih baik. Tujuan dari penelitian ini adalah untuk menggambarkan penggunaan antihipertensi pada pasien preeklamsia pada fasilitas kesehatan sekunder di Tasikmalaya dan menilai hubungan antara pemberian kombinasi antihipertensi dengan luaran neonatal yang dihasilkan. Penelitian ini merupakan studi multisenter menggunakan desain potong lintang secara retrospektif dari Juli 2018-Juni 2023. Selama periode penelitian didapat 88 pasien bersalin dengan diagnosa preeklamsia yang memenuhi kriteria inklusi dan eksklusi. Metildopa, nifedipin, dan amlodipin merupakan antihipertensi yang digunakan pada populasi studi dimana kombinasi antihipertensi yang digunakan diantaranya adalah kombinasi amlodipin dengan metildopa atau nifedipin dengan metildopa. Pada populasi studi, metildopa merupakan antihipertensi yang paling sering digunakan. Hasil analisis menunjukkan bahwa tidak terdapat hubungan antara penggunaan kombinasi antihipertensi dengan luaran neonatal. Namun, pasien dengan terapi kombinasi antihipertensi memiliki prevalensi lebih tinggi untuk luaran neonatal yang tidak diinginkan. Hypertension during pregnancy increases the risk of maternal complications. Preeclampsia is the most common complication that appears during pregnancy. Complications during pregnancy had a poor impact on neonatal outcomes. Appropriate therapy management in preeclampsia patients is suggested to improve neonatal outcomes. This study aimed to describe the use of antihypertensives in preeclampsia in Tasikmalaya and assess the association between the combination of antihypertensives with neonatal outcomes. This was a multi-center study with a cross-sectional design retrospectively from July 2018 to June 2023. In the study period, 88 maternal deliveries with preeclampsia met the inclusion and exclusion criteria. Methyldopa, nifedipine, and amlodipine were used in the study population whereas amlodipine with metildopa or nifedipine with metildopa were the option of antihypertensive combination. In the study population, metildopa was the most frequently used antihypertensive. The analysis results showed there was no association between using a combination of antihypertensives and neonatal outcomes. However, patients treated with combination antihypertensive had a higher prevalence of unfavorable neonatal outcomes.

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“…If stress happens continuously, even when take a rest, body will stay active psychologically with exessive stress hormone adrenaline and cortisol level which weaken immune system of the body. It contributes 1,5 times higher risk to preeclampsia (Khayati & Veftisia, 2018).…”

Section: The Incidence Of Preeclampsiamentioning

confidence: 99%

The Relation of Sleep Quality in Pregnant Mothers with The Incidence of Preeclampsia

Hasanah

Rahayu

Rahmawati

2022

JNK

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The main focus in pathogenesis of disease is the state of wakefulness with little attention regarding the state of sleep. Whereas, sleep is active condition where metabolism, memory consolidation, tissue restoration and homeostatic balance are maintained. Bad sleep quality had impact on human health, especially caused some complications in pregnancy. This study was aimed to know the relation of sleep quality in pregnant mother with the incidence of preeclampsia in Gambiran Hospital Kediri. Analytical survey method with cross sectional study was performed on 30 respondents who complied inclusion and exclusion criteria. The Pittsburgh Sleep Quality Index (PSQI) was used in determined sleep quality. The result of Chi Square test with α = 0.05 and df = 1 was clarified that the score of χ2count (8.56) > χ2table (3.841) which meant H0 was rejected and Ha was accepted. Based on the result, there was relation of sleep quality in pregnant mothers with the incidence of preeclampsia in Gambiran Hospital Kediri.

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Hubungan Stress dan Pekerjaan Dengan Preeklampsia di Wilayah Kabupaten Semarang

Cited by 7 publications

References 1 publication

Studi Penatalaksanaan dan Ketepatan Pengobatan Antihipertensi pada Wanita Hamil di RSUD Toto Kabila

Studi Penatalaksanaan dan Ketepatan Pengobatan Antihipertensi pada Wanita Hamil di RSUD Toto Kabila

Hubungan Penggunaan Kombinasi Antihipertensi Dengan Luaran Neonatal pada Pasien Preeklamsia

The Relation of Sleep Quality in Pregnant Mothers with The Incidence of Preeclampsia

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