Preeclampsia management: different insight from hospital to hospital approach in Indonesia

Liwang, Firdy; Bhargah, Agha

doi:10.15562/ijbs.v13i1.170

Cited by 3 publications

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“…In 2019, Indonesia encountered considerable challenges in providing maternal healthcare, as reflected by its maternal mortality rate of 305 per 100,000 live births [3]. PE or eclampsia, hemorrhage, and infection, respectively, comprised 28%, 24%, and 11% of the direct obstetric causes of maternal death in the country [4,5]. Notably, 7-10% of pregnancies in Indonesia resulted in PE, highlighting the critical need for focused treatments and enhanced facilities for maternal healthcare [4].…”

Section: Short Communicationmentioning

confidence: 99%

“…PE or eclampsia, hemorrhage, and infection, respectively, comprised 28%, 24%, and 11% of the direct obstetric causes of maternal death in the country [4,5]. Notably, 7-10% of pregnancies in Indonesia resulted in PE, highlighting the critical need for focused treatments and enhanced facilities for maternal healthcare [4]. diverse strategy is needed to address these obstetric causes of maternal death but given the limited resources in most Indonesian healthcare facilities, optimizing existing resources becomes crucial [3][4][5].…”

Section: Short Communicationmentioning

confidence: 99%

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Predictive biomarkers of preeclampsia severity in a low resource setting: Role of red blood cell indices, NLR, and albumin-to-creatinine ratio

Tobing,

Lumbanraja,

Lintang

et al. 2024

Narra J

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Preeclampsia (PE), a serious medical condition with substantial maternal and perinatal implications, poses a significant challenge, particularly in high-incidence countries like Indonesia. Red blood cell (RBC) indices, neutrophil-to-lymphocyte ratio (NLR), and microalbuminuria (albumin-to-creatinine ratio (ACR)) may signal systemic inflammation and endothelial dysfunction, recently recognized as potential indicators for diagnosing and predicting disease severity. The aim of this study was to analyze RBC indices, NLR, and ACR changes in women with PE and their potential for predicting disease severity. A cross-sectional study was conducted at multi-center hospitals across Medan, Indonesia, from June 2022 to June 2023. The patients were grouped into PE cases with and without severe features. Demographic characteristics and complications were recorded while blood and urine were tested. The Chi-squared test, Fisher's exact test and Mann-Whitney test were used to determine biomarkers associated with severe PE. A total of 208 PE patients were included in the study (104 patients for each PE with and without severe features). Our data indicated that PE patients with severe features had higher red cell distribution width (18.5% vs 13.7%; p<0.001), NLR (5.66% vs 4.1%; p<0.001), and ACR (755.97 mg/dL vs 468.63 mg/dL; p<0.001) compared to those without severe features. In contrast, the platelet count was lower in severe features than those without (21.9 × 106/µL vs 27.0 × 106/µL; p=0.002). This study highlighted that PE patients with severe features predominantly had higher levels of RDW, NLR, and ACR and lower platelet counts compared to those without severe features. Therefore, basic tests such as complete blood count and urinalysis, which are inexpensive and feasible in primary care settings with limited resources, offer hope as valuable diagnostic biomarkers for pregnant women diagnosed with PE in a low resource setting.

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Section: Short Communicationmentioning

confidence: 99%

Section: Short Communicationmentioning

confidence: 99%

Predictive biomarkers of preeclampsia severity in a low resource setting: Role of red blood cell indices, NLR, and albumin-to-creatinine ratio

Tobing,

Lumbanraja,

Lintang

et al. 2024

Narra J

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“…9 The MMR due to preeclampsia was 4.91%. 10 The exact cause of preeclampsia is still unknown, and it was agreed as a multifactorial disease. Nowadays, researchers have accepted a new concept to approach preeclampsia.…”

Section: Introductionmentioning

confidence: 99%

Maternal and Perinatal Outcomes of Early-onset and Late-onset Preeclampsia at a Tertiary Center Hospital

Akbar¹,

Kinanti²,

Ernawati³

et al. 2021

Journal of South Asian Federation of Obstetrics and Gynaecology

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Aim: Preeclampsia is still a major health problem in Indonesia, that causes maternal and perinatal morbidity and mortality. This study compares the maternal and perinatal outcomes between early-onset preeclampsia (EO-PE) and late-onset preeclampsia (LO-PE) at a tertiary care center in Indonesia during 2016. Materials and methods: This cross-sectional study includes 102 patients with preeclampsia. Preeclampsia was divided based on the gestational age: <34 weeks as EO-PE and ≥34 weeks as LO-PE. The primary outcomes were maternal and perinatal outcomes. Results:The incidence of all preeclampsia in this study was 12.5% during 2016. EO-PE is associated with a longer length of stay compared to LO-PE [8 (5) vs 6 (3); p <0.0001]. Other maternal outcomes, such as mode of delivery, maternal death, eclampsia, HELLP syndrome, gestational diabetes mellitus, and lung edema, were not significantly different. EO-PE was also correlated with worse perinatal outcomes, such as preterm birth (97.6 vs 38%; p <0.001; OR 66.9; 95% CI: 8.49-527.1), baby birth weight [1,525 (763) vs 2,650 (650); p <0.001], baby birth length [41 (6) vs 47 (4); p <0.001], lower Apgar score at first minute [5 (5) vs 7 (2); p <0.0001], and lower Apgar score at fifth minute [7 (5) vs 8 (2); p <0.0001]. Conclusion:EO-PE is associated with worse maternal and perinatal outcomes compared to LO-PE. The presence of EO-PE should be responded to with tight monitoring and early intervention to reduce the risk of maternal and perinatal complications.

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“…Pertambahan penduduk yang cepat dan tidak seimbang dengan naiknya produksi akan mengakibatkan terjadinya banyak tekanan yang berat pada berbagai sektor seperti: penyediaan pangan, sandang, perumahan, lapangan kerja, fasilitas kesehatan, pendidikan, pengangkutan, perhubungan dan sebagainya. 2 Oleh karena itu, pemerintah Indonesia menerapkan program Keluarga Berencana (KB) Nasional dengan tujuan yang diharapkan ialah untuk menekan laju pertumbuhan penduduk Indonesia. 3 Keberhasilan program Keluarga Berencana (KB) telah diakui secara global dan bahkan menjadi model program KB di negara-negara berkembang dan hal ini telah mengantar Indonesia sebagai pusat di bidang kependudukan KB dan kesehatan reproduksi.…”

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Gambaran Penggunaan Alat Kontrasepsi pada Wanita di Indonesia

Rotinsulu¹,

Wagey²,

Tendean³

2021

eCL

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Population growth rate affects various sectors. Therefore, the National Family Planning (KB) program was established with the aim of reducing Indonesia's population growth rate. This study was aimed to obtain the description of contraception used according to contraception methods in various regions of Indonesia. This was a literature review study. Data were searched by using one database with the specified criteria, which was Google Scholar, and data collection from BKKBN application. The keywords used in literature searching were contraception use AND contraception methods AND Indonesian. After being selected by inclusion and exclusion criteria, there were 12 literatures consisting of 6 descriptive studies, 4 cross sectional studies, 1 purposive sampling study, and 1 secondary data study. The majority of literatures mentioned that contraception method mostly used in various regions of Indonesia was hormonal contraception, in this case injection. It seems that other methods such as vasectomy in males and tubectomy in females were still not preferred. In conclusion, hormonal contraception method namely injection is the mostly used in various regions of Indonesia.Keywords: contraception use, contraception methods Abstrak: Laju pertumbuhan penduduk berpengaruh terhadap berbagai sektor. Program Keluarga Berencana (KB) Nasional dibuat dengan tujuan untuk menekan laju pertumbuhan penduduk Indonesia. Penelitian ini bertujuan untuk mengetahui gambaran penggunaan alat kontrasepsi menurut metode alat kontrasepsi di berbagai daerah di Indonesia. Jenis penelitian ialah suatu literature review. Pencarian data menggunakan satu database dengan kriteria yang ditentukan yaitu Google Scholar dan pengambilan data yang berasal dari integrasi aplikasi BKKBN. Kata kunci yang digunakan dalam pencarian artikel ialah Penggunaan kontrasepsi DAN Metode kontrasepsi DAN Indonesia. Hasil seleksi dengan kriteria inklusi dan eksklusi mendapatkan 12 literatur yang terdiri dari 6 penelitian deskriptif, 4 penelitian cross-sectional, 1 penelitian purposive sampling, dan 1 penelitian data sekunder. Didapatkan penggunaan metode alat kontrasepsi di berbagai daerah di Indonesia yang terbanyak ialah kontrasepsi hormonal suntik. Metode alat kontrasepsi yang masih kurang penggunaannya ialah vasektomi atau Metode Operatif Pria (MOP) dan tubektomi atau Metode Operatif Wanita (MOW). Simpulan penelitian ini ialah mayoritas penggunaan metode alat kontrasepsi di berbagai daerah di Indonesia ialah kontrasepsi hormonal suntik.Kata kunci: penggunaan kontrasepsi, metode kontrasepsi

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Preeclampsia management: different insight from hospital to hospital approach in Indonesia

Cited by 3 publications

References 0 publications

Predictive biomarkers of preeclampsia severity in a low resource setting: Role of red blood cell indices, NLR, and albumin-to-creatinine ratio

Predictive biomarkers of preeclampsia severity in a low resource setting: Role of red blood cell indices, NLR, and albumin-to-creatinine ratio

Maternal and Perinatal Outcomes of Early-onset and Late-onset Preeclampsia at a Tertiary Center Hospital

Gambaran Penggunaan Alat Kontrasepsi pada Wanita di Indonesia

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