Studi Eksplorasi Penatalaksanaan Hipertensi Pada Wanita Melahirkan
Keywords:
Hypertension, Pharmacological Management, PregnancyAbstract
Hipertensi merupakan salah satu penyebab utama kematian ibu, janin, maupun neonatus. Hipertensi pada kehamilan ditandai dengan tekanan darah lebih dari 140/90 mmHg. Penatalaksanaan hipertensi pada kehamilan terdiri dari dua jenis yaitu penatalaksanaan non farmakologis dan penatalaksanaan farmakologis seperti pemberian antihipertensi. Penelitian ini bertujuan untuk melakukan eksplorasi penggunaan obat antihipertensi pada ibu hamil. Metode yang digunakan berupa deskriptif secara observasional, pengambilan data secara retrospektif dengan metode purposive sampling. Penelitian dilakukan di RSUD Pandan Arang Boyolali pada bulan Juni-Juli 2020. Subjek dalam penelitian ini adalah seluruh ibu hamil dengan hipertensi. Sampel sebanyak 39 pasien yang telah memenuhi kriteria inklusi. Hasil penelitian didapatkan distribusi pengobatan yang didapatkan ibu hamil dalam penelitian yaitu seluruh responden mendapatkan terapi elektrolit (RL), 35 responden (89,74%) mendapatkan anthihipertensi Nifedipin tablet, 18 responden (46,15%) mendapatkan Metildopa, 28 responden (71,79%) mendapatkan injeksi anti konvulsan MgSO4, selain itu juga mendapatkan terapi antiinflamasi, vitamin, suplemen, antibiotik, dan pemberian hormon.
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[24] Ummiyati, M., & Asrofin, B. (2019). Efektifitas Terapi Air Hangat Terhadap Penurunan. (Ciastech), 163–170.
[25] Wantania, John J. E., (2016). Hipertensi Dalam Kehamilan. Bagian Obstetri dan Ginekologi FK UNSRAT Manado. http://repo.unsrat.ac.id/1590/1/18._Hipertensi_Dalam_Kehamilan.pdf
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[2] Benson, & Pernol Martin. (2009). Buku Saku Obstetri & Ginekologi (9th ed.). Jakarta: EGC.
[3] Cunningham, F. G. (2005). Obsetetri Williams : Gangguan Hipertensi Dalam Kehamilan. Edisi 21. Jakarta : EGC.
[4] Departemen Kesehatan Republik Indonesia., (2006). Pharmaceutical care untuk penyakit hipertensi, Direktorat
Bina Farmasi Komunitas dan Klinik, Jakarta.
[5] Dinkes Kab Boyolali. Kabupaten Boyolali Tahun 2018.
[6] Indhayani, L., (2018). Studi Penggunaan Obat Antihipertensi Pada Wanita Hamil Yang Didiagnosis Hipertensi Di Rumah Sakit Pmi Kota Bogor. JSTFI Indonesian Journal of Pharmaceutical Science and Technology. https://ejournal.stfi.ac.id/index.php/jstfi/article/view/70 [7] Kattah, A. G., & Garovic, V. D. (2013). The management of hypertension in pregnancy. Advances in chronic kidney disease, 20(3), 229–239. https://doi.org/10.1053/j.ackd.2013.01.014
[8] Katsiki, N., Godosis, D., Komaitis, S., Hatzitolios. A. (2010). Hypertension in pregnancy: classification, diagnosis, and treatment. Medical Journal. Greece: Aristotle University of Thessaloniki;37(2):hlm. 9- 18. http://ejournals.lib.auth.gr/aumj/article/view/4709/4810 [9] Kianpour, M., Mansouri, A., Mehrabi, T., & Asghari, G. (2016). Effect of lavender scent inhalation on prevention of stress, anxiety, and depression in the postpartum period. Iranian journal of nursing and midwifery research, 21(2), 197–201. https://doi.org/10.4103/1735-9066.178248
[10] Kuswadi, I. (2019). Penatalaksanaan Hipertensi pada Kehamilan dan Laktasi. https://sardjito.co.id/2019/08/28/penatalaksanaan-hipertensi-pada-kehamilan-dan-laktasi/ [11] Muzalfah, R., Santik, Y. D., & Wahyuningsih, A. (2018). Kejadian Preeklampsia pada Ibu Bersalin. HIGEIA (Journal of Public Health Research and Development), 2(3), 417-428. https://doi.org/10.15294/higeia.v2i3.21390 [12] POGI., (2016). Diagnosis Dan Tata Laksana Preeklamsia. Perkumpulan Obstetri dan Ginekologi Indonesia Himpunan Kedokteran Feto Maternal.
[13] Rakhshani, A., Nagarathna, R., Mhaskar, R., Mhaskar, A., Thomas, A., & Gunasheela, S. (2012). The effects of yoga in the prevention of pregnancy complications in high-risk pregnancies : A randomized controlled trial. Preventive Medicine, 55(4),333–340. https://doi.org/10.1016/j.ypmed.2012.07.020 [14] Rezaei, Z., Sharbaf, F. R., Pourmojieb, M., Youefzadeh-Fard, Y., Motevalian, M., Khazaeipour, Z., & Esmaeili, S. (2011). Comparison of the efficacy of nifedipine and hydralazine in hypertensive crisis in pregnancy. Acta Medica Iranica, 49(11), 701–706. https://pubmed.ncbi.nlm.nih.gov/22131238/
[15] Ristyaningsih, A., Yasin, N.M., & Kurniawati, F., (2018). Studi Eksplorasi Penatalaksanaan Hipertensi pada Wanita Hamil. JMPF Vol. 8 No. 4 : 189 – 199. https://www.researchgate.net/publication/331191910_Explorative_Study_on_Hipertension_Treatment_among_Pregnant_Women
[16] Rohani, Saswita, R., & Marisah. (2011). Asuhan Kebidanan pada Masa Persalinan. Jakarta: Salemba Medika.
[17] Rustanti, I.Y., Khayati, N., & Nugroho, H.A., (2020). Penurunan Tekanan Darah Pada Ibu dengan Preeklamsi Berat Dengan Terapi Rendam Kaki Air Sereh. Ners Muda. Ners Muda, Vol 1 No 2, Agustus 2020 e-ISSN: 2723-8067 https://doi.org/10.26714/nm.v1i2.5798
[18] Sager, P., Heilbraun, J., Turner, J.R., Gintant, G. and Geiger, M.J., (2013). Assessment of drug-induced increases in blood pressure during drug development: Report from the Cardiac Safety Research Consortium. American Heart Journal, 165(4), pp.477–488. https://pubmed.ncbi.nlm.nih.gov/23537963/
[19] Setyarini. (2016). Asuhan Kegawatdaruratan Maternal Neonatal. Jakarta Selatan: Pusdik SDM Kesehatan.
[20] Sidani, M., & Siddik-sayyid, S. M. (2015). Preeclampsia, a new perspective in 2011 I-Introduction-Definitions. (June 2011).
[21] Survivalina. (2019, November 12). Artikel Tekan AKI dan AKB, Dinkes Boyolali Gencarkan Eradikasi Pre-eklampsia. Pemkab Boyolali. Retrieved from https://www.boyolali.go.id/detail/10971/tekan-aki-dan-akb-dinkes [22] Szczepaniak-Chiche?, L., & Tykarski, A. (2012). Leczenie nadci?nienia tetniczego w ciazy w ?wietle aktualnych wytycznych Polskiego Towarzystwa Nadci?nienia Tetniczego z 2011 roku [Treatment of arterial hypertension in pregnancy in relation to current guidelines of the Polish Society of Arterial Hypertension from 2011]. Ginekologia polska, 83(10), 778–783. https://pubmed.ncbi.nlm.nih.gov/23383565/
[23] Townsend, R., Brien, P. O., & Khalil, A. (2016). Current best practice in the management of hypertensive disorders in pregnancy. 79–94.
[24] Ummiyati, M., & Asrofin, B. (2019). Efektifitas Terapi Air Hangat Terhadap Penurunan. (Ciastech), 163–170.
[25] Wantania, John J. E., (2016). Hipertensi Dalam Kehamilan. Bagian Obstetri dan Ginekologi FK UNSRAT Manado. http://repo.unsrat.ac.id/1590/1/18._Hipertensi_Dalam_Kehamilan.pdf
[26] World Health Organization (WHO). (2017). Commission on Ending Childhood Obesity. Geneva, World Health Organization, Departement of Noncommunicable disease surveillance.
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Published
2021-05-27
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Sulastri, S. (2021). Studi Eksplorasi Penatalaksanaan Hipertensi Pada Wanita Melahirkan. Prosiding University Research Colloquium, 347–356. Retrieved from https://repository.urecol.org/index.php/proceeding/article/view/1419
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