Hipertensi Dalam Kehamilan Rio

7/23/2019 Hipertensi Dalam Kehamilan Rio

1/40

HYPERTENSIVEHYPERTENSIVE

DISORDERS INDISORDERS IN

PREGNANCYPREGNANCY

Rio Edward Pusdi Jaya Simanjuntak! dr!Rio Edward Pusdi Jaya Simanjuntak! dr!

S"OGS"OG

D#"artm#nt o$ O%st#tri&s ' Gyn#&o(o)y!D#"artm#nt o$ O%st#tri&s ' Gyn#&o(o)y!*ayukarta Hos"ita(*ayukarta Hos"ita(

+arawan) ,-./+arawan) ,-./


2/40

Kecenderungan AKI di Indonesia

SDKI 2012 : 359/100.000 kelahiran hidup


3/40

karakteristikibu hamil

akses ke pelayanan

kesehatan

Penyebab bPenyebab baik buruknya hasil prosesaik buruknya hasil proses

rreproduksieproduksi multifaktorialmultifaktorial

sarana dan sistem pelayanan

serta penggunaan saranakesehatan

gambaran demografi yang tidak menguntungkan


4/40

Alma Alta

tahun 1978 Health for all by the year 2000

NairobiNairobitahun 1987tahun 1987Safe Motherhood Initiative

International Conference on Population

and Development (ICPD)

Making Pregnancy Safer(MPS

Millenium Development GoalsMDGs!

CairoCairo

tahun 199!tahun 199!

WHOWHO

tahun 1999tahun 1999

PBBPBB

tahun 2000tahun 2000


5/40


6/40

Target yangmemerlukan

kerja keras: An)kak#matian i%u

0in)kun)anaks#s air %#rsi1

HIV2AIDs


7/40

"#$% 5: M&'I'"K$K$'

K&S&)$$' I*+

Indikator arget Pencapaian Keterangan

arget !a" #engurangi $!% AKI dalam kurun &aktu '(() dan *)'!

$KI per 100,000kelahiran hidup

102 228 (SDKI, 2007 Off track

Pert-l-nan peralinan-leh tenaa keehatan

terlatih (

Meninkat 7!,87 (Suena, 2008 Meninkat naun eerlperhatian khuu (need pe

attenti-n elalui peneditenaa keehatan tratei


8/40

+Other direct causes include" ectopic pregnancy, embolism, anesthesia-

related

+indirect causes include" anemia, malaria, heart disease

Adapted from" #aternal Health Around the World. World Health Organi/ation, 0ene1a,

O2ytocin and #anual

Compression

#agnesium 3ulfate

4amily Planning and

Postabortion Care

Patogram

etanus o2oid Immuni/ation Clean 5eli

Antibiotics

Iron 3upplements,

#alaria Intermittent treatm

and Antiretro1iral for HI6


9/40

Triasmain cause of maternal death

Preeclampsia/eclampsiaHaemorrhageInfection

Hasan Sadikin Hospital

20 - 30% of maternal death30 - 40% of perinatal death


10/40

I !estational H"pertension#H"pertension$ %o proteinuria$ &P normal ' (2 )eeks

postpartum*II Preeclampsia # H"pertension + proteinuria*III ,clampsia

I. Superimposed Preeclampsia #on chronich"pertension*#H"pertension /efore 20 )eeksgestation + proteinuria*

. hronic H"pertension

# H"pertension /efore 20 )eeksgestation$ until 1 (2)eekspostpartum $ %o proteinuria*

#orking !roup on High &lood Pressure in Pregnanc"$ 3ul" 2000*

lassification


11/40

H"pertension 1 (40/50 mmHg

Protein uria 1 03 gr/6/24 hs or 1 ( gr/6/7 hs or (+ 8ualitati9e test #dipstic test*


12/40

,tiolog" unkno)n

Predisposing factors ( Primigra9ida2 H"perplacentosis

h"datidiform mole

gemelli diaetes mellitus h"drops fetalis giant a"

3 :ge #3(; "ears chronis*


31/40

!lomerulonephritis #acute > chronis* Denopri9al h"pertension

chronic gromerulo nephritis chronic renal insufficienc" diaetic nephropath"

onecti9e tissue diseases lupus er"thematosus scleroderma periartenitis nodosa

Pol" c"stic kidne" disease

:cute renal failure Cesit"

K&6$'" &K%$MSI


32/40

K&6$'" &K%$MSI

Selaa 0475 detik

ae I : 15420 detik facial twitching

ae II : 0 detik t-nik k-nik eluruh tuuh

$pneu

K-a

)iperentilai


33/40

Peneahan ke;an ulanan

Maneiu ul


34/40

-kiita Maneiu

#anifestasi Kadar ;mgantung 30 4 35

Interenti-n that are recommended


35/40



36/40

p

pre4elapia and elapia (=)# 2011

I t ti th t d d < ti t t t


37/40



38/40



39/40



40/40

Hipertensi Dalam Kehamilan Rio

Documents

Transcript of Hipertensi Dalam Kehamilan Rio