Evaluation of Sectio Cesaria Response Time to Maternal and Neonatal Outcomes in Severe Preeclampsia - Eclampsia Patients

Khalda Fakhirah Syahbana; Fendy Dwimartyono; Nur Fatimah Sirajuddin; Haeriyanty Haeriyanty; Wirawan Harahap

doi:10.37899/journallamedihealtico.v5i5.1689

Khalda Fakhirah Syahbana Doctor Professional Study Program, Faculty of Medicine, Universitas Muslim Indonesia
Fendy Dwimartyono Department of Anesthesiology, Faculty of Medicine, Universitas Muslim Indonesia
Nur Fatimah Sirajuddin Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Muslim Indonesia
Haeriyanty Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Muslim Indonesia
Wirawan Harahap Department of Anesthesiology, Faculty of Medicine, Universitas Muslim Indonesia

DOI: https://doi.org/10.37899/journallamedihealtico.v5i5.1689

Keywords: Time Response, Preeclampsia, Eclampsia

Abstract

This research is finding out an overview of the response time evaluation of Sectio Cesaria in patients with severe Pre-eclampsia - Eclampsia at Sitti Khadijah 1 Muhammadiyah Hospital Makassar Branch. Severe preeclampsia and eclampsia are complications in pregnancy and childbirth that increase maternal and infant morbidity and mortality rates. To prevent the problem of eclampsia, early management of preeclampsia must be carried out properly. Cesarean sections are classified into two categories, namely SC categories 1 and 2. Category 1 Caesarean sections are SCs that must be carried out as soon as possible and most decisions must be taken within 30 minutes, namely in cases that immediately threaten the lives of the mother and baby, such as fetal distress, non-reassuring fetal status, antepartum hemorrhage, and the threat of uterine rupture. While SC category 2 is one that endangers the mother and fetus but not immediately, such as two previous CS, dystocia, hypertension in pregnancy, premature rupture of membranes, breech position, failed induction, bad obstetric history, macrosomia, cephalopelvic disproportion, facial presentation, and most decisions must be taken within 75 minutes. This research method is observational research using a cross sectional approach. The results of this research is maternal outcome most affected by SC response time <75 minutes is postoperative ICU care, and the most influential neonatal outcome is the APGAR Score. Based on the research results, it can be concluded that response time has a significant influence on maternal and neonatal outcomes in patients with severe preeclampsia - eclampsia.

References

ACOG Practice Bulletin. (2020). Gestational Hypertension and Preeclampsia. Obstetrics & Gynecology, 135(6), e237–e260. https://doi.org/10.1097/AOG.0000000000003891

Arulkumaran, N., & Lightstone, L. (2013). Severe pre-eclampsia and hypertensive crises. Best Practice & Research Clinical Obstetrics & Gynaecology, 27(6), 877–884. https://doi.org/10.1016/j.bpobgyn.2013.07.003

Ayele, A. D., Kassa, B. G., Mihretie, G. N., & Beyene, F. Y. (2021). Decision to Delivery Interval, Fetal Outcomes and Its Factors Among Emergency Caesarean Section Deliveries at South Gondar Zone Hospitals, Northwest Ethiopia: Retrospective Cross-Sectional Study, 2020. International Journal of Women’s Health, Volume 13, 395–403. https://doi.org/10.2147/IJWH.S295348

Cunningham, F. G., Leveno, K. J., Bloom, S. L., & Hauth, C. J. (2012). Guideline Hypertension of Pregnancy. (23rd ed., Vol. 2). Obsetri Williams.

Direktorat Kesehatan Keluarga RI. (2020). Rencana Aksi Kegiatan Direktorat Kesehaatan Keluarga (Vol. 1). Kementerian Kesehatan RI.

Djamhoer, M., Firman, & Jusuf, S. (2013). Hipertensi Dalam Kehamilan. Universitas Padjajaran.

Fajriah Saraswati, Murfat, Z., Rasfayanah, Wiriansya, E. P., Akib, M. N. R., Rusman, & Rachmat Latief. (2022). Karakteristik Penderita Tuberkulosis Paru Yang Relaps Di RS Ibnu Sina Makassar. Fakumi Medical Journal: Jurnal Mahasiswa Kedokteran, 2(5), 319–328. https://doi.org/10.33096/fmj.v2i5.8

Fouedjio, J., Foumane, P., Fouogue, J., Ndenga, V., Fouelifack, F., Bissene, A., Nana, P., Fouelifa, L., Mbu, R., & Mboudou, E. (2016). Predictors of eclampsia among preeclamptic patients: a case control study in Yaounde, Cameroon. International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 2204–2209. https://doi.org/10.18203/2320-1770.ijrcog20162094

Hasibuan, W. N., Cahya L, M. A., & Budiono, B. (2021). Early Management of Severe Pre-Eclamptic and Eclamptic Refferal Patient at Kotabaru Regency Early Management Of Severe Pre-Eclamptic And Eclamptic Refferal Patient At Kotabaru Regency. Indonesian Midwifery and Health Sciences Journal, 4(2), 98–108. https://doi.org/10.20473/imhsj.v4i2.2020.98-108

Hercus, A., Dekker, G., & Leemaqz, S. (2020). Primipaternity and birth interval; independent risk factors for preeclampsia. The Journal of Maternal-Fetal & Neonatal Medicine, 33(2), 303–306. https://doi.org/10.1080/14767058.2018.1489794

Imelda, A. D., & Putriana, Y. (2018). Penanganan Awal Kejadian Preeklamsia Berat dan Eklampsia Salah Satu Rumah Sakit di Provinsi Lampung. Jurnal Ilmiah Keperawatan Sai Betik, 13(2), 203. https://doi.org/10.26630/jkep.v13i2.930

Laksono, S., & Masrie, M. S. (2022). Hipertensi Dalam Kehamilan: Tinjauan Narasi. Herb-Medicine Journal, 5(2), 27. https://doi.org/10.30595/hmj.v5i2.13043

LaMarca, B., Cunningham, M., Cornelius, D., & Amaral, L. (2015). Preeclampsia: long-term consequences for vascular health. Vascular Health and Risk Management, 403. https://doi.org/10.2147/VHRM.S64798

Leveno, K. J., Cunningham, F. G., Dashe, J. S., & Hoffman, B. L. (2002). Pathophysiology of Hypertension Pregnancy Obstetrical Complication to Pregnancy (21st ed.). Williams Manual of Obstetrics.

Norwitz, E. R., & Schorge, J. O. (2001). Obsetry and Gynecology at A Glance (1st ed., Vol. 1). Blackwell Science.

Nurrahmadina, T. (2022). Faktor Risiko Kejadian Hipertensi Dalam Kehamilan di Rumah Sakit Ibu dan Anak Siti Fatimah Makassar Tahun 202amii. Universitas Hasanuddin.

Pankiewicz, K., Szczerba, E., Maciejewski, T., & Fijałkowska, A. (2019). Non-obstetric complications in preeclampsia. Menopausal Review, 18(2), 99–109. https://doi.org/10.5114/pm.2019.85785

Roeshadi, R. H. (2007). Upaya Menurunkan Angka Kesakitan dan Angka Kematian Ibu pada Penderita Preeklampsia dan Eklampsia. INAJOG: Indonesian Journal of Obstetrics and Gynecology, 31(3).

Satgas PAKI. (2017). Buku Panduan Preeklampsia-Eklampsia & Perdarahan Pasca Persalinan. Kementrian Kesehatan Republik Indonesia.

Sesar, A., Cavar, I., Sesar, A., & Sesar, I. (2018). Transient cortical blindness in posterior reversible encephalopathy syndrome after postpartum eclampsia. Taiwan Journal of Ophthalmology, 8(2), 111. https://doi.org/10.4103/tjo.tjo_5_18

Sutters, M. (2017). Systemic Hypertension (S. J. Mcphee & M. A. Papadakis, Eds.). McGraw Hill.

Wardhana, M. P., Wiweko, B., Hestiantoro, A., & Irwinda, R. (2022). Seksio Sesarea: Panduan Klinis. PP POGI.

Wibowo, N., Irwinda, R., Frisdiantiny, E., Karkata, M. K., & Mose, J. C. (2016). Pedoman Nasional Pelayanan Kedokteran Diagnosis dan Tata Laksana Pre-Eklamsia. Perkumpulan Obstetri dan Ginekologi Indonesia (POGI).

World Health Organization. (2013). A Global Brief on Hypertension. WHO Publication.

Yeni, C. M., Hasanuddin, Maharani, C. R., & Maulida, N. F. (2022). Evaluasi Response Time Seksio Emergensi Kategori I Terhadap Luaran Maternal dan Neonatal Dengan Tersedianya Alur Pelayanan Seksio Sesarea Emergensi Di RSUDZA Juli-Oktober 2021. Journal of Medical Science, 3(1), 10–18. https://doi.org/10.55572/jms.v3i1.57