CASE REPORT PREGNANT MOTHER WITH SEVERE PRE ECLAMPSIA

Abstract

Preeclampsia is a problem that has a high level of complexity, and contributes to the cause of maternal death.
The problem of preeclampsia not only affects to the mother during pregnancy and childbirth, but also causes
postpartum problems due to endothelial dysfunction of various organs. The main goals of treating preeclampsia
are to prevent eclampsia, give birth to babies without asphyxia, and prevent maternal and perinatal mortality. To
find out how to perform midwifery care for pregnant women with severe preeclampsia. Using a case study
method and located in Tugurejo Hospital, Semarang. Pregnant women who had severe pre-eclampsia. The case
study was conducted on July 30, 2022. The data collection techniques by interviews, physical examinations,
observations, secondary data including documentation studies and literature studies. Based on the main problem
in Mrs. N The care carried out is by doing expectatif therapy, recommending patients to reduce strenuous
physical activity, which can cause fatigue. KIE to mothers regarding the management of PEB patients according
to doctor's advice, and providing therapy according to doctor's advice, namely the administration of MgSO4,
antihypertensives and corticosteroids for lung maturation. Conclusion: after midwifery care on Ny. N 41 years
33 weeks pregnant with severe preeclampsia, placenta previa totalis, the general condition was good, better blood
pressure, eclampsia did not occur, the patient had pregnancy termination at 35 weeks 5 days of gestation with
sectio caesarea.

Keywords: severe preeclampsia, pregnant women, management of preeclampsia