CASE REPORT : MIDWIFE CARE OF MOMS IN DELIVERY WITH SEVERE PREECLAMPSIA IN THE DELIVERY ROOM AT TUGUREJO HOSPITAL SEMARANG
Abstract
Maternal mortality rate (MMR) is one indicator to determine the health status of a nation. Maternal mortality in
Indonesia in 2021 was caused by 1,330 cases of bleeding, 1,110 cases of hypertension in pregnancy, and 230 cases
of circulatory system disorders. Preeclampsia is a serious condition that is progressive, characterized by an
increase in blood pressure 140/90 mmHg and protein in the urine ≥300 mg/24 hours. Tugurejo Hospital is a referral
hospital, in 2021 there were cases of preeclampsia/eclampsia in maternity women of 20.85%, premature rupture
of membranes (PROM) 19.82%, bleeding 11.46%. The purpose of this study was to provide midwifery care for
pregnant women with severe pre-eclampsia using the 7-step Varney approach. The method used in this research
is a case study. The location of this case study was conducted at Tugurejo Hospital, Semarang. As for the subject
of the case study here are mothers who experience severe pre-eclampsia. This case study was conducted on July
22, 2022. Data collection techniques were interviews, physical examinations, observations, secondary data
including documentation studies and literature studies. Result : The care provided in this case is to collaborate
with doctors to provide therapy to patients, namely by administering magnesium sulfate to prevent seizures,
nifedipine and methyldopa as antihypertensive drugs, conducting close supervision of labor and preparation for
delivery. Conclusion: after midwifery care was carried out and an evaluation of the progress of labor was carried
out, it turned out that there was no progress in labor so that the patient was delivered by cesarean section, to
improve the condition of the mother and save the fetus.
Keywords: Severe Preeclampsia, Childbirth, Sectio caesarea
Indonesia in 2021 was caused by 1,330 cases of bleeding, 1,110 cases of hypertension in pregnancy, and 230 cases
of circulatory system disorders. Preeclampsia is a serious condition that is progressive, characterized by an
increase in blood pressure 140/90 mmHg and protein in the urine ≥300 mg/24 hours. Tugurejo Hospital is a referral
hospital, in 2021 there were cases of preeclampsia/eclampsia in maternity women of 20.85%, premature rupture
of membranes (PROM) 19.82%, bleeding 11.46%. The purpose of this study was to provide midwifery care for
pregnant women with severe pre-eclampsia using the 7-step Varney approach. The method used in this research
is a case study. The location of this case study was conducted at Tugurejo Hospital, Semarang. As for the subject
of the case study here are mothers who experience severe pre-eclampsia. This case study was conducted on July
22, 2022. Data collection techniques were interviews, physical examinations, observations, secondary data
including documentation studies and literature studies. Result : The care provided in this case is to collaborate
with doctors to provide therapy to patients, namely by administering magnesium sulfate to prevent seizures,
nifedipine and methyldopa as antihypertensive drugs, conducting close supervision of labor and preparation for
delivery. Conclusion: after midwifery care was carried out and an evaluation of the progress of labor was carried
out, it turned out that there was no progress in labor so that the patient was delivered by cesarean section, to
improve the condition of the mother and save the fetus.
Keywords: Severe Preeclampsia, Childbirth, Sectio caesarea
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