CASE REPORT OF PRE-ECLAMPSIA IN PREGNANT WOMEN AT THE GAYAMSARI HEALTH CENTER, SEMARANG CITY WITH THE SAN PIISAN PROGRAM

Abstract

Pre-eclampsia is a hypertensive disorder of pregnancy, considered one of the leading causes of maternal death in
the world. Pre-eclampsia is a multisystemic disease characterized by the development of hypertension after 20
weeks of gestation, with or without urinary protein accompanied by symptoms suggestive of organ injury. The
city of Semarang has a program in an effort to reduce MMR, namely SAN PIISAN (Love and Care for Mothers
and Children in Semarang City). The SAN PIISAN program is a preventive effort in reducing MMR, namely
doing homecare for pregnant women, postpartum mothers and babies. The aim of this program is to prevent the
occurrence of 3 late. One of the public health center that runs the SAN PIISAN program and there is a maternal
death due to preeclampsia is the Gayamsari Health Center. Based on the results of the assessment that was carried
out during the SAN PIISAN visit, The main symptom in this case is an increase in maternal blood pressure to
174/101mmHg accompanied by edema in the mother's legs. Based on the results of the previous anamnesis, the
mother had no history of hypertension. The mother explained that she had experienced an increase in blood
pressure during her second pregnancy and after the baby was born, her blood pressure returned to normal. The
diagnosis in this case was preeclampsia in pregnant women with initial treatment carried out during the SAN
PIISAN visit, namely the administration of 250 mg of methyldopa and followed by referral to the hospital.
Management of preeclampsia in pregnant women with preeclampsia with the SAN PIISAN program is carried
out by home visits with the provision of therapy and followed by referrals and monitoring via online.

Keywords: management of preeclampsia, SAN PIISAN, preeclampsia