LUARAN MATERNAL DAN PERINATAL PADA KEHAMILAN DENGAN SOLUSIO PLASENTA DI RSUP Dr. KARIADI SEMARANG PERIODE 2019-2023
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Institusion
Universitas Diponegoro
Author
Susiyanto, Dilla Putri
Mochtar, Arufiadi Anityo
Nugroho, Teddy Wahyu
Pramono, M. Besari Adi
Mochtar, Arufiadi Anityo
Nugroho, Teddy Wahyu
Pramono, M. Besari Adi
Subject
Medicine
Datestamp
2024-12-19 03:42:40
Abstract :
Latar belakang: Solusio plasenta yaitu terlepasnya plasenta dari tempat implantasinya yang terjadi pada trimester terakhir kehamilan. Menyebabkan perdarahan pada desidua basalis dan mortalitas pada maternal sekitar 15-25%. Tujuan: Mengetahui karakteristik luaran maternal dan perinatal pada kehamilan dengan solusio plasenta di RSUP Dr. Kariadi Semarang tahun 2019-2023. Metode: Penelitian deskriptif observasional menggunakan pendekatan cross sectional di RSUP Dr. Kariadi Semarang periode 2019-2023. Hasil: Ditemukan 24 kasus dengan solusio plasenta, mayoritas berusia 20-34 tahun (79,2%), paritas primipara (66,7%), usia kehamilan < 34 minggu (45,8%), riwayat ANC >4x (62,5%), riwayat persalinan seksio sesarea (100%), KPD (70,8%), pekerjaan IRT (50%) dan Ibu pekerja (50%), pendidikan rendah (91,7%), riwayat rujukan Rumah Sakit Tipe C (54,2%). Hb pre-operatif <10,5 (75%), perdarahan <1000 cc (75%), DIC (8,3%), Uterus couvelaire (4,2%), histerektomi (8,3%), transfusi darah (95,8%), lama rawat inap <5 hari (62,5%), perawatan ICU (25%), lama perawatan ICU <3 hari (16,7%). Tidak ditemukan kematian maternal. BBLR (70,8%), asfiksia (58,3%), IUGR (8,3%), prematuritas (66,7%), kematian perinatal (29,2%). Kesimpulan: Luaran maternal yang banyak ditemukan pada kehamilan dengan solusio plasenta yaitu transfusi darah, perdarahan <1000 cc, lama rawat inap, luaran perinatal paling banyak yaitu BBLR. ABSTRACT Background : Placental abruption, is the detachment of the placenta from its implantation site which occurs in the last trimester of pregnancy. Causes bleeding in the basal decidua and maternal mortality of around 15-25%. Objective : Determine the characteristics of maternal and perinatal outcomes in pregnant with placental abruption at Dr. Kariadi Semarang in 2019-2023. Method : Observational descriptive research using a cross-sectional approach at RSUP Dr. Kariadi Semarang period 2019-2023. Result : There were 24 cases of pregnancy with placenta abruption, the majority were aged 20-34 years (79,2%), multiparous parity (66,7%), gestational age <34 weeks(45,8%), ANC visits >4x times(62,5%), history of caesarean section delivery (100%), premature rupture of membranes(70,8%), Type C Hospital referral (54.2%). Pre-operative Hb <10.5 (75%), bleeding <1000 cc (75%), DIC (8.3%), uterus couvelaire (4.2%), hysterectomy (8.3%), blood transfusion ( 95.8%), length of stay <5 days (62.5%), ICU admission (25%), length of ICU stay <3 days (16.7%). No maternal deaths were found. Low birth weight (70.8%), asphyxia (58.3%), IUGR (8.3%), prematurity (66.7%), perinatal death (29.2%). Conclusions : The common maternal outcomes in pregnancies with placenta abruption are blood transfusions, bleeding <1000 cc, length of stay in hospital, the most common perinatal outcomes is low birth
Latar belakang: Solusio plasenta yaitu terlepasnya plasenta dari tempat implantasinya yang terjadi pada trimester terakhir kehamilan. Menyebabkan perdarahan pada desidua basalis dan mortalitas pada maternal sekitar 15-25%. Tujuan: Mengetahui karakteristik luaran maternal dan perinatal pada kehamilan dengan solusio plasenta di RSUP Dr. Kariadi Semarang tahun 2019-2023. Metode: Penelitian deskriptif observasional menggunakan pendekatan cross sectional di RSUP Dr. Kariadi Semarang periode 2019-2023. Hasil: Ditemukan 24 kasus dengan solusio plasenta, mayoritas berusia 20-34 tahun (79,2%), paritas primipara (66,7%), usia kehamilan < 34 minggu (45,8%), riwayat ANC >4x (62,5%), riwayat persalinan seksio sesarea (100%), KPD (70,8%), pekerjaan IRT (50%) dan Ibu pekerja (50%), pendidikan rendah (91,7%), riwayat rujukan Rumah Sakit Tipe C (54,2%). Hb pre-operatif <10,5 (75%), perdarahan <1000 cc (75%), DIC (8,3%), Uterus couvelaire (4,2%), histerektomi (8,3%), transfusi darah (95,8%), lama rawat inap <5 hari (62,5%), perawatan ICU (25%), lama perawatan ICU <3 hari (16,7%). Tidak ditemukan kematian maternal. BBLR (70,8%), asfiksia (58,3%), IUGR (8,3%), prematuritas (66,7%), kematian perinatal (29,2%). Kesimpulan: Luaran maternal yang banyak ditemukan pada kehamilan dengan solusio plasenta yaitu transfusi darah, perdarahan <1000 cc, lama rawat inap, luaran perinatal paling banyak yaitu BBLR. ABSTRACT Background : Placental abruption, is the detachment of the placenta from its implantation site which occurs in the last trimester of pregnancy. Causes bleeding in the basal decidua and maternal mortality of around 15-25%. Objective : Determine the characteristics of maternal and perinatal outcomes in pregnant with placental abruption at Dr. Kariadi Semarang in 2019-2023. Method : Observational descriptive research using a cross-sectional approach at RSUP Dr. Kariadi Semarang period 2019-2023. Result : There were 24 cases of pregnancy with placenta abruption, the majority were aged 20-34 years (79,2%), multiparous parity (66,7%), gestational age <34 weeks(45,8%), ANC visits >4x times(62,5%), history of caesarean section delivery (100%), premature rupture of membranes(70,8%), Type C Hospital referral (54.2%). Pre-operative Hb <10.5 (75%), bleeding <1000 cc (75%), DIC (8.3%), uterus couvelaire (4.2%), hysterectomy (8.3%), blood transfusion ( 95.8%), length of stay <5 days (62.5%), ICU admission (25%), length of ICU stay <3 days (16.7%). No maternal deaths were found. Low birth weight (70.8%), asphyxia (58.3%), IUGR (8.3%), prematurity (66.7%), perinatal death (29.2%). Conclusions : The common maternal outcomes in pregnancies with placenta abruption are blood transfusions, bleeding <1000 cc, length of stay in hospital, the most common perinatal outcomes is low birth
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