PENYULUHAN TENTANG PREEKLAMSIA PADA KEHAMILAN DI WILAYAH KERJA PUSKESMAS SIMPANG TIGA KABUPATEN ACEH BESAR

Martina, Yuli Zuhkrina, Marjunita, Nurlaila, Omi Sastika, Zulbaini, Dewi Hastuti
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Abstract

In Indonesia, bleeding, hypertension in pregnancy, and infection continue to be the three leading causes of death among mothers. However, the proportion has changed, where bleeding and infection tend to decrease while the proportion of HDK (preeclampsia and eclampsia) is increasing. WHO estimates that cases of preeclampsia are seven times higher in developing countries than in developed countries. The prevalence of preeclampsia in developed countries is 1.3%-6%, while in developing countries it is 1.8%-18%. The incidence of preeclampsia in Indonesia alone is 128,273/year or about 5.3%. Based on data from the Indonesia Health Profile in 2017, bleeding is said to be the highest cause of maternal death in Indonesia (30,3%), then preeclampsia (27,1%), due to infection by 7,3% and other causes. preeclampsia is a hypertensive disorder in pregnancy which is also accompanied by proteinuria. In Indonesia, preeclampsia is currently the second highest cause of maternal death after bleeding. More than 4 million pregnant women experience preeclampsia each year. It is estimated that every year 50.000 to 70.000 women die from preeclampsia and 500.000 babies die. Preeclampsia is the cause of 15-20% of maternal deaths worldwide and the leading cause of fetal mortality and morbidity. The method used is Pre Test and Post Test using a questionnaire. Based on the results of the counseling there was an increase in respondents' knowledge about preeclampsia, which was in the good category as much as44 (93,6%). In conclusion, there is a very significant increase in respondents' knowledge after being given counseling.
在印度尼西亚,出血、妊娠期高血压和感染仍然是母亲死亡的三大主要原因。然而,这一比例发生了变化,出血和感染倾向于减少,而HDK(子痫前期和子痫)的比例正在增加。世卫组织估计,发展中国家的先兆子痫病例比发达国家高7倍。先兆子痫在发达国家的患病率为1.3%-6%,而在发展中国家为1.8%-18%。仅印度尼西亚的先兆子痫发病率为128,273例/年,约为5.3%。根据2017年印度尼西亚健康概况的数据,据说出血是印度尼西亚孕产妇死亡的最高原因(30.3%),其次是子痫前期(27.1%),感染和其他原因占7.3%。子痫前期是妊娠期高血压疾病,同时伴有蛋白尿。在印度尼西亚,先兆子痫目前是产妇死亡的第二大原因,仅次于出血。每年有超过400万的孕妇经历先兆子痫。据估计,每年有5万至7万名妇女死于子痫前期,50万名婴儿死亡。子痫前期是全世界孕产妇死亡的15-20%的原因,也是胎儿死亡和发病的主要原因。使用的方法是使用问卷进行前测和后测。根据咨询的结果,受访者对先兆子痫的了解有所增加,其中良好的比例高达44%(93.6%)。综上所述,在接受咨询后,受访者的知识有了非常显著的增加。
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