Optimalisasi Peran Bidan Dalam Tata Laksana Awal Preeklampsia Di Pekanbaru

Donel Suhaimi, Dhini Aiyulie Novri, Maya Savira

Abstract


Eclampsia and pre-eclampsia are the leading causes of death in pregnancy in Indonesia. Midwives are the first-line providers of maternal and child health services. Therefore, the knowledge and skills of a midwife regarding the initial management of pre-eclampsia and eclampsia are very important in order to reduce maternal mortality. Activities to optimize the role of midwives as first-line health providers in the initial management of preeclampsia and eclampsia cases are held online. This seminar was successfully held on September 25, 2020, with 417 participants. Most of the participants came from cities in Riau, but there were also those from the east such as Makassar and Denpasar. The series of events were in the form of a pretest, delivery of material by experts (obstetricians and gynecologists), post-tests, and question and answer sessions. There is an increase in the knowledge of midwives about the diagnosis and initial management of preeclampsia cases through this seminar which is assessed through increasing score of pretest to the post test.

 

Eklampsia dan preeklamsia merupakan penyebab utama kematian pada kehamilan di Indonesia. Bidan merupakan pemberi pelayanan kesehatan ibu dan anak lini pertama. Oleh karena itu, pengetahuan dan keterampilan bidan mengenai tata laksana awal preeklamsia dan eklampsia sangat penting dalam menurunkan angka kematian ibu. Kegiatan untuk mengoptimalkan peran bidan sebagai tenaga kesehatan lini pertama dalam penanganan awal kasus preeklamsia dan eklampsia ini dilakukan secara daring. Seminar ini diselenggarakan pada tanggal 25 September 2020 dengan jumlah peserta 417 orang. Sebagian besar peserta berasal dari kota-kota di Riau, namun ada juga yang berasal dari timur seperti Makasar dan Denpasar. Rangkaian kegiatan terdiri dari sesi berupa pre-tes, penyampaian materi oleh para ahli (dokter kandungan dan ginekolog), post-test, dan sesi tanya jawab. Terdapat peningkatan pengetahuan bidan tentang diagnosis dan tata laksana awal kasus preeklamsia melalui seminar ini yang dinilai melalui peningkatan skor pada saat pre-tes ke post-tes.


Keywords


eclampsia, midwives, pre-eclampsia, bidan, eklampsia, pre-eklampsia

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References


Vest AR, Cho LS. Hypertension in Pregnancy. Cardiol Clin. 2012;30(3):407–23.

Rosas-peralta M. Hipertensión durante el embarazo: el reto continúa. Rev Med Inst Mex Seguro Soc. 2016;54(111):90.

Cunningham, F. Gary, Leveno, Kenneth J., Bloom, Steven L., Dashe, Jodi S., Spong, Catherine Y. et al. Williams Obstetrics, 25th Edition. New York: McGraw-Hill Education; 2018.

Berhe AK, Kassa GM, Fekadu GA, Muche AA. Prevalence of hypertensive disorders of pregnancy in Ethiopia: A systemic review and meta-analysis. BMC Pregnancy Childbirth. 2018;18(1):1–11.

World Health Organization. Maternal mortality [Internet]. Vol. 72, Journal of the Kentucky Medical Association. 2019. Available from: https://www.who.int/newsroom/fact-sheets/detail/maternalmortality

American College of Obstetricians an Gynecologist. Emergent Therapy for Acute-Onset, Severe Hypertension During Pregnancy and the Postpartum Period. 2017;129(640):e90–5.

UNICEF. Maternal mortality rates and statistics - UNICEF DATA [Internet]. UNICEF Data: Monitoring the situation of children and women. 2019. p. 1–8. Available from: https://data. unicef.org/topic/maternal-health/ maternal-mortality/

Kemenkes RI. Profil Kesehatan Indonesia 2018. Science as Culture. 2018;1(4):146–7.

Reece EA, Hobbins JC, editors. Clinical Obstetrics: The Fetus & Mother. 3rd ed. Victoria: Blackwell Publishing; 2007.

Bartsch E, Medcalf KE, Park AL, Ray JG, Al-Rubaie ZTA, Askie LM, et al. Clinical risk factors for preeclampsia determined in early pregnancy: Systematic review and meta-analysis of large cohort studies. BMJ. 2016;353.

Ward K, Taylor RN. Genetic factors in the etiology of preeclampsia/ eclampsia [Internet]. Fourth Edition. Chesley’s Hypertensive Disorders in Pregnancy, Fourth Edition. Elsevier Inc.; 2014. 57–80 p. Available from: http://dx.doi. org/10.1016/B978-0-12-407866- 6.00004-3

Beckmann CRB, Ling FW, Herbert WNP. Obstetrics and Gynecology. 8th ed. Wolters Kluwer Health; 2019.

Worley KC, Hnat MD, Cunningham FG. Advanced extrauterine pregnancy: diagnostic and therapeutic challenges. Am J Obstet Gynecol. 2008;198(3):297.e1-297.e7.




DOI: https://doi.org/10.29313/ethos.v10i1.6812

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