Continuity of Care pada Ibu Hamil dengan Pre-Eklampsia di Puskesmas Keling II Kabupaten Jepara
Abstract
Menurut data dari World Health Organization (WHO) dalam Maternal and Reproductive Health sekitar 800 wanita meninggal setiap hari karena komplikasi kehamilan dan kelahiran. Penyebab utama kematian ibu (AKI) adalah perdarahan selama kehamilan atau persalinan, hipertensi atau preeklamsia, infeksi, dan penyebab tidak langsung, sebagian besar disebabkan oleh kontak langsung antara kondisi medis yang sudah ada sebelumnya dengan kehamilan. Hipertensi, proteinuria, dan edema atau pembengkakan pada tubuh adalah tanda-tanda penyakit kehamilan yang rumit yang dikenal sebagai preeklamsia, yang dapat muncul selama kehamilan atau hingga 48 jam setelah melahirkan, dan sebagian besar muncul pada trimester ketiga kehamilan. Untuk mengurangi jumlah penderita preeklampsia, penting untuk memberikan edukasi, pendampingan dan monitoring tentang komplikasi yang mungkin terjadi selama kehamilan pada rangkaian kegiatan COC(Continuity Of Care). Penyebab preeklampsia termasuk pola makan yang buruk, usia yang lebih muda/lebih tua, paritas, dan riwayat penyakit. Pada tahun 2023, terdapat 475 ibu hamil di Puskesmas Keling II, dan terdapat 92 residu dengan rincian: PEB 15, abortus 23, kelainan letak 3, serotinus 6, KPD 6, Retensio Plasenta 3, KPD 7, Hipertensi 1, Plasenta Previa 4, HIV 1, IUGR 3, Prematur 4, B20 1, IUFD 2, Gemeli 3, Diabetes Melitus 1, Gawat Janin 1, KPD 3, Post SC 5. Dalam upaya mencegah komplikasi dan mengenali kemandirian komunitas mitra (ibu dan kader terlatih), kegiatan pengabdian masyarakat ini bertujuan untuk meningkatkan pengetahuan dan kesadaran masyarakat tentang pengelolaan preeklampsia melalui optimalisasi Continuity Of Care bagi ibu hamil dengan preeklampsia. Hal ini akan membantu mempromosikan pengelolaan preeklampsia kepada ibu hamil lainnya (dukungan sebaya).
References
Bloomingdale, A., Guthrie, L. B., Price, S., Wright, R. O., Platek, D., Haines, J., & Oken, E. (2010). A qualitative study of fish consumption during pregnancy. American Journal of Clinical Nutrition, 92(5), 1234–1240. https://doi.org/10.3945/ajcn.2010.30070
Bryant, J., Waller, A. E., Cameron, E. C., Sanson-Fisher, R. W., & Hure, A. J. (2019). Receipt of information about diet by pregnant women: A cross-sectional study. Women and Birth, 32(6), e501–e507. https://doi.org/10.1016/j.wombi.2018.12.005
Flannery, C., Mtshede, M. N., McHugh, S., Anaba, A. E., Clifford, E., O’Riordan, M., Kenny, L. C., McAuliffe, F. M., Kearney, P. M., & Matvienko-Sikar, K. (2020). Dietary behaviours and weight management: A thematic analysis of pregnant women’s perceptions. Maternal and Child Nutrition, 16(4), 1–10. https://doi.org/10.1111/mcn.13011
Fleming, V., Frank, F., Meyer, Y., Pehlke-Milde, J., Zsindely, P., Thorn-Cole, H., & de Labrusse, C. (2022). Giving birth: A hermeneutic study of the expectations and experiences of healthy primigravid women in Switzerland. PLoS ONE, 17(2 February), 1–17. https://doi.org/10.1371/journal.pone.0261902
Halosemarang.id. (2023, June 23). Cegah Kasus Kematian Ibu dan Anak, Dinkes Jepara Luncurkan Program Sing Gemati. https://halosemarang.id/cegah-kasus-kematian-ibu-dan-anak-dinkes-jepara-luncurkan-program-sing-gemati
Hollis, J. L., Deroover, K., Licata, M., Tully, B., Farragher, E., Lecathelinais, C., Bennett, N., Foster, M., Pennell, C. E., Wiggers, J., Daly, J., & Kingsland, M. (2024). Antenatal care addressing gestational weight gain (GWG): a cross sectional study of pregnant women’s reported receipt and acceptability of recommended GWG care and associated characteristics. BMC Pregnancy and Childbirth, 24(1), 1–15. https://doi.org/10.1186/s12884-023-06158-4
Islami, Kusumastuti, D. A., & Darningsih. (2020). The Effect of Continuity of Care on High-Risk Pregnancy in Kudus: An Observational Study. 24(Uphec 2019), 86–89. https://doi.org/10.2991/ahsr.k.200311.016
March, G., Basora, J., Arija, V., & Group, S. (2019). Food Consumption during Pregnancy and Post-Partum. ECLIPSES Study. Nutrients, 11(2447), 1–17. https://doi.org/10.3390/nu11102447
Mayangsari, D., Hadijono, R. S. H., Yulivantina, E. V., Mujahidah, S., Sari, N., Ulya, F. H., & Rizqitha, R. (2022). Edukasi Bidan Untuk Kenyamanan Ibu P0Stpartum Berbasis Terapi Holistic Care Hypnobreastfeeding. Jurnal KESPERA, 1(2), 56. https://doi.org/10.34310/jkspr.v1i2.602
Ming, W. K., & Gin, T. (2013). Preeclampsia and eclampsia. Oh’s Intensive Care Manual, Seventh Edition, 677–683. https://doi.org/10.1016/B978-0-7020-4762-6.00063-1
Moran, N., Fawcus, S., Sheikh, L., Gwako, G., Osoti, A., Aswat, A., Mammoliti, K., Sindhu, K. N., Podesek, M., Muhammad, S., Latthe, P., Evans, C., Akter, S., Forbes, G., Lissauer, D., Meher, S., Weeks, A., Shennan, A., Ammerdorffer, A., … Coomarasamy, A. (2023). Randomized Trial of Early Detection and Treatment of Postpartum Hemorrhage. The New England Journal of Medicine, 389(1), 11–21. https://doi.org/10.1056/NEJMoa2303966
Mose, A., Fikadu, Y., Zewdie, A., Haile, K., & Shitu, S. (2023). Pregnant women ’ s perception of midwifery ‑ led continuity care model in Ethiopia : a qualitative study. BMC Women’s Health, 1–8. https://doi.org/10.1186/s12905-023-02456-3
Mujahidah, S., Suryono, S., & Widyawati, M. N. (2019). Web-Based Comprehensive Assessment for Postpartum Care using Rule-Based Algorithm. Journal of Physics: Conference Series, 1179(1). https://doi.org/10.1088/1742-6596/1179/1/012142
Munafiah, D., Mayangsari, D., Maftuchah, M., Rahayu, H., & Suhud, H. (2023). Pemberdayaan Bidan Melalui Aplikasi E-Profbid Dalam Upaya Peningkatan Skill Stase Persalinan. Jurnal Pengabdian Masyarakat Sasambo, 5(1), 67. https://doi.org/10.32807/jpms.v5i1.1402
Munchel, S. et al. (2020). A molecular signal f or p re eclampsia. 16(September), 2020.
Naughton, S. L., Harvey, C., & Baldwin, A. (2021). Providing woman-centred care in complex pregnancy situations. Midwifery, 102(December 2020), 103060. https://doi.org/10.1016/j.midw.2021.103060
Necipoğlu, D., Bebiş, H., & Seviğ, Ü. (2021). The effect of nursing interventions on immigrant women living in Northern Cyprus on their breastfeeding self-efficacy and success: a randomized controlled trial. Health Care for Women International, 42(2), 235–247.
Psaila, K. M., Schmied, V., & Heath, S. (2023). Exploring continuity of care for women with prenatal diagnosis of congenital anomaly: A mixed method study. Journal of Clinical Nursing, 32(19–20), 7147–7161. https://doi.org/https://doi.org/10.1111/jocn.16777
Rayment-Jones, H., Dalrymple, K., Harris, J., Harden, A., Parslow, E., Georgi, T., & Sandall, J. (2021). Project20: Does continuity of care and community-based antenatal care improve maternal and neonatal birth outcomes for women with social risk factors? A prospective, observational study. PLoS ONE, 16(5 May), 1–30. https://doi.org/10.1371/journal.pone.0250947
Sebayang, S. K., Has, E. M. M., Hadisuyatmana, S., Efendi, F., Astutik, E., & Kuswanto, H. (2022). Utilization of Postnatal Care Service in Indonesia and its Association with Women’s Empowerment: An Analysis of 2017 Indonesian Demographic Health Survey Data. Maternal and Child Health Journal, 1–11.
Tela, F. G., Gebremariam, L. W., & Beyene, S. A. (2020). Food taboos and related misperceptions during pregnancy in Mekelle city, Tigray, Northern Ethiopia. PLoS ONE, 15(10 October), 1–14. https://doi.org/10.1371/journal.pone.0239451
Thiripurasundari, G., Christe, D. M., Shobha, S., Sangeetha, V., & Sevugaperumal, S. (2019). Complications and pregnancy outcome in women with preeclampsia and eclampsia. International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 9(1), 294. https://doi.org/10.18203/2320-1770.ijrcog20196037
Tobing, V. Y., Afiyanti, Y., & Rachmawati, I. N. (2019). Following the cultural norms as an effort to protect the mother and the baby during the perinatal period: An ethnographic study of women’s food choices. Enfermeria Clinica, 29, 831–836. https://doi.org/10.1016/j.enfcli.2019.04.125
World Health Organisation. (2023a). e-Library of Evidence for Nutrition Actions ( eLENA ) Calcium supplementation before pregnancy for the prevention of pre- eclampsia and its complications WHO recommendation on calcium supplementation before pregnancy for the prevention of pre-eclampsia an. August, 24–27.
World Health Organisation. (2023b). Eclampsia - number of maternal deaths. https://www.who.int/data/gho/indicator-metadata-registry/imr-details/3574
World Health Organisation (WHO). (2023). Target product profile for drugs to treat pre-eclampsia. November, 18. https://www.who.int/publications/i/item/9789240081154
