Strategi Menurunkan Kematian Ibu Karena Preeklamsi dan Eklamsi

Tujuan : Menyimpulkan beberapa hasil penelitian tentang preeklamsi dan upaya menurunkan kematian ibu di negara maju maupun berkembang termasuk di Indonesia dan RSHS Bandung untuk menyusun strategi menurunkan kematian ibu karena preeklamsi. Metode : Dilakukan penelitian potong silang dengan rancangan observasional analitik dengan membandingkan data ibu hamil dengan preeklamsi/eklamsi yang melahirkan di RS Hasan sadikin Bandung periode Maret sampai September 2012 (sebelum JKN) dan 1 Januari 2016 sampai 31 Desember 2017(saat JKN dilaksanakan). Data dianalisis menggunakan uji statistik chi kuadrat untuk membandingkan perbedaan dengan kemaknaan nilai p 4, and evidence of hypertension and cardiac complications before and during the implementation of NHIP. Discussion : The strategies for reducing maternal mortality due to preeclampsia are as follows : supporting the government programs to overcome poverty, education and transportation; socializing signs and symptoms of preeclampsia to the community; early detection of risk factors, blood pressure measurement and urine protein followed by administration of low dose aspirin and calcium tablets for prevention; training on Doppler examination of uterine arteries for OBGYN specialist and socializing standard guidelines and protocol for the management of preeclampsia; and training for a ‘preeclampsia special team’ in referral hospitals. Key words : Preeclampsia, maternal mortality, strategy for reducing maternal mortality.