Explorative Study on Hipertension Treatment among Pregnant Women

Maternal mortality in Indonesia is relatively high, hypertension becomes one of the causes. Hypertension and complication give particular contribution on morbidity and mortality on neonatal and maternal. On the other hand, antihypertensive drug use in  pregnancy has both benefit and risk. Therefore,...

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Main Authors: Anis Ristyaningsih, Fivy Kurniawati, Nanang Munif Yasin
Format: Article
Language:Indonesian
Published: Universitas Gadjah Mada 2019-02-01
Series:Jurnal Manajemen dan Pelayanan Farmasi
Subjects:
Online Access:https://jurnal.ugm.ac.id/jmpf/article/view/40929
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author Anis Ristyaningsih
Fivy Kurniawati
Nanang Munif Yasin
author_facet Anis Ristyaningsih
Fivy Kurniawati
Nanang Munif Yasin
author_sort Anis Ristyaningsih
collection DOAJ
description Maternal mortality in Indonesia is relatively high, hypertension becomes one of the causes. Hypertension and complication give particular contribution on morbidity and mortality on neonatal and maternal. On the other hand, antihypertensive drug use in  pregnancy has both benefit and risk. Therefore, appropriate hypertension management needs to be assesed in order to minimize the risk in mother and baby. The aim of the study is to determine the utilization pattern of antihypertensive drugs that will be assesed for suitability with the standard of medical service and American College of Obstetrics and Gynecologists (ACOG) guideline, as well as to determine clinical outcome of the therapy, which includes achieving target blood pressure, proteinuria, and edema. This study was a cross-sectional study with retrospective data collected from hospitalized patients’ medical record in RS PKU Muhammadiyah Yogyakarta from 2012 – 2015. The data of patients’ medical records according to inclusion and exclusion criteria was obtained using consecutive sampling method. Data obtained was analyzed descriptively and reviewed with the suitability of standard of medical service and ACOG guideline. Research shows that most widely used antihypertensive drugs are nifedipine by 51,8%, methyldopa by 2,6%, and amlodipine by 2,6%. Based on the evaluation of sensibility of treatment, 75,3% stated right indication, 100% right patient, and right medication and dosage. Clinical outcome includes blood pressure that had achieved the target as many as 77 patient, with negative value of proteinuria and edema. Blood pressure when patients were dismissed from the hospital was on average of 128,9±15,9/85±10,9 mmHg. In general, the utilization pattern of hypertension drugs in pregnant women has been well and according to the standards used.
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spelling doaj.art-43c38eb847f64aff892265886f9ea12d2022-12-21T22:49:40ZindUniversitas Gadjah MadaJurnal Manajemen dan Pelayanan Farmasi2088-81392443-29462019-02-018418919910.22146/jmpf.4092923459Explorative Study on Hipertension Treatment among Pregnant WomenAnis Ristyaningsih0Fivy Kurniawati1Nanang Munif Yasin2Faculty of Pharmacy, Universitas Gadjah Mada, YogyakartaFaculty of Pharmacy, Universitas Gadjah Mada, YogyakartaFaculty of Pharmacy, Universitas Gadjah Mada, YogyakartaMaternal mortality in Indonesia is relatively high, hypertension becomes one of the causes. Hypertension and complication give particular contribution on morbidity and mortality on neonatal and maternal. On the other hand, antihypertensive drug use in  pregnancy has both benefit and risk. Therefore, appropriate hypertension management needs to be assesed in order to minimize the risk in mother and baby. The aim of the study is to determine the utilization pattern of antihypertensive drugs that will be assesed for suitability with the standard of medical service and American College of Obstetrics and Gynecologists (ACOG) guideline, as well as to determine clinical outcome of the therapy, which includes achieving target blood pressure, proteinuria, and edema. This study was a cross-sectional study with retrospective data collected from hospitalized patients’ medical record in RS PKU Muhammadiyah Yogyakarta from 2012 – 2015. The data of patients’ medical records according to inclusion and exclusion criteria was obtained using consecutive sampling method. Data obtained was analyzed descriptively and reviewed with the suitability of standard of medical service and ACOG guideline. Research shows that most widely used antihypertensive drugs are nifedipine by 51,8%, methyldopa by 2,6%, and amlodipine by 2,6%. Based on the evaluation of sensibility of treatment, 75,3% stated right indication, 100% right patient, and right medication and dosage. Clinical outcome includes blood pressure that had achieved the target as many as 77 patient, with negative value of proteinuria and edema. Blood pressure when patients were dismissed from the hospital was on average of 128,9±15,9/85±10,9 mmHg. In general, the utilization pattern of hypertension drugs in pregnant women has been well and according to the standards used.https://jurnal.ugm.ac.id/jmpf/article/view/40929hypertensionpregnancytreatmentclinical outcomehospitalhipertensikehamilanpengobatanluaran klinikrumah sakit
spellingShingle Anis Ristyaningsih
Fivy Kurniawati
Nanang Munif Yasin
Explorative Study on Hipertension Treatment among Pregnant Women
Jurnal Manajemen dan Pelayanan Farmasi
hypertension
pregnancy
treatment
clinical outcome
hospital
hipertensi
kehamilan
pengobatan
luaran klinik
rumah sakit
title Explorative Study on Hipertension Treatment among Pregnant Women
title_full Explorative Study on Hipertension Treatment among Pregnant Women
title_fullStr Explorative Study on Hipertension Treatment among Pregnant Women
title_full_unstemmed Explorative Study on Hipertension Treatment among Pregnant Women
title_short Explorative Study on Hipertension Treatment among Pregnant Women
title_sort explorative study on hipertension treatment among pregnant women
topic hypertension
pregnancy
treatment
clinical outcome
hospital
hipertensi
kehamilan
pengobatan
luaran klinik
rumah sakit
url https://jurnal.ugm.ac.id/jmpf/article/view/40929
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AT fivykurniawati explorativestudyonhipertensiontreatmentamongpregnantwomen
AT nanangmunifyasin explorativestudyonhipertensiontreatmentamongpregnantwomen