GAMBARAN KEJADIAN HIPERTENSI PADA KEHAMILAN

DI RSIA SAYANG BUNDA HARAPAN INDAH BEKASI

TAHUN 2019

Oleh:

NUR AMALIA AZIZA

2018717041

PROGRAM STUDI KESEHATAN MASYARAKAT

FAKULTAS KESEHATAN MASYARAKAT
UNIVERSITAS MUHAMMADIYAH JAKARTA
2020
 PENDAHULUAN

Menurut WHO pada tahun 2012 jumlah kasus

hipertensi 839 juta kasus. Kasus ini akan diperkirakan
akan melonjak pada tahun 2025 dengan jumlah 1,15
milyar kasus atau sekitar 29% dari total penduduk
dunia. Secara global 80% kematian ibu hamil yang
tergolong dalam penyebab kematian ibu secara
langsung, yaitu disebabkan karena terjadi perdarahan
(25%), hipertensi (12%), partus macet (8%), aborsi
(13%), dan sebab lain (7%). Terdapat 536.000 ibu
hamil meninggal akibat hipertensi dalam kehamilan
(Siswono, 2007).
Rumah Sakit Sayang Bunda termasuk rumah sakit
yang dijadikan pusat rujukan dari beberapa Rumah
Bersalin dan Praktik Bidan Swasta di wilayah
Pondok Ungu dan sekitarnya. Angka kejadian
hipertensi dalam kehamilan di RSIA Sayang Bunda
Pondok Ungu Tahun 2019 sebesar 194 orang
(12.6%) dari 1567 persalinan.
Rumusan Masalah
Berdasarkan latar belakang diatas maka
didapatkan masalahnya tingginya angka
kejadian hipertensi dalam kehamilan di
RSIA Sayang Bunda Pondok Ungu
Tahun 2019 sebesar 12.6%. Oleh karena
itu peneliti tertarik untuk mengetahui
bagaimana gambaran kejadian hipertensi
dalam kehamilan di RSIA Sayang Bunda
Pondok Ungu Tahun 2019?
 Tujuan Penelitian
Tujuan Umum

Menjelaskan dan membuktikan

gambaran kejadian hipertensi dalam
kehamilan di RSIA Sayang Bunda
Pondok Ungu Tahun 2019.

Tujuan Khusus

Menjelaskan dan membuktikan
distribusi frekuensi kejadian
hipertensi pada ibu hamil
menurut umur ibu di RSIA
Sayang Bunda Pondok Ungu
Tahun 2019.
Menjelaskan dan membuktikan
distribusi frekuensi kejadian
hipertensi pada ibu hamil
menurut paritas ibu di RSIA
Sayang Bunda Pondok Ungu
Tahun 2019.
Menjelaskan dan membuktikan
distribusi frekuensi kejadian
hipertensi pada ibu hamil
menurut pekerjaan ibu di RSIA
Sayang Bunda Pondok Ungu
Tahun 2019.
Menjelaskan dan membuktikan
distribusi frekuensi kejadian
hipertensi pada ibu hamil
menurut riwayat hipertensi di
RSIA Sayang Bunda Pondok
Ungu Tahun 2019.
Ruang Lingkup Penelitian

Penelitian ini bersifat deskriptif dengan

metode cross sectional yang bertujuan
untuk mengetahui gambaran kejadian
hipertensi dalam kehamilan di RSIA
Sayang Bunda Pondok Ungu Tahun 2019
yang dilakukan pada bulan Januari tahun
2020.

Penelitian ini dilakukan karena angka kejadian

hipertensi dalam kehamilan di RSIA Sayang
Bunda Pondok Ungu masih cukup tinggi yaitu
12,6%. Variabel yang diteliti meliputi variabel
independen yang terdiri dari umur ibu, paritas
ibu, pekerjaan ibu dan riwayat hipertensi serta
variable dependen yaitu hipertensi pada ibu
hamil. Objek yang diteliti adalah ibu hamil
dengan menggunakan data sekunder. Analisa
yang digunakan adalah univariat.
 BAB: II Tinjauan Pustaka
Hipertensi adalah keadaan dengan tekanan darah diastolik minimal 90 mmHg atau tekanan
Pengertian sistolik minimal 140 mm Hg, atau kenaikan tekanan diastolik minimal 15 mm Hg atau kenaikan
tekanan sistolik minimal sebesar 30 mm Hg. (Obstetri Williams, 2006)

 Hipertensi primer atau esensial adalah hipertensi yang disebabkan faktor

herediter atau faktor lingkungan dan emosi yang labil. Yang banyak
dijumpai adalah hipertensi esensial jinak dengan tekanan darah antara
03 140/90 mm Hg sampai 160/100 mm Hg. Dalam jangka waktu panjang
barulah hipertensi esensial memberikan gejala pada alat-alat vital seperti
jantung, kleainan ginjal, arteriosklerosis atau terjadi serangan pendarahan
Penyebab mendadak. (Manuaba, 2001)
 Hipertensi sekunder adalah hipertensi yang disebabkan/sebagai akibat
dari adanya penyakit lain. Jika penyebabnya diketahui, maka disebut
hipertensi sekunder. Pada sekitar 5-10% penderita hipertensi,
penyebabnya adalah penyakit ginjal. Pada sekitar 1-2%, penyebabnya
adalah kelainan hormonal atau pemakaian obat tertentu (misalnya pil KB).
(Soen I Siauw, 2000)
Hipertensi pada Kehamilan

Hipertensi disertai kehamilan adalah hipertensi

yang telah ada sebelum kehamilan. Apabila
dalam kehamilan disertai dengan proteinuria
dan edema maka disebut pre-eklampsia yang
tidak murni atau superimposed pre-eklemsia.
Penyebab utama hipertensi dalam kehamilan
adalah hipertensi esensial dan penyakit ginjal.
(Manuaba, 2008)
Hipertensi selama kehamilan menjadi penyebab kematian ibu
hamil, kematian bayi dan berat bayi lahir rendah. Tekanan darah
yang meningkat mengakibatkan pembuluh darah mengalami
vasokontriksi (penyusutan/penyempitan), akibatnya suplai darah
ke jaringan tubuh akan berkurang, organ akan kehilangan asupan
nutrisi dan oksigen sehingga lambat laun mengakibatkan organ
tidak berfungsi dan bahkan kematian organ, akibatnya, ibu hamil
meninggal karena komplikasi dari hipertensi seperti gagal ginjal
atau kematian organ lainnya. (Manuaba, 2008)
Hipertensi juga bertanggung jawab terhadap perdarahan selama
persalinan. Penyebab terjadinya hipertensi yang mendadak terjadi
selama kehamilan, khususnya jenis hipertensi gestasional dan
preeklampsia atau eklampsia, belum diketahui dengan jelas.
Untungnya, tekanan darah selama kehamilan akan kembali normal
setelah persalinan, menjelang persalinan tubuh akan beraksi
dengan menahan kerja jantung sehingga tekanan darah menjadi
menurun dan menjadi normal.(Manuaba, 2008)
 Klasifikasi Penyakit Hipertensi
Kategori Tekanan Darah Sistolik Tekanan Darah Diastolik

Stadium 1 (Hipertensi Ringan) 140-159 mmHg 90-99 mmHg

Stadium 2 (Hipertensi Sedang) 160-179 mmHg 100-109 mmHg

Stadium 3 (Hipertensi Berat) 180-209 mmHg 110-119 mmHg

Stadium 4 (Hipertensi Kronis) 210 mmHg atau lebih 120 mmHg atau lebih
04
 Status Gizi
Penyakit
Hipertensi

Zat gizi yang diperlukan pada

penderita hipertensi adalah 
karbohidrat, protein dan lemak
yang disebut sebagai zat gizi
makro serta vitamin dan
mineral yang disebut dengan zat
gizi mikro.
 Makanan yang Harus Dihindari atau Dibatasi

01 Makanan yang 03 Makanan dan 05 Susu full cream, mentega,

berkadar lemak minuman dalam margarine, keju mayonnaise,
jenuh tinggi (otak, kaleng (sarden, sosis, serta sumber protein hewani yang
ginjal, paru, minyak korned, sayuran serta tinggi kolesterol seperti daging
kelapa, gajih). buah-buahan dalam merah (sapi/kambing), (kuning
kaleng, soft drink). telur, kulit ayam).

02 Makanan yang 04 Makanan yang

diolah dengan diawetkan
menggunakan (dendeng, asinan
garam natrium sayur/buah, abon,
(biscuit, craker, ikan asin, pindang,
keripik dan udang kering, telur
makanan kering asin, selai kacang).
yang asin).
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