PENCEGAHAN DAN RUJUKAN HIPERTENSI KEHAMILAN MELALUI OPTIMALISASI APLIKASI GO-YOGA SERTA PROGRAM MUTIARA BERLIAN
DOI:
https://doi.org/10.31764/jmm.v7i5.16727Keywords:
Hypertension, Go-Yoga, Mutiara Berlian, Pregnancy.Abstract
Abstrak: Hipertensi dalam kehamilan sering terjadi dan menjadi penyebab utama kematian ibu saat melahirkan. Namun, pencegahan dan rujukan untuk mengatasi hipertensi belum optimal, sehingga diperlukan langkah yang lebih efektif dengan menggunakan Aplikasi Go-Yoga dan mengoptimalkan program Mutiara Berlian untuk mencegah serta rujukan dini hipertensi dalam kehamilan. Kegiatan melibatkan 15 mitra, termasuk Kepala Puskesmas, Kepala Desa, Bidan Desa, Tim Mutiara Berlian, dan kader. Sebanyak 14 ibu hamil usia > 20 minggu menjadi peserta dengan dilakukan pemeriksaan dan sosialisasi penggunaan Go-Yoga. Hasilnya, sebanyak 3 ibu hamil (21%) mengalami hipertensi, dan 4 (29%) ditemukan protein urine, total 7 dari 14 ibu hamil (50%) mengalami tanda dan gejala hipertensi. Seluruh ibu hamil (100%) dengan tanda dan gejala hipertensi dimasukkan dalam program Mutiara Berlian dan dirujuk. Pemantauan berkala dilakukan oleh 5 kader (100%) yang telah terlatih dalam pengisian formulir di bawah koordinasi tim pengabmas. Terjadi penurunan jumlah ibu yang menderita hipertensi dari 21% menjadi 7%. Program ini berpotensi membantu menurunkan angka hipertensi yang menjadi penyebab utama kematian ibu.
Abstract: Hypertension during pregnancy is a common occurrence and a leading cause of maternal mortality during childbirth. However, suboptimal prevention and referral measures necessitate more effective strategies like utilizing the Go-Yoga application and optimizing the Mutiara Berlian program. The activity involves 15 partners, including the Health Center Head, Village Head, Midwives, Mutiara Berlian Team, and cadres. Fourteen pregnant women aged > 20 weeks participated, with three (21%) identified with hypertension and four (29%) exhibiting proteinuria, totaling seven out of 14 (50%) showing hypertension signs. All were included in the Mutiara Berlian program and referred accordingly. Periodic monitoring by five trained volunteers (100%) using standardized forms resulted in decreased hypertensive cases from 21% to 7%. This program significantly contributes to reducing hypertension rates, a major cause of maternal mortality.
References
Agrawal, A., & Wenger, N. K. (2020). Hypertension During Pregnancy. In Current hypertension reports (Vol. 22, Issue 9, p. 64). https://doi.org/10.1007/s11906-020-01070-0
Braunthal, S. (2019). Hypertension in pregnancy: Pathophysiology and treatment. In SAGE Open Medicine (Vol. 7). https://doi.org/10.1177/2050312119843700
Brown, M. A., Magee, L. A., Kenny, L. C., Karumanchi, S. A., McCarthy, F. P., Saito, S., Hall, D. R., Warren, C. E., Adoyi, G., & Ishaku, S. (2018). Hypertensive disorders of pregnancy: ISSHP classification, diagnosis, and management recommendations for international practice. Hypertension, 72(1), 24–43. https://doi.org/10.1161/HYPERTENSIONAHA.117.10803
Davenport, M. H., Ruchat, S. M., Poitras, V. J., & ... (2018). Prenatal exercise for the prevention of gestational diabetes mellitus and hypertensive disorders of pregnancy: a systematic review and meta-analysis. British Journal of Sports …. https://bjsm.bmj.com/content/52/21/1367.abstract
Dewita, J. (2018). The Overview of Pregnant Women Knowledge on Preeclampsia Disease in Midwifery Polyclinic Adam Malik Hospital 2016. repo.poltekkes-medan.ac.id. http://repo.poltekkes-medan.ac.id/jspui/handle/123456789/591
Dinas Kesehatan Provinsi Gorontalo. (2020). Profil Kesehatan Gorontalo 2020.
Dinas Kesehatan Provinsi Gorontalo. (2021). Profil Kesehatan Gorontalo 2021.
Jain, S., & Bhartiya, N. (2017). Positive Effects Of Antenatal Yoga On Pregnancy Outcomes. Indian Obstetrics &Gynaecology. https://search.ebscohost.com/login.aspx?direct=true%5C&profile=ehost%5C&scope=site%5C&authtype=crawler%5C&jrnl=22307214%5C&AN=127142235%5C&h=pUjAkknoljfPfvk7VJF%2BNScR%2FH2q1l5DT8%2Fe3cGZmkbgcQXqFnu%2B%2BXLZVwh99YJKGSueJ4pmTyZg4JIXpAm92Q%3D%3D%5C&crl=c
Kemenkes RI. (2020). Rencana Strategis Kementerian Kesehatan RI Tahun 2020-2024. Kemenkes RI.
Kemenkes RI. (2021a). Kemenkes-USAID Luncurkan Program Momentum Untuk.
Kemenkes RI. (2021b). Profil Kesehatan Indonesia 2020. https://doi.org/10.1524/itit.2006.48.1.6
Magroâ€Malosso, E. R., Saccone, G., & ... (2017). Exercise during pregnancy and risk of gestational hypertensive disorders: a systematic review and metaâ€analysis. Acta Obstetricia et …. https://doi.org/10.1111/aogs.13151
Mamonto, W. (2014). Warga Bone Bolango Manfaatkan Program “Mutiara Berlian.â€
Matiangi, M. O. (2018). Determinants of perinatal outcomes among women seeking antenatal care in selected Kisii county level four health facilities in the context of free maternity care. repository.kemri.go.ke. http://repository.kemri.go.ke:8080/xmlui/handle/123456789/19
Ribeiro, M. M., Andrade, A., & Nunes, I. (2022). Physical exercise in pregnancy: Benefits, risks and prescription. Journal of Perinatal Medicine, 50(1), 4–17. https://doi.org/10.1515/jpm-2021-0315
Syngelaki, A., Campos, M. S., & ... (2019). Diet and exercise for preeclampsia prevention in overweight and obese pregnant women: Systematic review and meta-analysis. The Journal of Maternal-Fetal & Neonatal Medicine. https://doi.org/10.1080/14767058.2018.1481037
Usman, H., Maineny, A., & Kuswanti, F. (2022). Peningkatan Keterampilan Kader dalam Deteksi Dini Risiko Tinggi Kehamilan (Kaderink). Poltekita: Jurnal Pengabdian Masyarakat, 3(1), 19–26. https://doi.org/10.33860/pjpm.v3i1.405
Witvrouwen, I., Mannaerts, D., Berendoncks, A. M. Van, Jacquemyn, Y., & Craenenbroeck, E. M. Van. (2020). The Effect of Exercise Training During Pregnancy to Improve Maternal Vascular Health: Focus on Gestational Hypertensive Disorders. In Frontiers in physiology (Vol. 11, p. 450). https://doi.org/10.3389/fphys.2020.00450
World Health Organization. (2023). Hypertension.
Zakaria, R., & Astuti, SCD., S. C. D. A. (2021). Durasi Go-Yoga Terhadap APGAR Dan Kala I Fase Aktif Persalinan Normal.
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