ANALISIS REBOUND TEKANAN DARAH PASCA RAWAT INAP PADA IBU NIFAS DENGAN RIWAYAT PREEKLAMPSIA DI RUMAH SAKIT UMUM DAERAH MAJALENGKA TAHUN 2025

RHOTULLAELI, INA (2026) ANALISIS REBOUND TEKANAN DARAH PASCA RAWAT INAP PADA IBU NIFAS DENGAN RIWAYAT PREEKLAMPSIA DI RUMAH SAKIT UMUM DAERAH MAJALENGKA TAHUN 2025. Diploma thesis, POLITEKNIK KESEHATAN TASIKMALAYA.

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Abstract

INTISARI Latar Belakang: Preeklampsia ditandai dengan peningkatan tekanan darah ≥140/90 mmHg yang muncul pada usia kehamilan lebih dari 20 minggu dan dapat disertai proteinuria serta edema. Risiko preeklampsia tidak berhenti setelah persalinan. Masa nifas, terutama hari ke-1 hingga ke-6, merupakan periode dengan tinggi terjadinya peningkatan tekanan darah yang dapat menyebabkan komplikasi serius seperti eklampsia postpartum, perdarahan, hingga kematian.Penelitian ini bertujuan mengetahui gambaran tekanan darah pasca rawat inap pada ibu nifas dengan riwayat preeklampsia serta menganalisis hubungan antara umur, paritas, indeks massa tubuh, dan pola pemberian obat antihipertensi terhadap rebound tekanan darah. Metode: Penelitian observasional dengan pendekatan cross sectional, menggunakan data sekunder dari rekam medis elektronik sebanyak 120 ibu nifas dengan riwayat preeklampsia yang dipilih melalui teknik total sampling. Data dikumpulkan menggunakan lembar observasi dan dianalisis dengan uji chi-square. Hasil: Sebanyak 54 responden (45%) mengalami rebound tekanan darah dan 66 responden (55%) tidak mengalami rebound. Hasil analisis menunjukkan terdapat hubungan yang signifikan antara umur (p 0,000), paritas (p 0,000) dan indeks massa tubuh (p 0,011) dengan kejadian rebound tekanan darah pada ibu nifas dengan riwayat preeklampsia (p<0,05). Sementara itu, pola pemberian obat antihipertensi (p 0,531) tidak berhubungan signifikan dengan rebound tekanan darah (p>0,05). Kesimpulan: Kejadian rebound tekanan darah ditemukan pada 45,0% ibu nifas dengan riwayat preeklampsia. Umur, paritas, dan indeks massa tubuh berhubungan dengan kejadian rebound, sedangkan pola pemberian obat antihipertensi tidak berhubungan. Pemantauan tekanan darah pasca rawat inap perlu dilakukan secara optimal sebagai upaya deteksi dini serta pencegahan komplikasi pada masa nifas. Kata Kunci: preeklampsia, rebound tekanan darah, umur, paritas, indeks massa tubuh, pola obat antihipertensi ABSTRACT Background: Preeclampsia is characterized by an increase in blood pressure ≥140/90 mmHg that appears at more than 20 weeks of gestation and can be accompanied by proteinuria and edema. The risk of preeclampsia does not stop after childbirth. The postpartum period, especially the 1st to 6th days, is a period with a high increase in blood pressure that can cause serious complications such as postpartum eclampsia, bleeding, and death. This study aims to determine the picture of post-hospitalization blood pressure in postpartum mothers with a history of preeclampsia and analyze the relationship between age, parity, body mass index, and the pattern of antihypertensive drug administration to blood pressure rebound. Methods: Observational research with a cross sectional approach, using secondary data from electronic medical records of 120 postpartum mothers with a history of preeclampsia selected through total sampling technique. Data were collected using observation sheets and analyzed by chi-square test Results: A total of 54 respondents (45%) experienced a rebound in blood pressure and 66 respondents (55%) did not experience a rebound. The results of the analysis showed that there was a significant relationship between age (p 0.000), parity (p 0.000) and body mass index (p 0.011) with the incidence of blood pressure rebound in postpartum mothers with a history of preeclampsia (p<0.05). Meanwhile, the pattern of administering antihypertensive drugs (p 0.531) was not significantly related to the incidence of blood pressure rebound (p>0.05). Conclusion: The incidence of blood pressure rebound was found in 45.0% of postpartum mothers with a history of preeclampsia. Age, parity, and body mass index were associated with the incidence of blood pressure rebound, while the pattern of antihypertensive medication administration was not related. Post-hospitalization blood pressure monitoring needs to be carried out optimally as an effort to detect early and prevent complications of hypertension during the postpartum period. Keywords: preeclampsia, blood pressure rebound, age, parity, body mass index, antihypertensive drug pattern

Item Type: Thesis (Diploma)
Contributors:
ContributionContributorsNIDN/NIDKEmail
ConsultantSURATMI, SURATMIUNSPECIFIEDUNSPECIFIED
ConsultantLISNAWATI, LISNAWATIUNSPECIFIEDUNSPECIFIED
Uncontrolled Keywords: preeklampsia, rebound tekanan darah, umur, paritas, indeks massa tubuh, pola obat antihipertensi. SKRIPSICB42026, SKRIPSICB4CRB, SKRIPSICRB
Subjects: L Education > L Education (General)
R Medicine > R Medicine (General)
R Medicine > RB Pathology
R Medicine > RG Gynecology and obstetrics
Divisions: Jurusan Kebidanan > D4 Kebidanan
Depositing User: CB4 INA RHOTULLAELI
Date Deposited: 15 Jul 2026 02:32
Last Modified: 15 Jul 2026 02:32
URI: http://repo.poltekkestasikmalaya.ac.id/id/eprint/9632

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