Complications For Mother Research Articles

Gestational Diabetes : A Cross-Section of Factors and Complications in Mothers and Newborns in Southern Morocco

By way of introduction, the prevalence of gestational diabetes varies between 1% and 14%, in Morocco, a single study conducted in Dakhla in southern Morocco in 2019, estimates that the prevalence of GD is 7.7% in accordance with the recommendations of the American Diabetes Association, hence the need to explore the epidemiological profile in southern Morocco.  Methodology:- A cross-sectional descriptive analytical correlational epidemiological survey of 202 pregnant women during the period 2021-2022, conducted at the Dakhla regional hospital centre, which attempts to describe the individual, biological and gynecological-obstetric risk factors in pregnant women with gestational diabetes. As well as maternal and neonatal complications. The study also analyses the effect of hospital performance on the management of parturients.  Results:- The prevalence of GD is high in the age group [35,41] and over 42 years, mainly among illiterate. Several risk factors have been identified for GD : age, high preconceptional BMI, low level of education, polycystic syndrome, history of urinary infection, positive vaginal swab for Streptococcus B, and complications for mothers and newborns revolving around Dystocic delivery, macrosomia and hypoglycaemia in newborns. There is also retinopathy in premature babies due to candida albicans and early bacterial infection due to GSB in full- term newborns.

In Vitro Fertilization and Hearing Impairment in Twins.

This study investigates the potential correlation between in vitro fertilization (IVF) and hearing impairment in twins compared to naturally conceived twins. Analyzing data from 2416 twin infants born between 2019 and 2021. Analyze the pregnancy conditions and complications of mothers, the birth conditions of newborns, perinatal diseases, initial hearing screening results, and subsequent follow-up conditions. Our findings reveal that the incidence of hearing impairment in IVF-conceived twins is comparable to that in naturally conceived twins. Significant differences in low birth weight, preterm birth, respiratory distress syndrome, and hyperbilirubinemia were observed between infants who passed and referred the hearing screening (P ＜ 0.05). The IVF group exhibited a lower incidence of low birth weight (P < 0.05) and older maternal age (P < 0.05), while showing higher rates of placental abnormalities and placental abruption (P < 0.05). Notably, these distinctions did not translate into a significant impact on hearing impairment. Regardless of the method of conception, the following key factors contributing to hearing impairment in twins were identified: low birth weight, preterm birth, respiratory distress syndrome, and hyperbilirubinemia. IVF technology does not exert specific effects on hearing impairment in twins, with perinatal complications being the primary influencing factors.

To Assess the Impact of the Quality and Level of Family Support to Pregnant Women on Maternal and Fetal Outcomes

Abstract Background: Throughout pregnancy, women need support from the family to gain better maternal and fetal outcomes. Emotional distress in women during pregnancy is known to increase the risk of adverse outcomes in women and newborns. Increasing family support can improve birth outcomes and maternal wellbeing and can reduce complications in mother and increased neonatal birth weight. Aim and Objective: This study aims to evaluate the influence of the level and quality of family support during pregnancy on maternal and fetal outcomes and to identify any association between sociodemographic variables and the impact of the level and quality of family support during the third trimester. Materials and Methods: This study used a quantitative approach combined with a survey research design. Data were collected from four primary health centers (Rethare, Vadgaon, Kale, and Supane) at Karad, Maharashtra, India. A consecutive sampling technique was used to select the 344 subjects from the Rethare, Vadgaon, Kale, and Supane areas of Karad Taluka. Data were collected before the completion of the first trimester, then during the second trimester, and post-delivery. Upon evaluation, the tool was validated by experts representing the fields of community health nursing, mental health nursing, obstetric gynecology, and pediatric care. A pilot study was conducted on 30 samples. The data collected were analyzed by using descriptive and inferential statistics. Result: Findings regarding level of family support show that 133 women (38.7%) received good total support, 164 (47.7%) received moderate support, and 47 (13.7%) received poor family support during the third trimester. Results regarding maternal outcomes show that there was a significant association found between type of delivery and family support received after delivery with maternal outcomes and total support during the third trimester (P &lt; 0.05). It means that physical, emotional, and psychosocial support (total support) received by women would prevent complications during delivery, i.e., prevent Cesarean sections, results in the mother giving normal birth to baby. Hence, the mother needs total support during the third trimester. Conclusion: Total family support is needed by pregnant women during the third trimester to achieve maternal and fetal outcomes.

Obesity, a Single Pathology Influencing Both Mother and Child-A Retrospective Analysis in Hospital Settings.

The aim of the present study was to investigate the correlation between obesity and its implications for childbirth. We conducted a retrospective study involving 1513 patients, grouped into normal-weight, overweight, and obese categories using corrected BMI values. We performed comparative analyses to explore the association between BMI and various outcomes: the method of delivery, the Apgar score at birth, the incidence of fetal distress, fetal birth weight, the presence of pregnancy-associated pathologies, and the occurrence of postpartum hemorrhage. Descriptive statistical analysis was utilized to characterize the demographic and clinical features of the patients and newborns. By examining variables such as the occurrence of fetal distress during labor, the Apgar score at delivery, and the mode of delivery, we identified an association between increasing BMI and complications during labor and delivery. The results indicate that a higher BMI is linked with increased complications and variations in the mode of delivery. Obesity is the most common health issue among women of reproductive age and requires long-term care. It can contribute to numerous pregnancy-associated pathologies and affect both mother and child during labor and delivery. Obesity is associated with lower Apgar scores, the increased incidence of fetal distress, and a higher rate of cesarean section deliveries. Although the absolute risk of serious complications for mother, fetus, and newborn is low among women with obesity, adopting healthy eating and exercise behaviors prior to pregnancy, ideally, or as early in pregnancy as possible, can help minimize excessive weight gain during pregnancy.

Comparison of maternal and fetal outcomes in mothers with non-congenital mitral valve stenosis and healthy control

BackgroundPhysiological changes during pregnancy cause complications in mothers with mitral stenosis and their infants. This study was designed to assess maternal and fetal pregnancy outcomes in women with rheumatic mitral valve stenosis and compare them with the control group. Materials and methodsThis study is a case-control study on 153 pregnant women, including 51 with mitral stenosis (MS) and 102 without MS as the control group, between 2007–2022. For each studied patient, two control participants were selected and matched in residence, age, and year of pregnancy. SPSS version 22 was used for data analysis. ResultsThe mean age was 31.7 ± 4.6 years in cases and 31.6 ± 4.7 in the healthy controls. Demographic variables were not significantly different between the case and control groups. The rate of stillbirth (5.9% vs. 0.0%), %), NICU admission (13.7% vs. 2.0%), and IUGR (5.9% vs. 0.0%) were higher in the fetal case group compared with the control group. On the other hand, maternal outcomes, including pulmonary edema (13.7% vs. 0.0%), ICU admission (23.5% vs. 0.0%), limb edema (15.7% vs. 0.0%), dyspnea (37.3% vs. 0.0%), pulmonary hypertension (9.8% vs. 0.0%), palpitations (21.1% vs. 0.0%) and hospital admission during pregnancy (37.2% vs. 4.9%) were statistically more common in the case groups. ConclusionsPregnancy is associated with significant fetomaternal morbidities in women with mitral valve heart disease. So they need a multidisciplinary approach in preconception and antenatal care.

Analysis of risk factors and hypoxic-ischemic damage consequences to central nervous system in newborns

Perinatal damage to the central nervous system (CNS) is currently a pressing issue within the structure of neonatal pathology, leading to the development of various neurological complications and causing disability and death.The purpose. Identifying risk factors contributing to perinatal third-degree hypoxic-ischemic damage of the CNS in newborns and to examine the data of clinical, laboratory and instrumental studies.Results. In the course of this study, it was revealed that the leading syndromes at the birth of the majority of infants from the main group were the suppression syndrome and the syndrome of muscular hypotension. The highest proportion among extragenital pathologies was represented by infectious diseases of various etiologies, which the newborns’ mothers had suffered during pregnancy and childbirth. Most commonly reported pregnancy complications in mothers of the main group were anemia, fetal bladder abnormality and premature rupture of fetal membranes. Neurosonography revealed subependymal cysts, signs of cerebral ischemia and ventriculomegaly as most сommonly visualized abnormalities.Conclusions. It was established during the study that the primary risk factors for the development of hypoxic-ischemic damage to the CNS were complications during pregnancy and infectious diseases of various etiologies, which the mothers had suffered during pregnancy and childbirth.

Alpha-1 antitrypsin deficiency and pregnancy complications and birth outcomes: A population-based cohort study in Denmark.

Alpha-1 antitrypsin deficiency (AATD) is related to developing lung and liver disease, but no large-scale studies examine its association with birth outcomes. We investigated the risk of pregnancy complications and adverse birth outcomes in mothers and children with AATD. Using a large cohort data of Danish mothers and children with AATD from 1973 to 2013 (n = 2,027,229), with 559 cases (305 mothers and 254 children). We conducted Poisson regression to examine associations between alpha-1 antitrypsin deficiency, adverse birth outcomes, and pregnancy complications in mothers and children. AATD was related to term low birth weight [<2500g; Risk Ratio(RR) = 2.04, 95% confidence interval (CI): 1.50-2.79], lowest quartile of abdominal circumference at birth in children of non-smoking mothers (RR = 1.55, 95% CI: 1.14-2.11), delivery via Cesarean-section (RR = 1.59, 95% CI: 1.05-2.40), preterm birth (RR = 1.54, 95% CI: 1.19-2.00) and preeclampsia (RR = 2.64, 95% CI: 1.76-3.94). This emphasizes the need for mothers with AATD to be monitored closely during pregnancy to reduce the risk of adverse birth outcomes. Routine screening for alpha-1 antitrypsin in pregnancy may be considered among mothers with a pulmonary and liver disease history.

Sezaryen yapılan Türk ve göçmen hastalarda anestezi sonuçlarının karşılaştırılması

Aim: Our study aims to compare anesthesia complications between immigrant and Turkish patients thus better knowledge to clinicians and anesthetists for the management of cesarean operative delivery among different race obstetric populations. Materials and Methods: Between 06.2018-08.2018, cesarean anesthesia forms were examined retrospectively. Age, gestational week, indication of surgery, anesthesia method applied, complications in mother (hypotension, bradycardia, bleeding, emesis) recorded. Results: 143 Turkish and 145 immigrant patients were recruited for our study. ASA II score, emergency cesarean (CS) rate, emesis incidence, hypotension rate of patients were statistically higher in immigrant patients than in Turkish patients (p&amp;lt;0.05). There was statically no significant difference found between the two groups of patients on behalf of bradycardia. Conclusion: We highlight the barriers to emergency cesarean section operations in the un-monitored obstetric population, so it is vital to raise awareness of both obstetricians and anesthesiologists on this issue.

Neonatal Complications in Mothers with Severe Complications or Near-Miss Cases

Background: Maternal complications, particularly maternal near death, may also contribute to the increase in perinatal complications. Consequently, this study investigated the correlation between neonatal complications in mothers with severe pregnancy complications and near-miss cases. Methods: This cross-sectional study was conducted on mothers who gave birth between March 2017 and March 2019 at a Medical Training Hospital and a Private Hospital in Tehran and experienced severe maternal complications or life-threatening conditions. The characteristics of mothers and infants were recorded. Statistical tests were employed to analyze the data (p˂0.05). Resulting: This study evaluated 138 mothers with severe complications, where 32.6% exhibited near-death conditions. The most common causes of severe maternal outcomes were preeclampsia and severe bleeding (50.7% and 36.2%, respectively). Of newborn 48.2% experienced prematurity, 35.6% had low birth weight. 59.9% of the newborns of the mothers who were studied experienced at least one complication. 61.9% infants had respiratory failure, and 14.2% had a severe infection. The neonate mortality rate was 3%, while the stillbirth rate was 3.6%. Although linear/ binomial logistic regression test was not showed the correlation between the mother’s demographic characteristics and perinatal complications but one third of mothers with the underlying disease had neonatal complications and the likelihood of prenatal complications is higher in multiparous women over 30. Conclusion: In severe maternal complications, neonatal complications, prematurity and low birth weight, are more prevalent. Consequently, it appears necessary to equip hospitals with intensive care units and trained personnel who can provide adequate support for mothers and infants.

Uterine scars after caesarean delivery: From histology to the molecular and ultrastructural level.

Uterine rupture during a trial of labor after caesarean delivery (CD) is a serious complication for mother and fetus. The lack of knowledge on histological features and molecular pathways of uterine wound healing has hindered research in this area from evolving over time. We analysed collagen content and turnover in uterine scars on a histological, molecular and ultrastructural level. Therefore, tissue samples from the lower uterine segment were obtained during CD from 16 pregnant women with at least one previous CD, from 16 pregnant women without previous CD, and from 16 non-pregnant premenopausal women after hysterectomy for a benign disease. Histomorphometrical collagen quantification showed, that the collagen content of the scar area in uterine wall specimens after previous CD was significantly higher than in the unscarred myometrium of the same women and the control groups. Quantitative real-time PCR of uterine scar tissue from FFPE samples delineated by laser microdissection yielded a significantly higher COL3A1 expression and a significantly lower COL1A2/COL3A1 ratio in scarred uteri than in samples from unscarred uteri. Histological collagen content and the expression of COL1A2 and COL3A1 were positively correlated, while COL1A2/COL3A1 ratio was negatively correlated with the histological collagen content. Transmission electron microscopy revealed a destroyed myometrial ultrastructure in uterine scars with increased collagen density. We conclude that the high collagen content in uterine scars results from an ongoing overexpression of collagen I and III. This is a proof of concept to enable further analyses of specific factors that mediate uterine wound healing.

Improving Mother’s Knowledge in Early Detection of Pregnancy and Childbirth Complication

Pregnancy and childbirth complications and high risks, which are estimated to occur in 15–20% of pregnant women, are not all detected early. For those detected, not all of them have been handled in a timely and adequate manner. In one of the provinces in Indonesia, namely Lampung, there are still many women giving birth at home. Research results in the form of population-based information about birth complications in mothers must rely on reporting about mothers' experiences through interviews. The Community Health Center has carried out health promotion activities both periodically and incidentally about the health of mothers and babies. However, it is very unfortunate that people do not really understand the danger signs and how to detect early labor, so treatment is still too late. The targets for this activity were 30 pregnant and breastfeeding mothers who came to Posyandu. The types of activities carried out include providing education about recognizing the danger signs of pregnancy and childbirth and using the IKA-LIN booklet as an instrument for detecting childbirth complications. All community service participants were given a pre-test, followed by a presentation regarding the danger signs of pregnancy, after which booklets were given to all participants, and the final stage was the post-test. The final session also included questions and answers regarding the mother's experience during childbirth. There was an increase in mothers' knowledge based on the results of the pre-test and post-test.

Pregnancy Complications and Their Relationship with Neonatal Complications in Mothers Referring to Healthcare Centers in South East of Iran

Background: Some adverse pregnancy outcomes are rooted in the gestation period and can influence the mother, newborn, or both. This study aimed to investigate the prevalence of pregnancy complications and their relationship with neonatal complications in mothers referring to the healthcare centers in Zahedan, Iran. Methods: This cross-sectional study was conducted on 630 women referring to the health care centers in Zahedan selected using systematic random sampling. Demographic information and anthropometric indices were collected and recorded in gestational and neonatal care forms. The data were analyzed in SPSS v. 22 using the chi-square test. Results: The results revealed that 18.9% of the mothers had anemia, 12.7% gestational diabetes mellitus (GDM), 5.1% thyroid disorders, 4% hypertension, and 2.1% preeclampsia. Moreover, 14.1%, 41.1%, and 22.7% of the mothers were underweight, overweight, and obese, respectively. A significant relationship existed between the infant's birth weight and the mother's body mass index, hypertension, GDM, and maternal iron deficiency anemia (P &lt; 0.05). Infant jaundice was also significantly related to GDM and preeclampsia (P &lt; 0.05). Conclusions: Identifying problems threatening the health of mothers and newborns and paying more attention to nutritional health care during pregnancy are efficient strategies for preventing and controlling pregnancy-related neonatal complications and the health of mothers and newborns. Specific attention to prevention programs, strengthening health care policies during pregnancy, and promoting prenatal care and self-care are major health priorities.

Prevalence and risk factors of urinary tract infection in pregnant women

Urinary tract infections (UTIs) are the most prevalent in pregnant women. There are associated risk factors that predispose the acquisition of a UTI in pregnancy, which can cause serious complications for mother and child. To determine the prevalence of UTI and associated risk factors in pregnant women at the Hospital Básico de Sangolquí. Observational, cross-sectional, analytical study conducted in 570 pregnant women from January 1 2021 to August 30 2022. The prevalence and risk factors associated with UTI were analyzed through 95% confidence intervals (95% CI) and odds ratio (OR) calculation. The global prevalence of UTI in pregnant women was 37.7% (IC 95% 33.7-41.7). The most frequent etiology was Escherichia coli (65.4%), followed by Staphylococcus spp. (21.8%). The age of pregnant women ranged from 12 to 45 years, with an average of 27.55 ± 7 years, out of which those with a previous history of UTI were at greater risk of presenting UTI (OR 4.05; 95% CI 2.65-6.18), followed by diabetes mellitus (OR 2.25; 95% CI 2.48-3.44), and overweight (OR 1.48; 95% CI 1.05-2.10). Regarding gestational age, the third trimester was a protective factor for UTI (OR 0.65; 95% CI 0.46-0.92]). The prevalence of UTI for pregnant women was 37.7%. The most frequent etiology was Escherichia coli. A history of UTI prior to pregnancy was the main risk factor.

THE EFFECT OF HEALTH EDUCATION WITH COMIC MEDIA ON THE LEVEL OF KNOWLEDGE OF ADOLESCENT GIRLS ABOUT THE IMPACT OF UNDERAGE MARRIAGE ON REPRODUCTIVE HEALTH

Early marriage is often found in developing country such as in Indonesia. Mayority of Indonesian people is not understand the danger of pregnancy and children birth for mother in age less than 20 years old. Mother that not ready yet to pregnant can cause complication for mother and the baby, health education is very important to teenagers in order to early maariage rate is decrease. One of media that can use is comic. The purpose of this study is to analyze influence between health education with teenager knowledge about the impact of early marriage to reproduction health.A descriptive quantitative design utilized in this study. There were 67 respondent and 57 students were selected in this study taken by simple random sampling. A questionnaire is utilized in this study consisted of five parts: included the sosio-demographic data; the definition of early marriage; the definition of reproduction health, ideal age to marriage, and the impact of early marriage to reproduction health. Data was analyzed computerized by using SPSS 16. The result is there are a influence between health education with teenager knowledge about the impact of early marriage to reproduction health. By using Wilcoxon Match Pair the result is p= 0,000 with significancy 0,05. The conclusion from this study that comic media is effective to increase teenager knowledge about the impact of early marriage to reproduction health using comic media.

Calorie restriction and pravastatin administration during pregnancy in obese rhesus macaques modulates maternal and infant metabolism and infant brain and behavioral development.

Maternal obesity has been associated with a higher risk of pregnancy-related complications in mothers and offspring; however, effective interventions have not yet been developed. We tested two interventions, calorie restriction and pravastatin administration, during pregnancy in a rhesus macaque model with the hypothesis that these interventions would normalize metabolic dysregulation in pregnant mothers leading to an improvement in infant metabolic and cognitive/social development. A total of 19 obese mothers were assigned to either one of the two intervention groups (n = 5 for calorie restriction; n = 7 for pravastatin) or an obese control group (n = 7) with no intervention, and maternal gestational samples and postnatal infant samples were compared with lean control mothers (n = 6) using metabolomics methods. Gestational calorie restriction normalized one-carbon metabolism dysregulation in obese mothers, but altered energy metabolism in her offspring. Although administration of pravastatin during pregnancy tended to normalize blood cholesterol in the mothers, it potentially impacted the gut microbiome and kidney function of their offspring. In the offspring, both calorie restriction and pravastatin administration during pregnancy tended to normalize the activity of AMPK in the brain at 6 months, and while results of the Visual Paired-Comparison test, which measures infant recognition memory, was not significantly impacted by either of the interventions, gestational pravastatin administration, but not calorie restriction, tended to normalize anxiety assessed by the Human Intruder test. Although the two interventions tested in a non-human primate model led to some improvements in metabolism and/or infant brain development, negative impacts were also found in both mothers and infants. Our study emphasizes the importance of assessing gestational interventions for maternal obesity on both maternal and offspring long-term outcomes.

Oxidative Stress Elevates eNOS Expression and VSMCs Proliferation of the Umbilical Vein of GDM Mothers

Aim: Gestational diabetes mellitus (GDM) is associated with an increased risk of fetal and maternal complications, such astype 2 DM (diabetes mellitus) and cardiovascular disease (CVD). This study aimed to predict the potential for future vascular complications in mothers with GDM by evaluating oxidative stress, endothelial NO synthase (eNOS) expression, and vascular smooth muscle cell (VSMC) proliferation in the umbilical vessels of mothers with GDM. Material and Methods: Subjects were divided into two groups: the normoglycemic control (NGC) group (n = 10) and the GDM group (n = 12). Expression of eNOS and production of reactive oxygen species (ROS) in human umbilical vein endothelial cells (HUVECs) were determined. The mitochondrial mass of HUVECs was evaluated by spectrofluorometry. VSMC proliferation was ascertained in vitro with an EdU cell proliferation assay. Advanced glycation end products (AGEs) accumulation was measured by ELISA and assessed by immunohistochemical staining Results: VSMC proliferation, eNOS expression, and ROS production in HUVECs were significantly increased, and greater immunohistochemical staining to AGEs was observed in endothelium in GDM. Conclusion: Increased oxidative stress, which elevates eNOS expression and VSMC proliferation in the umbilical vessels of mothers with GDM, may be a sign that mothers have a high potential for developing diabetes or cardiovascular disease in the future.

Pelatihan Pengisian Kartu Skor Poedji Rochjati pada Ibu Hamil dalam Deteksi Dini Risiko Tinggi Kehamilan

Maternal mortality in Indonesia is still high where maternal mortality can be prevented. Various complications that arise during pregnancy, childbirth and postpartum can be detected as early as possible so that delays in complications can be reduced. The Poedji Rochjati Score Card (KSPR) is an effort to detect early complications in mothers as well as evidence of recording and reporting by midwives in finding complications cases. The purpose of the service is to provide skills for pregnant women in detecting the condition of pregnant women as early as possible through filling out the Poedji Rochjati Score Card. The court activity was attended by 10 pregnant women who were held at the Muda Setia Poskesdes, Bandar Sei Kijang District, Pelalawan Regency. The results of the service show the ability of pregnant women to carry out early detection through filling out the KSPR as many as 3 pregnant women. that training for pregnant women in using the Poedji Rochjati Scorecard is very necessary, because with pregnant women knowing every development of pregnancy every month, pregnant women become more concerned about the possible risks of pregnancy that might arise and immediately have their pregnancies checked by health workers. It is hoped that health workers, especially midwives, will be able to provide ongoing counseling to increase the knowledge of pregnant women in early detection of pregnancy risks through KSPR so that mothers can recognize earlier the risks of pregnancy that are being experienced so that pregnant women immediately check their pregnancies.

Prolongation of Pregnancy in Patients with HELLP Syndrome Using Methylprednisolone: A Retrospective Multicentric Analysis.

Immediate delivery is an established concept for preventing life-threatening complications in mothers with HELLP syndrome; however, it is associated with preterm births. Cases of HELLP syndrome diagnosed at the university hospitals of Halle and Magdeburg (Germany) were analyzed retrospectively. Each patient of the treatment group was administered 64 mg of methylprednisolone (MP) intravenously for 10 days, with the dosage being reduced by 50% every other day in patients from Halle (n = 65). Almost immediate delivery was performed in the control groups (n = 45, Halle; n = 28, Magdeburg). Pregnancies in the treatment group were prolonged by 4 days (median 1-55 days). The platelet counts increased from 76,060 ± 22,900/μL to 117,430 ± 39,065/μL in the MP group compared with an increase from 66,500 ± 25,852/μL to 83,430 ± 34,608/μL in control group 1 and from 78,890 ± 19,100/μL to 131,080 ± 50,900/µL in control group 2 (p < 0.001). Severe neonatal complications were significantly reduced in the treatment group (p < 0.05): sepsis, 9.25% vs. 24%; ventilation, 44.6% vs. 46.5%; and infant death, 1.6% vs. 8.6%. In a selected collective of patients with HELLP syndrome, prolongation of pregnancy using MP treatment improved maternal and neonatal outcomes.

Implementasi Pada Kehamilan Dengan Hipertensi Kronis Superimposed Preeklampsia

Preeclampsia is a disorder that occurs in pregnant women and is a leading cause of maternal and perinatal mortality and morbidity up to fivefold after bleeding and infection. The research approach / design that has been carried out is a case study. Research has been conducted to determine the proper implementation of Mrs. J pregnant women at UPTD Puskesmas Plosoklaten Kediri Regency. The method of data collection that has been carried out is by means of anamnesis / interview, observation and documentation (SOAP). The review and implementation will be carried out in January 2023 in the MCH room. The results of the data collection of mothers complained of frequent dizziness, had a history of hypertension from biological mothers and currently Mrs.J suffers from chronic hypertension. History of previous childbirth by means of Sectio Caesarea (SC). Blood Pressure Results 140/80 mmHg, TD tilted: 120/60 mmHg, ROT 20 (positive), MAP 100 (positive), lila 23 cm and KSPR 18 (pregnant, SC, hypertension, distance between children 2 years). On the lower extremities there is oedema of the right and left legs. Fetal Heart Rate auscultation examination is 144 x / m, regular, strong. Based on the results of subjective data and objective data, analysis. Mrs. J is G2P1A0 gestational age 23-24 weeks single/live/intrauterine fetus, KU mother and fetus are both with chronic hypertension superimposed preeclampsia. The implementation given to Mrs. J G2P1A0 UK 23-24 weeks with chronic hypertension superimposed preeclampsia was carried out comprehensively and SOP for pregnancy check. Midwives have conducted initial screening and advised patients to check with doctors for therapy and make planned early referrals to prevent complications in mothers and babies.

A pregnant woman in her thirties with abdominal pain, seizures and haemorrhagic shock.

A pregnant woman at term was admitted to the emergency department with abdominal pain, generalised seizures and haemorrhagic shock. An outpatient check-up five days earlier showed good general condition, normal blood pressure and normal fetal heartbeat.