Ecological Analysis of Preeclampsia/Eclampsia Case in Sidoarjo Regency, Indonesia, 2015-2019

Abstract

Preeclampsia is hypertension that arises after 20 weeks of pregnancy accompanied by proteinuria, the
symptoms are divided into mild and severe preeclampsia. Preeclampsia with a coma is called eclampsia.
Globally 80% of maternal deaths are classified as direct death. Hypertension is directly responsible for
approximately 20% of maternal deaths in the United States. Supas in 2015 showed maternal mortality rate
in Indonesia 305/100,000 live births and the highest in Southeast Asian countries which only 40-60/100,000
live births. One of the main causes is preeclampsia/eclampsia. In Sidoarjo Regency in the last 5 years, the
most common cause of maternal death was preeclampsia/eclampsia by 58%. The purpose of this study was
to determine the description of the incidence of preeclampsia/eclampsia in the last 5 years in the Sidoarjo
Regency. This research is a descriptive study with a quantitative approach using secondary data from the
Sidoarjo District Health Profile in 2015-2019. The results found that the highest incidence of preeclampsia/
eclampsia in the Sidoarjo Regency was Temple Health Center and Taman Health Center (5.74%), and
Buduran Health Center (4.10%). The trend in the incidence of preeclampsia/eclampsia in the Sidoarjo
Regency over the past 5 years has fluctuated and has not shown a better change. It could be concluded
that there are 3 Health Centers that have the highest percentage of preeclampsia/eclampsia due to lack of
knowledge about maternal health. This shows that the program carried out by the Government to reduce the
incidence of preeclampsia/eclampsia in the Sidoarjo Regency has not been effective so further intervention
is needed.