RANGKUMAN

KEPERAWATAN MATERNITAS

“Birth weight in pregnancies complicated by maternal heart disease”

Author artikel : Sterrenburg M
Author information : Department of Human Development and Health, Princess Anne
Hospital, Southampton, UK
Heart. 2018 Sep 21. pii: heartjnl-2018-313551

DOSEN PEMBIMBING :
Yuanita Wulandari, S.Kep.,Ns., MS

OLEH:

Aqda Putra Mahardika F. (20171660093)

PROGRAM STUDI S1 KEPERAWATAN

FAKULTAS ILMU KESEHATAN
UNIVERSITAS MUHAMMADIYAH SURABAYA
2018
 SUMMARY

Women with heart disease in their pregnancy. Birth weight percentiles were calculated

using the aberden norm, assessing the birth weight relationship with heart lesions, maternal

hypoxemia (<90% saturation), systemic ventricular function and beta blockers. the greatest

effect is seen in women with Fontan circulation, pulmonary hypertension, prosthetic heart

valves, systemic right ventricles, Marfan syndrome, tetralogy of repaired Fallot and

cardiomyopathy (in that order). In 307 pregnancies, women used beta-blockers; mean birth

weight adjusted for maternal age, parity and effect of heart lesions was 3116.7 g (IQR 790.4)

when beta-blockers were used and 3354.3 g (IQR 634.1) when they were not (p <0.001) . 17

women had a <90% saturation, and mean birth weight was significantly lower, 3105.4 g (IQR

1288.9) compared to 3387.7 g (IQR 729.8) (p = 0.006).

CONCLUSION:

Certain groups of women with heart disease who are at risk of having a small baby.

CLINICAL IMPLICATION

1. In the mother can occur: congestive heart failure, pulmonary edema, death, abortion.

2. In the fetus can occur: prematurity, low birth weight, hypoxia, fetal distress, low APGAR

score, inhibited fetal growth.

3. Mothers with heart disease are at risk of having a small baby

 RANGKUMAN

Wanita dengan penyakit jantung pada kehamilanya. Persentil bobot lahir dihitung

menggunakan norma aberden, menilai hubungan berat lahir dengan lesi jantung, hipoksemia

ibu (saturasi<90%), fungsi ventrikel sistemik dan beta blocker. efek terbesar terlihat pada

wanita dengan sirkulasi Fontan, hipertensi pulmonal, katup jantung prostetik, ventrikel kanan

sistemik, sindrom Marfan, tetralogi Fallot yang diperbaiki dan cardiomyopathy (dalam urutan

itu). Pada 307 kehamilan, wanita menggunakan beta-blocker; berat lahir rata-rata disesuaikan

untuk usia ibu, paritas dan efek lesi jantung adalah 3116,7 g (IQR 790,4) ketika beta-blocker

digunakan dan 3354,3 g (IQR 634,1) ketika mereka tidak (p <0,001). 17 wanita memiliki

saturasi <90%, dan berat lahir rata-rata lebih rendah secara signifikan, 3105,4 g (IQR 1288.9)

dibandingkan 3387,7 g (IQR 729,8) (p = 0,006).

KESIMPULAN:

kelompok wanita tertentu dengan penyakit jantung yang berisiko memiliki bayi kecil.

CLINICAL IMPLICATION

1. Pada ibu dapat terjadi : gagal jantung kongestif, edema paru, kematian, abortus.

2. Pada janin dapat terjadi : prematuritas, BBLR, hipoksia, gawat janin, APGAR

score rendah, pertumbuhan janin terhambat.

3. Ibu dengan penyakit jantung berisiko memiliki bayi kecil