DISORDERS IN PREGNANCY

pathological
 hypertension
• Classification of hypertension:
1. Chronic hypertension <20 mg
2. Hypertension in pregnancy> 20 mg
3. Pre-eclampsia / eclampsia> 20 mg and the
presence of proteinuria
4. Pre-eclampsia superimposed
 The theories of the cause of
preeclampsia
1. Abnormal trophoblast invasion in the uterine
blood vessels.
2. Fetal-maternal immunological disorders.
3. Disruption of maternal adaptation to changes
in cardiovascular or inflammatory processes
that occur in normal pregnancy.
4. Nutritional deficiencies.
5. The influence of genetic
 laboratory manifestations
• Proteinuria (+ + / + + +)
• Increased creatinine
• Increased uric acid
• Impaired liver function
• Increased hematocrit
• Thrombocytopenia
• Increased PT and PTT
• Microangiopathic hemolytic anemia
 Ibu hamil, TD > 140/90

Usia hamil > 20 mg

ya tidak

proteinuria
Hipertensi kronik
tidak
ya

TD ≥ 160/110 atau Hipertensi dalam

gangguan fungsi organ kehamilan

ya tidak

PEB PER

kejang

Modified from NHBPEP Working Group on High Blood Pressure in

eklamsia Pregnancy. Am J Obstet Gynecol 2000;183:S1–22.