Case Report Intervensi Hipertensi Kronik pada Ibu Hamil Dengan Obesitas Berat di Puskesmas Ngumpakdalem Kabupaten Bojonegoro

Abstract

Introduction Chronic hypertension is an increase in blood pressure ≥140/90 mmHg that appears before 20 weeks of pregnancy without proteinuria. One of the risk factors for chronic hypertension is obesity. According to the Bojonegoro Health Profile in 2024, the prevalence of hypertension in pregnant women was 4.0%. Based on the LB3 profile of Ngumpakdalem Health Center, the incidence of hypertension during pregnancy in 2025 was 3.9%. The incidence of chronic hypertension at Ngumpakdalem Health Center in 2024 and 2025 was 1.4%. Objective To describe a case report on the intervention of chronic hypertension in pregnant women with severe obesity at Ngumpakdalem Health Center, Bojonegoro Regency. Method This case report approach method uses midwifery care management with the SOAP method, which includes subjective data assessment, objective data assessment, assessment covering actual diagnoses, potential diagnoses, and identification of the need for immediate action or collaboration and consultation, and planning covering planning, implementation, and evaluation.. Results and Discussion This section shows a case of Mrs. Y with chronic hypertension, marked by blood pressure ≥140/90 mmHg, dizziness, negative urine protein, history of hypertension, risk factor of severe obesity, and a high-carbohydrate diet. Midwifery care was given through regular monitoring, nutritional pattern and meal frequency education, rest, and aspirin therapy. Conclusion After continuous monitoring and management, Mrs. Y's condition gradually improved. Comprehensive and collaborative care between the midwife and the obstetrician proved effective in preventing the worsening of both the mother and the fetus's condition..
Keywords : Chronic hypertension, Obesity, Pregnant Mother, Midwifery Care
Abstrak
Pendahuluan Hipertensi kronik merupakan peningkatan tekanan darah ≥140/90 mmHg yang muncul usia kehamilan <20 minggu tanpa proteinuria. Salah satu faktor resiko hipertensi kronik adalah obesitas. Berdasarkan Profil Kesehatan Bojonegoro Tahun 2024 prevalensi hipertensi pada ibu hamil sebesar 4,0%. Berdasarkan profil LB3 Puskesmas Ngumpakdalem kejadian hipertensi pada kehamilan Tahun 2025 sebesar 3,9%. Kejadian hipertensi kronik di Puskesmas Ngumpakdalem pada Tahun 2024 dan Tahun 2025 sebesar 1,4%. Tujuan Mendeskripsikan Case Report intervensi hipertensi kronik pada ibu hamil dengan obesitas berat di Puskesmas Ngumpakdalem Kabupaten Bojonegoro. Metode Pendekatan case report ini menggunakan manajemen asuhan kebidanan dengan metode SOAP yang meliputi pengkajian data subjektif, pengkajian data objektif, assessement mencangkup diagnose aktual, diagnose potensial dan identifikasi kebutuhan akan tindakan segera atau kolaborasi dan konsultasi, planning mencangkup perencanaan, pelaksanaan dan evaluasi. Hasil dan Pembahasan Pada menunjukan kasus Ny.Y dengan hipertensi kronik ditandai dengan tekanan darah ≥140/90 mmHg, pusing, protein urine negatif, riwayat hipertensi, faktor risiko obesitas berat, pola makan tinggi karbohidrat. Asuhan kebidanan melalui pemantauan rutin, edukasi pola nutrisi dan frekuensi makan, istirahat dan terapi aspilet. Simpulan Setelah dilakukan pemantauan dan penatalaksanaan yang berkelanjutan, kondisi Ny.Y mengalami perbaikan secara bertahap.
Kata kunci : Hipertensi kronik, Obesitas, Ibu Hamil, Asuhan Kebidanan