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Preventif
Dietary manipulationlow-salt diet , calcium supplementation, fish oil
supplementation
Cardiovascular drugsdiuretics, antihypertensive drugs
Antioxidantsascorbic acid (vitamin C), -tocopherol (vitamin E)
Antithrombotic drugslow-dose aspirin, aspirin/dipyridamole, aspirin +
heparin, aspirin + ketanserin
Some Methods to Prevent Preeclampsia That Have Been
Evaluated in Randomized Trials
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Low salt diet : One of the earliest research efforts to
prevent preeclampsia was salt restriction (De Snoo, 1937).
Calcium supplementation : Studies performed in the1980s outside the United States showed that women
with low dietary calcium intake were at significantly
increased risk for gestational hypertension (Belizan and Villar,1980; Lpez-Jaramillo and associates, 1989; Marya and colleagues, 1987).
Fish oil supplementation : supplementation with
these fatty acids would prevent inflammatory-
mediated atherogenesis (Makrides, 2006; Olafsdottir, 2006; Olsen, 2000,and all their colleagues).
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Antihypertensive drugs : They found that women
given diuretics had a decreased incidence of edema
and hypertension, but not of preeclampsia (Churchill andcolleagues, 2007)
Antioxidants : Two naturally occurring antioxidants
vitamins C and Emay decrease such oxidation.
Moreover, women who developed preeclampsiawere found to have reduced plasma levels of these
two vitamins (Raijmakers and associates, 2004)
Antithrombotic agents : There are ample theoretical
reasons that antithrombotic agents might reduce the
incidence of preeclampsia.
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managementTujuan manajemen dasar untuk setiap
kehamilan dengan preeklamsia adalah:
1. Penghentian kehamilan dengan trauma
paling mungkin untuk
ibu dan janin2. Kelahiran bayi yang kemudian tumbuh
subur
3. Lengkap pemulihan kesehatan ibu.
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Diagnosa Dini..!!!
Rawat Jalan atau
Rawat Inap..???
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Kapan.??Evaluasi
.1.Gejala klinis
2.Cek proteinuria
3.Tensi dengan posisi duduk setiap 4 jam4.Tingkat kesejahteraan janin
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Apakah harus MRS..??
In a review of two small randomized trials totaling 106 women at high risk
for preeclampsia, prophylactic bed rest 4 to 6 hours daily at home was
successful in significantly lowering the incidence of preeclampsia but not
gestational hypertension (Meher and Duely, 2006)
These and other observations support the claim that restricted activity
alters the underlying pathophysiology of the preeclampsia syndrome. As
forcomplete bed rest, this is likely unachievable because of the severe
restrictions it places on the otherwise well woman, and it also predisposes
to thromboembolism (Knight and co-workers, 2007)
Pemberian Antihipertensi tidak banyak membaerikan efek signifikan.
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