Long-term Outcomes of Severe Preeclampsia Cases: Cross - Sectional Study

Objective: to know the long term outcomes on severe preeclampsia mother by clinically and laboratory, and the long term outcome of the baby that she delivered. Methods: This is a cross sectional study was conducted at Obstetrics Outpatient Clinic Dr. Cipto Mangunkusumo General Hospital (Cipto Mangunkusumo NCGH) on January- June 2017, of patients with previous severe preeclampsia that gave birth in Cipto Mangunkusumo NCGHon January 2014 - December 2016, and was descriptively analyze using SPSS Statistics 24. Results: One hundred and twenty seven patients were studied, divided into 3 groups of post - delivery time which were 6 months, 12 months, and 24 months. The 6 months' group, mean of blood pressure were 147/92 mmHg (SD 38/ SD 39), BMI 29 kg/m2 (SD 6), CRP level 16.6 mg/l (0.3 - 42.60) and urine protein dipstick 1 (0 - 3). The 12 months' group, mean of blood pressure were 112/88 mmHg (SD 12/SD 24), BMI 21s kg/m2 (SD 7), CRP level 12.7 mg/l (3.4 - 15.2) and urine protein dipstick 0 (0 - 3). The 24 months' group, mean blood pressure 154/95 mmHg (SD 45/SD 62), BMI 28.83 kg/m2, CRP level 14,2 mg/l (SD 8.54) and urine protein dipstick 0 (0 - 3). Meanwhile, the long - term outcome of babies that 68% baby were born with preterm condition and mean birth weight were 1943 grams (SD 1245), the 5th minute Apgar score >7 were 63.78%, and only 44.88% baby had normal growth development. Conclusion: It The long - term outcome patients with previous severe preeclampsia are blood pressure, BMI, and CRP level still high, and negative urine protein level until 2 years of post - delivery. The long - term outcome of the babies that delivered were on preterm condition and low birth weight, with less than 50% had normal growth and development.