Case Report Intervensi Hipertensi Gestasional pada Ibu Hamil dengan Faktor Risiko Genetik Hipertensi di Puskesmas Balen Kabupaten Bojonegoro

Abstract

Introduction Gestational hypertension is a condition in which a pregnant woman's blood pressure rises to ≥140/90 mmHg after 20 weeks of pregnancy and is not accompanied by proteinuria. One risk factor for gestational hypertension is genetic factors. According to the 2024 Health Profile of Bojonegoro, hypertension prevalence among pregnant women is 4.0%. According to the LB3 profile of the Balen Health Center, 56 cases of hypertension were found among pregnant women in 2025, accounting for 8.2% of the total 682 pregnant women. The incidence of gestational hypertension at Puskesmas Balen was 1.86% in 2024 and 2025. Objective Describe the case report of the intervention for gestational hypertension in pregnant women with genetic risk factors for hypertension at Puskesmas Balen in Bojonegoro Regency. Method This case report approach uses the SOAP method of nursing care management, which includes subjective and objective data collection, assessment covering actual and potential diagnoses, and identification of the need for immediate action, collaboration, and consultation, as well as planning, implementation, and evaluation. Results and discussion In the case of Ms F, gestational hypertension was indicated by a blood pressure reading of ≥140/90 mmHg, oedema, negative proteinuria, and risk factors such as primigravidity, a family history of hypertension, a high-salt diet, and excessive weight gain. The nursing care involved routine monitoring, nutritional education, rest, and aspirin therapy. Conclusion and recommendation The nursing care for Ny. F GIP0A0, aged 28–29 weeks, with gestational hypertension, showed good results. After three sessions of antenatal care, the urine protein test remained negative and pre-eclampsia did not occur. The mother is advised to undergo regular antenatal checks and to adhere to the medication in order to prevent complications for the mother and the foetus.

Keywords : Gestational hypertension, genetic risk factors

Abstrak

Pendahuluan Hipertensi gestasional merupakan peningkatan tekanan darah ≥140/90 mmHg yang muncul setelah usia kehamilan 20 minggu tanpa disertai proteinuria. Salah satu faktor risiko hipertensi gestasional adalah faktor genetik. Berdasarkan Profil Kesehatan Bojonegoro Tahun 2024 prevalensi hipertensi pada ibu hamil 4,0%. Berdasarkan Profil LB3 Puskesmas Balen kejadian hipertensi pada ibu hamil tahun 2025 ditemukan 56 kasus (8,2%) dari total ibu hamil 682 orang. Kejadian hipertensi gestasional di Puskesmas Balen pada Tahun 2024 dan Tahun 2025 sebesar 1,86%. Tujuan Mendeskripsikan Case Report intervensi hipertensi gestasional pada ibu hamil dengan faktor risiko genetik hipertensi di Puskesmas Balen 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, serta planning yang mencakup perencanaan, pelaksanaan dan evaluasi. Hasil dan Pembahasan Pada kasus Ny.F dengan hipertensi gestasional ditandai dengan tekanan darah ≥140/90 mmHg, oedema, protein urine negatif, serta faktor risiko primigravida, riwayat genetik hipertensi, pola makan tinggi garam dan peningkatan berat badan berlebih. Asuhan kebidanan melalui pemantauan rutin, edukasi nutrisi, istirahat, dan terapi aspilet. Simpulan dan saran Asuhan kebidanan pada Ny. F GIP0A0 usia kehamilan 28-29 minggu dengan hipertensi gestasional menunjukkan hasil baik. Setelah dilakukan asuhan kebidanan sebanyak tiga kali, protein urine tetap negatif dan tidak terjadi preeklamsia. Ibu dianjurkan rutin melakukan pemeriksaan kehamilan, patuh mengkonsumsi obat sehingga komplikasi pada ibu dan janin bisa dicegah.

Kata kunci : Hipertensi gestasional, Faktor risiko genetik