Cold Pressor Test for Predicting Risk of Pregnancy Hypertension: A Case Control Study

摘要

As 60% of maternal deaths occurred during childbirth, 26.32% occurred during pregnancy and 13.68% occurred at the time of delivery. The causes of maternal mortality include metabolic disorders was 0.87%, infections of 4.34%, circulatory system disorders, 12.36%, bleeding 30.37%, hypertension in pregnancy 32, 97% and others 19, 09%. Cold Pressor Test is one of the tests that can be used to screen for the tendency of hypertension. The purpose of this study is to explore the risk of hypertension in pregnancy by administering a cold pressor test (CPT). This research is a case-control study or analytic survey with a retrospective approach. This research was conducted at Kembaran Puskesmas 1 (Commubity Health Center) with a population of all pregnant women and the sample size in this study was calculated using the case-control research design formula and obtained a sample of 40 for the case group and 40 respondents for the control group. Data were analyzed by using Pearson ChiSquare. The result showed that most pregnant women undergoing cold pressor tests are categorized as type reactors or have a risk of developing pregnancy hypertension. Meanwhile, the results of screening in pregnant women whose cold pressor test showed hyperactivity, had 23,619 times the risk of pregnancy hypertension. The conclusion was that CPT examination can be used as a reference to predict hypertension in pregnancy.