CASE REPORT: LACK OF KNOWLEDGE ABOUT ANTI -HYPERTENSIVE MEDICATIONS DURING PREGNANCY WITH CHRONIC HYPERTENSION
Abstract
Introduction: Fatal maternal and perinatal complications’re often triggered by chronic hypertension. Successful blood pressure control is highly influenced by appropriate pharmacotherapeutic management. However, concerns regarding fetal safety often trigger non-adherence due to a knowledge deficit among pregnant women regarding antihypertensive medications. This case study aims to describe the implementation of comprehensive midwifery care in a pregnant woman with chronic hypertension experiencing medication non-adherence due to a lack of knowledge. Methods: The design of the research is case report utilized a midwifery management and documentation of SOAP. The study subject was Mrs. "A" (26 years old, G1P0A0) at 20 to 30 weeks of gestation, monitored through regular antenatal care and home visits in Magetan in 2026. Results and Discussion: At the initial assessment, the patient's blood pressure was uncontrolled (142/92 mmHg) due to non-adherence to antihypertensive medication, influenced by a lack of knowledge. Following structured health education using leaflets and counseling, the knowledge score increased from 55% to 80%, medication adherence improved, and blood pressure decreased to 138/90 mmHg without any danger signs of preeclampsia.Conclusion and Suggestions: The provision of health education successfully improved knowledge and adherence to antihypertensive medication in the pregnant woman. Healthcare facilities are recommended to optimize interactive counseling media and involve family support to ensure long-term therapeutic compliance.Keywords
Pregnancy, Hypertension, Knowledge, Antihypertensive, Drugs
References
- Alvionita, R., Samidah, I., & Murwati. (2022). Faktor-Faktor yang Berhubungan dengan Kejadian Hipertensi Kehamilan di RSUD Curup Tahun 2022. Journal of Nursing and Public Health, 10(2).https://jurnal.unived.ac.id/index.php/jnph/article/view/3176
- Amelia, K., Hutabarat, J., & Sitorus, S. (2023). Edukasi terhadap Pengetahuan Ibu Hamil tentang Hipertensi dalam Kehamilan . Jurnal Ilmiah PANNMED, 18(3) . https://repository.poltekkes-medan.ac.id/id/eprint/551/
- American College of Obstetricians and Gynecologists. (2020). Practice Bulletin No. 222: Gestational Hypertension and Preeclampsia. Obstetrics & Gynecology, 135(6), e237–e260.
- American College of Obstetricians and Gynecologists. (2023). Chronic Hypertension in Pregnancy. Practice Bulletin No. 203.
- Astuti, E. R., & Claudia, J. G. (2024). Tinjauan Literatur: Penatalaksanaan Hipertensi pada Ibu Hamil. Jambura Journal of Health Sciences and Research, 6(2). Jambura Journal of Health Sciences and Research
- Bello, N. A., & Cushman, W. C. (2021). Chronic hypertension in pregnancy: Epidemiology and outcomes. Circulation, 143(6), 594–606.
- Bone, J. N., Sandhu, A., Abalos, E., et al. (2022). Oral antihypertensives for nonsevere pregnancy hypertension: Systematic review, network meta-analysis, and trial sequential analysis. Hypertension, 79(3), 614–628. https://doi.org/10.1161/HYPERTENSIONAHA.121.18415
- Cahya, V. T. R., & Masruroh. (2025). Pendidikan kesehatan terhadap peningkatan pengetahuan ibu hamil tentang hipertensi. Journal of Holistics and Health Sciences, 7(2), 411–420. https://doi.org/10.35473/jhhs.v7i2.634
- Cameron, N. A., Everitt, I. K., Lee, K. A., Yee, L. M., & Khan, S. S. (2023). Chronic hypertension in pregnancy: a lens into cardiovascular disease risk and prevention. Hypertension, 80(6), 1162-1170.
- Cunningham, F. G., Leveno, K. J., Bloom, S. L., et al. (2022). Williams Obstetrics (26th ed.). McGraw-Hill Education.
- Garovic, V. D., et al. (2022). Hypertension in pregnancy: Diagnosis, blood pressure goals, and pharmacotherapy. Cardiovascular Research, 118(9), 1914–1929.
- Gholami, K., Norouzkhani, N., Kargar, M., et al. (2022). Impact of educational interventions on knowledge about hypertensive disorders of pregnancy among pregnant women: A systematic review. Frontiers in Cardiovascular Medicine , 9, 886679. https://doi.org/10.3389/fcvm.2022.886679
- Handayani, S., Fajri, U. N., Fitriyani, T., & Zulfatunnisa, N. (2025). Asuhan Kebidanan Kehamilan. Penerbit Tahta Media.
- Harkness, M., & Wallace, C. (2021). Exposing racial bias in midwifery education: a content analysis of images and text in Myles Textbook for Midwives. medRxiv, 2021-10.
- Isnani, E., Pratiwi, W. N., Margareta, S. S., dkk. (2024). Pengaruh Pendidikan Kesehatan dengan Media Booklet terhadap Pengetahuan Ibu Hamil yang Mengalami Hipertensi dalam Kehamilan. Nursing Sciences Journal . https://ojs.unik-kediri.ac.id/index.php/nsj/article/view/5586
- Katzung, B. G. (2021). Basic & Clinical Pharmacology (15th ed.). McGraw-Hill Education. https://accesspharmacy.mhmedical.com/book.aspx?bookID=2988
- Kemenkes, R. I. (2010). Pedoman pelayanan antenatal terpadu. Direktur Jenderal Bina Kesehatan Masyarakat Kementerian Kesehatan Republik Indonesia, Jakarta.
- Kementerian Kesehatan Republik Indonesia. (2019). Pedoman Nasional Pelayanan Kedokteran Tata Laksana Hipertensi . Jakarta: Kementerian Kesehatan RI. https://www.kemkes.go.id
- Kementerian Kesehatan Republik Indonesia. (2023). Survei Kesehatan Indonesia (SKI) 2023. Jakarta: Badan Kebijakan Pembangunan Kesehatan. https://repository.badankebijakan.kemkes.go.id/
- Kementerian Kesehatan Republik Indonesia. (2024). Pedoman Pengendalian Hipertensi di Fasilitas Kesehatan Tingkat Pertama. https://kesmas.kemkes.go.id