Main Article Content

Silvi Ayu Pratiwi
Ernawati

Several factors contribute to the incidence of hypertension during pregnancy, including a familial history of hypertension, obesity, and unhealthy dietary habits. Family habits can have a substantial impact on lifestyle, especially nutritional choices. This report presents a case of gestational hypertension in Mrs. DK, a 20-year-old pregnant woman with obesity, who was managed utilizing a family medicine approach. The identified root cause of her problem as an inherited genetic susceptibility to hypertension, exacerbated by poor dietary habit within the family. Mrs. DK and her family was given comprehensive intervention to ensure a healthy pregnancy. This strategy provided her with results in the form of controlled blood pressure and enhanced understanding of her condition and nutritional requirements, as well as strategies to fulfill them. Ongoing surveillance is necessary to guarantee that goals are being met.

Keywords: Gestational Hypertension Obesity Family Medicine
1. Akbar MI, Putri GT. Terapi Farmakologis Preeklampsia pada Ibu Hamil Pharmacologic Therapy of Preeclampsia in Pregnant Women. J Agromedicine Unila. 2021;xx(2).
2. American College of Obstetrics and Gynecology (ACOG). Gestational hypertension and preeclampsia. Obstetrics and Gynecology. 2020;13(6):1492-6.
3. Departemen Ilmu Kedokteran Komunitas Fakultas Kedokteran Universitas Indonesia. Buku Keterampilan Klinis Ilmu Kedokteran Komunitas. Jakarta: Departemen Ilmu Kedoteran Komunitas FKUI. 2014.
4. Dimitriadis E, Rolnik DL, Zhou W, Estrada-Gutierrez G, Koga K, Francisco RP V, et al. Pre-eclampsia. Nat Rev Dis Prim [Internet]. 2023;9(1):8. Available from: https://doi.org/10.1038/s41572-023-00417-6
5. Hancock T. The Mandala of Health : model of the human ecosystem. FCH. 1985: 8(3),1-10.
6. Hestevik CH, Molin M, Debesay J, Bergland A, Bye A. Older patients’ and their family caregivers’ perceptions of food, meals and nutritional care in the transition between hospital and home care: a qualitative study. BMC Nutr [Internet]. 2020;6(1):11. Available from: httpsx://doi.org/10.1186/s40795-020-00335-w
7. Ho YL, Mahirah D, Ho CZ, Thumboo J. The role of the family in health promotion: a scoping review of models and mechanisms. Health Promot Int. 2022;37(6):daac119. doi:10.1093/heapro/daac119
8. Kartini K, Rosyanti L, Fatmawati F, Fathurrahman T, Usnia U, Hikmandayani H. Risalah Kebijakan Intervensi Berbasis Masyarakat pada Pengendalian Hipertensi dalam Kehamilan. Heal Inf J Penelit. 2023;15(3):e1188.
9. Kementrian Kesehatan Republik Indonesia. Profil Kesehatan Indonesia 2022. 2023.
10. Marianinngrum D, Aji HK, Rahma AA. Hubungan Kejadian Ibu Hamil Diabetes Mellitus Gestasional Dengan Kejadian Preeklampsia Di Rs Budi Kemuliaan Tahun 2021. Zo Kedokt. 2023;13(2):382–91.
11. Marliana E, Suharto A, Ngestiningrum AH. Determinan Gangguan Hipertensi Dalam Kehamilan (HDK) Di Wilayah Kerja Puskesmas Maospati Kabupaten Magetan. Gema Bidan Indones. 2021;10(2):64–70.
12. Nursanti I, Murti B, Mulyani S. Family empowerment for the prevention of childhood stunting in low and middle-income countries: scoping review. 8th Int Conf Public Heal [Internet]. 2021;1–10. Available from: https://doi.org/10.26911/ICPHepidemiology.FP.08.2021.19
13. Poma J, Carrillo L, Gonzalez J. Family Functionality and Modifiable Risk Factors for Arterial Hypertension. Univ Medica. 2018;59(1).
14. Rochimah THN, Setyowati HN, Rosyidah R. Behavior Change Communication: Family and Community Approaches. Komunikator. 2021;13(1).
15. Sari NK, Hakimi M, Banin T. Determinan gangguan hipertensi dalma kehamilan di Indonesia. Berita Kedokteran Masyarakat. 2016;32(9):295-302.
16. Suparji, Heru Santoso Wahito Nugroho, Karwati Karwati YDA. Determinan Kejadian Hipertensi dalam Kehamilan. 2022;13(April):2016–9.
17. Torres-Soto NY, Corral-Verdugo V, Corral-Frías NS. The relationship between self-care, positive family environment, and human wellbeing. Wellbeing, Sp Soc [Internet]. 2022;3:100076. Available from: https://www.sciencedirect.com/science/article/pii/S2666558122000057
18. World Health Organization. Prevention and treatment of pre-eclampsia and eclampsia. WHO. 2011.
19. World Health Organization.Conceptual and strategic approach to family practice. 2014.
20. Zhou S, Ji Y, Wang H. The risk factors of gestational hypertension in patients with polycystic ovary syndrome: a retrospective analysis. BMC Pregnancy Childbirth [Internet]. 2021;21(1):336. Available from: https://doi.org/10.1186/s12884-021-03808-3