Cardiac disease is the third cause of maternal death in East Java and has changed the trends of maternal mortality rate in Indonesia. Preeclampsia occurs about 2-8% of all pregnancies in the world and is still a major concern in the Obstetrics area because it causes the high of maternal and fetal morbidity and mortality1. The etiology of Peripartum Cardiomyopathy is still unclear, presumably preeclampsia is the highest risk factor in PPCM. This study was undertaken to evaluate the prevalence of PPCM in Severe Preeclampsia in dr. Soetomo General Hospital Surabaya. The method was descriptive retrospective with cross sectional studies using the medical record of dr. Soetomo General Hospital Surabaya in 2018-2019 There were 2258 deliveries with 740 cases of severe preeclampsia (32,7%). In those, 52 (7%) were confirmed as PPCM. A total of 688 severe preeclampsia patients were obtained multiparity in 486 (70,6%), From the gestasional age, the most occurred were 28-36 weeks gestational about 473 (68,7%) (p=0.004), The most patient was found 375 (54,6%) with obesity. The patients with severe preeclampsia and PPCM mostly occur in productive age (16-34 years) with a median 28 y.o. In PPCM with severe preeclampsia, about 37 (71,1%) was multiparous, more likely happened in 28-36 weeks gestation about 27(51,9%) (p=0.004), and 28 (53,8%) had obesity state. The highest severity of PPCM with ejection fraction 35-44 was found about 33 (63,4%). The prevalence of PPCM in Severe Preeclampsia was 7:100 live birth. Therefore, the pregnant woman with preeclampsia can be significant risk factor for PPCM.

peripartum cardiomyopathy

cardiac disease

Preeclampsia