Pemeriksaan Tes Rutin Untuk Setiap Pasien Hamil Antara Usia Kehamilan 28 Dan 32 Minggu Untuk Diagnosis Dini Hipertensi Kehamilan (Roll Over Test) Pada Ibu Hamil Trimester III

Abstract

Hypertension in pregnancy is still a major cause of maternal and perinatal morbidity and mortality. Early examination is very important to detect the risk of complications, one of which is through the Roll Over Test (ROT). This study aims to determine the effectiveness of the ROT examination as an early detection of gestational hypertension in pregnant women in the third trimester of pregnancy at 28–32 weeks.

Method: This study used a descriptive analytical design with a cross-sectional approach. A sample of 60 pregnant women in the third trimester was taken by purposive sampling at Health Center X. ROT was performed by measuring blood pressure in the supine position after previously measuring blood pressure in the left oblique position. The positive criteria for ROT were an increase in blood pressure ≥ 20 mmHg.

Results: Of the 60 respondents, 40% showed positive ROT results. Of this group, 70.8% then experienced an increase in blood pressure to reach the criteria for gestational hypertension in advanced gestational age. ROT showed a sensitivity of 78% and a specificity of 84% in detecting the risk of gestational hypertension.

Conclusion: The Roll Over Test is a simple, non-invasive, and effective examination for early diagnosis of gestational hypertension. It is recommended that ROT be used as a routine screening for pregnant women aged 28–32 weeks.