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Preeklamsia berat adalah Tekanan Darah 160/110 mmHg disertai dengan protein urine positif 5 g/24 jam atau +2 disertai dengan sakit kepala persisten dan skotoma penglihatan. Hal tersebut dapat menyebabkan peningkatan insiden Intra Uterine Growth Retardation (IUGR), hipoksia janin hingga kematian dalam kandungan. Kematian ibu di Indonesia didominasi oleh tiga penyebab utama kematian yaitu perdarahan (30,3%), hipertensi dalam kehamilan (27,1%),dan Infeksi (7,3%). Tujuan penelitian ini adalah untuk melihat Gambaran Luaran Perinatal pada Kehamilan dengan Preeklamsia Berat di RSUD Dr. Achmad Mochtar Kota Bukittinggi Periode 01 Januari 2015- 31 Desember 2017. Penelitian ini bersifat deskriptifdengan rancangan Cross Sectional Study menggunakan data sekunder, Populasi dalam penelitian ini adalah ibu hamil dengan PEB, sampel diambil sebanyak 114 orang dengan teknik pengambilan sampel secara total sampling, penelitian ini dilakukan pada 24 Agustus 2018 menggunakan instrumen penelitian data rekam medik, pengolahan data dengan komputerisasi analisa data menggunakan uji chy-squar. Hasil penelitian ini, diketahui dari 114 ibu PEB, dengan luaran perinatal mortalitas sebesar 24 (78,9%), BBLR 25 (21,9%), IUGR 10 (8,8%), Asfiksia 23 (20,2%), Gawat Janin 36 (31,6%), Prematur 38 (33,3%), dari Karakteristik responden Ibu yang usia 35 tahun berjumlah 55 (50,8%) , dengan kehamilan multigravida 84 (73,6%), dan memiliki riwayat PEB Sebelumnya 23 (20,1%). Kesimpulan Pada penelitian ini tergambar bahwa luaran bayi dengan ibu yang mengalami PEB banyak terdapat yang mengalami gawat janin, prematur , asfiksia dan BBLR.Saran peneliti agar tenaga kesehatan meningkatkan sosialisasi berupa penyuluhan tentang komplikasi kehamilan dengan preeklampsia agar dapat mengurangi angka mortalitas ibu dan perinatal.

Severe preeclampsia is blood Pressure 160/110 mmHg. It was accompanied by positive urine protein 5 g / 24 hours or +2, persistent headaches visual scotoma, the increasing of Intra Uterine Growth Retardation (IUGR) may occurs and fetal hypoxia until death in the womb. Maternal mortality in Indonesia is dominated by three main causes of death. They are bleeding (30.3%), hypertension in pregnancy (27.1%), and infection (7.3%). The purpose of this research was to see the description of Prenatal Outcomes in Pregnancy with Severe Preeclampsia in Dr. Achmad Mochtar Bukittinggi 01 January 2015 - 31 December 2017Period. This research was descriptive with the Cross Sectional Study design using secondary data.Pregnant women with PEB (114 people) were the populations of this research. Then, by using total sampling technique, all of those pregnant were chosen as the samples. It was conducted on August 24, 2018. The data were collected troughmedical record. Then, it was processed by computerized with chi-square test. The results of this research known that from 114 of PEB mothers,24 (78.9%) of them had prenatal mortality outcomes. Then, 25 or 21.9% of the respondents were LBW. Next, 10 or 8.8% were IUGR. Next, Asphyxia was around 23 (20.2%).36 (31.6%) were Fetal distress. Next, premature were around 38 or 33.3% of the respondents. Moreover, from the characteristics of respondents mothers at 35 years old were around 55 or 50.8%. Next, respondents who had multigravida pregnancies were around 84 or 73.6%. Last, 23 or 20.1% of them had previous PEB history. In conclusion, there are many outcomes of infants with PEB who had fetal distress, premature, asphyxia and low birth weight. Then, it is suggested that health workers improve socialization about pregnancy complications with preeclampsia in order to reduce maternal and prenatal mortality.