Hubungan Antara Karakteristik Ibu Bersalin, Preeklamsia Berat dan Ketuban Pecah Dini dengan Perdarahan Pascasalin pada Persalinan Pervaginam

Fista Permata Putri, Yuli Susanti, Ferry Achamad Firdaus Mansoer, Hidayat Wahyu Aji, Hidayat Widjajanegara

Abstract


Abstract. Postpartum hemorrhage is the major cause of maternal death. This study aimed to analyze the relationship of maternal characteristics, severe preeclampsia and premature rupture of membrane with postpartum hemorrhage in vaginal delivery in Al-Ihsan regional public hospital of West Java for the period January-December 2017. The sample of this study using total sampling method taken from medical records as many as 44 patients data. This research was  analytic with cross-sectional approach. The results of this study showed that the incidence of postpartum hemorrhage in vaginal delivery of 44 maternal characterized by age 20-34 was 63.64%, parity <3 was 61.36%, and elementary school education was 40.91%. The results showed there was no significant relationship between age and parity with postpartum hemorrhage in vaginal delivery. However, there was a significant relationship between education, severe preeclampsia and premature rupture of membrane with postpartum hemorrhage in vaginal delivery. Postpartum hemorrhage was most affected by severe preeclampsia and education significantly.

Keywords: Maternal Characteristics, Postpartum Hemorrhage, Premature Rupture of Membrane, Severe Preeclampsia.

Abstrak. Perdarahan pascasalin merupakan penyebab utama kematian ibu. Penelitian ini bertujuan untuk menganalisis hubungan antara karakteristik ibu bersalin, preeklamsia berat dan ketuban pecah dini dengan perdarahan pascasalin pada persalinan pervaginam di RSUD Al-Ihsan Provinsi Jawa Barat periode Januari-Desember 2017. Sampel dari penelitian ini menggunakan metode total sampling yang diambil dari rekam medis sebanyak 44 data pasien. Penelitian ini bersifat analitik dengan pendekatan cross-sectional. Hasil penelitian menunjukkan insidensi perdarahan postpartum pada persalinan pervaginam dari 44 ibu bersalin paling banyak dialami dengan karakteristik berusia 20-34 tahun yaitu sebesar 63.64%, paritas <3 yaitu sebesar 61.36%, dan berpendidikan SD yaitu sebesar 40.91%. Hasil penelitian menunjukkan tidak terdapat hubungan yang bermakna antara usia dan paritas dengan perdarahan pascasalin pada persalinan pervaginam. Namun, terdapat hubungan yang bermakna antara pendidikan, preeklamsia berat dan ketuban pecah dini dengan perdarahan pascasalin pada persalinan  pervaginam. Perdarahan pascasalin paling dipengaruhi oleh preeklamsia berat dan pendidikan secara signifikan.

Kata kunci: Karakteristik Ibu Bersalin, Ketuban Pecah Dini, Perdarahan Pascasalin, Preeklamsia Berat.


Keywords


Karakteristik Ibu Bersalin, Ketuban Pecah Dini, Perdarahan Pascasalin, Preeklamsia Berat

Full Text:

PDF

References


Kementerian Kesehatan RI. Infodatin Pusat Data dan Informasi Kementerian Kesehatan RI [Internet]. Pusat Data dan Informasi Kementrian Kesehatan RI : Penyebab Kematian Ibu. 2014. p. 8. Available from:

www.depkes.go.id/resources/download/pusdatin/infodatin/infodatin-ibu.pdf

WHO | 10 facts on maternal health. WHO [Internet]. 2015 [cited 2018 Jan 30]; Available from:

http://www.who.int/features/factfiles/maternal_health/en/#

Enfermagem D. Association between hypertensive disorders and postpartum hemorrhage. 2015;36:55–61.

Suparman SA. Hubungan Antara Karakteristik Ibu Bersalin dengan Kejadian Perdarahan Postpartum di RSUD Subang Periode 1 Januari-31 Desember 2010. 2011

Cunningham FG, Kenneth JL, Bloom SL, Hauth JC, Rouse DJ, Spong CY. William’s Obstetrics. 2014

Ibishi VA, Isjanovska RD. Prelabour Rupture of Membranes: Mode of Delivery and Outcome. Open access Maced J Med Sci [Internet]. 2015 Jun 15 [cited 2018 Jan 30];3(2):237–40. Available from:

http://www.ncbi.nlm.nih.gov/pubmed/27275227

Friyandini F, Lestari Y, Lipoeto BI. Hubungan Kejadian Perdarahan Postpartum dengan Faktor Risiko Karakteristik Ibu di RSUP Dr. M. Djamil Padang pada Januari 2012 - April 2013. J Kesehat Andalas [Internet]. 2015 Sep 1 [cited 2018 Jul 17];4(3). Available from:

http://jurnal.fk.unand.ac.id/index.php/jka/article/view/375

Anjelin F. Hubungan Usia dan Preeklampsia dengan Kejadian Perdarahan Postpartum di RSUD Panembahan Senopati Bantul Tahun 2014. 2015

Nyfløt LT, Sandven I, Stray-Pedersen B, Pettersen S, Al-Zirqi I, Rosenberg M, et al. Risk factors for severe postpartum hemorrhage: a case-control study. BMC Pregnancy Childbirth [Internet]. 2017 Jan 10 [cited 2018 Feb 3];17(1):17. Available from:

http://www.ncbi.nlm.nih.gov/pubmed/28068990

Cunnington AJ. What’s so bad about teenage pregnancy? J Fam Plan Reprod Heal care [Internet]. 2001 Jan [cited 2018 Jul 18];27(1):36–41. Available from: http://www.ncbi.nlm.nih.gov/pubmed/12457546

Sosa CG, Althabe F, Belizán JM, Buekens P. Risk factors for postpartum hemorrhage in vaginal deliveries in a Latin-American population. Obstet Gynecol [Internet]. 2009 Jun [cited 2018 Jul 18];113(6):1313–9. Available from:

http://www.ncbi.nlm.nih.gov/pubmed/19461428

Wulandari SD. Hubungan Paritas dan Umur dengan Kejadian Perdarahan Pasca Persalinan Primer di RSUD Wonosari Tahun 2011. 2012

Fijriah PN, Fauziah M. Faktor Risiko yang Berhubungan dengan Kejadian Haemoragic Post Partum di Rumah Bersalin Wijaya Kusuma Tahun 2014. Kes Mas J Kesehat Masyarakat, ISSN 1978 - 0575 [Internet]. 2016;10(1):17–21. Available from:

http://www.journal.uad.ac.id/index.php/KesMas/article/view/5234/pdf_52

Aroisa A. Hubungan Preeklampsia dengan Kejadian Perdarahan Postpartum pada Primipara dan Multipara di RS PKU Muhammadiyah Gamping Yogyakarta. 2017

von Schmidt auf Altenstadt JF, Hukkelhoven CWPM, van Roosmalen J, Bloemenkamp KWM. Pre-eclampsia increases the risk of postpartum haemorrhage: a nationwide cohort study in the Netherlands. PLoS One [Internet]. 2013 [cited 2018 Feb 16];8(12):e81959. Available from:

http://www.ncbi.nlm.nih.gov/pubmed/24367496

Ibishi VA, Isjanovska RD. Prelabour Rupture of Membranes: Mode of Delivery and Outcome. Open access Maced J Med Sci [Internet]. 2015 Jun 15 [cited 2018 Jan 28];3(2):237–40. Available from:

http://www.ncbi.nlm.nih.gov/pubmed/27275227

Endale T, Fentahun N, Gemada D, Hussen MA. Maternal and fetal outcomes in term premature rupture of membrane. World J Emerg Med [Internet]. 2016 [cited 2018 Aug 6];7(2):147–52. Available

from: http://www.ncbi.nlm.nih.gov/pubmed/27313811

Gabbe, Steven G, Niebyl J. Obstetrics Normal and Problem Pregnancies.

Sebghati M, Chandraharan E. An update on the risk factors for and management of obstetric haemorrhage. Women’s Heal. 2017;13(2):34–40.




DOI: http://dx.doi.org/10.29313/kedokteran.v0i0.12699

Flag Counter    Â