Hubungan Antara Karakteristik Ibu Bersalin, Preeklamsia Berat dan Ketuban Pecah Dini dengan Perdarahan Pascasalin pada Persalinan Pervaginam
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
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DOI: http://dx.doi.org/10.29313/kedokteran.v0i0.12699
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