Hubungan Karakteristik Ibu Hamil dengan Preeklamsi Berat di Rumah Sakit Umum Daerah Kabupaten Karawang Periode Januari-Desember 2016

Cellia Riantiany Hernawan, Hidayat Widjajanegara, Yuke Andriane

Abstract


Abstract: Preeclampsia is a common complication of pregnancy-related morbidity and mortality of pregnant women. In Indonesia, severe preeclampsia and eclampsia is the leading cause of maternal death, ranges from 1.5% to 25%, while the infant mortality between 45% to 50%. The purpose of this study was to determine the relationship characteristic of maternal age and parity with the incidence of severe preeclampsia. The subjects were 292 medical records of pregnant women who have severe preeclampsia and 292 normal pregnant women as a control sample. Sampling using probability sampling through proportionate stratified random sampling. The research method in this study is an analytic using chi-square test. The result showed maternal age and parity of the most widely experienced severe preeclampsia are aged 36-40 years and the first parity. The test results obtained statistically significant relationship between the age of pregnant women with severe preeclampsia (p = 0.001) and there is a significant relationship between parity with severe preeclampsia (p = 0.041). Conclusions from this research is the relationship between the characteristics of pregnant women consisting of age and parity with the incidence of severe preeclampsia.

Abstrak: Preeklamsi adalah komplikasi umum dari kehamilan yang berhubungan dengan morbiditas dan mortalitas ibu hamil. Di Indonesia preeklamsia berat dan eklamsia merupakan  penyebab  kematian  ibu,  berkisar 1,5% sampai 25%, sedangkan kematian bayi antara 45% sampai 50%. Tujuan penelitian ini adalah untuk mengetahui hubungan karakteristik ibu hamil berdasarkan usia dan paritas dengan kejadian preeklamsia berat. Subjek penelitian ini adalah 292 rekam medis ibu hamil yang mengalami preeklamsi berat dan 292 ibu hamil normal sebagai sampel kontrol. Pengambilan sampel menggunakan teknik probability sampling melalui proportionate stratified random sampling. Metode penelitian dalam penelitian ini adalah analitik menggunakan uji chi-square. Hasil penelitian didapatkan usia ibu hamil dan paritas yang paling banyak mengalami preeklamsi berat adalah usia 36-40 tahun dan pada paritas pertama. Hasil uji statistic didapatkan hubungan yang bermakna antara usia ibu hamil dengan preeklamsi berat (p=0,001) dan terdapat hubungan yang bermakna antara paritas dengan preeklamsi berat (p=0,041). Simpulan dari penelitian ini adalah terdapat hubungan antara karakteristik ibu hamil yang terdiri dari usia dan paritas dengan kejadian preeklamsi berat.


Keywords


Severe Preeclampsia, Hospitals Karawang, Age and Parity

References


Anwar R, Agoestina T. Tinjauan morbiditas dan mortalitas maternal preeklamsi berat-eklamsi di RSHS Bandung selama 4 tahun (1991-1994) Dalam : Makalah PIT POGI IX. Surabaya. 1995 : 247-63.

Atrash HK, Alexander S, Berg CJ. Maternal mortality in developed countries. Obstet Gynecol. 1995;86:700.

Banias BB, Devoe LD, Nolan TE. Severe preeclampsia in preterm pregnancy between 26 and 32 weeks gestation. Am J Perinotol. 1992;9:357.

Buchbinder, Sibai, Caritis, MacPherson, Hauth, Lindheimer. Adverse perinatal outcomes are significantly higher in severe gestational hypertension than in mild preeclampsia. Am J Obstet Gynecol. 2002; 186.

Brooks MB. Pregnancy, Preeclampsia. [online]. Terdapat pada:

http://www.emedicine.com/emerg/topic480.htm. [diunduh 11 Desember 2015]

Cunningham, MacDonald, Gant, Leveno, Gilstrap, Hankins, Clark. Williams Obstetrics, 21th edition. Appleton & Lange, Connecticut. 2001.

Cunningham FG, Leveno KJ, Blomm SL. Williams Obstetric 24rd Edition. Unites States of America: McGraw-Hill Companies, Inc.:2010.

Djannah SN, Arianti IS. Gambaran Epidemiologi Kejadian Preeklamsia/Eklamsia Di RSU PKU Muhammadiyah Yogyakarta Tahun 2007.

Hansen JP. Plder maternal age and pregnancy outcome: A review of the literature. Obstet Gynecol Surv. 1986; 41 : 726.

Langelo W, Arsuran Arsin A, Russeng S. Faktor Risiko Kejadian Preeklamsia Di RSKD Ibu dan Anak Siti Fatimah Makasar Tahun 2011-2012. [online]. Terdapat pada: http://pasca.unhas.ac.id/jurnal/files/c68ca1a8ffc79c60198732bca55722cf.pdf [diunduh 19 Desember 2015].

MacGillivray I. Epidemiology and overview of hypertension in pregnancy. Br Med J. 1998; 316: 1343-7.

Mose JC. Pengaruh pemberian rkstrak bawang putih (Allium sativum) pada aktivitas trombosit dan tekanan darah ibu hamil yang berisiko mendapat preeklamsi.

[online]. Terdapat pada: http://bpk.litbang.depkes.go.id/index.php/hsr/article/view/2782/1506

Olah KS, Redman CW, Gee H. Management of severe, early preeclampsia: is conservative management justified? Eur J Obstet Gynecol Reprod Biol. 1993; 51:175-80.

Oxford. 2012.

http://bmb.oxfordjournals.org/content/67/1/161.full [diunduh 2 Desember 2015]

Rochjati P. Skrining Antenatal Pada Ibu Hamil, Pengendalian Faktor Risiko, Deteksi Ibu Hamil Risiko Tinggi. Surabaya : Airlangga University Press: 2003.

Spellacy WN, Miller SJ, Winegar A. Pregnancy after 40 years of age. Obstet Gynecol. 1986; 68: 452.

The Official Journal of the American Aging Association. Age. [diunduh 12 November 2015] Tersedia dari: http://link.springer.com/journal/11357

Unimus. 2014 http://digilib.unimus.ac.id/files/disk1/121/jtptunimus-gdl-sitituslih- Disertasi Program Pasca Sarjana UNPAD, 1999. 6010-2-babii.pdf [diunduh 18 Desember 2015]

Visser W, Wallenburg HCS. Temporising management of severe preeclampsia with or without the HELLP syndrome. Br J Obstet Gynecol. 1995; 102:111.




DOI: http://dx.doi.org/10.29313/kedokteran.v0i0.5039

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