OVERWEIGHT PADA AWAL KEHAMILAN SEBAGAI FAKTOR RISIKO KELAHIRAN PREMATUR DI RSUD PANEMBAHAN SENOPATI BANTUL

ALIFANI FAIZ F, dr. Widya Dwi Astuti, Sp.OG ; Margono, S.Pd., A.P.P., M.Sc.

2017 | Tugas Akhir | D4 BIDAN PENDIDIK SV

Angka kematian bayi di Indonesia pada tahun 2015 mencapai 22 per 1.000 kelahiran hidup. Sekitar 2-27% kematian bayi disebabkan oleh kelahiran prematur. Wanita overweight pada awal kehamilannya diduga memiliki risiko lebih besar mengalami persalinan prematur daripada wanita normal. Tujuan penelitian ini untuk mengetahui apakah kejadian kelahiran prematur pada ibu overweight lebih tinggi dibandingkan dengan ibu hamil normal di RSUD Panembahan Senopati Bantul tahun 2014-2015. Metode yang digunakan adalah case control study dengan purposive sampling. Jumlah subjek penelitian sebanyak 94 orang yang terdiri dari 47 kasus dan 47 kontrol. Populasi dalam penelitian ini adalah seluruh ibu bersalin yang tercatat pada rekam medis RSUD Panembahan Senopati Bantul tahun 2014-2015. Penelitian menggunakan data sekunder dan analisis uji Chi Square (Alfa=0,05). Hasil penelitian menunjukkan kelahiran prematur yang dialami ibu hamil overweight sebanyak 27 (57,4%) sedangkan kelahiran tidak prematur sebanyak 10 (21,3%). Terdapat hubungan bermakna antara overweight awal kehamilan dengan kelahiran prematur (p value = 0,001). Odds ratio (OR) didapatkan sebesar 5 (CI 95%: 2,017-12,370) artinya kelahiran prematur berisiko 5 kali dialami oleh ibu hamil overweight dibandingkan dengan ibu hamil normal setelah dikontrol usia, paritas, dan komplikasi kehamilan.

The rate of infant mortality in Indonesia in 2015 is 22 per 1.000 live births. Approximately 2-27% of the infant deaths are caused by premature deliveries. Women with overweight in their early pregnancy, compared to normal women, expected have a greater risk of premature delivery. This research was aimed at identifying whether the occurrence of premature delivery experienced by overweight mothers is higher than that experienced by normal mothers in RSUD Panembahan Senopati Bantul during 2014-2015. The method used in this research was case control study by using purposive sampling. The samples were 94 people consisting of 47 cases and 47 controls. The population was all delivering mothers in RSUD Panembahan Senopati Bantul during 2014-2015. The type of the collected data was secondary data and they were analyzed by using chi square test (Alfa=0,05). The result shows the premature deliveries that experienced by overweight mothers are 27 (57,4%) and non-premature deliveries by 10 others (21,3%). There is a significant correlation between overweight in early pregnancy and the premature deliveries. The odds ratio (OR) is 5 (CI 95%: 2,017-12,370) meaning that premature deliveries have a 5-times-bigger risk experienced by overweight pregnant women, compared to normal pregnant women controlled by age, parity, and pregnancy's complication.

Kata Kunci : Kehamilan, overweight, prematur