Identifikasi Faktor Risiko Preeklampsia Berat di RSUP Dr. Sardjito Periode 1 Januari 2019 – 31 Desember 2019

RIFAN MORGAN DOREMA SIANTURI, Dr. dr. Eugenius Phyowai Ganap, Sp.OG (K); Dr. Ahsanudin Attamimi, Sp.OG(K)., M.Med.Ed.; Dr. dr. Shinta Prawitasari,M.Kes, SpOG(K)., M.Kes.

2023 | Skripsi | PENDIDIKAN DOKTER

Latar Belakang : Kematian ibu merupakan masalah kesehatan dunia terutama di negara berkembang. Pada tahun 2017, angka kematian ibu di Indonesia menempati peringkat tiga di Kawasan Asia Timur dan Pasifik. Preeklampsia merupakan salah satu masalah utama penyebab kematian Ibu di Indonesia. Penelitian terdahulu menemukan beberapa faktor risiko yang dianggap sebagai pemicu preeklampsia

Tujuan : Mengetahui faktor risiko yang berhubungan tehadap kejadian preeklampsia berat di RSUP Dr. Sardjito Periode 1 Januari 2019 – 31 Desember 2019

Metode Penelitian : Penelitian ini merupakan penelitian case control yang bertujuan menganalisis hubungan variabel independen, yaitu diabetes melitus, paritas, usia, indeks massa tubuh, dan kehamilan multifetal terhadap kejadian preeklampsia berat.

Hasil : Usia >35 tahun (OR =2,581) dan indeks massa tubuh ibu ketika hamil >25 (OR =4,936) merupakan faktor risiko yang berhubungan terhadap kejadian preeklampsia berat di RSUP Dr. Sardjito periode 1 Januari 2019-31 Desember 2019. Status paritas, riwayat diabetes, dan jumlah janin tidak berhubungan signifikan terhadap kejadian preeklampsia berat di RSUP Dr Sardjito periode 1 Januari 2019 -31 Desember 2019 .Selama periode 1 Januari 2019 – 31 Desember 2019 dari 94 pasien preeklampsia  berat terdapat 2 pasien yang meninggal  (CFR 2,13%)

Kesimpulan : Usia >35 tahun dan indeks massa tubuh merupakan faktor risiko yang berhubungan terhadapa kejadian preeklampsia berat di RSUP Dr Sardjito selama 1 Januari 2019-31 Desember 2019. Case fatality rate preeklampsia berat selama periode 2019 tergolong tinggi dibandingkan standar yang ditetapkan

Background: Maternal mortality is a world health problem, especially in developing countries. In 2017, the maternal mortality rate in Indonesia was ranked third in the East Asia and Pacific Region. Preeclampsia is one of the main problems causing maternal death in Indonesia. Previous research found several risk factors that are considered to trigger preeclampsia

Objective: To determine the risk factors associated with severe preeclampsia at RSUP Dr. Sardjito during 1 January 2019 – 31 December 2019

Methods: This is a case control study which aims to analyze the relationship between independent variables, namely diabetes mellitus, parity, age, body mass index, and multifetal pregnancy on the incidence of severe preeclampsia.

Results: Age >35 years (OR = 2.581) and maternal body mass index during pregnancy >25 (OR = 4.936) are risk factors associated with the incidence of severe preeclampsia at RSUP Dr. Sardjito for the period 1 January 2019 - 31 December 2019. Parity status, history of diabetes, and number of fetuses were not significantly related to the incidence of severe preeclampsia at Dr Sardjito Hospital for the period 1 January 2019 - 31 December 2019. During 1 January 2019 - 31 December 2019, there were 2 patients who died out of 94 severe preeclampsia patients (CFR 2.13%).

Conclusion: Age >35 years and body mass index >25 are risk factors related to the incidence of severe preeclampsia at Dr Sardjito General Hospital during 1 January 2019-31 December 2019. The case fatality rate of severe preeclampsia during the 2019 period was relatively high compared to the established standards

Kata Kunci : Preeklampsia berat, diabetes, paritas, indeks massa tubuh, usia, kehamilan multifetus, case fatality rate