FAKTOR-FAKTOR YANG MEMPENGARUHI PERSALINAN PRETERM DI RSUD Prof. Dr. MARGONO SOEKARJO PURWOKERTO

Abstract

Tri Anasari1, Ika Pantiawati21) 2) Akademi Kebidanan YLPP PurwokertoE-mail: sariayu_nemen@yahoo.co.id, icha.pewe@yahoo.comABSTRAKPendahuluan: Persalinan preterm merupakan persalinan belum cukup umur di bawah usia kehamilan 37 minggu dan berat bayi kurang dari 2500 gr. Dampak yang dapat ditimbulkan dari kejadian persalinan preterm antara lain hipotermi, asfiksia, ikterik, infeksi dan pertumbuhan retardasi janin. Dampak tersebut merupakan penyebab utama kematian pada bayi. Persalinan preterm di RSUD Margono Soekarjo dari tahun 2010-2013 terus meningkat. Tahun 2011 mengalami kenaikan 0,01%, tahun 2012 naik 3,32% dan tahun 2013 meningkat 3,4%. Tujuan penelitian ini adalah mengetahui faktor-faktor yang mempengaruhi persalinan preterm, meliputi usia, paritas, pekerjaan, status gizi dan riwayat kelahiran preterm di RSUD Prof. Dr. Margono Soekarjo Purwokerto. Metode penelitian: Jenis penelitian ini adalah survei analitik dengan pendekatan case control retrospektif. Populasi penelitian ini adalah seluruh ibu bersalin dari Januari-Desember 2013. Sampel dalam penelitian ini berjumlah 77 ibu bersalin preterm dan 77 ibu bersalin non preterm dengan total 154 responden, menggunakan teknik systematic random sampling. Analisis bivariat menggunakan uji chi square dan analisis multivariat menggunakan regresi logistik.Hasil penelitian: Sebagian besar usia, paritas, pekerjaan, riwayat persalinan preterm, dan status gizi tidak berisiko. Ada hubungan antara usia dengan persalinan preterm (p=0,004), ada hubungan paritas dengan persalinan preterm (p=0,001), ada hubungan pekerjaan dengan persalinan preterm (p=0,000), ada hubungan riwayat persalinan dengan persalinan preterm (p=0,000) dan ada hubungan status gizi dengan persalinan preterm (p=0,003). Kesimpulan: ada pengaruh secara bersama-sama antara usia, paritas, pekerjaan, riwayat persalinan dan status gizi dengan persalinan preterm di RSUD Prof. Dr. Margono Soekarjo Purwokerto.Kata Kunci: Persalinan Preterm, Usia, Paritas, Pekerjaan, Riwayat Persalinan, Status GiziFACTORS RELATED TO THE PRETERM LABOR IN HOSPITAL PROF. Dr. MARGONO PURWOKERTO ABSTRACTPreterm delivery is not old enough labor below 37 weeks gestation and birth weight less than 2500 gram. The impact that may result from the incidence of preterm labor include hypothermia, asphyxia, jaundice, infections and fetal growth retardation. The impact is a major cause of death in infants. Preterm labor in hospitals Margono Soekarjo of the year 2010-2013 continues to increase. The Year 2011 increased 0.01%, in 2012 rose 3.32% and in 2013 increased by 3.4%. The purpose of this study was to factors cause of preterm labor include age, parity, employment, nutritional status and a history of preterm birth in hospitals Prof. Dr. Margono Soekarjo Purwokerto. This type of research is analytic survey with a retrospective case control approach. The study population was all women giving bith from January to December 2013. The sample in this study amounted to 77 preterm birth mothers and 77 non preterm birth mothers with a total of 154 respondents, using systematic random sampling technique. Bivariate analysis using chi square test and multivariate analysis using logistic regression. Results: Most of age, parity, Employment, a history of preterm delivery, and nutritional status were not at risk. There is a corelation between age and preterm delivery (p = 0.004), there is a corelation of parity with preterm delivery (p = 0.001), there is an employment corelation with preterm delivery (p = 0.000), there is a corelation history of labor with preterm delivery (p = 0.000) and No correlation with preterm labor nutritional status (p = 0.003). Conclusion: there is an influence jointly between age, parity, employment, labor history and nutritional status and preterm delivery in hospitals Prof. Dr. Margono Soekarjo Purwokerto.Keywords: Preterm, Age, Parity, Employment, Labor History, Nutritional Status

Correlation of age, education, employment status, parity and mastitis history with the incidence of mastitis

“…A retrospective study showed that women aged 21-35 years more often suffered from mastitis than women on other age groups; below 21 years or over 35 years. 5 However, our results showed there is no association between age and the incidence of mastitis. Hence this variable is not necessarily a protective factor for the condition.…”

“…However, mastitis can also happen at any time during breastfeeding, and around 3% of women with untreated mastitis may develop a complication such a breast abscess. 5 The failure to provide exclusive breastfeeding is often caused by the specificmedical condition, such as the blockade of mammary gland under the nipple. This can cause a decrease in milk ejection.…”

Analysis of the Risk Factors of Premature Labor: Scoping Review

“…Another study found a p-value of 0.003, which means that there is a relationship between nutritional status and preterm labor. If the mother at the time before and during pregnancy lacks nutritional intake and weight gain is less at risk of causing preterm labor [28].…”

Hubungan Usia Ibu Hamil Dengan Kejadian Persalinan Prematur Di Rsud Panembahan Senopati Bantul Yogyakarta

“…Ibu hamil usia reproduktif merupakan usia aman untuk kehamilan dan persalinan adalah usia 20-35 tahun (Depkes, 2009). Akan tetapi, berdasarkan beberapa penelitian mengungkapkan bahwa usia reproduktif (20-35 tahun) lebih banyak mengalami kejadian persalinan prematur daripada usia berisiko (<20 dan >35 tahun) (Anasari & Pantiawati, 2016;Ningrum et al, 2017).…”