Determinan gangguan hipertensi kehamilan di Indonesia

https://doi.org/10.22146/bkm.12414

Novi Kartika Sari(1*), Theodola Baning Rahayujati(2), Mohammad Hakimi(3)

(1) Departemen Biostatistik, Epidemiologi dan Kesehatan Populasi Fakultas Kedokteran Universitas Gadjah Mada
(2) Dinas Kesehatan Kabupaten Kulon Progo
(3) Departemen Biostatistik, Epidemiologi dan Kesehatan Populasi Fakultas Kedokteran Universitas Gadjah Mada
(*) Corresponding Author

Abstract


Determinants of pregnancy hypertensive disorders in Indonesia

Purpose

This study aimed to assess the determinant factors of gestational hypertension (HDP) in Indonesia.

Methods

This research was an observational analytic study using a cross-sectional design. Sampling was calculated using consecutive sampling technique. The subjects were all pregnant women aged 15-54 years old in 33 provinces in Indonesia and 9024 women were selected as subjects. Chi-square and binomial regression tests were used to analyze the determinants of HDP to see the value of the Ratio Prevalence (RP).

Results

The prevalence of hypertension among pregnant women was 6.18% (558 people) after being adjusted with external variables which were potentially confounders. The highest of hypertension was found in West Java with 59 pregnant women (10.57%). Overweight and chronic hypertension were related to hypertensive disorders in pregnancy with RP: 2.13 (95% CI: 1.80-2.51); and in overweight with RP: 4.36 (95% CI: 3.6-5.26) in hypertension assessments. The use of contraceptives was not a risk factor for hypertensive disorders in Indonesia with RP 0.92 (95% CI: 0.76-1.10).

Conclusion

Overweight and chronic hypertension are risk factors for the incidence of hypertensive disorders in pregnancy in Indonesia.


Keywords


hypertension; pregnancy; basic health research; Indonesia



References

  1. Kemenkes RI. Rencana Strategis Kementerian Kesehatan Tahun 2015-2019. Jakarta: Kementerian Kesehatan Republik Indonesia; 2015.
  2. Sastrawinata S, Martaadisoebrata D, Wirakusumah FF. Obstetri Patologi. Vol 2nd ed. (Sastrawinata S, Martaadisoebrata D, Wirakusumah FF, eds.). Jakarta: EGC; 2003..
  3. WHO. Prevention and Treatment of Pre-Eclampsia and Eclampsia. Geneva: World Health Organization; 2011.
  4. Kemenkes RI. Profil Kesehatan Indonesia. Jakarta: Kementerian Kesehatan Republik Indonesia; 2014.
  5. Kemenkes RI. Riset Kesehatan Dasar; 2013.
  6. Lemeshow S, Jr DWH, Klar J, Lwanga SK. Sample Size for Case-Control Studies. In: Lemeshow S, Jr DWH, Klar J, Lwanga SK, eds. Adequacy of Sample Size in Health Studes. Vol Chichester: John Wiley & Sons; 1990:16-20.
  7. Dahlan MS. Mendiagnosis Dan Menatalaksana 13 Penyakit Statistik : Disertai Aplikasi Program Stata. Jakarta: Sagung Seto; 2010.
  8. Cunningham FG, Hauth JC, Leveno KJ, III LG, Bloom SL, Wenstrom KD. Williams Obstetrics. Vol 22nd ed. (Rouse D, Rainey B, Spong C, Wendel GD, eds.). New York: McGraw-Hill Medical; 2005. Gudnadóttir TA, Bateman BT, Hernádez-Díaz S, Luque-Fernandez MA, Valdimarsdottir U, Zoega H. Body Mass Index, Smoking and Hypertensive Disorders during Pregnancy: A Population Based Case-Control Study. PLoS One. 2016; 11(3):e0152187.
  9. Wong TY, Groen H, Faas MM, Van Pampus MG. Clinical risk factors for gestational hypertensive disorders in pregnant women at high risk for developing preeclampsia. Pregnancy Hypertens. 2013;3(4):248-253.
  10. Nafisah D, Wahjudi P, Ramani A. Faktor Yang Berhubungan Dengan Kejadian Hipertensi Pada Akseptor Pil KB Di Kelurahan Sumbersari Kabupaten Jember Tahun 2014. 2014;2(3):453-459.
  11. Magann EF, Evans SF, Weitz B, Newnham J. Antepartum, intrapartum, and neonatal significance of exercise on healthy low-risk pregnant working women. Obstet Gynecol. 2002;99(3):466-472.
  12. Kemenkes RI. Pedoman Teknis Penemuan Dan Tatalaksana Hipertensi; 2013.



DOI: https://doi.org/10.22146/bkm.12414

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