Profil Primigravida Muda dan Luaran Persalinan di Rumah Sakit Dr.Oen Surakarta

https://doi.org/10.22146/jkr.37993

Supanji Raharja(1*), Ova Emilia(2), Poedji Rochjati(3)

(1) RS Dr. Oen Surakarta
(2) Departemen Obstetri dan Ginekologi
(3) Departemen Obstetri dan Ginekologi, FK UNAIR
(*) Corresponding Author

Abstract


Background: Pregnancy at a young age has become an important health problem both in developed and developing countries. Pregnancy at a young age increases the risk of maternal and perinatal morbidity and mortality. This is because adolescent women who are not ready both physically and psychologically to get pregnant.

Obsjective: This study aims to identify and analyze labor in young primigravida (<20 years) with pathological labor in hospital Dr.Oen Surakarta.

Method: This was an observational analytic study without intervention in the form of comparative cross sectional study conducted in young primigravida group age <20 years and primigravida group age 20 to 34 years old, who underwent labor in hospital delivery room. Dr.Oen Surakarta. This study used secondary data from the medical record of pregnant women who gave birth at RS.Dr.Oen Surakarta from January 1, 2011 to December 31, 201. A comparison between young primigravids (<20 years) in which pathologic pathways were performed with primigravida of reproductive age (20-34 years) experienced pathological labor were conducted.

Result and Discussion: The number of deliveries in young primigravida (<20 years) was 61 people (6.65%) whereas in primigravida (21-35 years) there were 856 people (93.34%). Younger primigravids have lower levels of education than the primigravida age of reproductive age (p 0.00, CI 3.557 - 11.227). The younger primigravida has a tendency to give birth outside its residence area compared to primigravida of reproductive age (p 0.00; CI 0.050,178). Unmarried status in the young primigravida is greater than that of primigravida of reproductive age (p 0.00, CI 0.011 - 0,229) .An Antenatal Care on Primigravida reproductive age is more regular than young primigravida (p 0.03; CI 0.255 - 0.97) . Young primigravida tended to have anemia (p = 0.00, OR 8.4 CI 3.22 - 21.93) The risk of prematurity was higher in young primigravids than in the reproductive age primigravida (p 0.01, OR 2.9 CI 1, 16 - 7.25). Younger primigravids have a higher risk for pathologic delivery compared to primigravida of reproductive age (p 0.05 OR 0.56 CI 0.315 - 1.01).

Conclusions: There are differences in terms, level of education, marital status, residence, regularity of ANC between young primigravida and prmigravida of reproductive age. The study found that young primigravids have a higher risk of occurrence of anemia, prematurity and pathologic delivery compared with healthy reproductive age primigravids.

Keywords: young primigravida, primigravida healthy reproductive age, risk factors


Keywords


young primigravida; primigravida healthy reproductive age; risk factors; primigravida muda; primigravida usia reproduksi sehat; faktor risiko

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References

Hartono A, Gunanegara F. R, Ivone J. 2012. Perbandingan Risiko Komplikasi pada Ibu dan Bayi pada Kehamilan Remaja dan Usia Reproduksi Sehat di Rumah Sakit Immanuel Bandung Periode Mei 2009 – Mei 2012 , Tesis Fakultas Kedokteran, Universitas Kristen Maranatha, Bandung.

Sastrawinata S, U. 2007. Gambaran Epidemiologi Klinik Kehamilan Remaja di RS Immanuel Bandung. Jurnal Kesehatan Maranatha . Vol.7 No.1 Juli 2007: 70-84

Hasan M, Silvana M. 2012. Kehamilan Remaja Di Amerika Serikat: Penyebab, Dampak Dan Upaya Pencegahannya, Tesis Program Studi Pengkajian Amerika, Fakultas Ilmu Budaya Universitas Gajah Mada Jogjakarta.

Acharya DR, Bhattarai R, Poobalan A, van Teijlingen E R, Chapman G.2010. Factors Associated with Teenage Pregnancy in South Asia: a systematic review. Health Science Journal, Vol 4 : 3 – 14

Destiara S. 2011. Perbandingan Luaran Maternal dan Perinatal Kehamilan Trimester Ketiga antara Usia Muda dan Usia Reproduksi Sehat, Karya Tulis Ilmiah Fakultas Kedokteran Universitas Diponegoro, hal:1-29

Singh, S, D, J.E. 2000. Adolescent Pregnancy and Childbearing: Level and Trends In Developed Countries. Family Planning Perspective, hal: 14-23.

Kurniawati, A. 2009. Hubungan Antara Primigravida Muda Dengan angka Kejadian Preeklamsia/ Eklamsia di RSUD Dr. Moewardi Surakarta Periode 1 Januari-31 Desember 2008. Universitas Muhammadiyah Surakarta. Solo.

Olausson O P, Cnattingius S, Haglund B. 1999. Teenage pregnancies and risk of late fetal death and infant mortality. British Journal of Obstetrics and Gynaecology February 1999, 106: 116-121

Sukmawati, M. 2006. Hubungan Antara Persalinan Patologis dengan Primigravida Muda di RSUD Dr. Moewardi Surakarta. Universitas Sebelas Maret. Solo.

Adjie S JM, et all, Kehamilan Remaja. Dalam: Ocviyanti D, Editor.2013. Upaya Meningkatkan Kualitas Pelayanan Kesehatan Reproduksi untuk Mencapai Millenium Development Goals 2015, Monograf PIT HOGSI 2013

Pratiknya, W.A. 2000. Dasar-dasar Metodologi Penelitian Kedokteran dan Kesehatan. Raja Grafindo Persada. Jakarta, 2000:10-21

Ago U B, Abeshi S, Njoku C, Agan U T, Ekabua J.2013. Obstetric Outcome of Booked Teenage Pregnavies at University of Calabar Teaching Hospital, Nigeria. Adolescent Health, Medicine and Therapeutics 2013:3 105-109

Dutta I, Dutta K D, Joshi P. 2013. Outcome of Teenage Oregnancy in Rural India wity Particular Reference to Obstetrica; Risk Factor and Perinatal Outcome, Journal of South Asian federation of Obstetrics and Gynecology, September-Desember 2013;5(3):102106

Gortzak-Uzan L, Hallak M, Press F, Teenage pregnancy : risk factors for adverse perinatal outcome, J Matern Fet Med, 2001; 10:393-7

Chabra S, Perinatal outcome in teenage mother, I J Obstet Gynecol 1991;41:30-2

Aryastami K N, Tarugan U. 2012. Perilaku Ibu Hamil dalam Memeriksakan kehamilan Trimester pertama di Puskesmas Pesanggrahan Jakarta Selatan, Buletin Penelitian Sistem Kesehatan, Vol 15 No. 1 Januari 2012: 11-19

Manuaba IBG. 2002. Konsep Obstetri & Ginekologi Sosial Indonesia. Ed 1. EGC. Jakarta. hal: 76-95

Bhaduria, Bhattacharya dan Shravage JC. 1991. Teenage pregnancy: a retrospective study. J.Obstet Gynae India, 1991; 41:454-456.

Moutquin, JM. 2001. Socio Economic and Psychosocial Factor in the Management and Prevention of Preterm Labour. Br. J Obstet Gynaecol 2001; 20: 56-60

Widjayanegara H. 2009. Aspek Umum Prematuritas. Dalam : Krishnadi R, Sofie editor. Prematuritas. Bandung, 2009: 1-6

Verralls Sylvia. 1997. Anatomi dan Fisiologi Terapan dalam Kebidanan ; alih bahasa, Hartono, Ed 3, Jakarta : EGC, hal: 56-76



DOI: https://doi.org/10.22146/jkr.37993

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