Analisis Faktor Risiko Preeklampsi Berat dan Eklampsi pada Ibu Hamil di RSU Dr Pirngadi Medan Tahun 2007

Abstract

According to WHO, 129 million women delivering a baby suffered from complication during their pregnancy every year. The data obtained from the household health survey (Survey Kesehatan Rumah Tangga-SKRT) 2001 shows that there are theree main causes of the death of pregnant mother/the mother delivering a baby in Indonesia such as hemorrhage (28%), severe pre-eclampsia/eclampsia (24%) and infection (11 %). To analyze the risk factor of severe pre-eclampsia/eclampsia in dr. Pimgadi General Hospital Medan, a study with case control design was conducted towards 56 pregnant mothers/the mothers delivering a baby with severe pre-eclampsi/eclampsi (case group) and without severe pre-eclampsia/eclampsia (control group) within a period of January to December 2007. The data obtained were analyzed through univariate, bivariate (Chi-Square test), and multivariate (multiple logistic regression test) analysis. The result of bivariate analysis through Chi-square test shows that there are four variables such as pregnancy age (p = 0.000), chronic hypertension (p = 0.000), kidney disease (p-value = 0.008), and pregnancy check-up (p-value 0,020) have a significant relationship with the incident of severe pre-eclampsia/eclampsia. The result of multivariate analysis shows that there are two dominant factor such as chronic hypertension (p = 0.000) and pregnancy age (p = 0.001). Chronic hypertension is the most dominant factor with the biggest B Exponential (0.439). To prevent the incedent of severe pre-eclampsia/eclampsia in pregnant mothers, it is expected that health workers can carry out a routine antenatal care (ANC), provide counselling on the women reproduction health and perform early detection of the signs of chronic hypertension to avoid teh emergency condition