Perbandingan Angka Kejadian Perdarahan Obstetri antara Primigravida dengan Multigravida di RSUP H. Adam Malik Tahun 2019-2021

Abstract

Background. Obstetric hemorrhage is a major contributor to maternal morbidity and mortality worldwide. Obstetric hemorrhage can occur during pregnancy or delivery. Pregnant women with a risk factor such as high gravida are more likely to experience obstetric hemorrhage. Aim. The purpose of this study is to discover a comparison of the obstetric hemorrhage incidence between primigravida and multigravida in pregnant women at RSUP Haji Adam Malik during 2019-2021. Methods. This research is a comparative descriptive study using a cross-sectional approach. Data collection was obtained from medical records of pregnant women who experienced obstetric bleeding at RSUP Haji Adam Malik. Results. The results showed that from 104 cases of obstetric bleeding, 96 respondents (92.3%) were multigravida while 8 respondents (7.7%) were primigravida. The most common type of bleeding was antepartum bleeding (82.7%), while the most common etiology was placenta praevia (81.7%) in antepartum bleeding and retained placenta (7.7%) in postpartum bleeding. Conclusion. Obstetric hemorrhage occurred more in multigravida than primigravida. The proportion of multigravida group who experienced antepartum hemorrhage, postpartum hemorrhage, and antepartum + postpartum hemorrhage was greater than the proportion of hemorrhage in primigravida group.