Penyulit Kehamilan dan Persalinan pada Wanita Usia 35 Tahun ke Atas di RSUP H. Adam Malik dan RSUD Pirngadi Medan pada Tahun 2009-2010

Abstract

Background: More women delay pregnancy until the age of 35 years or older as the improvement of education and employment for women, and the availability of effective contraception. There is an increase in obstetric complications in pregnant women aged 35 years and older. Objective: To detennine the proportion of pregnancy complications and delivery complications iri women aged 35 years and older Methods: This descriptive study with a retrospective approach, is carried out in the Department of Obstetrics and Gynaecology H.Adam Malik and Dr.Pimgadi Hospital in Medan. Total sampling is used, which means taking data of the entire medical records of women who met the inclusion criteria listed in the medical records department of H.Adam Malik and dr Pimgadi Hospital Medan during January 2009 until December 2010, then recorded complications of pregnancy and childbirth complications encountered in sample. Results : Complications of pregnancy most women aged 35 years and older in the study were 37 cases of preeclampsia-eclampsia (14.4o/o) followed by placenta previa 23 cases (8.9%), whereas most delivery complications were malpresentation 23 cases (8.9%), followed by 13 cases of fetaldistress (5.1o/o). Gonclusion: Pregnancy complications found higher in women aged >35 years old were preeclampsia-eclampsia, and placenta previa, whereas higher delivery complications in women aged >35 years old were malpresentation and fetal distress