Risk Factors Affecting The Incident Of Preeclamsia In Klambu Health Center, Grobogan District

Authors

  • Ulfah Musdalifah Midwifery Department, Health Polytechnic Ministry of Health Semarang, Indonesia
  • Mei Indah Rahmawati Midwifery Department, Health Polytechnic Ministry of Health Semarang, Indonesia
  • Rafika Fajrin Midwifery Department, Health Polytechnic Ministry of Health Semarang, Indonesia
  • Suwanti Midwifery Department, Health Polytechnic Ministry of Health Semarang, Indonesia

DOI:

https://doi.org/10.32807/jkt.v7i1.546

Keywords:

Risk factors, incidence of preeclampsia

Abstract

Preeclampsia is a collection of symptoms that occur during pregnancy, childbirth and the postpartum period including hypertension, edema and proteinuria, symptoms usually appear after 20 weeks of gestation or more. There were 19 cases of visits by TM III pregnant mothers who had ANC at the Klambu Community Health Center with preeclampsia, in 2021 there were 24 cases and in 2022 there were 38 cases. From year to year visits by mothers with preeclampsia have increased. The aim of the research was to determine the risk factors that influence the incidence of preeclampsia at the Klambu Community Health Center, Grobogan Regency. The research method used a case control design, the research was conducted in October 2023 with a population of all pregnant women aged 35 weeks to 40 weeks with preeclampsia in 2022, there were 38 people. The samples in this research used a 1:1 ratio so that the number of case samples was 38 and the number of control samples was 38, so there were a total of 76 samples. Data analysis uses the Odds Ratio test. The research results show that the age of most mothers is not at risk, between 20-35 years 75%, the parity of mothers is not at risk or multipara 64.5%, the nutritional status based on LILA is not normal or <23.5cm and >25cm 72.4%, the pregnancy interval is not at risk or >2 years 59.2%, no history of hypertension 89.5, history of standardized ANC 90.8% and mother's education at risk or elementary/middle school graduate education 57.9%. Risk factors for preeclampsia include maternal age (OR=1.528), nutritional status (OR=1.487), history of hypertension (OR=2.267) and ANC (OR=1.373). Protective factors for preeclampsia include parity (OR=0.708), pregnancy spacing (OR=0.721) and maternal education (OR=0.415). It is hoped that midwives will be able to improve the quality of midwifery services related to ANC and early detection of preeclampsia related to the risk factors of pregnant women's age, nutritional status of pregnant women and history of hypertension.

References

Mitayani, “Asuhan Keperawatan Maternitas,†Jakarta: Salemba Medika, 2019.

Prawirohardjo, “Ilmu Kebidanan,†Jakarta: Yayasan Bina Pustaka Sarwono Prawirohardjo, 2018.

Dewi, “Patologi dan Patofisiologi Kebidanan,†Yogyakarta: Nuha Medika, 2020.

BPS, “Profil Kesehatan Ibu dan Anak 2022,†Badan Pusat Statistik Provinsi Jateng, 2022.

POGI, “PNPK Diagnosis dan Tatalaksana Preeklampsia,†2018, pp. 1–48.

Manuaba, “Ilmu Kebidanan, Penyakit Kandungan, Keluarga Berencana untuk Pendidikan Bidan,†Jakarta: Buku Penerbit Kedokteran EGC, 2019.

Peratama, “Faktor-faktor yang Berhubungan dengan Kejadian Preeklampsia pada Ibu Hamil,†J. Penelit. Perawat Prof., vol. 5, pp. 617–626, 2022.

P. Mariati, “Faktor-faktor yang Berhubungan dengan Kejadian Preeklampsia pada Ibu Hamil Trimester III,†J. Aisyiyah Med., vol. 7, pp. 246–258, 2022.

Sudarman, “Faktor-faktor yang Berhubungan dengan Terjadinya Preeklampsia,†vol. 9, no. 28, pp. 68–80, 2021.

Ernawan, “Identifikasi Faktor-Faktor Terkait Kejadian Preeklamsia pada Ibu Hamil di Kabupaten Semarang,†J. Sains dan Kesehat., vol. 3, no. 2, pp. 269–277, 2021, [Online]. Available: https://jsk.farmasi.unmul.ac.id

Cuningham, “Obstetri Williams,†Jakarta: Penerbit Buku Kedokteran EGC, 2016.

Minarti, “Faktor-faktor yang Berhubungan dengan Kejadian Pre Eklamsia di RSUD Prof. Dr. Margono Soekardjo Purwokerto,†Poltekkes Kemenkes Semarang, vol. 561, no. 3, 2019.

Umaroh, “Analisis Faktor Risiko Terjadinya Pre Eklamsi di RS Permata Bunda Purwodadi,†J. Kebidanan Politek. Kesehat. Kemenkes Semarang, 2018.

Bobak, “Buku Ajar Keperawatan Maternitas,†Jakarta: Buku Penerbit Kedokteran EGC, 2018.

Darmawati, “Faktor - Faktor Yang Berhubungan Dengan Kejadian Preeklamsia pada Ibu Bersalin di Rumah Sakit Umum Kota Kendari,†Kendari: Poltekkes Kemenkes Kendari, 2018.

D. R. Yuliani, “Terapi Murottal Sebagai Upaya Menurunkan Kecemasan Dan Tekanan Darah Pada Ibu Hamil Dengan Preeklampsia: Literature Review Dilengkapi Studi Kasus,†J. Kebidanan Poltekkes Kemenkes Semarang, vol. 8, no. 2, p. 79, 2018, doi: 10.31983/jkb.v8i2.3738.

Wiknjosastro, “Paket Pelatihan Pelayanan Obstetri dan Neonatal Emergensi Komprehensif (PONEK) Asuhan Obstetri Esensial,†Jakarta: JNPK-KR, 2018.

H. Sulistyoningsih, “Gizi untuk Kesehatan Ibu dan Anak,†Yogyakarta: Gosyen Publishing, 2018.

F. N. Aini, “Analisis Indeks Massa Tubuh (IMT) dengan Kejadian Preeklamsia pada Ibu Hamil,†J. Sains Kebidanan Poltekkes Semarang, vol. 1, no. 1, pp. 1–6, 2023, doi: 10.31983/jsk.v5i1.9696.

Yuliani, “Hubungan Jarak Kehamilan dengan Tekanan Darah Ibu Hamil Preeklampsia,†J. Sains Kebidanan Poltekkes Semarang, vol. 1, no. 1, pp. 19–24, 2019, [Online]. Available: http://ejournal.poltekkes-smg.ac.id/ojs/index.php/JSK/7

Kuspriyanto and Susilowati, “Gizi Dalam Daur Kehidupan,†Bandung: Refika Aditama, 2016.

Kemenkes, “Kemenkes Perkuat Upaya Penyelamatan Ibu dan Bayi,†Jakarta: Kemenkes Republik Indonesia, 2021. [Online]. Available: https://sehatnegeriku.kemkes.go.id/

Notoatmodjo, “Promosi Kesehatan dan Perilaku Kesehatan,†Jakarta: PT. Rineka Cipta, 2015.

Y. Permadi and Deliana, “Hubungan Umur dan Pendidikan Dengan Kejadian Preeklampsia Berat Pada Ibu Bersalin di Rumah Sakit Muhammadiyah Palembang Tahun 2016,†J. Kesehat. Abdurahman Palembang, vol. 7, no. 2, pp. 32–39, 2019.

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Published

2025-04-29

How to Cite

Musdalifah, U., Indah Rahmawati, M., Fajrin, R., & Suwanti, S. (2025). Risk Factors Affecting The Incident Of Preeclamsia In Klambu Health Center, Grobogan District. Jurnal Keperawatan Terpadu (Integrated Nursing Journal), 7(1), 39–51. https://doi.org/10.32807/jkt.v7i1.546

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