FAKTOR RISIKO TERJADINYA PRE-EKLAMSI PADA IBU HAMIL YANG DIRUJUK KE RUMAH SAKIT UMUM DAERAH PANYABUNGAN KABUPATEN MANDAILING NATAL

Abstract

Pre-eclampsia is a disease with specific signs such as hypertension, edema and proteinuria that occur due to pregnancy. There were 105 cases of pre-eclampsia from 2,105 pregnant women (4.9%) from the data of the Panyabungan District General Hospital Mandailing Natal in 2013. The purpose of this study was to determine risk factors (parity, maternal age, gemelli, hypertension , antenatal and cultural care) from the incidence of pre-eclampsia referred to the Panyabungan District General Hospital Mandailing Natal. This is a case-control design. The case group population is all pregnant women who suffer from pre-eclampsia and the control group is all pregnant women who do not suffer from pre-eclampsia. The sample for this study was 105 patients for the case group and 105 patients for the control group. Data obtained using chi-square test and logistic regression. Chi-square test results showed that maternal age (OR = 3.50; 95% CI 1.90-6.46), hypertension (OR = 23.55; 95% CI 11.16-49.70) and antenatal care (OR = 4.33; 95% CI 2.41 -7.79) has a relationship with the incidence of pre-eclampsia. The results of multiple logistic regression tests showed that the variables that most influenced the incidence of preeclampsia were hypertension with OR = 26.80; 95% CI 11.39-63.07 where mothers with pre-eclampsia who gave birth to their babies had the chance to experience hypertension 26.8 times compared to mothers without pre-eclampsia who gave birth to their babies. The management of the Panyabungan District General Hospital of Mandailing Natal Regency is advised to be able to carry out promotive and preventive efforts through improving Antenatal Care by applying standards, to check blood pressure at least once a month, and to avoid consuming foods that are at risk of hypertension