{"title":"Hubungan Preeklamsia Berat dengan Kejadian Persalinan Preterm di RSUP Prof. Dr. R. D. Kandou Manado Periode 2021–2022","authors":"Cresensia R. N. Widjaja, E. Suparman, J. Wantania","doi":"10.35790/msj.v6i2.53554","DOIUrl":null,"url":null,"abstract":"Abstract: Preeclampsia/eclampsia may lead to additional pregnancy complications, including the occurrence of preterm labor either spontaneously or be induced. Severe preeclampsia is a frequent reason for iatrogenic preterm labor. This study aimed to determine the relationship between severe preeclampsia and the incidence of preterm labor at Prof. Dr. R. D. Kandou Hospital, Manado, period 2021–2022. This was a case-control study design. The population in this study were mothers who gave birth at Prof. Dr. R. D. Kandou Hospital, Manado, from January 1st, 2021– December 31st, 2022. The case samples were mothers with preterm labor, meanwhile the control samples were mothers with term labor. Data were obtained from medical records of mothers who gave birth at the Obstetrics and Gynaecologist Department of Prof. Dr. R. D. Kandou Hospital. The chi square test showed that the most common preterm birth in severe preeclampsia was iatrogenic preterm labor (73.7%) and the most frequent indication was severe preeclampsia without impending eclampsia (43.9%). The chi-square test obtained a significant relationship between severe preeclampsia and the incidence of preterm labor (p=0.000, OR=2.359, 95% CI 1.709–3.773). In conclusion, there is a significant relationship between severe preeclampsia and the incidence of preterm labor at Prof. Dr. R. D. Kandou Hospital, Manado, period 2021–2022.\nKeywords: severe preeclampsia; preterm labor; term labor\n \nAbstrak: Preeklamsia/eklamsia dapat mengakibatkan masalah kehamilan lainnya, seperti persalinan preterm yang dapat terjadi secara spontan atau melalui tindakan iatrogenik (terminasi). Preeklamsia berat merupakan salah satu indikasi paling sering pada persalinan preterm yang dilakukan secara iatrogenik. Penelitian ini bertujuan untuk mengetahui hubungan preeklamsia berat dengan kejadian persalinan preterm di RSUP Prof. Dr. R. D. Kandou Manado periode 2021–2022. Jenis penelitian ialah deskriptif analitik dengan desain studi kasus-kontrol. Sampel kasus ialah ibu dengan persalinan preterm dan sampel kontrol ialah ibu dengan persalinan aterm yang didapatkan dari data rekam medik ibu bersalin di Bagian Obstetri Ginekologi RSUP Prof. Dr. R. D. Kandou Manado. Hasil penelitian memperlihatkan bahwa persalinan preterm terbanyak pada preeklamsia berat ialah persalinan preterm iatrogenik (terminasi) (73,7%) dan indikasi terbanyak ialah preeklamsia berat tanpa impending eklamsia (43,9%). Hasil uji chi square mendapatkan hubungan bermakna antara preeklamsia berat dan persalinan preterm (p=0,000; OR=2,539, 95% CI 1,709-3,773). Simpulan penelitian ini ialah terdapat hubungan bermakna antara preeklamsia berat dengan kejadian persalinan preterm di RSUP Prof Dr. R. D. Kandou Manado periode 2021–2022.\nKata kunci: preeklamsia berat; persalinan preterm; persalinan aterm","PeriodicalId":118600,"journal":{"name":"Medical Scope Journal","volume":"24 5","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2024-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Medical Scope Journal","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.35790/msj.v6i2.53554","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Abstract: Preeclampsia/eclampsia may lead to additional pregnancy complications, including the occurrence of preterm labor either spontaneously or be induced. Severe preeclampsia is a frequent reason for iatrogenic preterm labor. This study aimed to determine the relationship between severe preeclampsia and the incidence of preterm labor at Prof. Dr. R. D. Kandou Hospital, Manado, period 2021–2022. This was a case-control study design. The population in this study were mothers who gave birth at Prof. Dr. R. D. Kandou Hospital, Manado, from January 1st, 2021– December 31st, 2022. The case samples were mothers with preterm labor, meanwhile the control samples were mothers with term labor. Data were obtained from medical records of mothers who gave birth at the Obstetrics and Gynaecologist Department of Prof. Dr. R. D. Kandou Hospital. The chi square test showed that the most common preterm birth in severe preeclampsia was iatrogenic preterm labor (73.7%) and the most frequent indication was severe preeclampsia without impending eclampsia (43.9%). The chi-square test obtained a significant relationship between severe preeclampsia and the incidence of preterm labor (p=0.000, OR=2.359, 95% CI 1.709–3.773). In conclusion, there is a significant relationship between severe preeclampsia and the incidence of preterm labor at Prof. Dr. R. D. Kandou Hospital, Manado, period 2021–2022.
Keywords: severe preeclampsia; preterm labor; term labor
Abstrak: Preeklamsia/eklamsia dapat mengakibatkan masalah kehamilan lainnya, seperti persalinan preterm yang dapat terjadi secara spontan atau melalui tindakan iatrogenik (terminasi). Preeklamsia berat merupakan salah satu indikasi paling sering pada persalinan preterm yang dilakukan secara iatrogenik. Penelitian ini bertujuan untuk mengetahui hubungan preeklamsia berat dengan kejadian persalinan preterm di RSUP Prof. Dr. R. D. Kandou Manado periode 2021–2022. Jenis penelitian ialah deskriptif analitik dengan desain studi kasus-kontrol. Sampel kasus ialah ibu dengan persalinan preterm dan sampel kontrol ialah ibu dengan persalinan aterm yang didapatkan dari data rekam medik ibu bersalin di Bagian Obstetri Ginekologi RSUP Prof. Dr. R. D. Kandou Manado. Hasil penelitian memperlihatkan bahwa persalinan preterm terbanyak pada preeklamsia berat ialah persalinan preterm iatrogenik (terminasi) (73,7%) dan indikasi terbanyak ialah preeklamsia berat tanpa impending eklamsia (43,9%). Hasil uji chi square mendapatkan hubungan bermakna antara preeklamsia berat dan persalinan preterm (p=0,000; OR=2,539, 95% CI 1,709-3,773). Simpulan penelitian ini ialah terdapat hubungan bermakna antara preeklamsia berat dengan kejadian persalinan preterm di RSUP Prof Dr. R. D. Kandou Manado periode 2021–2022.
Kata kunci: preeklamsia berat; persalinan preterm; persalinan aterm
2021-2022 年期间万鸦老 R. D. Kandou 教授医院重度子痫前期与早产发生率之间的关系
摘要:子痫前期/子痫可能导致更多的妊娠并发症,包括自然早产或引产。重度子痫前期是先天性早产的常见原因。本研究旨在确定 2021-2022 年期间万鸦老 R. D. Kandou 教授医院重度子痫前期与早产发生率之间的关系。这是一项病例对照研究设计。研究对象为 2021 年 1 月 1 日至 2022 年 12 月 31 日期间在万鸦老 Prof. Dr. R. D. Kandou 医院分娩的母亲。病例样本是早产的母亲,对照样本是足月分娩的母亲。数据来源于在 R. D. Kandou 教授医院妇产科分娩的产妇的医疗记录。卡方检验显示,重度子痫前期最常见的早产是先天性早产(73.7%),最常见的指征是重度子痫前期无子痫前期(43.9%)。经卡方检验,重度子痫前期与早产发生率之间存在显著关系(P=0.000,OR=2.359,95% CI 1.709-3.773)。关键词:重度子痫前期;早产;临产 Abstrak:先兆子痫/子痫可导致早产,包括自发性早产和先兆流产(过期产)。早产儿窒息是一种严重的先天性疾病。在 2021-2022 年期间,该项目将在万鸦老 R. D. Kandou 教授的 RSUP 进行,目的是为早产儿护理提供中心。该项目以对照研究为基础进行分析。早产儿样本指的是早产儿,而对照样本指的是在万鸦老产科医院(Bagian Obstetri Ginekologi RSUP Prof. Dr. R. D. Kandou Manado)获得的早产儿数据。数据显示,在产前检查中发现的早产儿是指先天性早产儿(终止妊娠)(73.7%),而在产前检查中发现的早产儿是指即将发生的早产儿(43.9%)。秩方检验显示,早产儿和早产儿死亡率存在差异(P=0,000;OR=2,539,95% CI 1,709-3,773)。在 2021-2022 年期间,RSUP 的 R. D. Kandou 教授将在万鸦老的 R. D. Kandou 教授的指导下,对早产儿和早产儿死亡率进行分析。