Prenatal Risk Factors on Children’s Cerebral Palsy Case at RSIA Bunda Jakarta

B. Lariza, K. D. Artanti, Taufiq Hidayat
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Abstract

Introduction: Cerebral Palsy is a disease that is less recognized by the public due to the lack of information related to CP in Indonesia. Aims to analyze prenatal risk factors that influence the evidence of CP RSIA Bunda Jakarta.Methods: This study was conducted in April 2021 at RSIA Bunda Jakarta, an analytical study with a case control design. The sample in this study were 124 respondents from mothers of children who underwent outpatient treatment at the RSIA Bunda Jakartaas cases and controls. each taken by simple random sampling technique. Data were analyzed using the test chi-square to analyze the relationship between variables.Results: The results of statistical analysis showed that the risk factors associated with the incidence of CP were maternal age (p= 0.00; OR= 13.25; 95% CI= 2.93-59.93), preeclampsia (p= 0.00; OR= 2,06; 95% CI= 1,71-2,48), TORCH (p= 0.00; OR= 2.40; 95% CI= 1.92-3.01), and antenatal care (p= 0.00; OR= 41.2; 95% CI= 5.45-317.0). Conclusion: Risk factors affecting the occurrence of CP in children include age <20 or ≥35 years, preeclampsia, TORCH infection and antenatal care visits <4 times. It is necessary to increase intervention programs at various levels of health services to diagnose and prevent the occurrence of cerebral palsy in children so that optimal maternal and child health is achieved. and further research is needed to determine other risk factors that can cause CP in children such as perinatal and postnatal risk factors.
雅加达班达RSIA儿童脑瘫病例的产前危险因素分析
在印度尼西亚,由于缺乏与脑瘫相关的信息,脑瘫是一种不被公众认识的疾病。目的分析影响雅加达班达新生儿RSIA证据的产前危险因素。方法:本研究于2021年4月在雅加达班达RSIA进行,采用病例对照设计的分析性研究。本研究的样本为124名在雅加达班达RSIA接受门诊治疗的儿童母亲,包括病例和对照组。每一个都采用简单的随机抽样技术。数据分析采用检验卡方分析变量之间的关系。结果:统计分析结果显示,与CP发生相关的危险因素为:产妇年龄(p= 0.00;或= 13.25;95% CI= 2.93-59.93),先兆子痫(p= 0.00;或= 2,06;95% CI= 1,71-2,48), TORCH (p= 0.00;或= 2.40;95% CI= 1.92-3.01),产前保健(p= 0.00;或= 41.2;95% ci = 5.45-317.0)。结论:影响儿童CP发生的危险因素包括年龄<20岁或≥35岁、先兆子痫、TORCH感染和产前保健次数<4次。有必要在各级卫生服务中增加干预方案,以诊断和预防儿童脑瘫的发生,从而实现最佳的母婴健康。需要进一步的研究来确定其他可能导致儿童CP的风险因素,如围产期和产后风险因素。
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