Korelasi antara Kadar 25 Hidroksi Vitamin D3 dengan Kekuatan Levator Ani pada Primipara 42 Hari Pascapersalinan Spontan

Rizkar Arev Sukarsa, Bharata Yudha, Tita Husnitawati Madjid, Jusuf Sulaeman Effendi, Benny Hasan Purwara, Muhammad Alamsyah Aziz

Abstract


Abstrak
Tujuan: Menganalisis korelasi antara kadar 25 hidroksi vitamin D3 dengan kekuatan kontraksi levator ani pada primipara 42 hari pasca persalinan spontan.
Metode : Penelitian observasional analitik dilakukan pada primipara pasca persalinan spontan yang memenuhi kriteria inklusi penelitian (n=48). Penelitian dilakukan di Poliklinik Obstetri dan Laboratorium Patologi Klinik Fakultas Kedokteran Universitas Padjadjaran/Rumah Sakit Dr. Hasan Sadikin bulan Agustus-September 2017. Dilakukan pengukuran kadar vitamin D serum, serta pemeriksaan perineometer tonus basal dan kontraksi maksimal levator ani subjek. Data yang didapat diolah menggunakan SPSS 23 untuk windows.   
Hasil: Terdapat korelasi positif antara kadar vitamin D dengan tonus basal levator ani (r=0,76, r2 = 0,58) dan antara kadar vitamin D dengan kontraksi maksimal levator ani (r=0,803, r2 = 0,645) yang bermakna secara statistik (p <0,05). Penelitian ini menunjukkan terdapat korelasi kuat dengan arah korelasi positif  antara kadar 25 hidroksi vitamin D3 dengan kekuatan kontraksi levator ani pada primipara 42 hari pasca persalinan spontan.
Kesimpulan : Kadar vitamin D yang tinggi diduga akan meningkatkan kontraksi levator ani pada primipara pasca persalinan spontan.

Kata kunci: 25 Hidroksi vitamin D3, kontraksi levator ani, perineometer


Abstract
Objective: To analyze the correlation between 25 hydroxy vitamin D3 levels with the strength of levator ani contraction at primipara 42 days post-spontaneous delivery.
Method: Observational analytic study  was conducted on spontaneous postpartum primiparas meeting the inclusion criteria (n=48). The research was conducted in Obstetric Polyclinic and Clinical Serology Clinical Pathology Laboratory of Faculty of Medicine Universitas Padjadjaran/ Dr. Hasan Sadikin General Hospital  in August-September 2017. A serum vitamin D assay was performed, vaginal resting tone and maximum contraction of the levator ani was measured with the perineometer on the subject. Data was analyzed by SPSS 23 for windows.
Results: There were positive correlation between vitamin D level and vaginal resting tone (r=0,76, r2=0,58) and between vitamin D level with maximum contraction of levator ani (r=0,803, r2=0,645) which was statistically significant (p<0.05). The study showed that there was a strong positive correlation  between the levels of 25 hydroxy vitamin D3 with the strength of levator ani contraction in primipara 42 days post-spontaneous delivery.
Consclusion: High levels of vitamin D can supposedly improve levator ani contraction in primipara post spontaneous delivery.

Key  words: 25 Hydroxy vitamin D3, levator ani contraction, perineometer



Keywords


25 Hidroksi vitamin D3, kontraksi levator ani, perineometer

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References


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DOI: http://dx.doi.org/10.24198/obgynia.v1n2.68

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