Gambaran Prevalensi dan Faktor Risiko Ibu pada Pasien Intrauterin Growth Restriction di Rumah Sakit Umum Pendidikan Hasan Sadikin Bandung

Giritama Irwantoro, Dini Hidayat, Muhammad Alamsyah Aziz

Abstract


Tujuan: Penelitian ini akan dilakukan untuk identifikasi prevalensi dan faktor risiko ibu terhadap angka kejadian IUGR di Rumah Sakit Umum Penidikan (RSUP) Dr. Hasan Sadikin Bandung.
Metode: Penelitian ini menggunakan desain deskriptif retrospektif menggunakan data sekunder dengan melihat data rekam medik rawat inap pasien hamil dengan IUGR yang lahir di RSUP Dr. Hasan Sadikin Bandung periode bulan Januari 2018 – Desember 2019 berdasarkan kriteria inklusi dan eksklusi.
Hasil: Prevalensi kasus IUGR di RSUP Hasan Sadikin Bandung adalah 76,16 orang per 1000 kehamilan. Karakteristik pasien dengan diagnosis IUGR terbanyak pada usia 21-34 tahun (64,32%), dengan paritas paling banyak pada primipara dengan total 147 kasus (79,45%). Faktor Risiko IUGR terdiri dari nilai BMI terbanyak dengan 86 subjek (46.5%) memiliki nilai BMI di atas batas normal. Tiga puluh lima subjek penelitian (18.9%) memiliki riwayat merokok, sementara 15 pasien (8.1%) memiliki riwayat mengonsumsi alkohol. Penyulit dalam kehamilan dengan PEB sebagai penyakit penyulit terbanyak. 28 pasien (15,1%). Pasien memiliki riwayat penyakit kronis 25 orang (13,5%) di antaranya mempunyai riwayat hipertensi kronis. Mayoritas dari seluruh pasien bersekolah hingga jenjang sekolah menengah.
Kesimpulan: Prevalensi kasus IUGR di RSUP Hasan Sadikin Bandung adalah 76,16 orang per 1000 kehamilan. Karakteristik pasien terbanyak pada usia 21-34 tahun (64,32%), dengan paritas paling banyak pada primipara dengan total 147 kasus (79,45%).

Description of Maternal Prevalence and Risk Factors in Intrauterine Growth Restriction Patients at Hasan Sadikin General Hospital Bandung

Abstract
Objective: This study will identify the prevalence and risk factors of mothers for the incidence of IUGR in the General Hospital of Dr. Hasan Sadikin Bandung.
Method: This research uses a retrospective descriptive design, using secondary data from the medical records of pregnant inpatients with IUGR born in RSUP Dr. Hasan Sadikin Bandung from January 2018 - December 2019 based on inclusion and exclusion criterias.
Result: The prevalence of IUGR cases in RSUP Hasan Sadikin Bandung was 76.16 patients per 1000 pregnancies. The majority of patients with IUGR was at the age of 21-34 years (64.32%), with primipara was 147 of the cases (79.45%). The IUGR Risk Factor consists of 86 subjects (46.5%) having a BMI value above the normal limit, 35 study subjects (18.9%) had a history of smoking, and 15 patients (8.1%) had a history of consuming alcohol. Twenty-eight pregnancies (15.1%) complicated with preeclampsia. Patients with chronic diseases were 25 patients (13.5%) with chronic hypertension. The majority of the last education of all patients is in high school.
Conclusion: Further research needed to assess the risk factors for the occurrence of intrauterine growth restriction (IUGR). Several components of fetal and uteroplacental risk factors, as well as other welfare level risk factors, may also need to be involved in the assessment of socioeconomic risk factors.

Keyword: Prevalence, Intrauterine Growth Restriction. Risk Factor


Keywords


Prevalensi, Intrauterine Growth Restriction, Faktor Risiko

Full Text:

PDF

References


Galan H, Grobman W. Fetal growth restriction. Protocols for High-Risk Pregnancies. 2015. h. 340.

Nardozza LMM, Caetano ACR, Zamarian ACP, Mazzola JB, Silva CP, Marçal VMG, dkk. Fetal growth restriction: current knowledge. Archives of gynecology and obstetrics. 2017;295(5):1061-77.

Sharma D, Shastri S, Sharma P. Intrauterine growth restriction: antenatal and postnatal aspects. Clinical Medicine Insights: Pediatrics. 2016;10:CMPed. S40070.

Suhag A, Berghella V. Intrauterine growth restriction (IUGR): etiology and diagnosis. Current Obstetrics and Gynecology Reports. 2013;2(2):102-11.

Leveno KJ, Spong CY, Dashe JS, Casey BM, Hoffman BL, Cunningham FG, dkk. Williams Obstetrics, 25th Edition.Edisi.: McGraw-Hill Education; 2018.

Ismah Z. Kecenderungan Jarak Antar Kehamilan Pada Maternal Di Kota Palembang Dan Analisis Pengaruhnya Terhadap Iugr (Intrauterine Growth Restriction). 2018.

Nuraini LAP, Rohmah F. GAMBARAN FAKTOR PENYEBAB “INTRAUTERINE GROWTH RESTRICTION”(IUGR) DI RUMAH SAKIT KHUSUS IBU DAN ANAK SADEWA SLEMAN. 2017.

Muniyar N, Kamble V, Kumar S. IUGR Pregnancies-Feto-Maternal Outcome. Gynecol Obstet (Sunnyvale). 2017;7(6):1-3.

Shechter-Maor G, Sadeh-Mestechkin D, Paz YG, Halevy RS, Markovitch O, Biron-Shental T. Does parity affect pregnancy outcomes in the elderly gravida? Archives of gynecology and obstetrics. 2020;301(1):85-91.

Manandhar T, Prashad B, Nath Pal M. Risk factors for intrauterine growth restriction and its neonatal outcome. Gynecol Obstet. 2018;8(464):2161-0932.1000464.

Motghare D, Vaz FS, Pawaskar A, Kulkarni M. Maternal determinants of intrauterine growth restriction in Goa, India: a case-control study. Global Journal of Medicine and Publi c Health. 2014;3:O8.

Singh A, Ambujam K. Maternal socio-demographic determinants and fetal outcome of intrauterine growth restriction. International Journal of Reproduction, Contraception, Obstetrics and Gynecology. 2018;7(9):3843-7.

Sbrana M, Grandi C, Brazan M, Junquera N, Nascimento MS, Barbieri MA, dkk. Alcohol consumption during pregnancy and perinatal results: a cohort study. Sao Paulo Medical Journal. 2016;134(2):146-52.

Gleicher N. Principles of medical therapy in pregnancy.Edisi.: Springer Science & Business Media; 2012.

Seely EW, Ecker J. Chronic hypertension in pregnancy. Circulation. 2014;129(11):1254-61.




DOI: http://dx.doi.org/10.24198/obgynia/v4n2.283

Refbacks

  • There are currently no refbacks.


Alamat Redaksi

 

KSM/Dep Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran RSUP Dr. Hasan Sadikin

Jl. Pasteur No 38 Bandung 40161 

Telp: 0813-2012-9954

Email: obgyniajurnal@gmail.com

 

 

 




Indexed By
         



Web Analytics
View My Stats

Indonesian Journal of Obstetrics & Gynecology Science @2017