Perbedaan Karakteristik, Jenis Persalinan, Luaran Ibu dan Bayi Antara Preterm Dini dan Lanjut

Mirza Sulanda Panji Putra, Johannes C Mose, Zulfayanti Zulfayanti, Edwin Armawan

Abstract


Tujuan: Kelahiran preterm dibagi menjadi dini dan lanjut. Kelahiran preterm memiliki angka, mortalitas dan morbiditas yang cukup tinggi. Data mengenai preterm dini dan lanjut di RSHS masih minim sehingga penelitian ini perlu untuk dilakukan.
Metode: Penelitian ini merupakan penelitian analitik komparatif secara cross-sectional untuk menganalisis apakah terdapat perbedaan signifikan mengenai karakteristik ibu (riwayat paritas, pendidikan, pekerjaan, riwayat menikah) dengan persalinan preterm dini dan lanjut. Data berjumlah 125 pasien diambil melalui rekam medis dari Januari 2018 sampai Desember 2019.
Hasil: Preterm lanjut ditemukan lebih banyak pada kelompok paritas 1 (60,6%), kelompok pendidikan SMP (40,8%), kelompok pekerjaan ibu rumah tangga (66,7%), dan kelompok status pernikahan menikah (43,9%). Preterm dini ditemukan lebih banyak pada kelompok paritas 3 (53,7%), kelompok pendidikan SD (73,7%), kelompok pekerjaan ibu rumah tanga (58,2%), dan status pernikahan menikah (56,1%). Pada kelompok karakteristik tidak terdapat perbedaan bermakna antara preterm dini dan lanjut. Terdapat perbedaan bermakna antara preterm dini dan lanjut untuk variabel luaran ibu (P = 0,028) dan luaran bayi (P = 0,001).
Kesimpulan: Terdapat perbedaan yang bermakna pada preterm dini dan lanjut untuk variabel luaran ibu (jenis persalinan) dan variabel luaran bayi (ruang rawat bayi).

Differences Between Characteristics, Types of Delivery, Mother and Baby Outcome Between Early and Late Preterm

Abstract
Objective: Preterm birth divided into early and late. Preterm birth has a fairly high incidence, mortality and morbidity rate. Risk factors of preterm birth are multifactorial. Data related to preterm at RSHS is very minimal so this research needs to be done.
Method: This study is a comparative analytic study with cross-sectional approach to analyze the significant differences in characteristics of mothers (parity history, education, occupation, marriage history) preterm labor. Data from 125 patients is collected through medical records from January 2018 to December 2019.
Result: Late preterm was found more in parity 1 group (60.6%), junior high school group (40.8%), housewives (66.7%), and marital status group (43.9%). Early preterm was found more in parity 3 group (53.7%), elementary school group (73.7%), housewives (58.2%), and marital status (56.1%). In characteristic group there were no significant differences between early and late preterm. There were significant differences between early and late preterm variables for maternal outcomes (P = 0.028) and infant outcomes P = 0.001).
Conclusion: There are significant differences between early and late preterm for maternal outcome variables (type of delivery) and infant outcome (level 1 and level III ward).

Key word: Characteristics, type of delivery, outcome, preterm birth.


Keywords


Karakteristik, jenis persalinan, luaran, kelahiran preterm

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References


Cunningham FG, Leveno KJ, Bloom SL, Spong CY, Dashe JS, Hoffman BL, et al. Preterm Birth. Williams Obstetrics. 25th ed. New York: McGraw-Hill Education; 2018. p. 2049.

Chawanpaiboon S, Vogel JP, Moller A-B, Lumbiganon P, Petzold M, Hogan D, et al. Global, regional, and national estimates of levels of preterm birth in 2014: a systematic review and modelling analysis. The Lancet Global Health. 2019;7(1):e37-e46.

Garn JV, Nagulesapillai T, Metcalfe A, Tough S, Kramer MR. International comparison of common risk factors of preterm birth between the US and Canada, using PRAMS and MES (2005–2006). Maternal and child health journal. 2015;19(4):811-8.

Delnord M, Blondel B, Zeitlin J. What contributes to disparities in the preterm birth rate in European countries? Current opinion in obstetrics & gynecology. 2015;27(2):133.

Hidayat ZZ, Ajiz EA, Krisnadi SR. Risk factors associated with preterm birth at hasan sadikin general hospital in 2015. Open Journal of Obstetrics and Gynecology. 2016;6(13):798.

Mottet N, Riethmuller D. Mode of delivery in spontaneous preterm birth. Journal de gynecologie, obstetrique et biologie de la reproduction. 2016;45(10):1434-45.

Organization WH. WHO recommendations on interventions to improve preterm birth outcomes. 2015.

Liu L, Oza S, Hogan D, Chu Y, Perin J, Zhu J, et al. Global, regional, and national causes of under-5 mortality in 2000–15: an updated systematic analysis with implications for the Sustainable Development Goals. The Lancet. 2016;388(10063):3027-35.

Glass HC, Costarino AT, Stayer SA, Brett C, Cladis F, Davis PJ. Outcomes for extremely premature infants. Anesthesia and analgesia. 2015;120(6):1337.

Nott JP, Bonney EA, Pickering JD, Simpson NAB. The structure and function of the cervix during pregnancy. Translational Research in Anatomy. 2016;2:1-7.

Cunningham FG, Leveno KJ, Bloom SL, Spong CY, all e. Preterm labor. Williams Obstetrics. 242014. p. 829-61.

Danielian P, Hall M. The epidemiology of preterm labour and delivery. Preterm labour managing risk in clinical practice. 1: Cambridge University Press; 2005. p. 1-25.

WHO. Preterm birth2015. Available from: www.who.int/mediacentre/factsheets/fs363/en/.

Joseph K, Liu S, Lisonkova S, Hutcheon JA, Sauve R, Allen AC. Influence of definiion based versus pragmatic birth registration on international comparisons of perinatal and infant mortality: population based retrospective study. BMJ. 2012;344:746.

Buhimschi CS, Norman JE. Pathogenesis of spontaneous preterm birth. Creasy and restnik's maternal-fetal medicine: principle and practice. 72014. p. 599-623.

Hamilton BE, Martin JA, Osteman MJK, Curtin SC. Births: preliminary data for 2014. Natl Vital Stat Rep. 2014;64:1-7.

Blencowe H, Cousens S, Oestergaard M, Chou D, Moller A, Narwal R, et al. National, regional, and worldwide estimates of preterm birth rates since 1990 for selected countries : a systematic analysis and implication. Lancet (London, England). 2012;379:2162-72.

Simhan HN, Berghella V, Iams JD. Preterm labor and birth. Creasy and restnik's maternal-fetal medicine: principle and practice. 72014.

Marret S, Ancel P-Y, Marpeau L, Marchand L, Pierrat V, Larroque B, et al. Neonatal and 5-Year outcomes after birth at 30–34 weeks of gestation. Obstetrics and gynecology. 2007;110:72-80.

Wood NS, Marlow N, Costeloe K, Gibson AT, Wilkinson AR. Neurologic and developmental disability after extremely preterm birth. N Engl J Med. 2000;343:378-84.

Marlow N, Wolke D, Bracewell MA, Samara M, Group EPS. Neurologic and developmental disability at six years of age after extremely preterm birth. N Engl J Med. 2005;352(1):9-19.

Winter S, Autry A, Boyle C, Yeargin-Allsopp M. Trends in the prevalence of cerebral palsy in a population-based study. Pediatrics. 2002;110(6):1220-5.

Pinto S, Malheiro MF, Vaz A, Rodrigues T, Montenegro N, Guimarães H. Neonatal outcome in preterm deliveries before 34-week gestation–the influence of the mechanism of labor onset. The Journal of Maternal-Fetal & Neonatal Medicine. 2019;32(21):3655-61.

Loftin RW, Habli M, Snyder CC, Cormier CM, Lewis DF, DeFranco EA. Late preterm birth. Reviews in obstetrics and gynecology. 2010;3(1):10.

Winkvist A, Mogren I, Hogberg U. Familial patterns in birth characteristics: impact on individual and population risks. International journal of epidemiology. 1998;27(2):248-54.

Porter TF, Fraser AM, Hunter CY, Ward RH, Varner MW. The risk of preterm birth across generations. Obstetrics and gynecology. 1997;90(1):63-7.

Smith LK, Draper ES, Manktelow BN, Dorling JS, Field DJ. Socioeconomic inequalities in very preterm birth rates. Archives of disease in childhood Fetal and neonatal edition. 2007;92(1):F11-4.

Thompson JM, Irgens LM, Rasmussen S, Daltveit AK. Secular trends in socio-economic status and the implications for preterm birth. Paediatr Perinat Epidemiol. 2006;20(3):182-7.

Dayan J, Creveuil C, Marks MN, Conroy S, Herlicoviez M, Dreyfus M, et al. Prenatal depression, prenatal anxiety, and spontaneous preterm birth: a prospective cohort study among women with early and regular care. Psychosomatic medicine. 2006;68(6):938-46.

Gavin NI, Gaynes BN, Lohr KN, Meltzer-Brody S, Gartlehner G, Swinson T. Perinatal depression: a systematic review of prevalence and incidence. Obstetrics and gynecology. 2005;106(5 Pt 1):1071-83.

Dole N, Savitz DA, Hertz-Picciotto I, Siega-Riz AM, McMahon MJ, Buekens P. Maternal stress and preterm birth. Am J Epidemiol. 2003;157(1):14-24.

Zlopasa G, Skrablin S, Kalafatic D, Banovic V, Lesin J. Uterine anomalies and pregnancy outcome following resectoscope metroplasty. International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics. 2007;98(2):129-33.

Mercer BM, Goldenberg RL, Moawad AH, Meis PJ, Iams JD, Das AF, et al. The preterm prediction study: effect of gestational age and cause of preterm birth on subsequent obstetric outcome. National Institute of Child Health and Human Development Maternal-Fetal Medicine Units Network. Am J Obstet Gynecol. 1999;181(5 Pt 1):1216-21.

Mercer BM, Goldenberg RL, Das A, Moawad AH, Iams JD, Meis PJ, et al. The preterm prediction study: a clinical risk assessment system. Am J Obstet Gynecol. 1996;174(6):1885-93; discussion 93-5.

Ananth CV, Getahun D, Peltier MR, Salihu HM, Vintzileos AM. Recurrence of spontaneous versus medically indicated preterm birth. Am J Obstet Gynecol. 2006;195(3):643-50.

Newman RB, Iams JD, Das A, Goldenberg RL, Meis P, Moawad A, et al. A prospective masked observational study of uterine contraction frequency in twins. Am J Obstet Gynecol. 2006;195(6):1564-70.

FG FGC, Leveno KJ, Bloom SL, Hauth JC, Wenstrom KD. Preterm birth. WIlliam's obstetrics. 24. New york: Mcgraw-hills; 2014. p. 829-61.

Olah K, Gee H. The prevention of preterm delivery: can we afford to continue to ignore the cervix? Br J Obstet Gynaecol. 1992;99:278-80.

Leitich H, Brunbauer M, Kaider A, Egarter C, Husslein P. Cervical length and dilatation of the internal cervical os detected by vaginal ultrasonography as markers for preterm delivery: A systematic review. Am J Obstet Gynecol. 1999;181(6):1465-72.

Leitich H, Egarter C, Kaider A, Hohlagschwandtner M, Berghammer P, Husslein P. Cervicovaginal fetal fibronectin as a marker for preterm delivery: a meta-analysis. Am J Obstet Gynecol. 1999;180(5):1169-76.

Wirakusumah F. Penentuan usia kehamilan. In: Krisnadi SR, Effendi JS, Pribadi A, editors. Prematuritas. 1: Reflika Aditama; 2009. p. 7-17.

Lockwood C, Kuczynski E. Risk stratification and pathological mechanism in preterm delivery. Paediatr Perinat Epidemiol. 2001;15:78-89.

Lockwood C, Kuczynski E. Makers of risk for preterm delivery. J Perinat Med. 1999;27:5-20.

Goldenberg RL, Culhane J, Iams J, Romero R. Epidemiology and causes of preterm birth. Lancet (London, England). 2008;371:75-84.

Slattery M, Morrison J. Preterm delivery. Lancet (London, England). 2002;360(1489-97).

Tucker CM, Berrien K, Menard MK, Herring AH, Daniels J, Rowley DL, et al. Predicting Preterm Birth Among Women Screened by North Carolina's Pregnancy Medical Home Program. Maternal and child health journal. 2015;19(11):2438-52.

Ion R, Bernal AL. Smoking and Preterm Birth. Reproductive sciences (Thousand Oaks, Calif). 2015;22(8):918-26.

Beeckman K, Van de Putte S, Putman K, Louckx F. Predictive social factors in relation to preterm birth in a metropolitan region. 2009;88(7):787-92.

Kersten I, Lange AE, Haas JP, Fusch C, Lode H, Hoffmann W, et al. Chronic diseases in pregnant women: prevalence and birth outcomes based on the SNiP-study. BMC pregnancy and childbirth. 2014;14:75-.

Vink J, Feltovich H. Cervical etiology of spontaneous preterm birth. Seminars in fetal & neonatal medicine. 2016;21(2):106-12.

Chiavarini M, Bartolucci F, Gili A, Pieroni L, Minelli L. Effects of individual and social factors on preterm birth and low birth weight: empirical evidence from regional data in Italy. International Journal of Public Health. 2012;57(2):261-8.

Iyoke C, Lawani L, Ezugwu E, Ilo K, Ilechukwu G, Asinobi I. Maternal risk factors for singleton preterm births and survival at the University of Nigeria Teaching Hospital, Enugu, Nigeria. Nigerian journal of clinical practice. 2015;18(6):744-50.

Morgan JC, Boyle EM. The late preterm infant. Paediatrics and Child Health. 2018;28(1):13-7.

Shapiro-Mendoza CK, Lackritz EM, editors. Epidemiology of late and moderate preterm birth. Seminars in Fetal and Neonatal Medicine; 2012: Elsevier.




DOI: http://dx.doi.org/10.24198/obgynia/v4n2.297

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