Overview of The Risk Factors of Spontaneous Abortus Among Young Pregnancy Woman: A Systemic Review

Zaki Miftah Nalalindra Tan, Setyorini Irianti, Lulu Eva Rakhmilla, Muhammad Raihan Ramdhan, Raden Tina Dewi Judistiani, Budi Handono


Abstract


Objective: To identify the risk factors of spontaneous abortus among young pregnancy women.
Methods: We used PubMed and ScienceDirect databases and electronic journals such as the American Journal of Obstetrics and Gynecology and the International Journal of Gynecology and Obstetrics. The articles were screened based on inclusion and exclusion criteria. The keywords used for inclusion were “Risk Factors,” “Abortus,” and “Young Maternal Age.” Next, articles were quality assessed using the JBI Critical Appraisal Checklist. The extracted data were presented in the table and narrative synthesis.
Result: This review has six studies that has identified the risk factors of spontaneous abortus among young pregnancy woman. The risks were body mass index, maternal habits, infection, coital, and experience of IPV. However, some factors, such as iodine level, are insignificant to spontaneous abortuses. This review also found that infection also had a role in the complications of spontaneous abortus. The limitation of this study was each variable was different in each survey. So, we couldn’t compare each variable to avoid bias from each study.
Conclusion: The most affected risk factors of spontaneous abortus among young pregnancy woman are an infection, followed by first coital age, IPV, partner controlling behaviour, BMI, and maternal smoking habit.

Faktor Risiko Abortus Spontan pada Kehamilan Usia Muda: Systematic Review

Abstrak
Tujuan: Mengidentifikasi faktor risiko abortus spontan pada kehamilan usia muda.
Metode: Kami menggunakan database web-based berupa PubMed dan ScienceDirect dan jurnal elektrik berupa American Journal of Obstetrics and Gynecology dan International Journal of Gynecology. Artikel yang didapatkan akan dilakukan skrining berdasarkan kriteria inklusi dan kriteria eksklusi. Kata kunci yang digunakan untuk melakukan inklusi berupa “Faktor Risiko”, “Abortus”, dan “Kehamilan Usia Muda”. Selanjutnya, artikel dilakukan penilaian kualitas menggunakan JBI Critical Appraisal Checklist. Data yang diekstrak disajikan dalam bentuk dabel dan narasi.
Hasil: Sebanyak 6 penelitian yang ditelaah mengidentifikasi faktor risiko abortus spontan pada kehamilan usia muda berupa indeks massa tubuh, kebiasaan ibu hamil, infeksi, koitus, dan pengalaman kekerasan oleh pasangan. Namun, kadar iodine dalam tubuh tidak memengaruhi secara signifikan kejadian abortus spontan. Penelitian ini juga menemukan bahwa infeksi juga memiliki peran dalam terjadinya komplikasi pada abortus spontan. Keterbatasan pada penelitian ini adalah tidak ada variable yang sama dari artikel ditelaah. Oleh karena itu perbandingan tidak dapat dilakukan untuk mencegah kemungkinan kecenderungan pada penelitian yang ditelaah.
Kesimpulan: Faktor risiko yang paling mempengaruhi abortus spontan pada ibu hamil Ketika usia muda adalah infeksi, diikuti dengan usia pada saat koital pertama, kekerasan dari pasangan, kebiasaan mengontrol pasangan, indeks massa tubuh, dan kebiasaan merokok.

Kata Kunci: Abortus Spontan, Faktor Risiko, Kehamilan Usia Muda 


Keywords


Spontaneous abortus, Risk factor, Young pregnancy woman

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DOI: http://dx.doi.org/10.24198/obgynia.v8i1.741

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