RISK FACTORS OF PREECLAMPSIA WITH SEVERE FEATURES AND ITS COMPLICATIONS
Downloads
Abstract
.
Background : The maternal mortality rate in Indonesia is dominated by preeclampsia as the second highest cause after bleeding. Several predictors can be categorized as risk factors that can be used to increase alertness in the care of pregnant women with severe preeclampsia to avoid complications. The purpose of this study was to study the relationship between risk factors for severe preeclampsia and its complications. Methods: This study used an observational analytic method with a case control design. The sampling technique is simple random sampling. The number of samples in this study were 80 samples, with 40 samples in each group. The case group was severe preeclampsia with one complication and the control group was severe preeclampsia without complications. Statistical analysis used was chi square and multiple logistic regression analysis. Results: The results showed that there was a significant relationship between age variables (p value = 0.001 < 0.05; OR = 5.318; CI = 2.118 – 13,356), BMI (p value = 0.002 < 0.05; OR = 6.000; CI = 1.958 – 18.384 ) and gestational age (p value = 0.039 < 0.05; OR = 2.636; CI = 1.040 – 6.685). Multiple logistic regression analysis showed that BMI (p = 0.003), age (p = 0.001) and gestational age (p = 0.048) were variables included in the final modeling of the regression analysis with the incidence of severe preeclampsia complications. Conclusion: BMI is the variable that has the strongest relationship with the incidence of severe preeclampsia complications.
Abalos, E. et al. (2013) ‘Global and regional estimates of preeclampsia and eclampsia : a systematic review', European Journal of Obstetrics & Gynecology and Reproductive Biology, 170(1), pp. 1–7.
Anna, W. et al. (2019) ‘Early- and Late-Onset Preeclampsia : A Comprehensive Cohort Study of Laboratory and Clinical Findings according to the New', International Journal of Hypertension, 2019.
Arasi, E. N., Padmavathy, M. and Fatima, S. S. (2017) ‘A Review Article of Cases with Thrombocytopenia Diagnosed as HELLP Syndrome', International Journal of Contemporary Medical Research, 4(9), pp. 1915–1918.
Barry, Y. et al. (2019) ‘Maternal admissions to intensive care units in France : Trends in rates , causes and severity from 2010 to 2014', Anaesthesia Critical Care & Pain Medicine. Société française d'anesthésie et de réanimation (Sfar), (2018), pp. 10–17. doi: 10.1016/j.accpm.2018.12.007.
Dalal, M. et al. (2019) ‘Maternal and perinatal outcome in eclampsia at a tertiary care center', IJRCOG, 8(10), pp. 3898–3902.
Gaffney, A. (2014) ‘Critical care in pregnancy ” Is it different ?', Seminars in Perinatology. Elsevier, 38(6), pp. 329–340. doi: 10.1053/j.semperi.2014.07.002.
Hung, T. H., Hsieh, T. T. an. and Chen, S. F. (2018) ‘Risk of abnormal fetal growth in women with early- and late-onset preeclampsia', Pregnancy Hypertension. Elsevier, 12(September 2017), pp. 201–206. doi: 10.1016/j.preghy.2017.09.003.
Ilham, M. et al. (2019) ‘The Hypertension in Pregnancy Problems in Indonesia', ResearchGate, (April), pp. 4–8.
Indriani, N. (2012) ‘Analisis Faktor - faktor yang Berhubungan dengan Preeklampsia/Eklampsia pada Ibu Bersalin di RSUD Kardinah Kota Tegal', Jurnal Kesehatan Masyarakat.
Jeyabalan, A., Hubel, C. A. and Roberts, J. M. (2014) Metabolic syndrome and preeclampsia. Fourth Edi, Chesley's Hypertensive Disorders in Pregnancy, Fourth Edition. Fourth Edi. Elsevier Inc. doi: 10.1016/B978-0-12-407866-6.00007-9.
Karima, N. M., Machmud, R. and Yusrawati, Y. (2015) ‘Artikel Penelitian Hubungan Faktor Risiko dengan Kejadian Pre-Eklampsia', Jurnal FK Unand, 4(2), pp. 556–561.
Lecarpentier, E. et al. (2013) ‘Risk Factors of Superimposed Preeclampsia in Women with Essential Chronic Hypertension treated before pregnancy', PLoS One, 8((5)), p. e62140.
Lisonkova, S. et al. (2019) ‘Risk factors, pregnancy complications and severe adverse outcomes associated with HELLP syndrome: a population-based study', The American Journal of Obstetrics & Gynecology. Elsevier Inc., 220(1), p. S342. doi: 10.1016/j.ajog.2018.11.531.
Malmstrom, O. and Morken, N. (2018) ‘HELLP syndrome , risk factors in first and second pregnancy : a population-based cohort study', AOGS, 97, pp. 709–716. doi: 10.1111/aogs.13322.
Parnell, B. et al. (2015) Chronic Hypertension and Pregnancy Outcomes. Fourth Edi, Obstetric Anesthesia Digest. Fourth Edi. Elsevier Inc. doi: 10.1097/01.aoa.0000460375.20198.f1.
POGI (2016) ‘PNPK Diagnosis dan Tatalaksana Preeklampsia', pp. 1–48.
Sailaja, B. et al. (2018) ‘Original Research Article A study on risk factors , maternal and foetal outcome in cases of preeclampsia and eclampsia at a tertiary care hospital of South India', International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 7(1), pp. 266–271.
Seeho, S. K. et al. (2016) ‘Early-onset preclampsia appears to discourage subsequent pregnancy but the risks may be overestimated', The American Journal of Obstetrics & Gynecology. Elsevier Inc., 215(6), p. 785.e1-785.e8. doi: 10.1016/j.ajog.2016.07.038.
Seppanen P, Sund R, Roos, M;Unkila R, Merilainen, M;Helminen, M;Suominen, T. (2016) ‘Obstetric admission to ICUs in Finland : A Multi centre study', Intensive & Critical Care Nursing, 35 August, pp. 38–44.
Speroff, L. and Fritz, M. (2011) ‘Clinical Endocrinology and Infertility', Lippincott Williams & Wilkins. doi: 10.4183/aeb.2005.240.
Still, M. E. et al. (2018) ‘Risk factors for eclampsia in pregnant women with preeclampsia and positive neurosensory signs Preeklampsi ve pozitif nörosensör belirtileri olan gebelerde', Turk J Obstet Gynecol, 15, pp. 227–34. doi: 10.4274/tjod.22308.
Teresa, M., Lam, C. and Dierking, E. (2017) ‘Intensive Care Unit issues in eclampsia and HELLP syndrome', pp. 136–141. doi: 10.4103/IJCIIS.IJCIIS.
Ward, K. and Taylor, R. N. (2014) Genetic factors in the etiology of preeclampsia/eclampsia. Fourth Edi, Chesley's Hypertensive Disorders in Pregnancy, Fourth Edition. Fourth Edi. Elsevier Inc. doi: 10.1016/B978-0-12-407866-6.00004-3.
Zhao, Z. et al. (2018) ‘Pregnancy-Related ICU Admissions From 2008 to 2016 in China: A First Multicenter Report', Critical Care Medicine, 46(10), pp. 6–13. doi: 10.1097/CCM.0000000000003355.
1. The journal allows the author to hold the copyright of the article without restrictions.
2. The journal allows the author(s) to retain publishing rights without restrictions
3. The formal legal aspect of journal publication accessibility refers to Creative Commons Atribution-Share Alike 4.0 (CC BY-SA).
This Journal (e-ISSN 2656-7806) is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
