ANALISIS FAKTOR RISIKO ATONIA UTERI

Melati Julizar, jusuf S. Effendi, Hadyana Sukandar

Abstract


Maternal mortality rate in Indonesia is still relatively high. The biggest cause of maternal mortality in Indonesia is bleeding. Most bleeding in the puerperium (75-80%) is uterine atony. Uterine atony is the most frequent cause of the occurrence of bleeding postpartum. This study aimed to analyze the risk factors for uterine atony in Cut Meutia General Hospital and Health Center PONED in North Aceh district. This study uses a case control design, as a case group, maternal postpartum hemorrhage with uterine atony and control group, maternal postpartum hemorrhage without uterine atony. The sample size for each selected group 69 (the number of cases during the period from 2015 to 2017) while the control selected at random with the same number as many as 69 cases. Data analysis using chi square and multiple logistic regression. The results of the research bivariable indicates a meaningful associated with uterine atony is preeclampsia with OR 10,30 (CI 95%: 2,91-36,41), twin pregnancy with OR 17,31 (CI 95%: 2,21-135,76), induction of labor with an OR 4,39 (CI 95%: 1,0-21,45), grande multipara with OR 4,52 (CI 95%: 1,61-12,73) compared with primipara. Multivariable those associated with uterine atony is the age of the mother with OR 2,98 (CI 95%: 0,56-15,82), preeclampsia with OR 20,27 (CI 95%: 4,66-88,20), induction of labor with an OR 6,69 (CI 95%: 1,12-39,95), twin pregnancy with OR 52,39 (CI 95%: 5,65-486,03), anemia with OR 3,06 (CI 95%: 1,07-8,69). This study concluded that parity, preeclampsia, twin pregnancy and labor induction were risk factors for the incidence of uterine atony with twin pregnancy as the most dominant factor in the incidence of uterine atony.

Keywords : Risk factors; Uterine Atony.

Keywords


Atonia uteri; faktor risiko.

Full Text:

PDF

References


Achebe MM, Gafter-Gvili A. (2016). How I treat anemia in pregnancy: iron, cobalamin and folate. The American Society of Hematology.1-36.

Anggrainy V, Irianto, Irmayanti. (2013). Faktor-Faktor yang Mempengaruhi Kejadian Atonia Uteri. Media Bina Ilmiah. 7(5): 4-5.

Alkema L, Chou D, Hogan D, Zhang S, Moller AB, Gemmill A, et al (2016). Global, regional, and national levels and trends in maternal mortality between 1990 and 2015, with scenario-based projections to 2030: a systematic analysis by the UN Maternal Mortality Estimation Inter-Agency Group.Lancet; 387 (10017): 462-474.

Anwar AD, Harsono AB, Sasotya RMS, Amarullah MN, Hidayat D. (2013).Bandung Controversies and Consensus in Obstetrics & gynecology. Jakarta: CV Sagung Seto.

Cunningham FG, Lenovo KL, Bloom SL, Hauth JC et al. (2005)Obstetri Williams Edisi 21. Jakarta: EGC.

Dinas Kesehatan Aceh. (2017). Profil kesehatan aceh 2016.

Dinas Kesehatan Provinsi Aceh. (2016). Profil Kesehatan Aceh 2015.19-22.

Dinas kesehatan Aceh. (2017)Profil Kesehatan Aceh tahun 2016. 25-28.

Dinas Kesehatan Aceh Utara. (2017).Laporan PWS Aceh Utara 2017.

Gabbe SG, Gabbe JR, Berghella V, Galan HL, Grobman WA, Simpson JL. (2017). Obstetrics: Normal and Problem Pregnancies. Ed 7. Elsevier.

Hanif. (2018).Tapak Tilas Kasus Kematian Ibu dan Bayi di Aceh. Banda Aceh, 3 Februari.

KEMENKES RI. (2018).Laporan Kinerja Ditjen Kesehatan Masyarakat tahun 2017. Direktorat Jenderal Kementrian Kesehatan 2018.

Kristi NL, Suprihatiningsih, Prasetyowati. (2011). Hubungan induksi oksitosin dan paritas dengan kejadian atonia uteri pada ibu bersalin yang mengalami perdarahan post partum di rsud a. Yani metro tahun 2010. J Kesehatan Metro Sai Wawai. 4(1): 9-15.

Lestari GI. (2014). Analisis Hubungan Anemia Dengan Perdarahan Postpartum Di Rsud Jendral Ahmad Yani Kota Metro Tahun 2013. Jurnal Kesehatan Metro Sai Wawai. 7(2):65-75.

Lisonkova A. Mehrabadi A, Allen VM, Bujold E, Crane J, Gaudet L. (2016). Atonic postpartum hemorrhage: blood loss, risk factor, and third stage management. J Obstet Gynaecol Can. 38(12): 1081-1090.

Manuaba, Ida BG. (2008).ilmu kebidanan, penyakit kandungan dan keluarga berencana. Jakarta: Buku kedokteran EGC.

Nurchairina. (2017). Hubungan Overdistensi Uterus Dengan Kejadian Atonia Uteri Pada Ibu Post Partum Di Sebuah Rumah Sakit Di Provinsi Lampung. Jurnal Keperawatan.13(2):215-20.

Puskesmas PONED Nisam. (2018).Buku Register tahun 2015-2017.

Puskesmas PONED Lhoksukon. (2018). Buku Register tahun 2015-2017.

Puskesmas PONED Krung Mane (Muara Batu). (2018). Buku Register tahun 2015-2017.

Rumah Sakit Umum Cut Meutia. (2018) Data Rekam Medik tahun 2015-2018.

Say L, Chou D, Gemmill A, Tunçalp O, Moller AB, Daniels JD, et al (2014). Global Causes of Maternal Death: A WHO Systematic Analysis. Lancet Global Health.;2(6): e323-e333.

Tenore JL. (2003) Methods for cervikal ripening and induction of labour. Am Fam Physc. 67(10): 2123-8

Wetta LA, Szychows JM , Seals S, Mancuso MS, Biggio JR, Tita AT. (2013). Risk factors for uterine atony/postpartum hemorrhage requiring treatment after vaginal delivery. Am J Obstet Gynecol.209:51.e1-6.

WHO, UNICEF, UNFPA, World Bank, the United Nations Population Division. (2015). Trends in Maternal Mortality: 1990 to 2015. WHO, UNICEF, UNFPA, World Bank Group and the United Nations Population Division.

Wiknjosastro, Hanifa.(2008). Ilmu Kebidanan. Jakarta: Yayasan Bina Pustaka Sarwono Prawirohardjo




DOI: http://dx.doi.org/10.33366/jc.v7i3.1399

Article metrics

Abstract views : 49 | views : 102

Refbacks

  • There are currently no refbacks.


Copyright (c) 2019 Melati Julizar, jusuf S. Effendi, Hadyana Sukandar

Creative Commons License
Care :Jurnal Ilmiah Ilmu kesehatan by https://jurnal.unitri.ac.id/index.php/care is licensed under a Creative Commons Attribution 4.0 International License.

View My Stats