"Faktor Risiko Kejadian Hipertensi dalam Kehamilan pada Ibu Hamil di Pr" by Putri Amalia Firjatillah and Sudarto Ronoatmodjo
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Abstract

Hypertension during pregnancy is one of the most common pregnancy complications and the leading cause of maternal mortality in Indonesia. One of the regions in Indonesia with a high number of hypertension-related pregnancy complications is East-Java Province with a prevalence rate of 17,8%. This study aims to analyze the risk factors associated with hypertension during pregnancy among pregnant women in East Java. The study adopts a cross-sectional design using secondary data from 758 pregnant women aged 15-54 years in East Java Province who participated in 2018 Riskesdas Survey during which blood pressure measurements were taken. The dependent variable analyzed in this study is hypertension during pregnancy while the independent variables include age, residence, occupation, education level, gravidity status, and history of abortion. The results of this study showed that prevalence of hypertension during pregnancy in East Java Province is 9,9%. The variables of age, occupation, education level, gravidity status, and history of abortion were found to have no significant association with the occurrence of hypertension during pregnancy. The most significant factor associated with hypertension during pregnancy in East Java is residence. Pregnant women in rural areas are 1,771 times more likely to have hypertension during pregnancy than those living in urban areas (aPOR = 1.77; 95% CI = 1.08-2.88). Prevention and control of hypertension during pregnancy programs are very important. The government needs to improve the quality of health facility infrastructure and the distribution of health workers in rural areas.

References

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Bahasa Abstract

Hipertensi dalam kehamilan adalah salah satu komplikasi yang banyak terjadi pada ibu hamil dan penyumbang angka kematian ibu tertinggi di Indonesia. Jawa Timur termasuk salah satu wilayah di Indonesia dengan kasus komplikasi hipertensi dalam kehamilan cukup tinggi; namun, informasi terkait hal tersebut masih terbatas. Oleh karena itu, penelitian ini bertujuan menganalisis faktor risiko kejadian hipertensi dalam kehamilan pada ibu hamil di provinsi Jawa Timur. Penelitian ini menggunakan desain studi cross sectional dengan menggunakan data sekunder dari 758 subjek ibu hamil dengan usia 15-54 tahun di Provinsi Jawa Timur yang menjadi responden Riskesdas 2018. Variabel dependen penelitian ini adalah hipertensi dalam kehamilan sedangkan variabel independen adalah usia, tempat tinggal, pekerjaan, tingkat pendidikan, status gravida, dan riwayat aborsi. Studi menunjukkan bahwa prevalensi kejadian hipertensi dalam kehamilan di provinsi Jawa Timur sebesar 9,9%. Variabel usia, pekerjaan, tingkat pendidikan, status gravida, serta riwayat aborsi diketahui tidak berhubungan dengan kejadian hipertensi dalam kehamilan. Variabel yang berhubungan signifikan dengan terjadinya komplikasi hipertensi dalam kehamilan di Provinsi Jawa Timur adalah tempat tinggal (aPOR = 1,77; 95% CI = 1,08-2,88). Upaya pencegahan dan pengendalian hipertensi dalam kehamilan sangat penting untuk dilakukan. Pemerintah perlu meningkatkan kualitas infrastruktur fasilitas pelayanan kesehatan serta distribusi tenaga kesehatan di wilayah perdesaan.

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