Factors Influencing the Incidence of Preeclampsia at Tiley Health Center

Praise Astuti Mahmud; Reny Retnaningsih

doi:10.55606/jig.v3i4.8752

Authors

Praise Astuti Mahmud Institut Sains dan Teknologi Kesehatan Rumah Sakit Dr. Soepraoen
Reny Retnaningsih Institut Sains dan Teknologi Kesehatan Rumah Sakit Dr. Soepraoen

DOI:

https://doi.org/10.55606/jig.v3i4.8752

Keywords:

Antenatal Care, Preeclampsia, Pregnant Women, Primary Health Care, Risk Factors

Abstract

Preeclampsia is a pregnancy complication that contributes significantly to maternal and perinatal morbidity and mortality, especially in developing countries. Despite various preventive measures, preeclampsia is still frequently found at the primary health care level. This study aims to analyze the factors influencing the incidence of preeclampsia in pregnant women at the Tiley Care Community Health Center. This study used an observational analytical design with a cross-sectional approach. The study population was all pregnant women who visited antenatal care at the Tiley Care Community Health Center, with a sample of 60 respondents selected using a total sampling technique. Data were collected through a review of medical records and KIA books, then analyzed univariately and bivariately using the Chi-Square test with a significance level of α = 0.05. The results showed that maternal age, history of hypertension, nutritional status based on body mass index, and adherence to antenatal care visits had a statistically significant relationship with the incidence of preeclampsia. Meanwhile, parity did not show a significant relationship with the incidence of preeclampsia. This study concluded that the incidence of preeclampsia is influenced by various maternal factors and maternal health behaviors during pregnancy. These findings underscore the importance of implementing risk-based antenatal care through early screening, ongoing monitoring, and increased adherence to antenatal care visits as a preventative measure for preeclampsia at the primary healthcare level.

Downloads

Download data is not yet available.

References

Afulani, P. A., Kelly, A. M., Buback, L., Asunka, J., Kirumbi, L., & Lyndon, A. (2019). Providers' perceptions of disrespect and abuse during childbirth: A mixed-methods study in Kenya. Health Policy and Planning, 34(7), 512-524. https://doi.org/10.1093/heapol/czz072

American College of Obstetricians and Gynecologists. (2020). Gestational hypertension and preeclampsia: ACOG practice bulletin No. 222. Obstetrics & Gynecology, 135(6), e237-e260. https://doi.org/10.1097/AOG.0000000000003891

Bartsch, E., Medcalf, K. E., Park, A. L., & Ray, J. G. (2016). Clinical risk factors for pre-eclampsia determined in early pregnancy: Systematic review and meta-analysis of large cohort studies. BMJ, 353, i1753. https://doi.org/10.1136/bmj.i1753

Berhe, A. K., Kassa, G. M., Fekadu, G. A., & Muche, A. A. (2021). Prevalence of hypertensive disorders of pregnancy in Ethiopia: A systematic review and meta-analysis. BMC Pregnancy and Childbirth, 21(1), 364. https://doi.org/10.1186/s12884-021-03802-3

BKKBN, BPS, & Kementerian Kesehatan RI. (2023). Survei demografi dan kesehatan Indonesia 2022. BKKBN.

Brown, M. A., Magee, L. A., Kenny, L. C., Karumanchi, S. A., McCarthy, F. P., Saito, S., Hall, D. R., Warren, C. E., Adoyi, G., & Ishaku, S. (2018). Hypertensive disorders of pregnancy: ISSHP classification, diagnosis, and management recommendations. Hypertension, 72(1), 24-43. https://doi.org/10.1161/HYPERTENSIONAHA.117.10803

Cunningham, F. G., Leveno, K. J., Bloom, S. L., Spong, C. Y., & Dashe, J. S. (2018). Williams obstetrics (25th ed.). McGraw-Hill Education.

Duley, L., Meher, S., Abalos, E., & Global Pre-eclampsia Collaboration. (2021). Management of pre-eclampsia. BMJ, 372, n151. https://doi.org/10.1136/bmj.n151

Hutcheon, J. A., & Lisonkova, S. (2019). Epidemiology of pre-eclampsia and the other hypertensive disorders of pregnancy. Best Practice & Research Clinical Obstetrics & Gynaecology, 57, 1-13. https://doi.org/10.1016/j.bpobgyn.2019.01.006

Kementerian Kesehatan Republik Indonesia. (2023). Profil kesehatan Indonesia tahun 2022. Kemenkes RI.

Kumari, S., Garg, N., Kumar, A., Mohanty, B. P., Kumari, P., Mishra, J. S., & Kumar, S. (2020). Maternal and severe neonatal outcomes in women with pre-eclampsia. Pregnancy Hypertension, 21, 195-200. https://doi.org/10.1016/j.preghy.2020.07.005

Laine, K., Murzakanova, G., Sole, K. B., & Pay, A. D. (2021). Pre-eclampsia and risk of later kidney disease: Nationwide cohort study. BMJ, 372, m4412. https://doi.org/10.1136/bmj.m4412

Magee, L. A., von Dadelszen, P., Stones, W., & Mathai, M. (2022). The FIGO textbook of pregnancy hypertension. The Global Library of Women's Medicine.

Phipps, E. A., Thadhani, R., Benzing, T., & Karumanchi, S. A. (2019). Pre-eclampsia: Pathogenesis, novel diagnostics and therapies. Nature Reviews Nephrology, 15(5), 275-289. https://doi.org/10.1038/s41581-019-0119-6

Redman, C. W. G., & Sargent, I. L. (2017). Immunology of pre-eclampsia. American Journal of Reproductive Immunology, 77(4), e12618. https://doi.org/10.1111/aji.12618

Roberts, J. M., & Hubel, C. A. (2019). The two stage model of preeclampsia: Variations on the theme. Placenta, 102, 1-7. https://doi.org/10.1016/j.placenta.2020.02.004

Spradley, F. T., Palei, A. C. T., & Granger, J. P. (2018). Obesity and hypertensive disorders of pregnancy. Hypertension, 72(1), 1-9. https://doi.org/10.1161/HYPERTENSIONAHA.118.11008

Staff, A. C., Benton, S. J., von Dadelszen, P., Roberts, J. M., Taylor, R. N., Powers, R. W., & Charnock-Jones, D. S. (2022). Redefining preeclampsia using placenta-derived biomarkers. Hypertension, 79(2), 294-302. https://doi.org/10.1161/HYPERTENSIONAHA.121.18793

Tessema, G. A., Tekeste, A., & Ayele, T. A. (2020). Preeclampsia and associated factors among pregnant women attending antenatal care in Ethiopia. BMC Pregnancy and Childbirth, 20(1), 1-10. https://doi.org/10.1186/s12884-020-02913-5

World Health Organization. (2019). WHO recommendations for prevention and treatment of pre-eclampsia and eclampsia. WHO.