Objective : : To analyse factors associated with severe preeclampsia and preeclampsia at Arifi n Achmad General Hospital, Pekanbaru.Methods : This was a cross-sectional study. Data on women who were diagnosed with severe preeclampsia or eclampsia and delivered between January 2014 and December 2015 were collected. These included maternal age, educational level, gestational age, delivery method, parity and ANC provider. Data were then analysed using chi-square test with multivariate logistic regression analysis.Results : There were 3294 deliveries happened between January to December 2015. Prevalence of severe preeclampsia during the study period was 14.54%, and that of eclampsia was 3.28%. Mothers aged >35 have more than twice the risk of developing severe preeclampsia and eclampsia (95% CI 1.1-4.6, p = 0.0001). Gestational age has the strongest association with eclampsia (Adjusted OR 2.4, p = 0.002, 95% CI 1.3-4.2). Severe preeclamptic-eclamptic mothers were at least fi ve times as likely as the non-preeclamptic/eclamptic to have Cesarean Section or operative vaginal delivery (p = 0.0001). Conclusions :Prevalence of severe preeclampsia was 14.54%, and that of eclampsia was 3.28% in the period between January 2014 and December 2015. Mothers aged >35 were three times as likely as those age ≤35 to develop severe preeclampsia-eclampsia, Term pregnancy had higher risk of severe preeclampsia-eclampsia compared with preterm pregnancy; however, preterm pregnancy has 2.4 times as likely as term pregnancy to develop a worsening severe preeclampsia/eclampsia. Finally, mothers with severe preeclampsia or eclampsia have a fi ve times greater risk of having delivered via Cesarean Section or operative vaginal delivery compared to the non-preeclamptic -non-eclamptic ones. AbstrakTujuan : Untuk menganalisa faktor-faktor yang berhubungan dengan preeklamsia berat dan eklamsia di RSUD Arifi n Achmad Pekanbaru.Metode : Penelitian ini merupakan penelitian potong lintang. Data yang diambil yaitu perempuan yang didiagnosis dengan preeklamsia atau eklamsia dan melahirkan pada Januari 2014 hingga Desember 2015. Usia ibu, tingkat pendidikan, usia kehamilan, metode persalinan, paritas dan pemberi layanan ANC juga disertakan. Data kemudian dianalisis menggunakan uji chi-square dengan analisis regresi logistik multivariat.Hasil : Terdapat 3.294 kelahiran pada Januari 2014 hingga Desember 2015. Prevalensi preeklamsia berat selama penelitian ini yaitu 14,54% dan eklamsia sebesar 3,28%. Usia ibu>35 tahun memiliki risiko dua kali lebih besar untuk terjadinya preeklamsia berat dan eklamsia (95% CI 1,1-4,6, p = 0,001). Usia kehamilan memiliki hubungan yang paling kuat dengan eklamsia (Adjusted OR 2,4, p = 0,002, 95% CI 1,3-4,2). Ibu dengan preeklamsia-eklampsia lima kali lebih besar untuk dilakukan seksio sesarea atau persalinan pervaginam dengan bantuan alat dibandingkan dengan pasien tanpa preeklamsia/eklamsia. (p = 0,0001).Kesimpulan : Prevalensi preeklamsia berat adalah 14,54% dan eklampsia 3,28% pada periode Januari 2014 sampai Desember 2015....
A family planning program is a program to help couples or someone to prevent unwanted pregnancies and reduce the incidence of high-risk pregnancies, morbidity, and mortality, create quality and affordable services, increase male participation and responsibility in family planning practices. The purpose of this study was to determine the determinants of male participation in family planning. Methods: This research is quantitative analytic using an observational method with a type of case-control design. This study was conducted in August-September 2018 in the working area of the inpatient health care center. The population of all men of childbearing age who are in the working area of the puskesmas is the large population of the case population of 712 people and the control population of 21,480 people.Research sample of 360 men couples of reproductive age divided into 2 groups, namely the case 180 group and the control group 180. purposive sampling sampling technique Data analysis was carried out in univariate, bivariate and multivariate. Results: This research is quantitative analytic using an observational method with a type of case-control design. This study was conducted in August-September 2018 in the working area of the inpatient health care center. The population of all men of childbearing age who are in the working area of the puskesmas is the large population of the case population of 712 people and the control population of 21,480 people.Research sample of 360 men couples of reproductive age divided into 2 groups, namely the case 180 group and the control group 180. purposive sampling technique Data analysis was carried out in univariate, bivariate and multivariate. Conclusion: Conclusion The dominant variable with male participation in family planning is the attitude variable. Suggestions Health workers are expected to do more counseling about male family planning, putting up posters, and leaflets about male family planning.
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