Maternal Risk Factors among Pregnant Women with Miscarriage
Abstract
Background: Approximately, 4.1% of maternal deaths in Indonesia occur due to miscarriage. Miscarriage might be caused by various factors such as fetal, maternal, and external factors. Monitoring and early detection of maternal factors might prevent miscarriage. This study aimed to analyze the influence of maternal factors on the incidence of miscarriage.
Methods: This was an analytic observational study with a case-control design conducted in Banjar District, South Kalimantan in August–September 2022. Data was collected from the medical records of pregnant women who experienced miscarriage (n=60) and pregnant women who did not (n=120). Data was analyzed using the chi square test and logistic regression. The level of maternal risk factors for the incidence of miscarriage was determined from the odds ratio (OR) value at a 95% confidence interval.
Results: The results revealed that parity (p=0.000; OR=2.2), nutritional status (p=0.000; OR=77.1), level of education (p=0.001; OR=3.5), and employment status (p=0.000; OR=8.1) had a significant effect on the incidence of miscarriage.
Conclusion: Maternal factors such as parity, nutritional status, education level, and employment status influence on the incidence of miscarriage, therefore, it is essential to educate pregnant women on various factors related to miscarriage.
Keywords
Full Text:
PDFReferences
- Kementerian Kesehatan Republik Indonesia. Pedoman nasional asuhan pasca keguguran yang komprehensif. Jakarta: Kementerian Kesehatan RI; 2020.
- Syam HH, Bayuaji H, Rinaldi A, Mantilidewi KI, Praharsini RK, editors. Bunga rampai obstetri dan ginekologi praktis. 1st Ed. Bandung: Unpad Press; 2021.
- Wahyuni IS, Kartini F, Raden A. Dampak kejadian pasca abortus spontan pada ibu hamil. J Kesehatan. 2022;13(1):091–101.
- Darmawati. Mengenali abortus dan faktor yang berhubungan dengan kejadian abortus. Idea Nurs J. 2011;2(1):12–8.
- Rossen LM, Ahrens KA, Branum AM. Trends in risk of pregnancy loss among US women, 1990–2011. Paediatr Perinat Epidemiol. 2018;32(1): 19–29.
- Magnus MC, Wilcox AJ, Morken NH, Weinberg CR, Håberg SE. Role of maternal age and pregnancy history in risk of miscarriage: prospective register based study. BMJ . 2019;364:l869.
- Hidayati N. The Relationship Of Maternal Mother Age With Incidence Of Abortion. Oksitosin, Kebidanan. 2014;1(2):96–101.
- Ruqaiyah R. Faktor yang Berhubungan dengan Kejadian Abortus Inkomplit di RSIA Sitti Khadijah I Makassar Tahun 2018. J Kesehatan Delima Pelamonia. 2018;2(2):93–8.
- Baba S, Noda H, Nakayama M, Waguri M, Mitsuda N, Iso H. Risk factors of early spontaneous abortions among Japanese: A matched casecontrol study. Hum Reprod. 2011;26(2):466–72.
- Utami NS, Nadapdap TP, Fitria A. Faktor yang memengaruhi kejadian abortus di Rumah Sakit Umum Imelda Pekerja Indonesia Medan tahun 2020. J Kesehat Almuslim. 2021;7(1):1–7.
- Hadi R, Akbar IB, Budiman. Hubungan indeks masa tubuh terhadap kejadian abortus spontan di RSUP DR . Hasan Sadikin Bandung pada tahun 2017 – 2018. In: Ahmadi D, Ilmiah K, Nurrahman A, Wawang P, Dewi MK, Diari S, editors. Prosiding Pendidikan Dokter. Bandung: Universitas Islam Bandung; 2020. p. 330–4
- Subiastutik E, Maryanti SA. Hubungan kekurangan energi kronis (KEK) dengan kejadian abortus. Tunas-Tunas Ris Kesehat. 2017;VII
- Putri LM. Faktor risiko utama maternal penyebab abortus di puskesmas kecamatan IV kota kabupaten Agam. J Endurance. 2018;3(2):383–399
- Puskesmas Astambul. Laporan Tahunan Ibu Hamil. Martapura: Puskesmas Astambul; 2021.
- Madumurti SDR, Rosita E, Sayekti S. Hubungan kurang energi kronik pada ibu hamil dengan kejadian abortus. J Kebidanan. 2020;10(2):80–92
- Inayah HK. Pengetahuan lokal ibu hamil tentang tanda bahaya kehamilan dan persalinan di Puskesmas Alalak Tengah Kota Banjarmasin. An-Nadaa. 2020;7(1):18–26.
- Akbar A. Faktor penyebab abortus di Indonesia tahun 2010-2019: studi meta analisis. J Biomedik. 2019;11(3):182–91.
- Jumiati J. Faktor yang berhubungan dengan abortus di RSU Mutia Sari Duri periode 2017. J Bidan Komunitas. 2017;II(1):57–64.
- Insan MN. Hubungan faktor usia dan pekerjaan terhadap kejadian abortus di Puskesmas Kecamatan Kramat Jati Jakarta Timur [Minorthesis]. Jakarta: Universitas Binawan; 2019 [Cited 2022 May 17]. Available from: http://repository.binawan.ac.id/id/eprint/12.
- Ruqaiyah R, Herliana E, Mirnawati M. Faktor-faktor yang berhubungan terhadap kejadian abortus pada ibu hamil di Rumah Sakit Umum Bahagia Makassar 2019. J Kesehatan Delima Pelamonia. 2019;3(1):9.
- Notoatmodjo S. Ilmu Perilaku Kesehatan. Jakarta: PT. Rineka Cipta; 2012.
- Dinas Kesehatan Kabupaten Banjar. Profil Dinas Kesehatan Kabupaten Banjar 2017 [Internet]. Martapura, Kabupaten Banjar: Dinas kesehatan Kabupaten Banjar; 2018 [Cited 2021 October 31]. Available from: https://dinkes.banjarkab.go.id/profil-kesehatan-kabupaten-banjar/
- Silitonga JM, Sitorus RJ, Yeni. Faktor-faktor penyebab kejadian abortus spontan di Rumah Sakit Umum Pusat Dr. Mohammad Hoesin Palembang. J Ilmu Kesehat Masy. 2017;8(2):100–8.
- Luthfiana ML, Yanuarini TA, Mediawati M. Faktor-faktor yang berpengaruh terhadap kejadian abortus inkomplit Di RSUD Gambiran Kota Kediri tahun 2016. J Ilmu Kesehat. 2017;6(1):66–76.
- Yanti L. Faktor determinan kejadian abortus pada ibu hamil: case control study. Medisains. 2018;16(2):95–100.
- Kortsmit K, Jatlaoui TC, Mandel MG, Reeves JA, Oduyebo T, Petersen E, et al. Abortion Surveillance-United States. MMWR Surveill Summ. 2020;69(7):1–29.
- Adolfsson A, Larsson PG. Cumulative incidence of previous spontaneous abortion in Sweden in 1983-2003: a register study. Acta Obstet Gynecol Scand. 2006;85(6):741–7.
- Mehata S, Menzel J, Bhattarai N, Sharma SK, Shah M, Pearson E, et al. Factors associated with induced abortion in Nepal: data from a nationally representative population-based cross-sectional survey. Reprod Health. 2019;16(1):68.
- Wahyuni S, Ngadiyono, Sumarni S. Faktor resiko yang berhubungan dengan kejadian abortus Di RSUD Ungaran Jawa Tengah. J Kebidanan. 2017;6(13):1–11.
- Fahriani M, Ramadhaniati Y, Oktarina A. Hubungan usia ibu hamil dan paritas dengan kejadian abortus inkompletus di RS Dr. Sobirin Kabupaten Musi Rawas. J Sains Kesehat. 2019;26(2):61–9.
DOI: https://doi.org/10.15850/amj.v11n1.3037
Article Metrics
Abstract view : 367 timesPDF - 268 times
This Journal indexed by
AMJ is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License
View My Stats