DOI: https://doi.org/10.14710/jekk.v3i1.3101

Beberapa Faktor Kejadian Perdarahan Postpartum Ibu Bersalin yang Dirawat Di Rumah Sakit

*Asif Yuliati  -  Dinas Kesehatan Kabupaten Temanggung, Indonesia
Ariawan Soejoenoes scopus  -  Universitas Diponegoro, Indonesia
Ari Suwondo scopus  -  Universitas Diponegoro, Indonesia
Anies Anies  -  Universitas Diponegoro, Indonesia
Martha Irene Kartasurya scopus  -  Universitas Diponegoro, Indonesia
Published: 20 Feb 2018.

Citation Format:
Abstract

Background: Postpartum hemorrhage (PPH) remains a leading cause of maternal morbidity and mortality in both developed and developing countries. To prevent postpartum hemorrhage, knowledge of the risk factors were needed.
Method: Methos of the research is a case control study. Study population were hospitalized mothers who delivered in three hospitals on January 2015 – July 2016. The subjects were 55 patients who suffered from PPH (as cases) and 55 patients who were not suffered from PPH (as control). Sampling method for cases was consecutive sampling and purposive for controls. Data were analysed by Odds Ratio calculation and logistic regression.
Results: The risks factor significantly for PPH are midwife as birth attendant (OR=7.10; 95% CI 2.2 –22.81; p=0.001), poor of obstetric history (OR=5.37; 95%CI 1.53–18.86; p=0.009), pregnancy interval (< 2 years or > 5 years) (OR =4.04; 95%CI 1.48 –11.07; p= 0,007), anaemia trimester III (OR =3,58; 95%CI 1.23-10.43; p=0.019), history of abortion (OR=4.93; 95% CI 1.20-20.31; p=0,027).
Conclusion: The risk factors for PPH were midwife as birth attendant, poor of obstetric history, pregnancy interval (<2 years and >5 years), anaemia trimester III, and history of abortion.

Fulltext View|Download
Keywords: Hemorrhage; birth attendant; anaemia; postpartum

Article Metrics:

Article Info
Section: Articles
Language : ID
Recent articles
Beberapa Faktor Risiko Kejadian Campak Pada Balita di Kabupaten Sarolangun Beberapa Faktor Risiko Kejadian Penyakit Ginjal Kronik (PGK) Stadium V pada Kelompok Usia Kurang dari 50 Tahun (Studi di RSUD dr.H.Soewondo Kendal dan RSUD dr.Adhyatma,MPH Semarang) Beberapa Faktor Kejadian Perdarahan Postpartum Ibu Bersalin yang Dirawat Di Rumah Sakit More recent articles
  1. World Health Organization. Health in 2015: from MDGs to SDGs, Desember, 2015
  2. World Health Organization.Maternal Mortality Ratio,WHO Media Center available at http://www.who.int/healthinfo/statistics/indmaternalmortality/en/ Maternal mortality ratio, diunduh tanggal 8 Februari 2014
  3. Unicef. Maternal and Newborn Health, The State of The World’s Children 2009; New York; 2009
  4. Badan Kependudukan dan Keluarga Berencana Nasional, Badan Pusat Statistik, Kementerian Kesehatan RI. Survei Demografi dan Kesehatan Indonesia 2012. Jakarta; Agustus, 2013
  5. Sugihantono A. Pencapaian MDGs dan Analisa Kematian Ibu dan Balita di Indonesia; Seminar Capaian target MDGs 2015, Pelayanan Kesehatan Primer dan Sistem Rujukan, Pendidikan Kesehatan/Kedokteran di Era Jaminan Kesehatan Nasional: Semarang, 28 Maret 2015
  6. Pusat Data dan Informasi Kementerian Kesehatan RI. Mothers Day ; Situasi Kesehatan Ibu; Jakarta: Kementerian Kesehatan RI; Desember 2014; 1-6
  7. Kementerian Kesehatan RI. Pedoman Penyelenggaraan Puskesmas MampuPONED. Jakarta: Kementerian Kesehatan RI; 2013
  8. Say L, Chou D, Gemmill A, Tunçalp O, Moller Ann-B, Daniels J, et al. Global causes of maternal death: a WHO systematic analysis. Lancet Glob Health 2014; 2: 323–33
  9. Sheldon WR, Blum J, Vogel JP, Souza JP, Gulmezoglu AM, Winikoff B. Postpartum haemorrhage management, risks, and maternal outcomes: findings from the World Health Organization Multicountry Survey on Maternal and Newborn Health, BJOG 2014; 121 (Suppl. 1): 5–13
  10. Appendix FIGO Guidelines: Prevention and Treatment of Postpartum Hemorrhage in Low-Resource Settings. Reproduced with permission granted by FIGO, from Lalonde A. Prevention and treatment of postpartum hemorrhage in lowresource settings. Int J Gynaecol Obstet 2012;117: 108–118
  11. World Health Organisation. WHO Guidelines for the management of post partum haemorrhage. Geneva (Switzerland); 2012
  12. Oyelese Y, Ananth CV. Postpartum hemorrhage: epidemiology, risk factors, and causes. Clin Obstet Gynecol 2010; 53:147-56
  13. Portilla D, Hernandez-Giraldo C., Moreno B, Quijano F, Hoyos L R, Angarita AM et al. A local hemostatic agent for the management of postpartum hemorrhage due to placenta previa and placenta accreta: a cross-sectional study. Arch Gynecol Obstet: 2013; 288: 543–549
  14. Wikkels AJ, Hjortoe S, Gerds TA., Møller Ann M. Langhoff-Roos J. Prediction of postpartum blood transfusion, risk factors and recurrence, The Journal Matern Fetal Neonatal Med; 2014: 1–7
  15. Kominiarek MA, Kilpatrick SJ. Postpartum hemorrhage: a recurring pregnancy complication. Semin Perinatol 200; 31:159–66
  16. Lalonde AB, Daviss B-A, Acosta A, Herschderfer K. Postpartum hemorrhage today: living in the shadow of the Taj Mahal; A textbook of Post partum Hemorrhage Editor B-Lynch C, Keith LG, Lalonde AB, Karoshi M. Sapiens Publishing. UK, 2006: 2-10
  17. Bohlmann MK, Rath W. Medical prevention and treatment of postpartum hemorrhage: a comparison of different guidelines, Springer-Verlag Berlin Heidelberg, Arch Gynecol Obstet, 2014; 289:555–67
  18. Purwoastuti E,Walyani ES.Ilmu Obstetri & Ginekologi Sosial Untuk Kebidanan. Yogyakarta: Pustaka Baru Press; 2015
  19. Rustam Mochtar ; Sinopsis Obstretri; Obstretri Operatif, Obstretri Sosial:Penulis Sofian A. Edisi 3, Jilid 2, Jakarta: EGC; 2011
  20. Murti Bhisma. Desain Studi, Bahan Matrikulasi Program Studi Doktoral Kedokteran Fakultas Kedokteran, Institute of Health Economic and Policy Studies (IHEPS).Bagian Ilmu Kesehatan Masyarakat, FK UNS; 2010
  21. Sastroasmoro S. Dasar-dasar Metodologi Penelitian Klinis. Jakarta: Sagung Seto; 2014
  22. Notoatmodjo S. Metodologi Penelitian Kesehatan, Edisi Revisi, Jakarta: Rineka Cipta; 2010
  23. Mayliana YP, Hastono SP. Penolong Persalinan dan Kejadian Komplikasidi Jawa Barat. FKM UI, Depok, 2014
  24. Siswanto E.Faktor-faktor Penolong Persalinan (Bidan) dengan kejadianperdarahan paska persalinan (Thesis). Semarang:UniversitasDiponegoro;2011
  25. Manuaba. Ilmu Kebidanan, Penyakit Kandungan dan KB, Edisi 2. Jakarta:EGC;2013
  26. Homer C, Clements V, McDonnell N, Peek M, Sullivan E. Maternal mortality: What can we learn from stories of postpartum haemorrhage. Elsevier Journal Women and Birth: 2009; 22; 97—104
  27. Simarmata OS,Armagustini, Bisara D. Determinan Kejadian Komplikasi Persalinan di Indonesia; Analisis Data Sekunder Survei Demografi dan Kesehatan Indonesia Tahun 2007. Jurnal Ekologi Kesehatan Vol. 11 No 1, Maret 2012:11–23
  28. Rochyati P.Pelayanan Kebidanan di Indonesia;. Ilmu Kebidanan Sarwono Prawiroharjo.Editor Saifudin AB, Rachimhadhi T, Wiknjosastro G. Jakarta: PT Bina Pustaka Sarwono. Prawiroharjo; 2009:35-52
  29. Purwanti S, Trisnawati Y. Pengaruh Umur dan Jarak Kehamilan terhadap Kejadian Perdarahan karena Atonia Uteri Seminar Nasional Hasil-Hasil Penelitian dan Pengabdian LPPM Universitas Muhammadiyah Purwokerto.26 September 2015. ISBN : 978-602-14930-3-8
  30. Conde Agudelo AN, Belizán JM. Maternal morbidity and mortality associated with interpregnancy interval: cross sectional study BMJ Vol. 321 18 November 2000 :1255–9
  31. World Health Organization. Report of a WHO Technical Consultan Birth Spacing, Geneva, Switzerland 13–15 June 2005
  32. Buzaglo N, Harlev A, Sergienko R, Sheiner E. Risk factors for early postpartum hemorrhage in the first vaginal delivery, and obstetrical outcomes in subsequent pregnancy. Journal Maternal Fetal Neonatal Med.Early Online; 2014: 1–6
  33. Lumbantoruan M, Wandra T, Anita S. Faktor-faktor Yang Berhubungan Dengan Kejadian Perdarahan Postpartum di Rumah Sakit Umum Daerah Kabupaten Aceh Tamiang Tahun 2014. Jurnal Reproductive health, 2016; 24/11;10-18
  34. Ramadhani NP, Sukarya WS. Hubungan Antara Karakteristik Pasien Dengan Kejadian Retensio Plasenta Pada Pasien yang Dirawat di Rumah Sakit Al Ihsan Bandung Periode 1 Januari-31 Desember 2010. Prosiding Seminar Nasional Penelitian Saint dan PKM Saint, Teknologi dan Kesehatan. Vol. 2 No. 1 2011:25-32
  35. Goonewardene M, Shehata M. Anemia in Pregnancy; Best Practice & Research Clinical Obstetrics and Gynaecology xxx (2011) 1–22
  36. Sheiner E, Sarid L, Levy A, Seidman DS, Hallak M. Obstetric Risk Factors and Outcome of Pregnancies Complicated with Early Postpartum Hemorrhage: A Population-based Study. The Journal of Maternal-Fetal and Neonatal Medicine, September 2005; 18(3): 149–154
  37. Jivraj S, Anstie B, Cheong YC, Fairlie FM, Laird SM, Li TC. Obstetric Risk Factor and Outcome In Women With a History of Recurrent Miscarriage ; Cohort Study. Human Reproduction Vol. 16. No 1, 2001;102-106
  38. Committee on Obstetric Practice. Placenta Accreta. American College of Obstetricians and Gynecologists; 2012

Last update:

No citation recorded.

Last update:

No citation recorded.