Faktor Faktor Yang Berhubungan Dengan Kejadian Persalinan Preterm Di Ruang Bersalin Puskesmas Kecamatan Tambora Tahun 2023

Penulis

  • eni marfuah Politeknik Karya Husada
  • Irene Florensia Situmeang Politeknik Karya Husada
  • Delvira Andini Politeknik Karya Husada

Kata Kunci:

Ketuban pecah dini, persalinan preterm, status gizi, umur

Abstrak

Faktor Faktor Yang Berhubungan Dengan Kejadian Persalinan Preterm Di Ruang Bersalin Puskesmas Kecamatan Tambora Tahun 2023. Menurut WHO, sekitar 13,4 juta bayi lahir prematur pada tahun 2020. Kelahiran prematur merupakan penyebab utama kematian anak di bawah 5 tahun, dengan sekitar 900.000 kematian pada tahun 2019. Di seluruh dunia, tingkat kelahiran prematur berkisar antara 4-16% pada tahun 2020. Di Indonesia, angka kematian bayi neonatal adalah 16,85 per 1.000 bayi hidup. Jakarta mengalami penurunan angka kematian bayi hingga 92% selama periode 1971-2020. Meskipun begitu, angka kematian bayi turun dari 14 menjadi 10-11 per 1.000 kelahiran hidup antara sensus penduduk 2010 dan 2020. Penyebab persalinan preterm masih belum jelas, dan kelahiran prematur bisa terjadi karena berbagai alasan. Penelitian ini dilakukan di Puskesmas Kecamatan Tambora pada tahun 2023 dengan tujuan untuk mengidentifikasi faktor-faktor yang berhubungan dengan kejadian persalinan preterm. Penelitian ini menggunakan pendekatan kasus-kontrol dengan 40 kasus persalinan preterm dan 40 kontrol persalinan aterm..  Hasil uji bivariat menunjukkan bahwa umur (p= 0.309, OR 1.926) dan status gizi (p= 0.642, OR 1.385) tidak memiliki hubungan signifikan dengan kejadian persalinan preterm. Namun, terdapat hubungan yang signifikan antara ketuban pecah dini (KPD) dengan kejadian persalinan preterm (p=  0.000, OR 19.000). Berdasarkan hasil penelitian, disarankan agar tenaga kesehatan memberikan penyuluhan tentang pemeriksaan rutin selama kehamilan untuk mencegah infeksi yang dapat menyebabkan KPD dan faktor-faktor lain yang berhubungan dengan persalinan preterm. Penyediaan makanan bergizi bagi ibu hamil dan perhatian terhadap usia kehamilan yang aman juga dianggap penting. Dengan langkah-langkah ini, diharapkan angka persalinan preterm dapat ditekan lebih lanjut.

 

Kata Kunci: Ketuban pecah dini, persalinan preterm, status gizi, umur.

Biografi Penulis

Irene Florensia Situmeang, Politeknik Karya Husada

<strong><em>Factors Associated with Preterm Birth Incidence in the Delivery Room of Tambora Sub-District Public Health Center in 2023</em></strong><em>. According to WHO, approximately 13.4 million babies were born prematurely in 2020. Premature birth is a leading cause of death among children under 5 years old, accounting for about 900,000 deaths in 2019. Worldwide, the prevalence of premature births ranges from 4% to 16% in 2020. In Indonesia, the neonatal mortality rate is 16.85 per 1,000 live births. Jakarta experienced a decrease in infant mortality rates by 92% during the period 1971-2020. However, the infant mortality rate declined from 14 to 10-11 per 1,000 live births between the 2010 and 2020 population censuses. The causes of preterm birth remain uncertain, as premature birth can occur for various reasons. This research was conducted in Tambora District Health Center in 2023 with the aim of identifying factors associated with preterm birth. The study employed a case-control approach, involving 40 cases of preterm birth and 40 controls of full-term births. The bivariate analysis results revealed that age (p = 0.309, OR 1.926) and nutritional status (p = 0.642, OR 1.385) did not show a significant relationship with preterm birth incidence. However, a significant association was found between premature rupture of membranes (PROM) and preterm birth incidence (p = 0.000, OR 19.000). Based on the research findings, it is recommended that healthcare professionals provide education on regular prenatal check-ups to prevent infections that could lead to PROM and other factors related to preterm birth. Ensuring proper nutrition for pregnant mothers and paying attention to safe gestational age are also considered essential. Through these interventions, the rate of preterm births is anticipated to be further reduced. </em><em> </em><strong><em>Keywords</em></strong><em>: </em><em>age, nutritional status, preterm birth, premature rupture of membranes (PROM).</em><em>.</em>

Delvira Andini, Politeknik Karya Husada

<strong><em>Factors Associated with Preterm Birth Incidence in the Delivery Room of Tambora Sub-District Public Health Center in 2023</em></strong><em>. According to WHO, approximately 13.4 million babies were born prematurely in 2020. Premature birth is a leading cause of death among children under 5 years old, accounting for about 900,000 deaths in 2019. Worldwide, the prevalence of premature births ranges from 4% to 16% in 2020. In Indonesia, the neonatal mortality rate is 16.85 per 1,000 live births. Jakarta experienced a decrease in infant mortality rates by 92% during the period 1971-2020. However, the infant mortality rate declined from 14 to 10-11 per 1,000 live births between the 2010 and 2020 population censuses. The causes of preterm birth remain uncertain, as premature birth can occur for various reasons. This research was conducted in Tambora District Health Center in 2023 with the aim of identifying factors associated with preterm birth. The study employed a case-control approach, involving 40 cases of preterm birth and 40 controls of full-term births. The bivariate analysis results revealed that age (p = 0.309, OR 1.926) and nutritional status (p = 0.642, OR 1.385) did not show a significant relationship with preterm birth incidence. However, a significant association was found between premature rupture of membranes (PROM) and preterm birth incidence (p = 0.000, OR 19.000). Based on the research findings, it is recommended that healthcare professionals provide education on regular prenatal check-ups to prevent infections that could lead to PROM and other factors related to preterm birth. Ensuring proper nutrition for pregnant mothers and paying attention to safe gestational age are also considered essential. Through these interventions, the rate of preterm births is anticipated to be further reduced. </em><em> </em><strong><em>Keywords</em></strong><em>: </em><em>age, nutritional status, preterm birth, premature rupture of membranes (PROM).</em><em>.</em>

Unduhan

Diterbitkan

2024-12-31

Terbitan

Vol 3 No 2 (2024): Indonesian Journal of Midwifery Scientific

Bagian

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