Analisis Faktor Risiko Perdarahan Antepartum pada Ibu Hamil dengan Plasenta Previa di RSUD X
DOI:
https://doi.org/10.59585/bajik.v3i3.778Keywords:
Placenta Previa, Antepartum Hemorrhage, Risk Factors, PregnancyAbstract
Background: Placenta previa is a major cause of antepartum hemorrhage, which can increase maternal and perinatal morbidity and mortality. Identifying risk factors is crucial for optimal prevention and management.
Objective: To analyze the risk factors associated with antepartum hemorrhage in pregnant women with placenta previa at RSUD X.
Methods: This study used a quantitative, analytical, observational design with a retrospective approach. The sample consisted of pregnant women diagnosed with placenta previa who were treated at RSUD X between January 2020 and December 2024. Data were collected through medical records and analyzed using the chi-square test.
Results: Of the 82 respondents, 56 (68.3%) experienced antepartum hemorrhage. Significant risk factors included parity ≥3 (p=0.015), history of previous cesarean section (p=0.004), and maternal age >35 years (p=0.039). Non-significant factors included pregnancy spacing and history of abortion.
Conclusion: High parity, advanced maternal age, and a history of cesarean delivery significantly contribute to the increased risk of antepartum hemorrhage in placenta previa.
References
American College of Obstetricians and Gynecologists. (2020). Practice Bulletin No. 192: Management of Placenta Previa. Obstetrics & Gynecology, 135(5), e255–e275.
Crane, J. M., Van den Hof, M. C., Dodds, L., & Armson, B. A. (2000). Risk factors for placenta previa: A case-control study. BMJ, 320(7231), 591–594.
Cunningham, F. G., Leveno, K. J., Bloom, S. L., Spong, C. Y., & Dashe, J. S. (2018). Williams Obstetrics (25th ed.). New York: McGraw-Hill.
Faiz, A. S., & Ananth, C. V. (2003). Etiology and risk factors for placenta previa: An overview and meta-analysis of observational studies. Obstetrics & Gynecology, 101(4), 889–894.
Jauniaux, E., Ayres-de-Campos, D., Langhoff-Roos, J., Fox, K. A., & Collins, S. (2019). FIGO classification for the clinical diagnosis of placenta accreta spectrum disorders. International Journal of Gynecology & Obstetrics, 146(1), 20–24.
Kassim, N., Basri, H., & Mahdi, M. (2020). Antepartum hemorrhage: Risk factors and outcomes in tertiary care hospitals. BMC Pregnancy and Childbirth, 20(1), 500.
Malaha, N., Rusdi, M., Syafri, M., Pannyiwi, R., Sima, Y., & Rahmat, R. A. (2022). Hubungan Tingkat Pengetahuan Dengan Perilaku Merokok di SMA N 1 Liang Kabupaten Banggai Kepulauan. Barongko: Jurnal Ilmu Kesehatan, 1(1), 11–16. https://doi.org/10.59585/bajik.v1i1.17
Miller, D. A., Chollet, J. A., & Goodwin, T. M. (1997). Clinical risk factors for placenta previa–placenta accreta. American Journal of Obstetrics and Gynecology, 177(1), 210–214.
Naim, H., Mahendika, D., Afifah Harahap, N., Prabu Aji, S., Batubara, A., Yunita, L., & Pannyiwi, R. (2023). The Relationship between Maternal Knowledge of Complementary Foods with the Nutritional Status of Toddlers. International Journal of Health Sciences, 1(1), 20–25. https://doi.org/10.59585/ijhs.v1i1.47
Oyelese, Y., & Smulian, J. C. (2006). Placenta previa, placenta accreta, and vasa previa. Obstetrics & Gynecology, 107(4), 927–941.
Posi, S. H., & Muhammad, I. (2023). Dampak Kenaikan Harga Bahan Bakar Minyak Terhadap Sembilan Bahan Pokok Di Kecamatan Tobelo. JIMAD : Jurnal Ilmiah Multidisiplin, 1(2), 67–71. https://doi.org/10.59585/jimad.v1i2.189
Pannyiwi, R., Oruh, S., Nurhaedah, N., Rahmat, R. A., & Thalib, K. U. (2022). PKM Sunatan Massal. Sahabat Sosial: Jurnal Pengabdian Masyarakat, 1(1), 10–13. https://doi.org/10.59585/sosisabdimas.v1i1.2
Salihu, H. M., & August, E. M. (2011). Placenta previa: Epidemiology, risk factors and maternal outcomes. Clinical Obstetrics and Gynecology, 54(2), 309–317.
Salihu, H. M., Lynch, O., Alio, A. P., & McIntosh, C. (2003). Placenta previa and maternal morbidity. Journal of Maternal-Fetal and Neonatal Medicine, 13(6), 425–430.
Silver, R. M., Branch, D. W., & Wu, J. M. (2019). Placenta previa and previous cesarean delivery: Is there an association? Obstetrics and Gynecology Clinics of North America, 46(2), 259–273.
Tikkanen, M. (2011). Placental abruption: Epidemiology, risk factors and consequences. Acta Obstetricia et Gynecologica Scandinavica, 90(2), 140–149.
Usta, I. M., Hobeika, E. M., Musa, A. A., Gabriel, G. E., & Nassar, A. H. (2005). Placenta previa-accreta: Risk factors and complications. American Journal of Obstetrics and Gynecology, 193(3 Pt 2), 1045–1049.
WHO (World Health Organization). (2020). Trends in Maternal Mortality: 2000 to 2017. Geneva: WHO.
Wijayanti, L. A., M, W., Simatupang, R., Reffita, L. I., Nurpratama, W. L., Palayukan, S. S., Mildaratu, M., & Pannyiwi, R. (2024). Mother’s Knowledge About Nutrition, Disease Infections And Snacking Habits With Nutritional Status Early Age Children In Garessi National Kindergarten. International Journal of Health Sciences, 2(4), 1276–1288. https://doi.org/10.59585/ijhs.v2i4.524
Wu, S., Kocherginsky, M., & Hibbard, J. U. (2005). Abnormal placentation: Twenty-year analysis. American Journal of Obstetrics and Gynecology, 192(5), 1458–1461.
Yakobus, I. K., Suat, H., Kurniawati, K., Zulham, Z., Pannyiwi, R., & Anurogo, D. (2023). The Use Social Media’s on Adolescents’ Mental Health. International Journal of Health Sciences, 1(4), 425–438. https://doi.org/10.59585/ijhs.v1i4.161
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