scholarly journals The Maternal Risk Factors for Preterm Birth in Universitas Airlangga Hospital Surabaya in 2017-2018

2022 ◽  
Vol 13 (1) ◽  
pp. 31
Author(s):  
Almira Maharani ◽  
Aditiawarman Aditiawarman ◽  
Widati Fatmaningrum
Keyword(s):  
Risk Factors ◽  
Preterm Birth ◽  
Maternal Education ◽  
Univariate Analysis ◽  
Multiple Pregnancy ◽  
High Rate ◽  
Control Group ◽  
Maternal Risk Factors ◽  
Maternal Risk ◽  
History Of

Introduction: Preterm birth becomes a global problem due to its high rate of morbidity and mortality. In 2010, it is estimated approximately 15 premature birth cases per 100 lives birth in Indonesia. This study aimed to analyze the maternal risk factors towards preterm birth at Universitas Airlangga Hospital Surabaya in 2017-2018.Methods: This was observational analytic study using case-control approach to observe 178 medical records at Universitas Airlangga Hospital Surabaya. The population of this study was women who had preterm and aterm birth. The sample consisted of case group and control group which were convenient to exclusion and inclusion criteria. Univariate analysis was used to observe the relationship between dependent and independent variable. The significance value was p ≤ 0.05. The data were analysed using SPSS.Results: The research samples consisted of 89 case groups and 89 control groups. The case sample characteristic showed that 36% patients had overweight BMI; 62.9% patients had normal/hypotension; 69.7% patients gave birth to male baby; and 82% patients had no history of disease.There was no patient who used drugs and substance abuse (0%). Mothers aged 20 years old and older than 35 years old had OR = 2.13 (95% CI : 1.106-4.11) to become preterm birth. The primiparous women had risk for preterm birth 2.978 folds (95%, CI : 576-5.625) higher.Conclusion: There was a relationship between maternal age and parity to preterm birth. There was no relationship between maternal education, maternal occupation, hemoglobin levels, history of obstetric complications, and multiple pregnancy to preterm birth.

scholarly journals GAMBARAN FAKTOR RESIKO IBU DENGAN TERHADAP KEJADIAN ASFIKSIA NEONATORUM DI RSUD RASIDIN PADANG TAHUN 2017

2019 ◽  
Vol 2 (2) ◽  
Author(s):  
Novria Hesti
Keyword(s):  
Risk Factors ◽  
Univariate Analysis ◽  
Maternal Risk Factors ◽  
Third Trimester ◽  
Maternal Risk ◽  
Neonatal Asphyxia ◽  
The Third ◽  
First Child ◽  
Data Editing ◽  
History Of

Tahun 2012 angka kematian neonatus di Indonesia yaitu 35 per 1.000 kelahiran, dari angka tersebut 35,9 % disebabkan oleh gangguan pernapasan/asfiksia. Faktor resiko dari ibu seperti usia, paritas, riwayat perdarahan di trimester III dan hipertensi dapat menyebabkan asfiksia pada bayi. Tujuan penelitian adalah untuk menggambarkan faktor resiko individual ibu terhadap kejadian asfiksia neonatorum di RSUD Rasidin Padang Tahun 2017. Jenis penelitian descriptif. Dilakukan di RSUD Rasidin Padang pada Tanggal 11 Juli 2018, dengan populasi seluruh ibu yang melahirkan dengan bayi asfiksia di RSUD Rasidin, dengan teknik pengambilan sampel total sampling dengan menggunakan kriteria inklusi, dengan jenis pengambilan data yaitu data sekunder, teknik pengolahan data editing, coding, entry data,tabulating, cleaning serta analisa data menggunakan analisa univariat. Dari hasil penelitian ibu yang melahirkan dengan bayi asfiksia didapatkan 22 orang ibu (66,67%) memiliki usia < 20 tahun atau > 35 tahun, sebanyak 19 orang ibu (57,57%) yang melahirkan anak pertama atau anak ke >3, sebanyak 4 orang ibu (12,12%) memiliki riwayat perdarahan timester III, sebanyak orang ibu(9,10%) memiliki riwayat hipertensi. Sebagian besar ibu yang  yang melahirkan bayi dengan asfiksia  memiliki usia < 20 tahun atau > 35 tahun. Sebagian Ibu yang melahirkan bayi dengan asfiksia merupakan anak pertama atau anak ke >3. Sebagian kecil ibu yang melahirkan dengan bayi asfiksia memiliki riwayat perdarahan timester III. Sebagian kecil ibu yang melahirkan dengan bayi asfiksia memiliki riwayat hipertensi. Diharapkan agar meningkatkan pelayanan yang lebih efektif dalam medeteksi persalinan dengan resiko sehinga keadaan ibu dan bayi dapat tertangani secara optimal.   Kata Kunci : Asfiksia Neonatorum, Usia, Paritas, Perdarahan Trimester III, Hipertensi           ABSTRAK                  In 2012 the neonatal mortality rate in Indonesia was 35 per 1,000 births, of which 35.9% were caused by respiratory / asphyxia disorders. Maternal risk factors such as age, parity, history of bleeding in the third trimester and hypertension can cause asphyxia in infants. The aim of the study was to describe the individual maternal risk factors for the incidence of neonatal asphyxia in Rasidin Padang Hospital in 2017. Descriptive research type. It was conducted at Rasidin Hospital in Padang 11 Juli 2018, with a population of all mothers giving birth to asphyxia babies in Rasidin Hospital, with a total sampling technique using inclusion criteria, with data collection types namely secondary data, editing data processing techniques, coding, data entry, tabulating, cleaning and data analysis using univariate analysis. From the results of the research, mothers who gave birth to asphyxial infants found 22 mothers (66.67%) had an age of <20 years or> 35 years, as many as 19 mothers (57.57%) who gave birth to their first child or> 3 children, as many as 4 mothers (12.12%) had a history of bleeding in the third trimester, as many as mothers (9.10%) had a history of hypertension. Most of the mothers who gave birth to asphyxial babies had <20 years or> 35 years. Some mothers who give birth to babies with asphyxia are the first child or> 3 children. A small percentage of mothers giving birth to asphyxial infants have a history of bleeding in the third trimester. A small percentage of mothers giving birth to asphyxial babies have a history of hypertension. It is expected to improve services that are more effective in detecting labor with risk so that the condition of the mother and baby can be handled optimally. Keywords: Neonatal Asphyxia, Age, Parity, Third Trimester Bleeding, Hypertension

scholarly journals Maternal Factors for Low Birth Weight and Preterm Birth At Tertiary Care Hospital

2015 ◽  
Vol 53 (200) ◽  
pp. 250-255 ◽  
Author(s):  
Neebha Ojha
Keyword(s):  
Risk Factors ◽  
Birth Weight ◽  
Preterm Birth ◽  
Low Birth Weight ◽  
Significant Risk ◽  
Maternal Risk Factors ◽  
Maternal Risk ◽  
Medical Disorders ◽  
History Of ◽  
The Mean

Introduction: Low birth weight and preterm birth are the major community health problems in developing countries. They are the major determinants of perinatal survival and infant morbidity and mortality.  The aim of this study was to determine the proportion and the maternal risk factors for low birth weight and preterm birth among hospital deliveries in Tribhuvan University Teaching Hospital. Methods: A cross sectional retrospective study was carried out in the Department of Obstetrics and Gynecology of TUTH. Maternal risk factors like age, parity, ethnicity, history of previous abortion, history of previous cesarean section, antepartum hemorrhage and medical disorders were studied. Information on all births that occurred was extracted from maternity case notes and delivery registers. Results: During the study period, there were 685 singleton live births.  Among these 78(11.4%) were low birth weight and 47(6.9%) were preterm birth. The mean birth weight was 2950 ± 488 gm. The mean weight of female was statistically less compared to male babies (p=0.032). The significant risk factors for LBW were primiparity (OR 2.12; 95%CI 1.25-3.58), Indo-Aryan ethnicity (OR 1.97; 95%CI 1.12-3.45) and history of medical disorder (OR 3.08; 95%CI 1.17-8.12). As for PTB antepartum hemorrhage (OR 8.63; 95%CI 1.99-37.30) and history of medical disorder (OR 3.20; 95%CI 1.04-9.89) were significant risk factors. Conclusions: Parity, ethnicity, and medical disorders were the main risk factors for low birth weight. Antepartum hemorrhage and medical disorders were significant risk factors for preterm birth. Keywords: low birth weight; preterm birth; risk factors.

scholarly journals Faktor risiko yang berhubungan dengan kejadian berat badan lahir rendah pada neonatus yang dirawat di RSUP Prof. Dr. R. D. Kandou periode Januari 2015-Juli 2016

e-CliniC ◽  
2016 ◽  
Vol 4 (2) ◽  
Author(s):  
Enny Susilowati ◽  
Rocky Wilar ◽  
Praevilia Salendu
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Multiple Pregnancy ◽  
High Rate ◽  
Survey Method ◽  
Maternal Risk ◽  
Inhibition Of Growth ◽  
History Of

Abstract: Infants with low birth weight is a complex issue and has contribution in the high rate of morbidity and mortality, disability, various disorders or inhibition of growth and cognitive development as well as other chronic diseases. This study was aimed to obtain the risk factors associated with low birth weight of neonates at Prof. Dr. R. D. Kandou Hospital in Manado from January 2015 to July 2016. This was a descriptive retrospective study with a field survey method. Samples were patients diagnosed as low birth weight neonatus treated at Department of Pediatrics of Prof Dr. R. D. Kandou Hospital Manado from January 2015 to July 2016. The results showed that based on maternal risk factors (age, parity, maternal infection, premature, multiple pregnancy and history of low birth weight neonates), fetal and placental (congenital abnormalities) factors, and environmental factors (smoker and drunk), the most frequent risk factor was prematurity. Conclusion: In this study, the most frequent risk factor of low birth weight infant was prematurity Keywords: low birth weight, rick factors, neonate Abstrak: Bayi dengan berat badan lahir rendah (BBLR) merupakan masalah yang sangat kompleks dan memberikan kontribusi dalam hal tingginya angka morbiditas dan mortalitas, kecacatan, gangguan atau terhambatnya pertumbuhan dan perkembangan kognitif, serta penyakit kronis dikemudian hari. Penelitian ini bertujuan untuk mengetahui faktor risiko yang behubungan dengan kejadian BBLR pada neonatus yang dirawat di RSUP Prof. Dr. R. D. Kandou Manado periode Januari 2015-Juli 2016. Jenis penelitian ialah deskriptif retrospektif dengan metode survei lapangan. Sampel penelitian ialah pasien neonatus dengan BBLR yang dirawat di Bagian Ilmu Kesehatan Anak RSUP Prof. Dr. R. D. Kandou Manado pada bulan Januari 2015- Juli 2016. Hasil penelitian memperlihatkan berdasarkan faktor risiko ibu (usia, paritas, infeksi, kelahiran prematuritas, kehamilan ganda, dan riwayat BBLR sebelumnya), janin dan plasenta (kelainan bawaan), dan lingkungan (rokok dan akohol) didapatkan faktor risiko tersering ialah prematuritas. Simpulan: Dalam studi ini, faktor risiko tersering yang berhubungan dengan kejadian BBLR ialah prematuritas.Kata kunci: BBLR, faktor risiko, neonatus

scholarly journals Maternal Risk Factors of Placenta Praevia and Its Effects on Maternal and Fetal Outcome

2019 ◽  
Vol 48 (2) ◽  
pp. 7-12
Author(s):  
Alpana Adhikary ◽  
Anwara Begum ◽  
Fahmida Sharmin Joty ◽  
Nihar Ranjan Sarker ◽  
Rifat Sultana
Keyword(s):  
Risk Factors ◽  
Maternal Age ◽  
Advanced Maternal Age ◽  
Fetal Outcome ◽  
Placenta Praevia ◽  
Maternal Risk Factors ◽  
High Parity ◽  
Maternal Risk ◽  
Antepartum Haemorrhage ◽  
History Of

Placenta praevia is one of the most serious obstetric emergencies, which continues to be an important contributor to perinatal mortality and is responsible for leading maternal and infant morbidity. Very few data on etiology of placenta praevia are available till now. This study aims to explore the maternal risk factors related to occurrence of placenta praevia and its effects on maternal and fetal outcome. This cross-sectional observational study was carried out among 3279 obstetrics patients admitted in labour ward in the Department of Obstetrics and Gynecology, Sher-e-Bangla Medical College Hospital from January to December 2006. Out of 3279 obstetrics patients 93 placenta praevia cases were identified purposively as study subjects. The patients of placenta praevia were selected either diagnosed clinically by painless antepartum haemorrhage or asymptomatic placenta praevia diagnosed by ultrasonography irrespective of age, gestational age, parity, booking status. Pregnant woman admitted with painful antepartum haemorrhage were excluded from the study. With the ethical approval from the Institutional Ethical Committee (IEC), patients were selected after taking their written consent. A structured questionnaire and a chick list were designed with considering all the variables of interest. Out of 93 respondents, 73.88% were associated with risk factors in addition to advanced maternal age and high parity. Among them 24.73%, 33.33% and 7.52% had history of previous caesarean section (CS), MR and abortion and both CS & abortion previously. Patients aged above 30 years were 47% and 35.48% were in their 5th gravid and more; whereas, 31.18% patients were asymptomatic, 68.82% patients presented with varying degree of vaginal bleeding, among them 12.08% were in shock. Active management at presentation was done on 76.34% patients and 23.66% were managed expectantly. CS was done o 82.79% patients and only 17.2% were delivered vaginally. Case fatality rate was 1.07% and about 22% perinatal death was recorded, majority belonged to low birth weight (<1500 gm). About 10% patients required caesarean hysterectomy, 3.22% required bladder repair. Advanced maternal age, high parity, history of previous CS and abortion found to be common with the subsequent development of placenta praevia. Proper diagnosis, early referral and expectant management of patients will reduce prematurity, thereby improvised foetal outcome but to improve maternal outcome rate of primary CS have to be reduced and increase practice of contraception among women of reproductive age. Bangladesh Med J. 2019 May; 48 (2): 7-12

Maternal risk factors for preterm birth: a country-based population analysis

2011 ◽  
Vol 159 (2) ◽  
pp. 342-346 ◽  
Author(s):  
Gian Carlo Di Renzo ◽  
Irene Giardina ◽  
Alessia Rosati ◽  
Graziano Clerici ◽  
Michela Torricelli ◽  
...  
Keyword(s):  
Risk Factors ◽  
Preterm Birth ◽  
Population Analysis ◽  
Maternal Risk Factors ◽  
Maternal Risk

scholarly journals Risk factors related to childbirth in El Salvador

2019 ◽  
Vol 2 (2) ◽  
pp. 144-152
Author(s):  
Fátima Larisa Chavarría Rodríguez
Keyword(s):  
Public Health ◽  
Risk Factors ◽  
Preterm Birth ◽  
El Salvador ◽  
Multiple Pregnancy ◽  
Public Health Problem ◽  
Clinical History ◽  
Cross Sectional ◽  
History Of ◽  
Prevalence Ratios

Introduction. Preterm birth is a public health problem, considered a high risk factor for morbidity, disability and neonatal mortality. Objective. Characterize risk factors related to preterm birth in El Salvador. Methodology. Analytical cross-sectional study of risk factors related to preterm birth, in women who received childbirth care in the national public health system, during 2017. Data was obtained from the Perinatal Information System. 44 891 cases were analyzed. Qualitative variables were analyzed through absolute values and frequencies, and the quantitative variables, through absolute values, frequency and central tendency measures, using the Statistical Package for the Social Science (SPSS) version 24 program. The analysis of relation of variables, was performed with the Epidat version 3.1 program, through the calculation of prevalence ratios (PR) and the calculation of Odds Ratio (OR), both analysis with a 95% confidence interval and a value of p <0.05. Results. 9.5% of the deliveries attended were preterm. The risk analysis through the calculation of prevalence ratios showed that women with a multiple pregnancy were 14 times more likely to have a preterm birth. Preterm birth was 4.7 times more frequent in women with a clinical history of diabetes mellitus and 2.4 times more frequent, with a history of high blood pressure. Conclusions. Women who have a multiple pregnancy and pregnant women with a clinical history of chronic diseases, and an obstetric history of preeclampsia, are more likely to have a preterm birth. Likewise, obesity and inadequate age for pregnancy, mainly women over 35 years, are also related to preterm birth.

scholarly journals The association of maternal risk factors to macrosomia in rural areas of Haryana, India: a community based study

2018 ◽  
Vol 5 (9) ◽  
pp. 3842 ◽  
Author(s):  
Manisha Malik ◽  
Pardeep Khanna ◽  
Ramesh Verma
Keyword(s):  
Risk Factors ◽  
Rural Areas ◽  
Univariate Analysis ◽  
Neonatal Morbidity ◽  
Maternal Risk Factors ◽  
Community Based ◽  
Cross Sectional ◽  
Maternal Risk ◽  
Live Births ◽  
Diabetic Mothers

Background: Macrosomia affects 1-10% of all pregnancies. The macrosomia is reportedly associated with neonatal morbidity, neonatal injury, maternal injury and cesarean delivery. The present study was aimed at finding out prevalence and assessing association of maternal risk factors with macrosomia.Methods: This community based retrospective and cross-sectional study was carried out in 23 rural sub-centres of block Beri, district Jhajjar (Haryana, India) among 920 mothers. A predesigned pretested semistructured questionnaire was used to collect information. Univariate analysis along with logistic regression analysis was performed.Results: The prevalence of macrosomia among live births was 1.3% (n=12). In the present study, mothers from upper and upper middle socio-economic status had six times higher odds of delivering a large baby. Diabetic mothers had seventeen times higher incidence of macrosomia as compared to non-diabetic mothers. Mothers who consumed full course of iron folic acid (IFA) tablets during antenatal period had 24% lesser chances of macrosomia in live births as compared to mothers who did not consume the full course.Conclusions: The findings of the present study emphasize that incidence of macrosomia can be reduced by strengthening antenatal monitoring, prevention of complications, early diagnosis and appropriate and adequate management of treatable risk factors in mothers.

scholarly journals NEONATAL HYPOGLYCEMIA

2018 ◽  
Vol 21 (04) ◽  
pp. 745-749
Author(s):  
Sikandar Ali Bhand ◽  
Farzana Sheikh ◽  
Abdul Rehman Siyal ◽  
Muhammad Akber Nizamani ◽  
Muhammad Saeed
Keyword(s):  
Risk Factors ◽  
Birth Weight ◽  
Family History ◽  
Low Birth Weight ◽  
Gestational Age ◽  
Metabolic Disorder ◽  
Maternal Risk Factors ◽  
Diabetic Mellitus ◽  
Maternal Risk ◽  
History Of

… Objective: To determine the presenting features and assessment of the neonateswith hypoglycemia along with maternal and neonatal risk factors for hypoglycemia. Subjects &methods: All consecutive neonates with hypoglycemia admitted were included in the study.Demographic characteristics of the mothers and their babies, past medical history and illnessesduring pregnancy especially that, of diabetes mellitus and duration, details of the management oflabour and place of delivery, birth asphyxia as well as history of feeding prior to admission. All therisk factors and clinical features were documented. Results: From presenting features neonateswere most common temperature instability 32% of the neonates. Maternal risk factors were asMaternal diabetic mellitus, Intrapartum administration of glucose , Maternal drug uses as: (Betablockers, Oral hypoglycemic agents, Valproate), family history of metabolic disorder and withoutany factors with the percentage 13%, 17%, (15%, 08%, 07%) , 27% and 13% respectively.Neonatal risk factors of the patients were found low birth weight 49%, small gestational age 26%,macrosomia 11%, respiratory distress 32%, sepsis 20%, hypothermia 25%, congenital cardiacabnormalities 4%, endocrine disorder 4%, family history of metabolic disorder 7%, inborn errorsof metabolism 4%, rhesus hemolytic disease 5%, erythroblastosis fetalis 1%, inadequate feeding35% and neonates without factors were 6%. Conclusions: The risk factors associate withneonatal hypoglycemia are, low birth weight, small gestational age, macrodome, respiratorydistress, sepsis, hypothermia and inadequate feeding , and maternal risk factors associate toneonatal hypoglycemia was Eclampsia, Maternal diabetic mellitus, and maternal drug uses

scholarly journals Maternal Risk Factors Associated with Low Birth Weight in Indonesia

2018 ◽  
Vol 11 (1) ◽  
pp. 376-383 ◽  
Author(s):  
Issara Siramaneerat ◽  
Farid Agushybana ◽  
Yaowaluck Meebunmak
Keyword(s):  
Risk Factors ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Pregnant Women ◽  
Maternal Education ◽  
Pregnancy Complication ◽  
Maternal Risk Factors ◽  
Maternal Risk ◽  
Factors Associated ◽  
Logistic Analysis

Background: Low birth weight (LBW) is a major risk factor for death and disease in the fetus and newborn infant. However, the study about LBW and maternal risk factors involved in Indonesia is still limited. Objective: The present study attempted to examine the association of maternal risk factors including mother’s age, mother and husband education, mother and husband occupation and wealth, ANC visit, desired pregnancy and obstetric complication toward the occurrence of low birth weight infant across region and family wealthy. Methods: This study employed the data from the national survey of Indonesia Demographic and Health Survey (IDHS). The latest births from married women who gave birth within 2 years (2011 and 2012) preceding the IDHS were considered as sample selection. It was approximately 15,126 respondents. The predicted risks of low birth weight were estimated using multilevel logistic analysis. Results: Data were collected on 15,126 pregnant women who reported 10.2% were with LBW infants. When using the multilevel logistic analysis, the factors associated with LBW were maternal delivery-baby age, mother’s education, antenatal care and pregnancy complication at significant levels of 0.01. Conclusion: The prevalence of preterm infants in this study was quite high. Factors affecting LBW were maternal age, maternal education, ANC visits and pregnancy complication. The ANC visit of pregnant women is a potential and feasible activity to reduce the incidence of LBW.

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