KOMPLIKASI MATERNAL DAN LUARAN BAYI BARU LAHIR PADA KEHAMILAN REMAJA DI RUMAH SAKIT UMUM DAERAH KANJURUHAN, KEPANJEN, MALANG

Tarsikah Tarsikah(1*), Dyah Ayu Amira Diba(2), Henri Didiharto(3)

(1) Jurusan Kebidanan Poltekkes Kemenkes Malang Jl. Simpang Ijen 37 Malang, Indonesia
(2) Jurusan Kebidanan Poltekkes Kemenkes Malang Jl. Simpang Ijen 37 Malang, Indonesia
(3) Jurusan Kebidanan Poltekkes Kemenkes Malang Jl. Simpang Ijen 37 Malang, Indonesia
(*) Corresponding Author

Abstract

Kehamilan remaja menjadi salah satu permasalahan kesehatan yang serius di dunia karena berpotensi menimbulkan risiko pada ibu maupun bayi.  Tujuan dari penelitian ini adalah untuk mengetahui gambaran komplikasi maternal dan luaran bayi baru lahir pada kehamilan remaja. Desain penelitian deskriptif kuantitatif. Populasi yang seluruh bayi baru lahir dari ibu usia remaja tahun 2017 sampai 2018 di RSUD Kanjuruhan Kepanjen Malang sejumlah 75 orang dengan  menggunakan teknik total sampling. Instrumen yang digunakan adalah rekam medis dan cek list pengumpulan data. Analisis  data menggunakan univariat yang disajikan dalam distribusi frekuensi. Hasil penelitian menunjukkan sebagian  kecil terjadi komplikasi maternal (25,3%) dengan insiden terbanyak adalah ketuban pecah dini (8%).   Luaran bayi baru lahir pada kehamilan remaja didapatkan usia gestasi cukup bulan (53,3%), berat badan lahir rendah  (54,7%),  APGAR skor <7 (54,7%). Risiko komplikasi akibat kehamilan pada remaja bisa diminimalkan dengan upaya kontak secara dini dengan pelayanan kesehatan dan melakukan pemeriksaan ante natal secara teratur.

Keywords

Kehamilan remaja; Komplikasi maternal; Luaran bayi baru lahir

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References

Abebe, A. M., Fitie, G. W., Jember, D. A., Reda, M. M., & Wake, G. E. (2018). Teenage Pregnancy and Its Adverse Obstetric and Perinatal Outcomes at Lemlem Karl Hospital, Tigray, Ethiopia. Hindawi BioMed Research International, 2020, 1–9.

Ahsan, A., Lestari, R., & Sriati. (2015). Faktor-Faktor yang Mempengaruhi Kecemasan Pre Operasi pada Pasien Sectio Caesarea di Ruang Instalasi Bedah Sentral RSUD Kanjuruhan Kepanjen Kabupaten Malang. Program Studi Keperawatan Fakultas Kedokteran Universitas Brawijaya Malang. Tersedia dari: http://ejournal.umm.ac.id/index.php/keperawatan/issue/view

Al-Akaishi, A. M., Alfadhul, S. A., Hameed, H. G., & Kilabi, L. H. Al. (2017). Risk of Maternal and Fetal Complications in Pregnant Teenagers in Comparison to Adults, A Cohort Study. Journal University of Kerbala, 15(4), 196–203.

Alonso, V. A., Panetta, P., Gortari, P. de, & Grammatopoulos, D. K. (2017). Corticotropin-Releasing Hormone As the Homeostatic Rheostat of Feto-Maternal Symbiosis and Developmental Programming In Utero and Neonatal Life. Mini Review Article Front. Endocrinol, 11, 1–10.

Bartsch, E., Medcalf, K. E., Park, A. L., & Ray, J. G. (2016). Clinical Risk Factors for Pre-Eclampsia Determined in Early Pregnancy: Systematic Review and Meta-Analysis of Large Cohort Studies. BMJ, 353, 1–10.

Cavazos-Rehg, P. A., Krauss, M. J., Spitznagel, E. L., Bommarito, K., Madden, T., Olsen, M. A., Subramaniam, H., Peipert, J. F., & Bierut, L. J. (2015). Maternal Age and Risk of Labor and Delivery Complications. Matern Child Health J, 19(6), 1202–1211.

Çift, T., Korkmazer, E., Temu, M., Bulut, B., Korkmaz, B., Ozdenoğlu, O., Akaltun, C., & Üstünyurt, E. (2017). Adolescent Pregnancies: Complications, Birth Outcomes and The Possible Solutions. Ginekologia Polska, 88(7), 393–397.

Figueiredo, A. C. M. G., Gomes-Filho, I. S., Batista, J. E. T., & Orrico, G. S. (2019). Maternal Anemia and Birth Weight: A Prospective Cohort Study. PLoS ONE, 14(3), 1–22.

Fleming, N., O’Driscoll, T., Becker, G., & Spitzer, R. F. (2015). Adolescent Pregnancy Guidelines. J Obstet Gynaecol Can, 37(8), 740–756.

Indarti, J., Fattah, A. N. Al, Dewi, Z., Hasani, R. D. K., Mahdi, F. A. N., & Surya, R. (2020). Teenage Pregnancy: Obstetric and Perinatal Outcome in a Tertiary Centre in Indonesia. Hindawi Obstetrics and Gynecology International, 2020, 1–5.

Kementerian Kesehatan Republik Indonesia. (2012). Survei Demografi dan Kesehatan. Tersedia dari : http://kesga.kemkes.go.id/images/pedoman/SDKI 2012-Indonesia.pdf

Jhonson, J. Y. (2010). Keperawatan Maternitas. Rapha Publising.

La-Orpipat, T., & Suwanrath, C. (2019). Pregnancy Outcomes Of Adolescent Primigravida And Risk Of Pregnancy-Induced Hypertension: A Hospital-Based Study In Southern Thailand. Journal of Obstetrics and Gynaecology, 39(7), 934–940.

Lawot, I., Tamrakar, A., & Sharma, S. (2018). Outcomes of Pregnancy Among Teenage Mothers: Hospital Based Study in Western Region of Nepal. IOSR Journal of Nursing and Health Science (IOSR-JNHS), 7(2), 47–51.

Maryunani, A., & Sari, E. P. (2013). Asuhan Kegawatdaruratan Maternal dan Neonatal. CV Trans Info Media.

Meihartati, T. (2016). Hubungan Kehamilan Usia Dini dengan Kejadian Persalinan Premature di Ruang Bersalin Rumah Sakit Ibu dan Anak Paradise. Jurnal Delima Azhar, 2(1), 66–70.

Moraes, A. N., Likwa, R. N., & Nzala, S. H. (2018). A Retrospective Analysis of Adverse Obstetric and Perinatal Outcomes in Adolescent Pregnancy: The Case of Luapula Province, Zambia. Maternal Health, Neonatology, and Perinatology, 4(20), 1–11.

Najim, T., Ghathwan, K. I., Alnakkash, U. M., & Abdelraheem, Y. (2015). The Impact of Teenage Pregnancy on Maternal, Fetal and Neonatal Outcomes. International Journal of Scientific Research in Knowledge, 3(4), 106–113.

Nakubulwa, S., Kaye, D. K., Bwanga, F., Tumwesigye, N. M., & Mirembe, F. M. (2015). Genital Infections and Risk of Premature Rupture of Membranes in Mulago Hospital, Uganda: A Case Control Study. BMC Res Notes, 8(573), 1–8.

Narukhutrpichai, P., Khrutmuang, D., & Chattrapiban, T. (2016). The Obstetrics and Neonatal Outcomes of Teenage Pregnancy in Naresuan University Hospital. J Med Assoc Thai, 99(4), 361–367.

Nyflot, L. T., Stray-Pedersen, B., Forse´n, L., & Vangen, S. (2017). Duration Of Labor and The Risk of Severe Postpartum Hemorrhage: A Case-Control Study. PLOS ONE, 4(6), 1–10.

Papri, F. S., Khanam, Z., Aral, S., & Panna, M. B. (2016). Adolescent Pregnancy: Risk Factors, Outcome and Prevention. Chattagram Maa-O-Shishu Hospital Medical College Journal, 15(1), 53–56.

Peres, G. M., Mariana, M., & Cairrão, E. (2018). Pre-Eclampsia and Eclampsia: An Update on the Pharmacological Treatment Applied in Portugal. J Cardiovasc Dev Dis, 5(1), 1–13.

Prawirohardjo, S. (2014). Ilmu Kebidanan. Ed 4. Yayasan Bina Pustaka Sarwono Prawirohardjo.

Renzo, D. C. Di, Spano, F., & Giardina, I. (2015). Iron Deficiency Anemia in Pregnancy. Womens Health, 11(6), 891–900.

Rita, Naik, K., Desai, R. M., & Tungal, S. (2017). Study of Feto Maternal Outcome of Teenage Pregnancy at Tertiary Care Hospital. Int J Reprod Contracept Obstet Gynecol, 6(7), 2841–2845.

Ruiz, R. J., Gennaro, S., Dwivedi, C. O., Gibeau, A., Keshinover, T., & Welsh, T. (2016). CRH as a Predictor of Preterm Birth in Minority Women. Biol Res Nurs, 18(3), 316–321.

Saghafi, N., Pourali, L., Ghazvini, K., Maleki, A., Ghavidel, M., & Babaki, M. K. (2018). Cervical Bacterial Colonization in Women with Preterm Premature Rupture of Membrane and Pregnancy Outcomes: A Cohort Study. Int J Reprod Biomed (Yazd), 16(5), 341–348.

Sandström, A. (2016). Labour Dystocia: Risk Factors and Consequences for Mother and Infant. Avaliable from https://core.ac.uk/download/pdf/70344038.pdf

Socolov, D. G., Iorga, M., Carauleanu, A., Ilea, C., Blidaru, I., BoiculeseSocolov, L., & Socolov, R.-V. (2017). Pregnancy during Adolescence and Associated Risks: An 8-Year Hospital-Based Cohort Study (2007–2014) in Romania, the Country with the Highest Rate of Teenage Pregnancy in Europe. Biomed Res Int, 2017, 1–8.

Sulastyawati, A. (2014). Asuhan Kebidanan Pada Masa Kehamilan Edisi Revisi. Salemba Medika.

Surtiningsih. (2017). Faktor-Faktor yang Mempengaruhi Lama Waktu Persalinan di Puskesmas Klampok 1 Kabupaten Banjarnegara. Jurnal Ilmiah Kebidanan, 8(2), 101–115.

WHO. (2015). World Health Statistics 2015: World Health Organization.

Wiraguna, A. A. G. P., Rusyati, L. M. M., & Vijayamurti, I. D. A. V. (2018). Bacterial Vaginosis as a Risk factor of Pretem Prematur Ruptur of the Membrane (PPROM). Bali Dermatology and Venerology Journal (BDV), 1(1), 36–39.

Yasmin, G., Kumar, A., & Parihar, B. (2014). Teenage Pregnancy - Its Impact on Maternal and Fetal Outcome. International Journal of Scientific Study, 1(6), 9–13.

DOI: 10.23917/jk.v13i1.11102

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