Factors Associated with Pregnancy Hypertension Risk
DOI:
https://doi.org/10.35730/jk.v14i1.938Keywords:
Pregnant Women, Early Detection, Hypertension in Pregnancy, Late Detection.Abstract
Background: Hypertension in pregnancy needs to beware out because it can progress to more severe conditions, namely preeclampsia and eclampsia, thereby endangering the mother and the unborn baby. Risk factors in Hypertension in pregnancy are as age, education, occupation, parity, gestational age, economic factors, personal and family history of hypertension, obesity and activity/exercise.
Objective: This study aims to determine the risk factors for Hypertension in pregnancy in Deli Serdang Regency, North Sumatra.
Method: This study method used analytic observational with a cross sectional design. The study subjects were pregnant women at Public Health Center of Deli Serdang Regency who were considered the inclusion criteria and were selected as study subjects. The sampling technique by means of random sampling amounted to 164. Univariate analysis used to get an overview of the frequency distribution and percentage of the variables to be studied. Bivariate analysis used to determine the relationship between the independent variable and the dependent variable. The statistical test was Chi-Square with CI 95%. If p < 0.05. Multivariate analysis with logistic regression statistical tests to determine the influence of the independent variables on the dependent variable. Independent variables with p value <0.25 were included in the multiple logistic regression test model and selected using the enter method. The strength of the influence of the independent variable on the dependent variable is the Exp value (ß).
Result: The results of the study proved the results of Multivariate analysis, can be synthesized that the risk factors for pregnancy hypertension were influenced by factors: education (p=0.045), parity (p=0.047), gestational age (0p=0.040), personal history of hypertension (p=0.013), history family (p=0.049), and obesity (p=0.016). While the factors of age, occupation, economy and activity/exercise have no effect on risk factors for hypertension in pregnancy. Based on Exp value (B), the most influential factor was personal history of hypertension (p=0.013). This is indicated by the Exp value (B) = 2.710 which is in the interval 1.234 – 5.953, followed by obesity (p=0.016) with the Exp value (= 2.612) which is in the interval 1.192 – 5.725.
References
Arifandini. The Relationship between Parity in Pregnancy and the Incidence of Preeclampsia in Pregnant Women in the Working Area of the Rumbia Health Center, Central Lampung Regency, 2017.
Arteaga, S., Caton, L., & Gomez, AM Planned, Unplanned And In Between: The Meaning And Context Of Pregnancy Planning For Young People. Contraception, 99(1), 16-21, 2019.
Dasuki, MMM Analysis of Factors Influencing Early Detection in Prevention of Preeclampsia at Arosbaya Health Center, Bangkalan Regency (Research Study at Arosbaya Health Center). Doctoral dissertation, STIKes Ngudia Husada Madura, 2021.
Ertiana. Relationship between Age and the Incidence of Preeclampsia in Pregnant Women at Kediri District Hospital , 2018.
Fisabililla. The Relationship Between Obesity and Hypertension Incidence in Pregnant Women in the Working Area of the Ranuyoso Health Center, Lumajang Regency , 2021.
Guzik, BM, McCallum, L., Zmudka, K., Guzik, TJ, Dominiczak, AF, Padmanabhan, S. Echocardiography Predictors of Survival in Hypertensive Patients With Left Ventricular Hypertrophy, American Journal of Hypertension , 2021;, hpaa194 , https://doi.org/10.1093/ajh/hpaa194 , 2021.
Ikhwani. The Incidence Rate of Preeclampsia in View of the Type of Work at RSUD dr. R. Soedjono Selong , 2021.
Kusumawati and Mirawati. Relationship between Maternal Age and Preeclampsia Incidence at Aura Syifa Hospital, Kediri Regency , 2019.
Leach, MJ, Wiese, M., Agnew, T., & Thakkar, M. Health consumer and health provider preferences for an integrative healthcare service delivery model: A national cross-sectional study. International Journal of Clinical Practice, 72(6), 1–13 . Available at: https://doi.org/10.1111/ijcp.13204 , 2018.
Mariza. Relationship between history of hypertension and severe preeclampsia in women giving birth at Dr. H. Abdul Moeloek, Lampung Province , 2018.
Mo, Minjia; Shen, Yu; Si, Shuting. Features of the trajectory of blood pressure among pregnant women with gestational hypertension . Journal of Hypertension . 38(1):127-132. January, 2020.
Nurhidayati. The Relationship between Morning Walks and Pre-Eclampsia in Pregnant Women in the Central Moncek Health Center, Lenteng District, Sumenep Regency , 2018.
Ovie. Relationship of Family History of Hypertension with the Incidence of Preeclampsia , 2017.
Sulyastini, NK & Armini, LN Childbirth complications with history High Risk Pregnancy at the Gerokgak I Health Center in 2020 . Seminar National Research Innovative, 2020.
Veftisia. The Relationship between Parity and Mother's Education with the Incidence of Preeclampsia in the Semarang District , 2018.
WHO (World Health Organizations) World Health Statistics, 2020.
