Analysis of risk factors and quality of antenatal services in pregnant women and its impact on the incidence of severe preeclampsia in Padang City West Sumatera

Abstract

Objective: to make a map clearly about exposure to risk factors owned by pregnant women as well as the quality of antenatal health services obtained and accessed by pregnant women in relation to their respective conditions. At the end of the study will be analyzed the impact of exposure to risk factors and the quality of antenatal services on the incidence of severe preeclampsia and the condition of the baby at the end of pregnancy. Method: in order to answer this, the study was designed using a prospective cohort study design, involving 230 pregnant women whose pregnancies would be traced from being diagnosed as pregnant to childbirth, at four public health center Padang. The data obtained will be processed univariately to make the mapping of pregnant women based on independent and dependent variables, bivariate using the chi-square test to determine the relationship between variables and multivariate analysis using logistic regression to analyze factors that really have an effect on the incidence of severe preeclampsia. Results: the most dominant factor influencing the incidence of severe preeclampsia was the age of mothers at risk (> 35 years) and an increase in body weight of more than 10 kilograms. Multivariate analysis found that age at risk provides an opportunity of 15.7 times the risk of mothers experiencing severe preeclampsia, and gaining more than 10 kilograms increases the risk of 12.3 times women experiencing severe preeclampsia. Conclusion: it is necessary for health workers to provide education to mothers to prcomplication pregnancy as much as possible above the age of 35 years, and if it occurs, it must be monitored optimally and intensively. In addition, the management of maternal diet should be more focused on the management of micronutrition, not on macro nutrition.