Age and Parity in the Incidence Of Primary Post Partum Hemorrhage at Panembahan Senopati Hospital, Bantul Yogyakarta

Vina Anggraini
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Abstract

Post partum hemorrhage is the main cause of 150,000 maternal deaths every year in the world and almost 4 out of 5 deaths due to postpartum hemorrhage occur within 4 hours after delivery. The direct causes of maternal death in Indonesia are bleeding 45.20%, eclampsia 12.90%, abortion complications 11.10%, postpartum sepsis 9.60%, prolonged labor 6.50%, anemia 1.60% and indirect causes of death. by 14, 10%. The purpose of this study was to determine the relationship between parity and age with the incidence of primary postpartum hemorrhage at Panembahan Senopati General Hospital. Analytical survey studies or case control surveys use a retrospective time approach. The sampling technique was purposive sampling with a ratio of the number of samples 1: 1, namely the case sample was 70 and the control sample was 70. The analysis technique was Chi Square. The results of Chi Square analysis showed that age and parity had a significant relationship with the incidence of primary postpartum hemorrhage, age (OR = 14.22 and p-value 0.000) while parity (OR 3.010 and p-value 9.643). It means that mothers with maternal age at risk (<20 and > 35 years) have a risk of 14.22 greater than the age not at risk (20-35 years). Mothers with parity at risk (1 and >3) had a 3.010 greater risk of primary postpartum hemorrhage than mothers with parity at no risk (2 and 3). This study concluded that there is a relationship between age and parity with the incidence of primary postpartum hemorrhage.
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日惹市Panembahan Senopati医院原发性产后出血发生率的年龄和胎次
产后出血是全世界每年15万产妇死亡的主要原因,产后出血造成的死亡几乎有五分之四发生在分娩后4小时内。印度尼西亚产妇死亡的直接原因是出血45.20%、子痫12.90%、流产并发症11.10%、产后败血症9.60%、分娩时间延长6.50%、贫血1.60%和间接死亡原因。14%, 10%。本研究的目的是确定胎次和年龄与Panembahan Senopati综合医院原发性产后出血发生率之间的关系。分析性调查研究或病例对照调查采用回顾性时间方法。抽样方法为有目的抽样,样本数量为1:1,即病例样本为70份,对照样本为70份。分析方法是x平方分布。卡方分析结果显示,年龄、胎次与原发性产后出血发生率有显著相关,年龄(OR = 14.22, p值0.000)与胎次(OR 3.010, p值9.643)有显著相关。这意味着母亲处于危险年龄(35岁)的母亲的风险比无危险年龄(20-35岁)的母亲高14.22。胎次风险(1和3)的母亲发生产后出血的风险比无胎次风险(2和3)的母亲高3.010。本研究得出结论,年龄和胎次与产后出血发生率之间存在关系。
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