Faktor Risiko Kejadian Atonia Uteri

Pediomaternal Nursing Journal

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Field Value
 
Title Faktor Risiko Kejadian Atonia Uteri
 
Creator Lestari, Mega
Mulawardhana, Pungky
Utomo, Budi
 
Subject advanced maternal age; grande multiparity; labour augmented; prolonged labour; uterine overdistension
 
Description Introduction: Postpartum Hemorrhage is one of the main cause of maternal morbidity and mortality worlwide. Every 4 minutes one woman is estimated dead by this case. The cause of postpartum hemorrhage is known as ‘4 T’s’ (tone, tissue, trauma, and thrombin). Common aetiology of hemorrhage postpartum is uterine atony. Uterine atony can be caused by several risk factors . The aim of this study is to determine the correlation between advanced maternal age, grande multiparity, uterine overdistension, labour augmented, and prolonged labour as risk factors with the incidence of uterine atony.Methods: This study was an analysis of observational study with case-control design conducted at a tertiary hospital in Surabaya. The population was all medical record of postpartum women who had hemorrhage in 2016-2018. The case group was postpartum woman who had  hemorrhage due to uterine atony and the control group due to other causes. The sample size of the case group was 37 respondents and the control group was 35 respondents, they were obtained through purposive sampling. The independent variables in this study was maternal age, parity, uterine overdistension, labour augmented, and prolonged labour; the dependent variable was uterine atony. Univariate analysis was used to describe respondent’s characteristic and bivariate analysis was used to determine the correlation between risk factors and the incidence of uterine atony. Fisher Exact was used to analyze the data with α= 0,05.Results: Fisher Exact showed there was correlation between uterine overdistension and uterine atony (p value=0,036; OR= 4,423; 95% CI 1,023-27,267) on the other hand it showed no correlation between maternal age, parity, augmented labour, and prolonged labour with uterine atony (p value >0,05).Conclusion: Increased awareness of pre-conceptual care and early detection of risk factors are needed to reduce the risk factors of the incidence of uterine atony especially in uterine overdistension.
 
Publisher Universitas Airlangga
 
Contributor Mandiri
 
Date 2020-09-04
 
Type info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion

 
Format application/pdf
 
Identifier https://e-journal.unair.ac.id/PMNJ/article/view/13459
10.20473/pmnj.v5i2.13459
 
Source Pediomaternal Nursing Journal; Vol 5, No 2 (2019): VOLUME 5 NO 2 SEPTEMBER 2019; 189-196
2656-4629
2355-1577
 
Language eng
 
Relation https://e-journal.unair.ac.id/PMNJ/article/view/13459/pdf
https://e-journal.unair.ac.id/PMNJ/article/downloadSuppFile/13459/2754
https://e-journal.unair.ac.id/PMNJ/article/downloadSuppFile/13459/2755
 
Rights Copyright (c) 2020 Mega Lestari, Pungky Mulawardhana, Budi Utomo
http://creativecommons.org/licenses/by/4.0
 

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