FACTORS THAT AFFECT INTRA UTERINE FETAL DEATH AT GORONTALO CITY HOSPITAL

Abstract

Abstrak

Intra uterine Fetal Death (IUFD) adalah kematian janin setelah usia kehamilan 20 minggu dan diklasifikasikan menjadi IUFD dini dan IUFD lanjut. IUFD dini jika kematian janin terjadi sebelum usia kehamilan 24 minggu dan IUFD lanjut jika kematian janin setelah usia kehamilan 24 minggu. Banyak faktor yang berkontribusi terhadap tingginya angka kematian ibu dan angka kematian neonatus  penyebabnya diantaranya factor proses persalinan,seperti partus lama, posisi janin,tempat persalinan dan penolong persalinan.Tujuan penelitian ini untuk mengetahui factor factor  yang mempengaruhi kejadian Intra Uterin Fetal Death di Rumah Sakit Kota Gorontalo. Penelitian ini menggunanakan metode survey analitik rancangan case control dengan pendekatatan retrosfektif. Pengambilan sampel menggunakan tehnik purporsive sampling sebanyak 94 ibu yang dibagi dalam 2 kelompok. Kelompok kasus 47 ibu yang melahirkan dengan IUFD dan kelompok control 47 ibu yang melahirkan normal. Analisis data menggunakan uji odd Rasio. Hasil uji statistic menunjukkan umur (OR=7,169), Pekerjaan (OR=5,273), Paritas (OR= 4,615), Kehamilan Ganda (OR=1,000), Preeklamsi (OR=6,875) dan KPD (OR=4,615) dari hasil uji statistik  disimpulkan ada pengaruh umur, pekerjaan, paritas dan pre-eklamsi terhadap kejadian IUFD sedangkan kehamilan ganda dan KPD tidak ada pengaruh terhadap kejadian Intra Uterine Fetal Death namun tidak signifikan. Disarankan kepada ibu hamil untuk memeriksa kehamilannya secara rutin.

Kata kunci: IUFD, Paritas, KPD, Pre-eklamsi, Kehamilan ganda

Abstract

Intra uterine Fetal Death (IUFD) is fetal death after 20 weeks of gestation and is classified into early IUFD and late IUFD. Early IUFD if fetal death occurred before 24 weeks of gestation and late IUFD if fetal death occurred after 24 weeks of gestation. Many factors contribute to the high maternal mortality rate and the cause of neonatal mortality, including labor processes, such as prolonged labor, fetal position, place of delivery and birth attendants. Gorontalo. This study uses an analytical survey method with a case control design with a retrospective approach. Sampling with purporsive sampling technique as many as 94 mothers who were divided into 2 groups. The case group was 47 mothers who gave birth with IUFD and the control group was 47 mothers who gave birth normally. Data analysis used the odd ratio test. The results of the statistical odd ratio test showed age (OR = 7,169), Occupation (OR = 5,273), Parity (OR = 4,615), Multiple Pregnancy (OR = 1,000), Preeclampsia (OR = 6,875) and PROM (OR = 4,615) from the results Statistical tests can be concluded that there is an effect of age, occupation, parity and preeclampsia on the incidence of IUFD, while multiple pregnancy and KPD have no effect on the incidence of Intra Uterine Fetal Death but it is not significant. It is recommended for pregnant women to check their pregnanc.