Correlation Between Body Mass Index With The Incidence Of Preeclampsia

Claudia A. Tjipto, Warsanto ., Adi Pramono

Abstract


Introduction: Indonesia is on its way to achieve the Millennium Development Goals (MDG’s) of reducing the maternal mortality ratio by three-quarters between 1990 and 2015. Preeclampsia was the second cause of maternal mortality in Indonesia that was 7-10% from all maternal mortality that happened. Preeclampsia is a disease that occurs during pregnancy, which usually appear after 20 weeks and is characterized by an increase in blood pressure during pregnancy (systolic/diastolic ≥140/90 mmHg) with proteinuria and edema. Research shows an association between high Body Mass Index with an increase in the occurrence of preeclampsia. Aim: This research purpose is to determine the correlation between Body Mass Index with incidence of preeclampsia.
Methods: This research used an observational analytic cross-sectional design. The sample used was 46 data from mother with preeclampsia and 46 from mother with normal pregnancy. The data used were secondary data from X hospital on January 2014 until December 2015, selected based on the inclusion and exclusion criteria. Data analysed using Spearman test.
Result: Preeclampsia was significantly correlated to high body mass index (p=0,000, correlation coefficient is 0,632), where 58.7% of obese mothers, 28.26% of overweight mothers were diagnosed with preeclampsia, while only 8.7% of normal weight mothers, and 4.34% of underweight mothers had preeclampsia.
Conclusion: The results showed that there was a significant correlation between Body Mass Index and preeclampsia , suggesting that mothers with high body mass index were at a higher risk of preeclampsia

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References


Indonesia. Departemen Kesehatan. Survey Demografi Kesehatan Indonesia. Jakarta: Depkes RI; 2007.

Birawa AD, Hadisaputro H, Hadijono S. Kadar D-Dimer Pada Ibu Hamil dengan Preeklampsia Berat dan Normotensi di RSUP Dr. Kariadi. Semarang; 2009.

Dina S. Luaran Ibu dan Bayi Pada Penderita Preeklampsia Berat dan Eklampsia Dengan Atau Tanpa Sindroma HELLP. Sumatra Utara; 2003.

Indonesia. Departemen Kesehatan. Profil Kesehatan Provinsi Jawa Timur. Surabaya: Dinas Kesehatan Provinsi Jawa Timur; 2012.

Cunningham FG, Leveno KJ, Bloom SL, Spong CY, Dashe JS, Hoffman BL, et al., editors. Williams Obstetrics. 24th ed. New York: McGraw-Hill; 2014.

Prawirohardjo S. Ilmu Kebidanan. Ed. 4, Cet. 2. Jakarta: PT Bina Pustaka; 2009.

Manuaba IBG, Manuaba IAC, Manuaba IBGF, editors. Pengantar Kuliah Obstetri. Jakarta: Penerbit Buku Kedokteran EGC; 2007.

Sujiyatini, dkk. Asuhan Patologi Kebidanan. Jakarta: Nuha Medika; 2009.

Quesarusman H, Wantania J, Kaeng JJ. Hubungan Indeks Massa Tubuh Ibu dan Peningkatan Berat Badan saat Kehamilan dengan Preeklampsia. Manado; 2013.

Taber B. Kapita Selekta Kedaruratan Obstetri dan Ginekologi. Ed. 2. Jakarta: Penerbit Buku Kedokteran EGC; 1994.

Wiknjosastro G, dkk. Ilmu Kebidanan. Jakarta: Yayasan Bina Pustaka Sarwono Prawirohardjo; 2006.

Pernoll ML, Benson RC. Current Obstetric and Gynecologic Diagnosis and Treatment. 6th ed. California: Appleton and