Risk factor of the incidence of hyperemesis gravidarum: A population-based case-control study

Rafhani Rosyidah, RR Risk factor of the incidence of hyperemesis gravidarum: A population-based case-control study. Jurnal Ners dan Kebidanan Indonesia.

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Abstract

Background: Hyperemesis Gravidarum is severe and excessive nausea and vomiting, starting at 4 and 6 weeks of gestation and peaking at 8-12 weeks of pregnancy, and usually subsiding by 20 weeks of gestation. As a result of excessive nausea and vomiting, pregnant women are at risk of dehydration, vitamin and mineral deficiencies, losing 5% of body weight, and can even endanger the fetus's health. Objectives: to recognize the risk factors for the incidence of hyperemesis gravidarum to detect early and reduce the consequences of hyperemesis gravidarum. Methods: This type of research is an analytical observational study with the research design of the Case Control method with a sample size of 240, and the ratio of cases and controls in the study is 1: 1. Data were collected at Sidoarjo Regional Hospital and Bhayangkara Porong Hospital in October-December 2022. This study uses secondary data, the instrument used is a data collection sheet with data sources coming from medical records. Results: The results showed that risk factors have an association with the incidence of hyperemesis gravidarum, namely the age of pregnant women (p = 0.014 <0.05, OR = 0.38, 95% CI: 0.184-0.7998). Parity (p=0.008, OR=2.14, 95% CI: 1.253-2.656). Gestational age (p=0.000, OR= 49.63, 95% CI: 18.730-131.51). Education (p=0.188, OR= 0.500, 95% CI: 0.204-1.228). Maternal occupation (p=0.002, OR= 2.34, 95% CI: 1.380-3.999). Maternal pregnancy spacing (p=0.004, OR=2.17, 95% CI: 1.298-3.642), anemia in pregnancy (p=0.032<0.05, OR= 0.422, 95% CI: 0.201-0.886) and maternal status (p=0.004, OR= 2.22, 95% CI: 1.315-3.74). Conclusions: Almost all risk factors studied had a relationship, but only maternal education in this study did not have a relationship. Maternal age, parity, gestational age, maternal employment, pregnancy distance, anemia, and BMI status are risk factors for hyperemesis gravidarum. By knowing these risk factors, it is hoped that health workers can detect early and anticipate to minimize the severity when pregnant women are exposed to HEG.

Item Type:	Other
Subjects:	R Medicine > R Medicine (General)
Divisions:	Faculty of Health Science > School of Midwifery
Depositing User:	Rafhani Rosyida
Date Deposited:	01 Apr 2024 09:37
Last Modified:	01 Apr 2024 09:37
URI:	http://eprints.umsida.ac.id/id/eprint/13607

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