FAKTOR RISIKO KELAINAN SPEKTRUM PLASENTA AKRETA PADA IBU HAMIL DI RSUP DR. MOHAMMAD HOESIN PALEMBANG TAHUN 2018-2021

SALSABILA, ATHIYYAH FARADILAH and Bernolian, Nuswil and Martadiansyah, Abarham (2022) FAKTOR RISIKO KELAINAN SPEKTRUM PLASENTA AKRETA PADA IBU HAMIL DI RSUP DR. MOHAMMAD HOESIN PALEMBANG TAHUN 2018-2021. Undergraduate thesis, Sriwijaya University.

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Abstract

Introduction. Placenta Accreta Spectrum Disorder (PASD) is the failure of separation of the placenta from the uterine wall after givebirth. PASD including placenta accreta (placenta attached directly to the surface of the myometrium), placenta increta (abnormal invasion of the placenta into the myometrium) and placenta percreta (abnormal invasion of the placenta to the uterine serosa and even to other intra-abdominal organs). PASD increased maternal morbidity and mortality. PASD also affects around 7-10% of maternal mortality worldwide. The purpose of this study was to determine the risk factors of PASD at RSUP Dr. Mohammad Hoesin Palembang in 2018-2021 and to determine the most dominant risk factors of PASD. Method. This study used an observational analytic research method with a cross sectional design. Sampling method that used is consecutive sampling method. Samples include 168 data that meets the inclusion and exclusion criteria. The processed data is secondary data. Statistical analysis using independent t-test and chi square. Results. A total of 56 pregnant women who gave birth at RSUP Dr. Mohammad Hoesin Palembang in 2018-2021 experienced PASD with an average age of 34.11 ± 4.18 years. Frequency distribution of patients with PASD, aged <35 years (51.8%), multiparity (73.2%), placenta previa (73.2%), history of cesarean section ≥ 2 times (67.9%), and history of surgery others (8.9%). There is a significant correlation between age, parity, history of cesarean section, and placenta previa with PASD (P-value <0.05). No significant correlation was found between history of other uterine surgeries and PASD (p value = 0.667). With multivariate analysis, pregnant women with placenta previa had a risk of 8.848 times experiencing PASD (p=0.000). Meanwhile, a history of cesarean section ≥ 2 times had a risk of 14,289 times experiencing PASD (p=0,000). Conclusion. There is a significant correlation between the risk factors of age, parity, history of cesarean section, and placenta previa to PASD. No significant correlation was found between risk factors for history of other uterine surgeries and PASD. History of cesarean section and placenta previa are the most dominant risk factors for PASD. Keywords: Placenta Accreta Spectrum Disorder, risk factors, pregnant women and childbirth.

Item Type:	Thesis (Undergraduate)
Uncontrolled Keywords:	Kelainan Spektrum Placenta Akreta, faktor risiko, ibu hamil dan melahirkan
Subjects:	R Medicine > R Medicine (General) > R735-854 Medical education. Medical schools. Research R Medicine > RG Gynecology and obstetrics > RG1-991 Gynecology and obstetrics R Medicine > RG Gynecology and obstetrics > RG500-991 Obstetrics R Medicine > RG Gynecology and obstetrics > RG551-591 Pregnancy R Medicine > RG Gynecology and obstetrics > RG600-650 The embryo and fetus R Medicine > RG Gynecology and obstetrics > RG725-791 Obstetric operations. Operative obstetrics
Divisions:	04-Faculty of Medicine > 11201-Medicine (S1)
Depositing User:	Athiyyah Faradilah Salsabila
Date Deposited:	28 Dec 2022 04:54
Last Modified:	28 Dec 2022 04:54
URI:	http://repository.unsri.ac.id/id/eprint/84819

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