FAKTOR RISIKO KELAINAN SPEKTRUM PLASENTA AKRETA PADA IBU HAMIL DI RSUP DR. MOHAMMAD HOESIN PALEMBANG TAHUN 2020-2022

SAFIRA, SHABRINA and Mirani, Putri and Lusiana, Evi (2023) FAKTOR RISIKO KELAINAN SPEKTRUM PLASENTA AKRETA PADA IBU HAMIL DI RSUP DR. MOHAMMAD HOESIN PALEMBANG TAHUN 2020-2022. Undergraduate thesis, Sriwijaya University.

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Abstract

Background: Placenta Accreta Spectrum Disorder (PASD) is an abnormal implantation by placental villi invading the myometrium without the decidua basalis. Based on the depth of trophoblast invasion into the myometrium, it is divided into three categories: placenta accreta , increta and percreta. The incidence of PASD continues to increase along with the increase in cesarean section rates. In Indonesia, the rate of PASD has reached 2-4% and has continued to increase in recent decades. The purpose of this study was to determine the risk factors for accreta placenta spectrum disorders in pregnant women at RSUP Dr. Mohammad Hoesin Palembang Hospital period 2020-2022. Methods: This study used an observational analytic research method with a cross sectional design. Sample collection using consecutive sampling method. The total sample in the study was obtained as many as 155 samples that had been determined and in accordance with the inclusion and exclusion criteria. The data processed was secondary data. Data were analyzed using univariate, bivariate, and multivariate analysis. Bivariate analysis using the Chi-Square statistical test and multivariate analysis with logistic regression test. Results: A total of 91 pregnant women who gave birth at RSUP Dr. Mohammad Hoesin Palembang period 2020-2022 experienced PASD. The frequency distribution of patients with PASD is age < 20 and ≥ 35 years (47.9%), multiparity (59%), placenta previa (73,7%), history of cesarean section ≥ 2 times (88,9%), history of other uterine surgery (66,7%), and Inter-Pregancy Interval (IPI) < 18 months (36,4%). There was a significant association (p value <0.05) between age, placenta previa, history of cesarean section, and IPI with PASD. There was no significant association (p value ≥ 0.05) between parity and history of other uterine surgeries with the incidence of PASD. By multivariate analysis, pregnant women with a history of cesarean section had a risk of 20.716 times, placenta previa had a risk of 6.758 times, and a history of other uterine surgery had a risk of 2.816 times of PASD. Conclusion: There was a significant association between age, placenta previa,history of cesarean section and IPI with PASD. While no association was found between parity and history of other uterine surgery with PASD. The most associated risk factors with KSPA were History of cesarean section, placenta previa, and history of other uterine surgery

Item Type:	Thesis (Undergraduate)
Uncontrolled Keywords:	Kelainan Spektrum Placenta Akreta, faktor risiko, implantasi plasenta, ibu hamil dan melahirkan
Subjects:	R Medicine > RG Gynecology and obstetrics > RG1-991 Gynecology and obstetrics
Divisions:	04-Faculty of Medicine > 11201-Medicine (S1)
Depositing User:	Shabrina Safira
Date Deposited:	26 Dec 2023 06:03
Last Modified:	26 Dec 2023 06:03
URI:	http://repository.unsri.ac.id/id/eprint/136904

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