PENGARUH UMUR DAN JARAK KEHAMILAN TERHADAP KEJADIAN PERDARAHAN KARENA ATONIA UTERI
ABSTRACT: Hemorrhage is the
first cause of maternal death in the time after delivery. Causes of bleeding
either because Atoni uterine. Atoni uterine is condition that uncontraction
uterine muscle after delivery of the placenta. Uterine contraction causes the
blood vessels open at the implantation of the placenta is not closed. Atoni
uterine is caused by reproductive organs do not function optimally. Healthy
reproductive age around 20-35 years, so the risk of puerpuralis at the age of
less than 20 years old and over 35 years of risk occurs atonic uterus. Spacing
pregnancies too close also cause reproductive organ recovery is not maximized.
The research objective was to determine the relationship of age and spacing of
pregnancy on the incidence of hemorrhage due to uterine atony. Knowing the
factors that most influence on the hemorrhage due to uterine atony. The
research method was a quantitative survey with cross sectional approach, the
population was that postpartum mothers in hospitals RSUD Margono Soekardjo 2014.
Mothers with postpartum hemorrhage due to uterine atony 459 cases. The number
of sample was a 156 respondents. Bivariate analysis used chi square and
multivariate used regression logistic. Result:
maternal age risk as much as 35.9%. Spacing pregnancies at risk as much
as 33.3%. There is a relationship between maternal age and spacing pregnancies
to hemorrhage due to atonic uterus (p value 0.045 and 0.007). Multivariate
analysis showed that the influence of spacing pregnancies (p value 0.011 and B
exp 2:47). Conclusion there is a relationship between gestational age and
spacing pregnancies to hemorrhage due to atonic uterus. Respondents with
spacing pregnancies risk pregnancies have a greater risk of 2:47 times for
hemorrhage due to uterine atony.
Keywords: maternal age,
spacing of pregnancy, uterine atony
Penulis: Sugi Purwanti, Yuli
Trisnawati
Kode Jurnal: jpkebidanandd160401
