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THE ART OF ANATOMY: PENGEMBANGAN MEDIA ATLAS ANATOMI DAN EVALUASI MELALUI PENILAIAN PEMBELAJARAN SECARA DARING DAN LURING PADA MAHASISWA KEDOKTERAAN UNIVERSITAS JAMBI Enis, Rina Nofri; Fitri, Amelia Dwi; Shafira, Nyimas Natasha Ayu; Herlambang, Herlambang; Gading, Patrick William; Putri, Nadhilah Aulia
JAMBI MEDICAL JOURNAL "Jurnal Kedokteran dan Kesehatan" Vol. 10 No. 2 (2022): Special Issues: Jambi Medical And Health Sciences International Conference (JA
Publisher : FAKULTAS KEDOKTERAN DAN ILMU KESEHATAN UNIVERSITAS JAMBI

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Abstract

ABSTRACT Backgound: The medical study program in Universitas Jambi implements competency-based curriculum that emphasizes learning anatomy in the first year of education. In learning anatomy, lecture and practice are using as a method, and an assessment will be carried out in the form of an anatomy exam or often called OSPE (Objective Structural Practice Examination) anatomy. Due to the Covid-19 pandemic, the Minister of Education and Culture of the Republic of Indonesia issued a regulation that enforces a distance learning system as a substitute for the face-to-face learning system. Objective: The purpose of the study was to compare the average scores of the anatomy exams in offline learning and online learning at the Faculty of Medicine and Health Sciences, Universitas Jambi. Methods: This study is a retrospective quantitative study design involving all students from the 2019 class that match with inclusion criteria that taking all of the anatomy practicum exams in block 1.1 to block 2.3. Result: 155 students are being included as the sample based on the inclusion criteria. Data recapitulation of anatomy test scores was carried out from June to September 2021. The score for offline learning is 63.05 and for online learning is 70.84 and statistically different (p-Value = 0.000). Conclusion: There is a significant difference between the anatomy exam scores during offline and online learning for the 2019 batch of medical students. Keywords: Anatomy, Online learning, Offline learning ABSTRAK Latar Belakang: Program studi kedokteran di Universitas Jambi menerapkan pembelajaran kurikulum berbasis kompetensi yang menekankan pembelajaran anatomi pada tahun pertama pendidikan. Dalam pembelajaran anatomi digunakan metode perkuliahan dan praktikum, penilaian akan dilakukan dalam bentuk ujian anatomi atau sering disebut dengan OSPE (Objective Structural Practice Examination) anatomi. Di tengah pandemi Covid-19, Menteri Pendidikan dan Kebudayaan Republik Indonesia mengeluarkan Surat Edaran yang memberlakukan sistem pembelajaran jarak jauh atau online sebagai pengganti sistem pembelajaran tatap muka. Tujuan: Penelitian ini bertujuan untuk membandingkan rerata nilai ujian anatomi mahasiswa tahun 2019 pada pembelajaran luring dan pembelajaran daring di Fakultas Kedokteran dan Ilmu Kesehatan Universitas Jambi. Metode: Penelitian ini merupakan penelitian retrospektif. Penelitian ini merupakan penelitian kuantitatif yang melibatkan seluruh mahasiswa angkatan 2019 yang memenuhi kriteria inklusi yaitu mengikuti seluruh ujian praktikum anatomi blok 1.1 sampai blok 2.3. Hasil: 155 mahasiswa dimasukkan sebagai sampel berdasarkan kriteria inklusi. Rekapitulasi data nilai ujian anatomi dilakukan pada bulan Juni sampai September 2021. Median skor untuk pembelajaran offline adalah 63,05 dan untuk pembelajaran online adalah 70,84 dan berbeda secara statistik (p-Value = 0,000). Kesimpulan: Terdapat perbedaan yang signifikan antara nilai ujian anatomi saat pembelajaran offline dan online untuk mahasiswa kedokteran angkatan 2019. Kata kunci: Anatomi, Pembelajaran Daring, Pembelajaran Luring
PENGARUH EKSTRAK ETANOL DAUN KARAMUNTING (Rhodomyrtus tomentosa) PADA KADAR KOLESTEROL TOTAL DAN GLUKOSA DARAH TIKUS (Rattus norvegicus) JANTAN YANG DIINDUKSI DIET TINGGI LEMAK Ekaputri Hz, Tia Wida; Khallilah, Naurah; Enis, Rina Nofri
JAMBI MEDICAL JOURNAL "Jurnal Kedokteran dan Kesehatan" Vol. 10 No. 2 (2022): Special Issues: Jambi Medical And Health Sciences International Conference (JA
Publisher : FAKULTAS KEDOKTERAN DAN ILMU KESEHATAN UNIVERSITAS JAMBI

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Abstract

ABSTRACT Background: The use of herbal medicine, as one element of complementary and alternative medicine, is increasing worldwide. The karamunting (Rhodomyrtus tomentosa) leaves have the biological activity of active compounds as antioxidant agents that can reduce cholesterol and glucose levels in the blood. The purpose of this study was to determine the effect of the karamunting leaves ethanolic extract on total cholesterol and blood glucose levels of male rats (Rattus norvegicus), which were given different doses of extract compared to control after previously being induced by a high-fat diet. Methods: Twenty rats were divided into one control group and three treatment groups, namely P1, P2, and P2. The control group received 5% Na-CMC and the three treatment groups received ethanol extract of macerated and evaporated karamunting leaves with different doses, respectively 200, 400, and 800 mg/kg BW. Previously, mice were induced with a high-fat diet for four weeks, then continued extract treatment for four weeks. Measurement of total cholesterol and blood glucose levels was carried out at the end of the treatment. Result: Total cholesterol levels of rats in the extract dose group P2 (400 mg/kg BW) and P3 (800 mg/kg BW) were significantly different (P<0.05) compared to the control group. The blood glucose levels of rats in the P3 (800 mg/kg BW) were significantly different (P<0.05) compared to the control group. Karamunting leaves ethanolic extract reduced total cholesterol and glucose levels in blood along with the dose in this study. Conclusion: There is an effect of ethanol extract of Karamunting leaves on white male rats' cholesterol and blood glucose levels. Keywords: karamunting leaves extract, total cholesterol, blood glucose, anticholesterol ABSTRAK Pendahuluan: Penggunaan tanaman obat tradisional sebagai salah satu elemen pengobatan komplementer dan alternatif semakin banyak diminati masyarakat. Daun pada tanaman karamunting (Rhodomyrtus tomentosa) memiliki aktivitas biologis senyawa aktif sebagai agen antioksidan yang berpotensi menurunkan kadar kolesterol dan glukosa darah. Tujuan dilakukannya penelitian ini adalah untuk mengetahui pengaruh ekstrak etanol daun karamunting pada kadar kolesterol dan glukosa darah tikus (Rattus norvegicus) jantan yang diberikan dosis ekstrak berbeda dibandingkan kontrol setelah sebelumnya diinduksi diet tinggi lemak. Metode: Terdapat 20 tikus yang dibagi menjadi menjadi satu kelompok kontrol dan tiga kelompok perlakuan,yaitu P1, P2, dan P2. Kelompok kontrol menerima Na-CMC 5% dan tiga kelompok perlakuan menerima ekstrak etanol daun karamunting hasil maserasi dan evaporasi dengan dosis berbeda, secara berurutan yaitu 200, 400, dan 800 mg/kg BB. Sebelumnya, tikus diinduksi dengan diet tinggi lemak selama empat minggu, kemudian dilanjutkan dengan perlakuan ekstrak selama empat minggu. Pengukuran kadar kolesterol total dan glukosa darah dilakukan di akhir perlakuan. Hasil: Kadar kolesterol total tikus pada kelompok dosis ekstrak P2 (400 mg/kg BB) dan P3 (800 mg/kg BB) berbeda signifikan (P<0,05) dibandingkan kontrol. Kadar glukosa darah tikus pada kelompok dosis ekstrak P3 (800 mg/kg BB) berbeda signifikan (P<0,05) dibandingkan kontrol. Ekstrak etanol daun karamunting menurunkan kadar kolesterol dan glukosa darah seiring dengan besarnya dosis dalam penelitian ini. Kesimpulan: Terdapat pengaruh ekstrak etanol daun karamunting pada kadar kolesterol dan glukosa darah tikus putih jantan. Kata Kunci: ekstrak daun karamunting, kolesterol total, glukosa darah, antikolesterol
GAMBARAN KEJADIAN ABORTUS DI RSUD RADEN MATTAHER JAMBI TAHUN 2020 Chelsa Tama Azzahra; Zul Andriahta; Rina Nofri Enis
Journal of Medical Studies Vol. 2 No. 2 (2022): Journal of Medical Studies
Publisher : Fakultas Kedokteran dan Ilmu Kesehatan Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/joms.v2i2.23248

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ABSTRACT Abortion is a threat or expulsion of the products of conception before the fetus can live outside the womb for less than 20 weeks or the fetus weighs less than 500 grams. Several risk factors that influence the incidence of abortion include age, parity, occupation, history of abortion, smoking, and alcohol. The purpose of this study was to describe the incidence of abortion in RSUD Raden Mattaher Jambi. This research is descriptive research. The characteristics of aborted patients include pregnant women aged 20-35 years, mothers with multiparity parity status, mothers' occupations as housewives, mothers without a history of previous abortions, mothers who do not smoke, and mothers who do not drink alcohol. Keywords: Incident, Abortion ABSTRAK Abortus adalah ancaman atau pengeluaran hasil konsepsi sebelum janin dapat hidup di luar kandungan kurang dari 20 minggu atau berat janin kurang dari 500 gram. Beberapa faktor resiko yang mempengaruhi kejadian abortus antara lain usia, paritas, pekerjaan, riwayat abortus, merokok, dan alkohol. Tujuan penelitian ini adalah untuk mengetahui gambaran kejadian abortus di RSUD Raden Mattaher Jambi. Penelitian ini adalah penelitian deskriptif. Karakteristik pasien abortus antara lain ibu hamil usia 20-35 tahun, ibu dengan status paritas multipara, pekerjaan ibu sebagai ibu rumah tangga, ibu tanpa riwayat abortus sebelumnya, ibu yang tidak merokok dan ibu yang tidak minum alkohol. Kata Kunci : Kejadian, Abortus
CRITICAL INCIDENTS DALAM SESI TUTORIAL: IDENTIFIKASI DAN STRATEGI INTERVENSI DALAM DINAMIKA KELOMPOK Amelia Dwi Fitri; Nyimas Natasha Ayu Shafira; Rina Nofri Enis
Jambi Medical Journal : Jurnal Kedokteran dan Kesehatan Vol. 10 No. 1 (2022): Jambi Medical Journal: Jurnal Kedokteran dan Kesehatan
Publisher : FAKULTAS KEDOKTERAN DAN ILMU KESEHATAN UNIVERSITAS JAMBI

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (315.618 KB) | DOI: 10.22437/jmj.v10i1.18353

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Latar Belakang: Diskusi tutorial adalah salah satu kegiatan penting dalam pembelajaran problem based learning. Di masa pandemi Covid 19 kegiatan ini dilakukan secara online dan menjaga dinamika kelompok tetap berjalan menjadi sebuah tantangan. Persepsi tutor dan mahasiswa tentang critical insidents dipengaruhi oleh sudut pandang masing-masing individu. Tujuan: Untuk mengidentifikasi persepsi siswa dan tutor tentang kejadian kritis selama tutorial dan jenis intervensi yang dilakukan oleh tutor untuk mengatasi insiden tersebut. Metode: Penelitian ini menggunakan metode campuran yang melibatkan 84 siswa tahun keempat dan 7 tutor. Persepsi siswa dan tutor tentang insiden kritis dikumpulkan dengan survei online menggunakan kuesioner yang tervalidasi. Hasil: menurut persepsi siswa dan tutor, didapatkan partisipasi yang tidak setara sebagai insiden kritis yang paling sering terjadi. Namun didapatkan perbedaan persepsi antara siswa dan tutor tentang faktor penghambat diskusi yang memerlukan intervensi tutor; siswa menganggap kepribadian yang sulit, sedangkan tutor menyatakan ketidakseimbangan partisipasi. Faktor tutor, umpan balik, penilaian, kualitas skenario, dan masalah penjadwalan juga ditemukan memiliki peran dalam insiden kritis dalam tutorial. Intervensi tutor terhadap kejadian kritis telah dilakukan namun masih perlu ditingkatkan lagi. Simpulan: Persepsi siswa dan tutor tentang kejadian kritis sejalan dalam hal kejadian yang paling sering terjadi, tetapi berbeda dalam faktor yang paling menghambat diskusi dan memerlukan intervensi tutor. Intervensi oleh tutor tidak memadai untuk mengatasi insiden kritis yang timbul. Kata kunci: kejadian kritis, tutorial, dinamika kelompok
IDENTIFIKASI VARIABLE DETERMINAN DEFISIENSI DAN INSUFISIENSI KADAR PLASMA VITAMIN D PADA WANITA USIA SUBUR Anggelia Puspasari; Herlambang Herlambang; Nyimas Natasha Ayu Shafira; Amelia Dwi Fitri; Rita Halim; Dhea Assyifa; Esa Indah Ayudia; Erny Kusdiyah; Citra Maharani; Rina Nofri Enis
Jambi Medical Journal : Jurnal Kedokteran dan Kesehatan Vol. 10 No. 4 (2022): Jambi Medical Journal: Jurnal Kedokteran dan Kesehatan
Publisher : FAKULTAS KEDOKTERAN DAN ILMU KESEHATAN UNIVERSITAS JAMBI

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (364.19 KB) | DOI: 10.22437/jmj.v10i4.20867

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Introduction: Vitamin D have played role as nutrition for reproductive age healthy. Indonesia is tropicalcountry which got sunshine along the year but previous study reported high prevalence of deficiency and insufficiency of Vitamin D. Factor which influence Vitamin D level is complex and may specific for the population.Objective: This study aimed to determined Vitamin D plasma level and factors influenced in it.Methods: This cross-sectional study attended by 23 non pregnant women in reproductive age between 20-45 years old. Plasma level of Vitamin D measure with CLIA. Risk factor assessed with questionnaire.Results: This study reported all the women have deficient and insufficient. Factor which statisticallysignificant associated with higher Vitamin D plasma level were older age, higher sun exposure score, history for delivery the baby, not applied sunscreen and Vitamin D supplement intake.Conclusion: There are several factors influence plasma vitamin D level in women at reproductive age other than sun exposure.Key words: sun exposure, Vitamin D, women in reproductive age
The The Association Of Obesity With The Incident Of Flat Foot In Adults: A Cross-Sectional Study Of Academic Community In Jambi City Susan Tarawifa; Rina Nofri Enis; Nyimas Natasha Ayu Shafira; Anggelia Puspasari; Syatria Esa Putra
Jambi Medical Journal : Jurnal Kedokteran dan Kesehatan Vol. 11 No. 4 (2023): JAMBI MEDICAL JOURNAL Jurnal Kedokteran dan Kesehatan
Publisher : FAKULTAS KEDOKTERAN DAN ILMU KESEHATAN UNIVERSITAS JAMBI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jmj.v11i4.29137

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ABSTRACT Background: Flat feet is a foot deformity that refers to the loss of the mid-length of the foot. This can cause pain, stiffness, discomfort, and irritation in the ankles and feet. This study attempts to determine the relationship between obesity and the issue of flat feet in the academic community of the Faculty of Medicine and Health Sciences (FKIK) Universitas Jambi (UNJA) Medical Study Program. Method: This observational analytic research used a cross-sectional design with samples of 102 academics from the FKIK UNJA Medical Study Program. The primary data consisted of body weight, height, BMI, and soles of the feet. Bivariate analysis using the Chi-square test. Result: The incidence of flat feet is 20.6%, and 45,7% of flat feet are obese. There is an association between obesity and the incidence of flat foot in the academic community of the FKIK UNJA Medical Study Program. Conclusion: There is a significant relationship between body mass index and the incidence of flat feet in the academic community of the FKIK Jambi University Medical Study Program.
Profile of Pregnant Women with Hypertension: A Cross Sectional Study in Jambi City Herlambang, Herlambang; Rina Nofri Enis; Essy Octavia; Kusdiyah, Erny; Hulwa Atika Adilita
Jambi Medical Journal : Jurnal Kedokteran dan Kesehatan Vol. 12 No. 1 (2024): JAMBI MEDICAL JOURNAL: Jurnal Kedokteran dan Kesehatan
Publisher : FAKULTAS KEDOKTERAN DAN ILMU KESEHATAN UNIVERSITAS JAMBI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jmj.v12i1.30958

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Background: Hypertension in pregnancy is one of the complications that cause maternal death in Indonesia. The incidence of hypertension during pregnancy is influenced by a variety of factors.Objective: This study aims to determine maternal characteristics with hypertension in pregnancy at the Raden Mattaher Jambi General Hospital.Methods: This is a descriptive research using secondary data sources. This study population included all pregnant and delivering mothers who were diagnosed with hypertension in pregnancy between 2019 and 2022 with a total of 169 samples.Results: The results of this study are the average age of mothers is not at risk (63.3%), housewives (83.4%), senior high school education status (58.6%), diagnosed with preeclampsia (71.6%), with severe preeclampsia category (93.4%), gestational age aterm (59.2%), multiparous (59.8%), grade 2 hypertension (68%), positive proteinuria status (63.9%), high ureum levels (60.9%), normal creatinine level (79.3%), decreased hemoglobin level (53.3%), normal platelet count (84%), leukocytosis (78.7%), normal erythrocyte level (61.5%), normal hematocrit value (53.8%), normal blood sugar level (86.4%), obesity class 1 (43.2%), no history of hypertension (59.2%), no history of preeclampsia (72.2%), regular antenatal visits (65.1%), and sectio cesarea method (88.2%).Conclusion: Maternal characteristics were identified as age not at risk, housewife, senior high school education, diagnosed with preeclampsia, aterm, multiparous, grade 2 hypertension, positive proteinuria status, increased ureum level, normal creatinine level, decreased hemoglobin level, normal platelet count, leukocytosis, normal erythrocyte level, normal hematocrit value, normal blood sugar level, obesity type 1, no history of hypertension, no history of preeclampsia, history of regular antenatal visits, and sectio cesarea method.Keywords: Hypertension in Pregnancy, Preeclampsia, Jambi
Profile of Apoptotic Marker Genes and Histopathology of the Placenta in Pregnancies with Pre-Eclampsia Herlambang, Herlambang; Enis, Rina Nofri; Tarawifa, Susan; Harahap, Huntari; Puspasari, Anggelia; Maharani, Citra; Kusdiyah, Erny
Althea Medical Journal Vol 10, No 2 (2023)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v10n2.3088

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Background: Pre-eclampsia (PE) is a hypertensive disorder in pregnancy and a significant cause of maternal and perinatal mortality and morbidity. Failure of spiral artery remodeling due to abnormal apoptosis, triggers disturbances in the mother and the baby’s growth. This study aimed to identify the profile of apoptotic marker genes and histopathological features of the placenta in pregnancies with pre-eclampsia.Methods: This study had used case-control method. Samples were taken from normal pregnancies (n=25) and pregnant women with pre-eclampsia (n=25) using a purposive sampling method from several hospitals in Jambi. qRT-PCR was used to examine apoptotic gene expression from placental tissue and hematoxyline eosin staining to view the placenta’s microscopic appearance. The targeted genes were BCL2-associated X (BAX) and B-cell lymphoma 2 (BCL-2). Histopathological changes of the placenta observed were syncytial node, cytotrophoblast, villous edema, hypervascularization, fibrosis stroma, atherosis, infarction, and thrombosis.Results: Relative BAX genes expression were increased once in placenta pre-eclampsia compared to controls, but not statistically significant (p-value>0.05). There was no difference between the decline of BCL-2 gene expression in pre-eclampsia placenta compared to the control (p-value >0.05). Histopathological changes in the placenta were syncytial node and cytotrophoblast (25 of 25), villous edema (19 of 25), hypervascularization (24 of 25), fibrosis stroma (22 of 25), atherosis (12 of 25), infarction (17 of 25), and thrombosis (24 of 25).Conclusion: The expression of BAX genes in pre-eclampsia tends to increase compared to normal pregnancy, and the expression of BCL-2 decreases.  The histopathological features of pre-eclampsia pregnancy placenta are mostly syncytial nodes, cytotrophoblasts, stromal fibrosis, and thrombosis.
Looking at the Effectiveness of Various Learning Media in Anatomy Education: The Case of a Medical Program in a Public University Tarawifa, Susan; Enis, Rina Nofri; Shafira, Nyimas Natasha Ayu; Oktari, Intan
Indonesian Research Journal in Education |IRJE| Vol. 7 No. 2 (2023): IRJE |Indonesian Research Journal in Education
Publisher : Universitas Jambi, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/irje.v7i2.21506

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Anatomy education has historically been facilitated by cadavers; therefore, students always need a mentor at all times of study. Along with the dense curriculum, students are required to be able to study independently so various media are needed that can facilitate the student learning process.  This study aimed to determine the differences in the level of student knowledge of the anatomical learning materials provided through anatomy atlas, learning videos, and augmented reality (AR) in first-year medical students. This study was quasi-experimental. A total of 100 students became participants in this study that were then divided into 3 groups. Data were collected by giving pre-test and post-test to the student directly. The results of this study showed that the anatomy atlas and augmented reality significantly enhanced students’ knowledge in anatomy learning (p=0,004, p=0,000) but there was no significant difference between the three media towards the increasing student scores(p=0,14).
Profil Usia Ibu dan Berat Badan Lahir Bayi Pada Kehamilan Dengan Preeklampsia dan Kehamilan Normal di Kota Jambi Herlambang, Herlambang; Harahap, Huntari; Nofri Enis, Rina
Jurnal Ilmiah Ilmu Terapan Universitas Jambi Vol. 5 No. 2 (2021): Volume 5, Issue 2, Desember 2021
Publisher : LPPM Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (48.272 KB) | DOI: 10.22437/jiituj.v5i2.16863

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Latar Belakang. Preeklampsia (PE) merupakan penyebab mortalitas dan mobirditas utama pada maternal dan perinatal. Kegagalan remodelling arteri spiralis pada sel trofoblas akan menyebabkan keadaan hipoksia dan memicu terjadinya gangguan pada pertumbuhan bayi selama di dalam rahim yang outputnya dapat berupa berat badan lahir rendah (BBLR) ataupun persalinan prematur. Tujuan Untuk mengidentifikasi profil usia ibu dan berat badan lahir bayi pada kehamilan dengan preeklampsia dan kehamilan normal di Kota Jambi. Metode Penelitian ini adalah penelitian deskriptif analitik pendekatan Case- control. Sampel data berat badan lahir bayi diambil dari 50 ibu melahirkan (25 ibu PE dan 25 ibu normal) dengan metode purposive sampling di RSUD Raden Mattaher Jambi. Identifikasi profil usia ibu dan berat badan lahir bayi dilakukan analisis data menggunakan pearson chi square. Hasil Pada penelitian ini didapatkan, berdasarkan usia ibu, kasus terbanyak pada kehamilan PE adalah usia <20 dan >35 tahun yang tergolong usia berisiko tinggi yaitu sebanyak 55,55 %. Berdasarkan berat badan lahir bayi, kasus BBLR didapatkan terbanyak pada kelompok PE yaitu sebanyak 92,30% dibandingkan dengan kelompok kehamilan normal dan bermakna secara uji statistik. Kesimpulan: Usia ibu berisiko tinggi lebih banyak pada kelompok kehamilan PE dibandingkan kelompok kehamilan normal, serta berat badan bayi lahir rendah lebih tinggi pada kelompok kehamilan PE dibandingkan kelompok kehamilan normal, dan bermakna secara statistik (chi-square<0,05).