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Faktor Maternal (Usia, Paritas, dan Indeks Massa Tubuh) yang Berhubungan dengan Kejadian Preeklamsia pada Ibu Hamil: Studi Analitik Retrospektif Linda Yanti; Surtiningsih Surtiningsih
MAHESA : Malahayati Health Student Journal Vol 6, No 10 (2026): Volume 6 Nomor 10 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i10.24843

Abstract

ABSTRACT Preeclampsia is one of the major pregnancy complications contributing substantially to maternal and perinatal morbidity and mortality, particularly in developing countries. Despite continuous improvements in antenatal care services, early detection of preeclampsia remains a challenge, especially in the optimal use of easily identifiable maternal risk factors. This study aimed to analyze the association between maternal factors—namely maternal age, parity, and body mass index (BMI)—and the occurrence of preeclampsia among pregnant women. This study employed a retrospective analytical design with an observational approach using secondary data obtained from medical records of pregnant women who received care at RSUD Prof. Dr. Margono Soekarjo Purwokerto during the period 2022–2024. A total of 1,305 pregnant women were included using a total sampling technique based on complete clinical data inclusion criteria. The dependent variable was the occurrence of preeclampsia, while the independent variables included maternal age, parity, and BMI. Data were analyzed using univariate and bivariate analyses with the Chi-square test. The results showed that preeclampsia occurred across all maternal factor groups, with higher proportions observed among pregnant women with high-risk age, high-risk parity, and high-risk BMI. Bivariate analysis demonstrated significant associations between maternal age, parity, BMI, and the occurrence of preeclampsia. However, the strength of these associations was relatively weak, indicating that preeclampsia is a multifactorial condition. This study highlights the importance of a comprehensive and integrated risk screening approach within antenatal care services to support early detection and prevention of preeclampsia. Keywords: Preeclampsia, Maternal Age, Parity, Body Mass Index, Maternal Factors.  ABSTRAK Preeklamsia merupakan salah satu komplikasi kehamilan yang berkontribusi besar terhadap morbiditas dan mortalitas ibu serta perinatal, terutama di negara berkembang. Meskipun pelayanan antenatal terus mengalami peningkatan, deteksi dini preeklamsia masih menjadi tantangan, khususnya dalam pemanfaatan faktor maternal yang mudah diidentifikasi. Penelitian ini bertujuan untuk menganalisis hubungan faktor maternal berupa usia ibu, paritas, dan indeks massa tubuh (IMT) dengan kejadian preeklamsia pada ibu hamil. Penelitian ini merupakan studi analitik retrospektif dengan pendekatan observasional menggunakan data sekunder dari rekam medis ibu hamil yang mendapatkan pelayanan di RSUD Prof. Dr. Margono Soekarjo Purwokerto pada periode tahun 2022–2024. Sampel penelitian berjumlah 1.305 ibu hamil yang dipilih menggunakan teknik total sampling berdasarkan kriteria inklusi data klinis lengkap. Variabel dependen adalah kejadian preeklamsia, sedangkan variabel independen meliputi usia ibu, paritas, dan IMT. Analisis data dilakukan secara univariat dan bivariat menggunakan uji Chi-Square. Hasil penelitian menunjukkan bahwa preeklamsia ditemukan pada seluruh kelompok faktor maternal, dengan proporsi yang lebih tinggi pada ibu hamil dengan usia berisiko, paritas berisiko, dan IMT berisiko. Analisis bivariat menunjukkan adanya hubungan antara usia ibu, paritas, dan IMT dengan kejadian preeklamsia. Namun demikian, kekuatan hubungan yang diperoleh relatif lemah, mengindikasikan bahwa preeklamsia merupakan kondisi multifaktorial. Penelitian ini menegaskan pentingnya pendekatan skrining risiko yang komprehensif dan terintegrasi dalam pelayanan antenatal untuk mendukung deteksi dini dan pencegahan preeklamsia. Kata Kunci: Preeklamsia, Usia Ibu, Paritas, Indeks Massa Tubuh, Faktor Maternal.
Implementasi Relaksasi Genggam Jari dalam Penurunan Nyeri pada Pasien Pasca Operasi General Anestesi di RS Jatiwinangun Diska Pratama; Amin Susanto; Linda Yanti
Jurnal Insan Pengabdian Indonesia Vol. 4 No. 3 (2026): September : Jurnal Insan Pengabdian Indonesia
Publisher : PT. ALHAFI BERKAH INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62007/jouipi.v4i3.1038

Abstract

Postoperative pain is one of the problems frequently experienced by patients after surgical procedures under general anesthesia. Non-pharmacological interventions can be used as complementary approaches to help reduce pain intensity and improve patient comfort. This community service activity aimed to identify the characteristics of patients after general anesthesia surgery and to describe pain intensity before and after the implementation of finger-hold relaxation at Jatiwinangun Hospital. The activity was conducted in June 2026 at Jatiwinangun Hospital with 32 postoperative patients who met the predetermined criteria. The intervention was performed six hours after surgery when the patients were fully conscious, hemodynamically stable, and had returned to the treatment room. Pain intensity was measured before the intervention, followed by education using a leaflet and approximately 10 minutes of finger-hold relaxation, and then pain was measured again. The results showed that 50% of participants were adults aged 26–45 years, 50% were male and 50% female, while 81.2% underwent major surgery. Before the intervention, the most common pain score was 6 in 14 participants (43.8%). After the intervention, the most common pain score was 3 in 15 participants (46.9%). The findings indicate a decrease in postoperative pain intensity following the implementation of finger-hold relaxation. This technique may be used as a simple, safe, and complementary non-pharmacological intervention in postoperative pain management.