Irsam, Muhamad
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Analisis Faktor Risiko Kejadian Retensio Plasenta Wanda, Alfina Nur; Setyabudi, Muhamad Taufiqy; Irsam, Muhamad; Ratnaningrum, Kanti
Prosiding Seminar Nasional Unimus Vol 7 (2024): Transformasi Teknologi Menuju Indonesia Sehat dan Pencapaian Sustainable Development G
Publisher : Universitas Muhammadiyah Semarang

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Abstract

Latar belakang: Retensio plasenta masih menjadi salah satu penyebab utama terjadinya perdarahan postpartum. Faktor risiko terjadinya retensio plasenta adalah umur, paritas, anemia kehamilan, jarak kelahiran, usia kehamilan, riwayat sectio caesarea, dan riwayat retensio plasenta sebelumnya. Tujuan penelitian ini adalah untuk mengetahui Faktor Risiko Kejadian Retensio Plasenta di RSUD Dr. Adhyatma,MPH dan RS Roemani Kota Semarang.Metode: Penelitian menggunakan desain case control dengan pendekatan retrospektif dan teknik total sampling serta simple random sampling. Pengambilan data dilakukan di RSUD Dr. Adhyatma, MPH dan RS Roemani Kota Semarang. Data penelitian ini menggunakan data sekunder rekam medis pasien ibu melahirkan pervaginam periode Januari 2020–Desember 2022. Analisis data penelitian ini menggunakan uji Chi-square, uji Fisher Exact, dan uji regresi logistik.Hasil: Dari 160 sampel di dapatkan hasil terdapat pengaruh antara umur (p=0,002; OR=3,000; CI=1,5365,860), anemia kehamilan (p=0,017; OR=2,626; CI=1,236-5,577), jarak kelahiran sebelumnya (p=0,001; OR=4,056; CI=1,964-8,376), usia kehamilan (p=0,001; OR=4,056; CI=1,964-8,376), dan riwayat sectio caesarea (p=0,013; OR=2,851; CI=1,291-6,300) terhadap kejadian retensio plasenta. Tidak terdapat pengaruh antara paritas dan riwayat retensio plasenta terhadap kejadian retensio plasenta.Kesimpulan: Jarak kelahiran sebelumnya merupakan faktor yang paling berpengaruh terhadap kejadian retensio plasenta di RSUD Dr. Adhyatma, MPH dan RS Roemani Kota Semarang.Kata Kunci : Retensio Plasenta, Jarak Kelahiran, Usia Kehamilan, Umur
Factors of Diabetic Retinopathy among Type 2 Diabetes Mellitus Patients in Central Java Province, Indonesia Casmuti, Casmuti; Zainafree, Intan; Cahyati, Widya Hary; Ningrum, Dina Nur Anggraini; Saefurrohim, Muhamad Zakki; Hakam, Abdul; Zaimatuddunia, Irma; Prasetya, Henky Yoga; Jusran, Alek; Irsam, Muhamad
Unnes Journal of Public Health Vol. 14 No. 1 (2025)
Publisher : Universitas Negeri Semarang (UNNES) in cooperation with the Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/ujph.v14i1.16126

Abstract

One of the microvascular complications of type 2 diabetes mellitus is diabetic retinopathy. The prevalence of diabetes mellitus in Central Java Province in 2022 by 10% increased to 12.52% in the third quarter of 2023. This prevalence rate has not reached the SDG's target, namely there is no increase in diabetes prevalence by 0%. The purpose of this study is to analyze factors associated the incidence of diabetic retinopathy in type 2 DM patients at Central Java Provincial Hospital in 2023. This research is quantitative research with a nested case control study design, using electronic medical record data from the Central Java Provincial Hospital in 2023. The variables in this study were gender, age, education level, employment status, marital status, health insurance status, BMI, DM diet, duration of DM, hypertension, other diseases, current blood glucose, and HbA1c. The analysis used was univariate, bivariate, and multivariate analysis (logistic regression). The results showed that there was association between age ≥70 years (p=0.006), DM diet (p<0.0001, OR=20.914), duration of DM (p=0.003, OR=3.010), hypertension (p=0.013, OR=2.619), other diseases including cataracts (p=0.040, OR=9.00), glaucoma (p=0.007), CHD (p=0.040, OR=9.00), and cardiomegaly (p=0.016), current blood glucose (p=0.045, OR=2.478), and HbA1c (p<0.0001, OR=6.152). DM diet is the most dominant factor associated with diabetic retinopathy in type 2 DM patients.