Rahajeng Siti Nur Rahmawati
Politeknik Kesehatan Kemenkes Malang

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The Relationship Between Body Mass Index (BMI) and the Incidence of Preeclampsia Among Third-Trimester Pregnant Women at Tiron Public Health Center, Kediri Regency Errina Febrianti; Koekoeh Hardjito; Rahajeng Siti Nur Rahmawati; Eny Sendra
Borneo Nursing Journal (BNJ) Vol. 8 No. 2 (2026)
Publisher : Akademi Keperawatan Yarsi Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61878/bnj.v8i2.1130

Abstract

Preeclampsia is a pregnancy complication and a leading cause of maternal morbidity and mortality worldwide. One risk factor often associated with preeclampsia is pre-pregnancy Body Mass Index (BMI). This study aimed to analyze the relationship between BMI and the incidence of preeclampsia among third-trimester pregnant women at the Tiron Public Health Center, Kediri Regency. A quantitative study with a cross-sectional design was conducted. The sample consisted of 44 third-trimester pregnant women selected through simple random sampling from a population of 77. Data were obtained from maternal and child health records, blood pressure measurements, and proteinuria examinations. Results showed that most respondents had a normal BMI (50%), followed by overweight (25%), obesity (15.9%), and underweight (9.1%). Preeclampsia was identified in only one respondent (2.27%), who was classified as overweight. Statistical analysis yielded a p-value (0.425) α >( 0,05) indicating no significant relationship between BMI and preeclampsia incidence. The absence of a significant association may be related to the predominance of normal BMI respondents and the identification of only one preeclampsia case.
Diagnostic Accuracy of the Roll Over Test (ROT) and Mean Arterial Pressure (MAP) for Early Detection of Preeclampsia in Pregnant Women Pusparini Dwi Arisanti; Lumastari Ajeng; Rahajeng Siti Nur Rahmawati; Koekoeh Hardjito
Journal Of Nursing Practice Vol. 9 No. 3 (2026): April
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i3.1005

Abstract

Background: Preeclampsia remains a leading cause of maternal mortality. Early identification of pregnant women at risk is essential to prevent severe maternal and fetal complications. While Mean Arterial Pressure (MAP) and the Roll Over Test (ROT) are used for early detection, there is a need to compare their diagnostic performance in low-resource clinical settings to optimize screening protocols. Purpose: This study aimed to determine the sensitivity and specificity of ROT and MAP in screening for preeclampsia among pregnant women. Methods: This diagnostic observational study used a prospective approach involving 46 pregnant women (gestational age >30 weeks at the Puhjarak Community Health Center, Kediri District. Participants were selected using simple random sampling from a population of 52 eligible pregnant women. Screening was conducted using MAP and ROT, and the occurrence of preeclampsia was evaluated at ≥36 weeks of gestation based on clinical diagnosis. Data were analyzed to calculate sensitivity, specificity, and predictive values. Results: The prevalence of preeclampsia in this study was 17.3%. Both MAP and ROT showed a sensitivity of 75%. However, ROT showed higher specificity (94%) compared to MAP (63%). The PPV for ROT (75%) was also higher than for MAP (30%), Conclusion: There The findings suggest that the ROT may have higher specificity than MAP in screening for preeclampsia. However, further studies with larger samples are needed to confirm these findings.