Biopsychosocial Factors Associated with The Riskof Severe Preeclampsia in Surakarta, Central Java


Prafista Wulan Sari1), Uki Retno Budihastuti2), Eti Poncorini Pamungkasari3)

 

1)Masters Program in Public Health, Universitas Sebelas Maret

2)Department of Obstetrics and Gynecology, Dr. Moewardi Hospital, Surakarta

3)Faculty of Medicine, Universitas sebelas Maret

 

ABSTRACT

Background: Preeclampsia is high blood pressure that occurs in women after the 20 weeks of pregnancy.Preeclampsia affects both mother and the fetus, and is one of the most important causes of maternal morbidity and even mortality. The purpose of this study was to determine biopsychosocial factors associated with the risk of severe pre­eclampsia in Surakarta, Central Java.

Subjects and Method: A case control studywas conducted at Gajahan community health center, Dr. Moewardi, and Surakarta Hospitals, from October to December 2018. A sample of 200 patients was selected by fixed disease sampling. The dependent variable was severe pre­ec­lampsia. The independent variables were age, education, stress, parity, history of hypertension, history of diabetes mellitus (DM), antenatal care (ANC) visit, and family history of hypertension. The data were obtained from medical record and questionnaire. The data were analyzed by a multiple logistic regression.

Results: Severe preeclampsia increased with age(b= 1.66; 95% CI= -0.61 to 2.70; p= 0.002), history of hypertension (b= 1.22; 95% CI= 0.18 to 2.27; p= 0.022), history of DM (b= 1.14; 95% CI= 0.14 to 2.14; p= 0.025), stress (b= 1.78; 95% CI= 0.68 to 2.87; p= 0.001), and family history of hypertension (b= 1.32; 95% CI= 0.26 to 2.38; p= 0.015). It decreased with high education (b=-1.67; 95% CI= -2.80 to -0.54; p=0.004), parity (b= -1.25; 95% CI= -2.28 to -0.22; p= 0.017), and regular ANC visit (b=-1.80; 95% CI= -2.83 to -0.77; p=0.001),

Conclusion:The risk of severe preeclampsia increases with age, history of hy­per­tension, his­tory of DM, stress, and family history of hypertension. The risk of severe pre­eclampsia dec­re­ases with high education, parity, and regular ANC visit.

Keywords: severe preeclampsia, biopsychosocial factors

Correspondence:

Prafista Wulan Sari. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36 A, Surakarta57126, Central Java, Indonesia.

Email: prafistaw@yahoo.com.  Mobile: +6285740772699

DOI: https://doi.org/10.26911/theicph.2019.03.10

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