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Penyebab kematian pada ibu adalah kehamilan beresiko tinggi. Laporan Dinas
Kesehatan Kabupaten Sijunjung tahun 2020, AKI di Kabupaten Sijunjung tahun 2018 sebanyak 5 orang dan pada tahun 2019 sebanyak 6 orang. Tahun 2021, jumlah ibu hamil sebanyak 229 orang dengan 4T sebanyak 43 orang. Penelitian ini bertujuan Untuk mengetahui faktor yang berhubungan dengan resiko kehamilan 4T pada ibu hamil di Puskesmas Kumanis Kabupaten Sijunjung Tahun 2021 .Jenis penelitian ini deskriptif analitik. Penelitian dilakukan di wilayah kerja Puskesmas Kumanis . Pada bulan Januari 2022. Sampel dipilih secara simple random sampling yaitu sebanyak 96 orang
ibu hamil. Pengambilan data menggunakan kuesioner dan observasi. Analisa data dilakukan secara uji univariat dan analisis bivariat menggunakan uji chi square. Hasil penelitian menunjukkan 59,4% ibu dengan kehamilan beresiko, 79,2% ibu dengan umur tidak beresiko, (84,4%) ibu dengan paritas tidak beresiko, (52,1%) ibu dengan jarak kehamilan beresiko, 91,7% ibu dengan tinggi badan tidak beresiko, 94,8% ibu dengan preeklampsia tidak beresiko, 97,9% ibu dengan riwayat keguguran tidak beresiko. Ada hubungan jumlah paritas (p=0,009) dan jarak kehamilan (p= 0,000) dengan kehamilan beresiko. Tidak ada hubungan umur (p=0,406), tinggi badan (p=1,000), keguguran (p=1,000) dan preeklampsia (p= 0,645) dengan kehamilan beresiko di Puskesmas Kumanis. Dapat disimpulkan bahwa ada pengaruh paritas dan
jarak kehamilan dengan kehamilan beresiko dan tidak ada hubungan umur, tinggi badan, keguguran dam preeklampsia dengan kehamilan beresiko di Puskesmas Kumanis. Disarankan kepada petugas memberikan edukasi kepada ibu hamil.

The cause of maternal death is high-risk pregnancy. The report of Sijunjung
Distric Health Office in 2020, MMR at Kabupaten Sijunjung in 2018 as many as 5 people and in 2019 as many as 6 people. n 2021, the number of pregnant women is 229 people with 4T as many as 43 people.The purpose of the research to knows the factors associated with the risk of 4T pregnancy in pregnant women at the Kumanis Health Center, Sijunjung Regency in 2021. This type of research is descriptive analytic. The research was conducted in the working area of Kumanis Health Center In January 2022. The sample was selected by simple random sampling as many as 96 pregnant women. Collecting data using questionnaires and observations. Data analysis was
carried out by univariate test and bivariate analysis using chi square test. The results showed that 59.4% of mothers with high-risk pregnancies , 79.2% of mothers with age not at risk , (84.4%) mothers with parity are not at risk, 52.1%) mothers with pregnancy intervals are at risk , 91.7% of mothers with height are not at risk, 94.8% of mothers with preeclampsia are not at risk, 97.9% of mothers with a history of miscarriage are not at risk. There was a correlation between parity number (p=0.009) and pregnancy interval (p=0.000) with risky pregnancies. There was no relationship between age (p=0.406), height (p=1,000), miscarriage (p=1,000) and preeclampsia (p= 0.645) with risky pregnancies at the Kumanis Health Center. . It can be concluded that there is an effect of parity and distance between pregnancies and pregnancies at
risk and there is no relationship between age, height, miscarriage and preeclampsia with pregnancies at risk at Kumanis Health Center. It is recommended that officers provide education to pregnant women.