Search Repository Universitas Fort De Kock

Menurut WHO tahun 2020 angka kematian ibu sebesar 295.000 kematian, 15- 20% terjadi karena retensio plasenta. Penelitian ini bertujuan untuk mengetahui faktor yang berhubungan dengan kejadian retensio plasenta di RSUD Sijunjung tahun 2019- 2022. Jenis penelitian kuantitatif survey analitik dengan pendekatan cross sectional. Variabel Independent dalam penelitian ini adalah umur, paritas, riwayat kuretase, jarak persalinan, riwayat sectio caesarea dan status anemia, sedangkan variabel dependent dalam penelitian ini adalah kejadian retensio plasenta. Populasi dalam penelitian ini sebanyak 1.866 persalinan. Jumlah sampel sebanyak 329 dengan Purposive Sampling. Hasil penelitian faktor yang berhubungan dengan kejadian retensio plasenta di RSUD Sijunjung tahun 2019-2022 adalah faktor umur (p-value 0,031 dan OR 1,784), paritas (p-value 0,041 dan OR 1,684), riwayat kuretase (p value 0,014 dan OR 0,524), jarak persalinan (p-value 0,000 dan OR 2,669) dan status anemia (p-value 0,020 dan OR 0,553). Faktor jarak persalinan dengan nilai p-value 0,000 (5 tahun) berpeluang 2,67 kali lebih besar mengalami retensio plasenta. Kesimpulan dalam penelitian ini adalah faktor yang berhubungan dengan kejadian retensio plasenta di RSUD Sijunjung tahun 2019-2022 adalah umur, paritas, riwayat kuretase, jarak persalinan dan status anemia. Disarankan kepada institusi kesehatan meningkat pelayanan kunjungan ANC dan memberikan informasi penyuluhan terkait pemeriksaaan rutin kehamilan dan tanda bahaya persalinan.

As per the World Health Organization (WHO) data from 2020, the maternal mortality rate recorded 295,000 deaths, with 15-20% attributed to retained placenta. This study aims to investigate the factors linked to the incidence of retained placenta at Sijunjung Hospital during the period 2019-2022. Employing a quantitative analytic survey with a cross-sectional approach, the research examines independent variables including age, parity, history of curettage, delivery interval, history of caesarean section, and anemia status. The dependent variable of interest is the occurrence of retained placenta. The study's population comprises 1,866 deliveries, with a sample size of 329 selected through purposive sampling. Findings indicate that various factors are correlated with the incidence of retained placenta at Sijunjung Hospital within 2019-2022. Age (p-value 0.031 and OR 1.784), parity (p-value 0.041 and OR 1.684), history of curettage (p-value 0.014 and OR 0.524), delivery interval (p-value 0.000 and OR 2.669), and anemia status (p-value 0.020 and OR 0.553) were all significant factors. Notably, delivery interval exhibited the most dominant influence (p-value 0.000 < 0.25) with an OR of 2.669, indicating that both very close (5 years) spacing between deliveries heightened the likelihood of retained placenta by 2.67 times. In conclusion, the study establishes that several factors, including age, parity, history of curettage, delivery interval, and anemia status, are associated with the incidence of retained placenta at Sijunjung Hospital between 2019 and 2022. It is recommended that healthcare institutions enhance antenatal care (ANC) services and provide comprehensive counseling on routine pregnancy check-ups and labor danger signs.