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Penyebab AKI salah satunya preeklampsia yang merupakan penyebab utama maternal dan perinatal mordibitas dan mortalitas terbesar di seluruh dunia Data dari RSUD Kolonel Abundjani pada tahun 2022 sebanyak 44 kasus. Sedangkan pada Januari-Juni 2023 terdapat 25 kasus preeklampsia di RSUD Kolonel Abundjani.Tujuan penelitian ini adalah untuk mengetahui faktor-faktor kejadian preeklampsia, desain penelitian yang digunakan adalah case control dengan adalah total sampling sebanyak 138 orang, dengan perbandingan 1:1 dianalisis dengan mengunakan uji chi-square. Berdasarkan hasil univariat umur pada kasus 37.7% umur berisiko, 62,3% tidak berisiko, kelompok kontrol 88.4% tidak berisiko, 11,6% umur berisiko. Variabel paritas kasus 44.9% paritas berisiko, 55.1% tidak berisiko, kelompok kontrol 81.2% paritas tidak berisiko, 18.8% tidak berisiko. Kelompok kasus 20.3% responden memiliki riwayat hipertensi 79.7% tidak ada riwayat, kontrol 94.2% tidak ada riwayat 5.8% ada riwayat. Sebanyak 42.0% pendidikan rendah 58.0% pendidikan tinggi, kontrol 72.5% berpendidikan tingi dan 27.5% berpendidikan rendah. Kelompok kasus 63.8% tidak obesitas 36.2% obesitas, kontrol 71.0% tidak obesitas dan 29.0% obesitas. Kelompok kasus jarak kehamilan 78.3% tidak berisiko 21.7% berisiko, kontrol 75.4% tidak berisiko, 24.6% berisiko. Adanya hubungan antara umur, paritas dan riwayat hipertensi terhadap kejadian preeklampsia nilai -value umur (0,001), paritas (0,002) dan riwayat hipertensi (0,023), tidak adanya hubungan dengan kejadian preeklampsia dengan pendidikan (0,108), obesitas (0,408) dan jarak kehamilan (0,84). Dengan kesimpulan umur, paritas, riwayat hipertensi berhubungan dengan kejadian preeklampsia, sedangkan pendidikan, obesitas dan jarak kehamilan tidak ada hubungan. Diharapkan bagi tenaga kesehatan agar mendorong ibu untuk melakukan kunjungan minimal 6x selama kehamilan, 2 kali dengan dokter kandungan untuk memantau keadaan ibu, dan rujuk bila dperlukan.

One of the causes of AKI is preeclampsia, which is the main cause of maternal and perinatal morbidity and mortality throughout the world. Data from Colonel Abundjani Regional Hospital in 2022 was 44 cases. Meanwhile, in January-June 2023 there were 25 cases of preeclampsia at the Colonel Abundjani Regional Hospital. The aim of this research was to determine the factors in the incidence of preeclampsia, the research design used was case control with a total sampling of 138 people, with a ratio of 1:1 analyzed using chi-square test. Based on univariate results, age in cases was 37.7% at risk, 62.3% not at risk, 88.4% in the control group not at risk, 11.6% at risk. Case parity variable 44.9% parity at risk, 55.1% not at risk, control group 81.2% parity not at risk, 18.8% not at risk. In the case group, 20.3% of respondents had a history of hypertension, 79.7% had no history, controls 94.2% had no history, 5.8% had a history. A total of 42.0% had low education, 58.0% had high education, 72.5% of controls had high education and 27.5% had low education. In the case group, 63.8% were not obese, 36.2% were obese, 71.0% of controls were not obese and 29.0% were obese. In the case group, the pregnancy spacing was 78.3% not at risk, 21.7% at risk, controls 75.4% not at risk, 24.6% at risk. There is a relationship between age, parity and history of hypertension on the incidence of preeclampsia, the -value of age (0.001), parity (0.002) and history of hypertension (0.023), there is no relationship with the incidence of preeclampsia with education (0.108), obesity (0.408) and distance. pregnancy (0.84). With the conclusion that age, parity, history of hypertension are related to the incidence of preeclampsia, while education, obesity and pregnancy spacing have no relationship. It is hoped that health workers will encourage mothers to make at least 6 visits during pregnancy, twice with an obstetrician to monitor the mother's condition, and refer if necessary.