PUSPITASARI, Nimas and Sutiningsih, Dwi and Setiani, Onny (2022) FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN HIPERTENSI PADA IBU HAMIL DALAM ANTENATAL CARE (ANC) DI MASA PANDEMI COVID-19 (Studi di Wilayah Kecamatan Pulokulon, Kabupaten Grobogan). Masters thesis, School of Postgraduate Studies.

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Abstract

Latar belakang : Kasus Kematian ibu di Kabupaten Grobogan meningkat dari tahun 2018-2021 yaitu sebanyak 31 kasus menjadi 82 kasus. Hipertensi merupakan penyebab kedua dalam kematian ibu sebanyak 11 kasus. Sebaran kasus kematian ibu di Kabupaten Grobogan tertinggi terdapat di Kecamatan Pulokulon. Berdasarkan data awal yang dilakukan di Kecamatan Pulokulon dari 50 ibu hamil didapatkan 30% ibu hamil mengalami hipertensi.
Tujuan : Untuk mengetahui faktor-faktor risiko yang berhubungan dengan kejadian hipertensi pada ibu hamil dalam antenatal care (ANC) di masa pandemi Covid-19 di Kecamatan Pulokulon, Kabupaten Grobogan.
Metode : Jenis penelitian ini adalah observasional analitik dengan desain cross sectional. Besar sampel sebanyak 94 responden dengan teknik simple random sampling. Kriteria sampel antara lain ibu hamil dengan usia kehamilan ≥20 minggu, memiliki buku KIA, tercatat dalam laporan bidan/puskesmas, dan bersedia menjadi responden. Analisis data dilakukan secara univariat, bivariat, dan multivariat.
Hasil : Hasil menunjukkan bahwa pendapatan (p=0,001;RP 7,57;CI95% 2,22- 25,76), riwayat hipertensi (p=0,006;RP 4,53;CI95% 1,63-12,62), riwayat paparan pestisida (p=0,016;RP 5,30; CI95% 1,42-19,78), konsumsi buah dan sayur (p=0,002;RP 6,19; CI95% 1,92-19,98), aktivitas fisik (p=0,004;RP 6,75; CI95%
1,79-25,36) dan tingkat kecemasan (p=0,001;RP 5,86;CI95% 2,06-16,67) berhubungan dengan kejadian hipertensi pada ibu hamil.
Kesimpulan : Variabel yang berkontribusi kuat sebagai faktor risiko kejadian hipertensi pada ibu hamil di masa pandemi Covid-19 di Kecamatan Pulokulon antara lain Pendapatan, riwayat hipertensi, aktivitas fisik, dan tingkat kecemasan Probabilitas sebesar 97,6%.
Kata kunci : faktor risiko, hipertensi, ibu hamil, Antenatal Care

Background : Maternal mortality cases in Grobogan Regency increased from 2018-2021, from 31 cases to 82 cases. Hypertension is the second cause of maternal death in 11 cases. The distribution of maternal mortality cases in Grobogan Regency is highest in Pulokulon District. Based on preliminary data conducted in Pulokulon District from 50 pregnant women, it was found that 30% of pregnant women had hypertension.
Objective : To determine the risk factors associated with the incidence of hypertension at pregnant women in Antenatal Care (ANC) during the Covid-19 pandemic in Pulokulon District, Grobogan Regency.
Method : This type of research is analytic observational with cross sectional design. The sample size is 94 respondents with simple random sampling technique. The sample criteria included pregnant women with a gestational age of 20 weeks, having a KIA book, recorded in the report of a midwife/puskesmas, and willing to be a respondent. Data analysis was done by univariate, bivariate, and multivariate.
Results : The results showed that income (p=0.001; RP 7.57; 95% CI 2.22-25.76), history of hypertension (p=0.006; RP 4.53; 95% CI 1.63-12.62), history of exposure pesticides (p=0.016; RP 5.30; 95% CI 1.42-19.78), fruit and vegetable consumption (p=0.002; RP 6.19; 95% CI 1.92-19.98), physical activity ( p=0.004; RP 6.75; 95%
CI 1.79-25.36) and level of anxiety (p=0.001; RP 5.86; 95% CI 2.06-16.67) were associated with the incidence of hypertension in pregnant women.
Conclusion: Variables that contribute strongly as risk factors for the incidence of hypertension in pregnant women during the Covid-19 pandemic in Pulokulon District include income, history of hypertension, physical activity, and anxiety levels. The probability is 97.6%.
Keywods : Risk factors, hypertension, pregnant women, Antenatal Care

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