JOURNAL READING

RISK FACTORS ASSOCIATED WITH

PRETERM BIRTH AT HASAN SADIKIN
GENERAL HOSPITAL IN 2015
Charles Ferdinand/406152095
Pembimbing : DR. dr. Cahyono Hadi, S.H., Sp.OG, (K)
RSUD RAA Soewondo, Pati
Hidayat, Z.Z,et al. Risk Factors Associated with Preterm Birth at Hasan Sadikin General Hospital in 2015. 2016, 6, 798-806

INTRODUCTION
Childbirth at gestational age < 37weeks (259 days) from
the first day of last menstruation.
Major cause of morbidity and mortality in perinatal
Born prematurely risk of neurological developmental
disorders
About one fifth of babies born < 32 weeks of age cannot
survive the first year ,1% of deaths born at the age of 33 -
36 weeks and 0.3% of infant deaths at sufficient months.
Hidayat, Z.Z,et al. Risk Factors Associated with Preterm Birth at Hasan Sadikin General Hospital in 2015. 2016, 6, 798-806

INTRODUCTION
In 2010, preterm birth worldwide reached 15 million
In Europe, 5% - 11%
In the USA, 11.9%
in Australia,7%.
In developing countries India (30%), South Africa (15%),
Sudan(31%) and Malaysia (10%).
Indonesia ranks 5th highest preterm birth in the world after India,
China, Nigeria, and Pakistan.
Record of the incidence of preterm birth is not yet availablelow birth
weight (LBW);
Hospitals nationwide figure is 27.9%,
the provincial average rate of 10.2%,
West Java is 10.8%
Hidayat, Z.Z,et al. Risk Factors Associated with Preterm Birth at Hasan Sadikin General Hospital in 2015. 2016, 6, 798-806

INTRODUCTION
Risk Factor of the incidence of premature birth
maternal age,
education,
parity,
pregnancy interval,
preterm birth history,
history of abortion,
premature rupture of membranes (PROM),
antepartum hemorrhage,
antenatal care,
maternal diseases, (hypertension & anemia)
Hidayat, Z.Z,et al. Risk Factors Associated with Preterm Birth at Hasan Sadikin General Hospital in 2015. 2016, 6, 798-806

GOAL
Knowledge of risk factors predicting the incidence of
preterm birth reduce the incidence of preterm birth.
This study aimed to analyze the factors associated with
preterm births at the Hasan Sadikin General Hospital in
2015.
Hidayat, Z.Z,et al. Risk Factors Associated with Preterm Birth at Hasan Sadikin General Hospital in 2015. 2016, 6, 798-806

METHOD
Cross sectional analitics (chi square bivariate &
multivariate logistic regression)
Instrument medical records of patients in Maternal
Perinatal Registration Indonesia (MPRI), Department of
Obstetrics and Gynecology Hasan Sadikin General
Hospital in 2015.
May to June 2016 .
Samples 1944.
Hidayat, Z.Z,et al. Risk Factors Associated with Preterm Birth at Hasan Sadikin General Hospital in 2015. 2016, 6, 798-806

METHOD
Dependent variable preterm birth.
Independent variables age, education, parity, HT, anemia,
preterm birth history, history of abortion, antepartum
hemorrhage, premature rupture of membranes (PROM),
ANC,& pregnancy interval.
Variable has a value of p < 0.05 included in the multivariate
logistic regression analysis
Hidayat, Z.Z,et al. Risk Factors Associated with Preterm Birth at Hasan Sadikin General Hospital in 2015. 2016, 6, 798-806

RESULT
Hidayat, Z.Z,et al. Risk Factors Associated with Preterm Birth at Hasan Sadikin General Hospital in 2015. 2016, 6, 798-806
Hidayat, Z.Z,et al. Risk Factors Associated with Preterm Birth at Hasan Sadikin General Hospital in 2015. 2016, 6, 798-806
Hidayat, Z.Z,et al. Risk Factors Associated with Preterm Birth at Hasan Sadikin General Hospital in 2015. 2016, 6, 798-806
Hidayat, Z.Z,et al. Risk Factors Associated with Preterm Birth at Hasan Sadikin General Hospital in 2015. 2016, 6, 798-806

DISCUSSION
The results of this study indicate that
1. Maternal age factor has a significant relationship to preterm
birth.
2. Antenatal care variables showed significant results.
3. The history of premature birth is significantly associated with
the incidence of preterm birth and as a risk factor.
4. Anemia has a significant relationship with the occurrence of
preterm birth as a risk factor.
5. Hypertension showed a significant result with the incidence
of preterm birth as a risk factor
6. Antepartum hemorrhage also had a significant relationship
with the occurrence of preterm birth as a risk factor with OR
= 6.835
Hidayat, Z.Z,et al. Risk Factors Associated with Preterm Birth at Hasan Sadikin General Hospital in 2015. 2016, 6, 798-806

DISCUSSION
This research conclusion is not significant to the parity
factor
1. Multipara is a risk factor for preterm birth (OR = 3.28)
2. Preterm births with the spacing pregnancies
3. Premature rupture of membranes (PROM)
4. Educational level of maternity patients
5. History of abortion
Hidayat, Z.Z,et al. Risk Factors Associated with Preterm Birth at Hasan Sadikin General Hospital in 2015. 2016, 6, 798-806

CONCLUTION
Factors associated with preterm birth at Hasan Sadikin
General Hospital in 2015
Age,
Antenatal care,
History of preterm birth,
Anemia,
Hypertension
Antepartum hemorrhage.
Antepartum hemorrhage is the most significant factor
associated with premature delivery.
Hidayat, Z.Z,et al. Risk Factors Associated with Preterm Birth at Hasan Sadikin General Hospital in 2015. 2016, 6, 798-806

CRITICAL APPRAISAL
Hidayat, Z.Z,et al. Risk Factors Associated with Preterm Birth at Hasan Sadikin General Hospital in 2015. 2016, 6, 798-806

Judul Jurnal

Judul 13 kata lebih dari 12 kata

Judul menggambarkan isi penelitian
Judul dibuat dengan kalimat yang sederhana,
Tidak menggunakan singkatan
Menggunakan kalimat positif
Hidayat, Z.Z,et al. Risk Factors Associated with Preterm Birth at Hasan Sadikin General Hospital in 2015. 2016, 6, 798-806

Abstrak
Mencakup komponen
IMRD (Introduction,
Methods, Result,
Discussion)
Jumlah kata : 243
kata kurang dari
250 kata
Hidayat, Z.Z,et al. Risk Factors Associated with Preterm Birth at Hasan Sadikin General Hospital in 2015. 2016, 6, 798-806

Pendahuluan
Terdiri dari 3 paragraf
Bagian pertama dan kedua mengemukakan
alasan dilakukan penelitian
Bagian ketiga mengemukakan tujuan
Hidayat, Z.Z,et al. Risk Factors Associated with Preterm Birth at Hasan Sadikin General Hospital in 2015. 2016, 6, 798-806

PICO
Patient

Kelahiran bayi prematur, dimana kelahiran

prematur didefinisikan sebagai bayi lahir dengan
usia kehamilan <37 minggu (259) hari pertama
periode menstruasi terakhir.
Hidayat, Z.Z,et al. Risk Factors Associated with Preterm Birth at Hasan Sadikin General Hospital in 2015. 2016, 6, 798-806

Intervention
Faktor - faktor risiko kelahiran prematur

Comparison
-
Hidayat, Z.Z,et al. Risk Factors Associated with Preterm Birth at Hasan Sadikin General Hospital in 2015. 2016, 6, 798-806

Intervention

Pengurangan insidensi kelahiran bayi prematur.

Hidayat, Z.Z,et al. Risk Factors Associated with Preterm Birth at Hasan Sadikin General Hospital in 2015. 2016, 6, 798-806

Bukti Valid
Pertanyaan
Apakah alokasi pasien pada penelitian ini
dilakukan secara acak? -

Apakah pengamatan pasien dilakukan secara Mei juni

cukup panjang dan lengkap? 2016

Apakah semua pasien dalam kelompok

dianalisis? Ya

Apakah pasien dan dokter tetap blind dalam

menentukan faktor risiko yang bermakna Ya
terhadap kelahiran bayi prematur?
Apakah hasil setiap analisis faktor risiko diambil
Ya
dari sampel yang sama?
Hidayat, Z.Z,et al. Risk Factors Associated with Preterm Birth at Hasan Sadikin General Hospital in 2015. 2016, 6, 798-806

Applicability
APPLICABLE

Apakah pada pasien kita terdapat perbedaan

bila dibandingkan dengan yang terdapat pada
Tidak
penelitian sebelumnya sehingga hasil tersebut
tidak dapat diterapkan pada pasien kita?
Apakah penyebaran informasi tentang faktor
risiko tersebut mungkin dapat diterapkan pada Ya
pasien kita?
Apakah pasien memiliki potensi yang
menguntungkan jika informasi tentang faktor Ya
risiko tersebut diketahui?