PREVALENSI DAN KARAKTERISTIK PERDARAHAN ANTEPARTUM DI RUANG RAWAT INAP OBSTETRI DAN GINEKOLOGI  DI RSPAL DR. RAMELAN SURABAYA

I Ketut Edy Sudiarta

doi:10.30649/obj.v6i2.93

Authors

I Ketut Edy Sudiarta Universitas Hang Tuah

DOI:

https://doi.org/10.30649/obj.v6i2.93

Keywords:

antepartum bleeding, placenta previa, placenta accreta, risk factors

Abstract

Background: Bleeding in obstetrics is one of the main causes of maternal mortality. Based on the 2017 World Bank report, in 1 day there are 4 mothers in Indonesia who die due to childbirth. One of the main causes of maternal mortality is antepartum bleeding, as well as preeclampsia and infection. The incidence and characteristics of antepartum bleeding cases are not known with certainty. In this study, we wanted to know the characteristics and prevalence of antepartum bleeding at the Obstetrics and Gynecology Laboratory, RSPAL Surabaya.

Methods: A descriptive retrospective study that used a cross-sectional approach to determine the prevalence and characteristics of antepartum bleeding in the Obstetrics-Gynecology Laboratory of the Naval Center Hospital, Dr. Ramelan Surabaya for the period 2019 to 2021.

Results and Conclusions: The prevalence of antepartum bleeding in the Obstetrics and Gynecology laboratory during the period January 2019 – December 2021 was 29.9% (91 out of 304 deliveries), with the highest age group being 30-34 years as many as 31 people (34.1%), parity ( P2) mostly 34 patients (37.4%). Based on gestational age, 50 people (54.9%) gestational age <37 weeks, 51 cases (56%) placenta previa and 39 cases (42.8%) placenta accreta/percreta. Case management, 81 cases (89%) were terminated via sesarean section.

References

Anderson-Bagga, F. M. and Sze, A. (2021) Placenta Previa, StatPearls. StatPearls Publishing. Available at: http://www.ncbi.nlm.nih.gov/pubmed/30969640 (Accessed: 12 December 2021).

Dibaba, B., Edosa, D., Hajure, M., and Gebre, G. (2021) ‘Risk factors of antepartum hemorrhage among mothers who gave birth at Suhul general hospital, 2016: A case-control study’, Journal of Multidisciplinary Healthcare. doi: 10.2147/JMDH.S269744.

Fan, D., Wu, S., Liu, L., Xia, Q., Wang, W., Guo, X. and Liu, Z. (2017) ‘Prevalence of antepartum hemorrhage in women with placenta previa: A systematic review and meta-analysis’, Scientific Reports. doi: 10.1038/srep40320.

Huang, S., Zuo, Q., Wang, T., Tang, X., Ge, Z., Lu, H., Zhou, X. and Jiang, Z. (2021) ‘Maternal and neonatal outcomes of repeated antepartum bleeding in 493 placenta previa cases: a retrospective study’, Journal of Maternal-Fetal and Neonatal Medicine. doi: 10.1080/14767058.2021.1878495.

Kartika, S. D. and Brahmadhi, A. (2016) ‘Hubungan antara multiparitas terhadap terjadinya perdarahan antepartum di rsia aprillia cilacap’, Sainteks.

Londok, T. H. M., Lengkong, R. A. and Suparman, E. (2013) ‘KARAKTERISTIK PERDARAHAN ANTEPARTUM DAN PERDARAHAN POSTPARTUM’, Jurnal e-Biomedik. doi: 10.35790/ebm.1.1.2013.4608.

Long, S. Y., Yang, Q., Chi, R., Luo, L, Xiong, X. and Chen, Z. Q. (2021) ‘Maternal and neonatal outcomes resulting from antepartum hemorrhage in women with placenta previa and its associated risk factors: A single-center retrospective study’, Therapeutics and Clinical Risk Management. doi: 10.2147/TCRM.S288461.

Naiknaware, S. V. (2015) ‘Antepartum Haemorrhage: Causes & Its Effects on Mother and Child: An Evaluation’, Obstetrics & Gynecology International Journal, 3(1), pp. 255–258. doi: 10.15406/ogij.2015.03.00072.

‘Obstetric Care Consensus No. 7: Placenta Accreta Spectrum’ (2018) Obstetrics and Gynecology. doi: 10.1097/AOG.0000000000002983.

Olugbenga, E., Eifediyi, R., Olugbenga, M., Ikheloa, J., Okoeguale, J., Omoregbee, H. and Oboh, S. (2019) ‘Placenta praevia with or without antepartum bleeding in a Nigerian suburban tertiary health institution’, International Research Journal of Medicine and Medical Sciences. doi: 10.30918/irjmms.72.19.024.

Sohimah, Andhi Lestari, Y. and Hendrawan, A. (2020) ‘PENGARUH FAKTR USIA DAN GRAVIDA IBU TERHADAP PERDARAHAN ANTEPARTUM DI RSUD CILACAP PERIODE TAHUN 2016-2018’, Jurnal Kesehatan Al-Irsyad. doi: 10.36746/jka.v13i1.51.