DETERMINAN
FAKTOR PENYEBAB KEJADIAN PERDARAHAN
POST
PARTUM KARENA ATONIA UTERI
ABSTRAK
Sugi Purwanti, Yuli Trisnawati
Akademi Kebidanan YLPP Purwokerto
Email : sugipurwanti@gmail.com
Penyebab angka kematian ibu terbanyak
adalah perdarahan post partum. Penyebab perdarahan
post partum adalah atonia uteri dengan prosentase 50 – 60%, dimana faktor
resikonya antara lain adalah umur, paritas yang tinggi, pembesaran uterus.
Tujuan umum mengetahui hubungan antara umur ibu, paritas ibu, pembesaran uterus
terhadap perdarahan post partum karena atonia uteri. Tujuan khusus penelitian
adalah mendeskripsikan kejadian perdarahan post partum karena atonia uteri,
umur ibu, paritas ibu, pembesaran uterus. Metode penelitian adalah survey
kuantitatif dengan pendekatan case control.
Populasi penelitian adalah seluruh
ibu nifas di RSUD Margono Soekarjo pada bulan Januari-Desember 2014. Populasi
ibu nifas yang mengalami perdarahan karena atonia uteri sebesar 459 kasus.
Sampel kasus adalah ibu dengan
perdarahan post partum karena atonia uteri sebesar 80 responden dan sampel
kontrol adalah ibu nifas normal sebesar 80 responden. Analisis univariat
menggunakan distribusi frekuensi. Analisis bivariate menggunakan chi square. Hasil penelitian umur
responden berisiko sebesar 36.2%, paritas
responden berisiko sebesar 29.4%, pembesaran uterus berisiko sebesar 12.5%. Adanya hubungan antara
umur dan paritas terhadap perdarahan posr partum karena atonia dengan p value
0.033 dan 0.037. Tidak adanya hubungan antara pembesaran uterus dengan perdarahan
post partum karena atonia uteri dengan p value 0.473. Kesimpulan adanya
hubungan antara umur dan paritas terhadap perdarahan posr partum karena atonia.
Ibu nifas dengan umur berisiko mempunyai risiko 2.1 lebih besar mengalami
perdarahan nifas karena atonia uteri. Ibu nifas dengan paritas berisiko
mempunyai risiko 2.2 lebih besar mengalami perdarahan nifas karena atonia uteri
Tidak adanya hubungan antara pembesaran uterus dengan perdarahan post partum
karena atonia uteri.
ABSTRACT
Most causes of maternal mortality are postpartum
hemorrhage. Causes of postpartum hemorrhage is uterine atony with percentage
50-60%, where risk factors include age, high parity, overdistension of uterine
. The objective knowing the correlation between maternal age, maternal parity,
uterine distension and postpartum hemorrhage due to atonic uterus. The specific
objective of this research is to describe the incidence of postpartum
hemorrhage due to uterine atony, maternal age, maternal parity, uterine
distension. The research method was a quantitative survey with case control
approach. The population was all postpartum mothers in hospitals Margono
Soekarjo in January-December 2014. The population of puerperal women who
experience bleeding due to uterine atony of 459 cases. Sample cases were
mothers with postpartum hemorrhage due to atonic uterus by 80 respondents and
the control sample was normal postpartum mothers by 80 respondents. Univariate
analysis used frequency distribution. Bivariate analysis used chi square.
Results of the study respondents age risk by 36.2%, parity amounted to 29.4% of
respondents at risk, the risk of uterine overdistension by 12.5%. The correlation
between age and parity to hemorrhagic puerpuralis due to atony with p value
0.033 and 0.037. The incorrelation between uterine overdistension to
hemorrhagic puerpuralis due to atonic uterus with p value 0.473. Conclusion The
rcorrelation between age and parity against hemorrhagic puerpuralis due to uterine
atony. Puerperal women with risky age had 2.1 greater risk of experiencing hemorrhagic
puerpuralis due to uterine atony. Puerperal women with risk parity had 2.2
greater risk of experiencing hemorrhagic puerpuralis due to uterine atony. The
incorrelation between uterine overdistension to hemorrhagic puerpuralis due to
atonic uterus
