History of Hypertension is The Most Influential Factor in Increasing The Occurrence of Preeclampsia in Lumajang Regency

Mutmainah Anggun Natungga; Iis Rahmawati; Muhammad Ihwan Narwanto

doi:10.36858/jkds.v12i2.761

Authors

Mutmainah Anggun Natungga Universitas Jember
Iis Rahmawati Nursing Faculty, Universitas Jember
Muhammad Ihwan Narwanto Medical Faculty, Universitas Jember

DOI:

https://doi.org/10.36858/jkds.v12i2.761

Keywords:

History of hypertension, Most influencing factors, Preeclampsia

Abstract

Hypertensive disorders of pregnancy, including preeclampsia, are significant contributors to maternal mortality and morbidity globally. The study's objective was to investigate the most important factors that contribute to preeclampsia. in Lumajang Regency. The research design is a case-control study. The research location is at Rogorunan Health Center and Kunir Health Center. The sample in this study was determined using saturated sample techniques or total sampling. samples at the Rogotrunan Health Center totaled 80 respondents and the Kunir Health Center which amounted to 75 respondents, totaling 155 respondents. Data collection using questionnaires. Analysis using logistic regression. The results of the study of variables that have a significant influence are on the variables of age (p-value = 0.070), history of hypertension (p-value = 0.000), pregnancy pause (p-value = 0.002), body mass index (p-value = 0.045), and hereditary hypertension (p-value = 0.000). A history of preeclampsia (p-value = 0.255) on the variable was excluded. Multivariate results between preeclampsia occurrence and history of hypertension obtained a value of p = 0.000, OR = 6.004 (1.549-5.065) meaning that The incidence of preeclampsia is influenced by a history of hypertension and history of hypertension affects 6.004 times the incidence of preeclampsia. Conclusion A history of hypertension is the most significant risk factor for preeclampsia, so the recommended advice is the importance of a healthy lifestyle, a balanced diet, exercise regularly, avoiding stress, avoiding smoking, not consuming harmful substances, monitoring blood pressure regularly, and regular treatment. All of these actions are a preventive effort so that during pregnancy preeclampsia does not occur.

References

Alers, R. J., Ghossein-Doha, C., Canjels, L. P. W., Muijtjens, E. S. H., Brandt, Y., Kooi, M. E., Gerretsen, S. C., Jansen, J. F. A., Backes, W. H., Hurks, P. P. M., van de Ven, V., & Spaanderman, M. E. A. (2023). Attenuated cognitive functioning decades after preeclampsia. American Journal of Obstetrics and Gynecology, 229(3), 294.e1-294.e14. https://doi.org/10.1016/j.ajog.2023.02.020

Demissie Beketie, E., Tesfaye Tafese, W., Zeleke Shiferaw, B., Asfaw Tilahun, G., Alemayehu Gebretsadik, M., Desalegn Suraj, K., Tadesse Mengistie, B., Yassin Ali, F., Mekonnen Assefa, Z., Walle Berriea, F., & Eshetu Teke, N. (2022). Determinants of preeclampsia among mothers attending perinatal care in Gurage zone public hospitals, Ethiopia, matched case-control study. International Journal of Africa Nursing Sciences, 17(July), 100453. https://doi.org/10.1016/j.ijans.2022.10045

Health Office of Lumajang Regency. 2021. Health Profile of Lumajang Regency 2020. Lumajang: Lumajang District Health Office.

Health Office of Lumajang Regency. 2022. Health Profile of Lumajang Regency 2021. Lumajang: Lumajang District Health Office.

East Java Provincial Health Office. 2022. East Java Province Health Profile 2021. Surabaya: East Java Provincial Health Office.

Erfani, H., Rahmati, M., Mansournia, M. A., Azizi, F., Montazeri, S. A., Shamshirsaz, A. A., & Ramezani Tehrani, F. (2019). Association between ovarian reserve and preeclampsia: A cohort study. BMC Pregnancy and Childbirth, 19(1), 1–8. https://doi.org/10.1186/s12884-019-2578-y

Farzaneh, et al. (2019). Assessment of occurrence of preeclampsia and some clinical and demographic risk factors in Zahedan city in 2017. Clinical and Experimental Hypertension, 41(6), 583–588. https://doi.org/10.1080/10641963.2018.1523919

Lisnawati, Puranamasari, N. I., & Rahmwati. 2021. Faktor Risiko Kejadian Preeklamsia pada Ibu Hamil. Jurnal Ilmiah Obsgin, 13(3), pp. 192-200. https://doi.org/10.36089/job.v13i3.601.

Haile, T. G., Assefa, N., Alemayehu, T., Mariye, T., Geberemeskel, G. G., Bahrey, D., Mebrahtom, G., Demisse, B., Gebrekidan, H., & Getachew, T. (2021). Determinants of Preeclampsia among Women Attending Delivery Services in Public Hospitals of Central Tigray, Northern Ethiopia: A Case-Control Study. Journal of Pregnancy, 2021. https://doi.org/10.1155/2021/4654828

Kassa, B. G., Asnkew, S., Ayele, A. D., Nigussie, A. A., Demilew, B. C., & Mihirete, G. N. (2023). Preeclampsia and its determinants in Ethiopia: A systematic review and meta-analysis. PLoS ONE, 18(11 November), 1–23. https://doi.org/10.1371/journal.pone.0287038

Katore, F. H., Gurara, A. M., & Beyen, T. K. (2021). Determinants of preeclampsia among pregnant women in a chiro referral hospital, Oromia regional state, Ethiopia: Unmatched case–control study. Integrated Blood Pressure Control, 14, 163–172. https://doi.org/10.2147/IBPC.S336651

Lewandowska, M. (2021). The association of familial hypertension and risk of gestational hypertension and preeclampsia. International Journal of Environmental Research and Public Health, 18(13). https://doi.org/10.3390/ijerph18137045

Mou, A. D., Barman, Z., Hasan, M., Miah, R., Hafsa, J. M., Das Trisha, A., & Ali, N. (2021). Prevalence of preeclampsia and the associated risk factors among pregnant women in Bangladesh. Scientific Reports, 11(1), 1–9. https://doi.org/10.1038/s41598-021-00839-w

Oshunbade, A. A., Hamid, A., Lirette, S. T., Gbadamosi, S. O., Yimer, W. K., Orimoloye, O. A., Clark, D., Kamimura, D., Grado, S. D., Lutz, E. A., Mentz, R. J., Fox, E. R., Butler, J., Gwen Windham, B., Butler, K. R., Mosley, T. H., & Hall, M. E. (2020). Hypertensive diseases in pregnancy, cardiac structure and function later in life: Insights from the Genetic Epidemiology Network of Arteriopathy (GENOA) study. Pregnancy Hypertension, 21(May), 184–190. https://doi.org/10.1016/j.preghy.2020.05.010

Singh, N., Shuman, S., Chiofalo, J., Cabrera, M., & Smith, A. (2023). Missed opportunities in aspirin prescribing for preeclampsia prevention. BMC Pregnancy and Childbirth, 23(1), 1–6. https://doi.org/10.1186/s12884-023-06039-w

Tasnim, S., Choudhury, S., Yesmin, F., & Nazmeen, S. (2022). Psychosocial and Perceived Stress Associated with Pre-eclampsia in a Periurban Hospital. Bangladesh Journal of Obstetrics and Gynecology, 37(2), 119–126. https://doi.org/10.3329/BJOG.V37I2.68798

Tessema, K. F., Gebremeskel, F., Getahun, F., Chufamo, N., & Misker, D. (2021). Individual and Obstetric Risk Factors of Preeclampsia among Singleton Pregnancy in Hospitals of Southern Ethiopia. International Journal of Hypertension, 2021. https://doi.org/10.1155/2021/7430827

Walle, T. A., & Azagew, A. W. (2019). Hypertensive disorder of pregnancy prevalence and associated factors among pregnant women attending antenatal care at Gondar town health Institutions, North West Ethiopia 2017. Pregnancy Hypertension, 16(September 2018), 79–84. https://doi.org/10.1016/j.preghy.2019.03.007

Zhang, P., & Zhong, X. (2023). Analysis of risk factors and construction of nomograph model for critical condition of patients with hypertension during pregnancy. BMC Pregnancy and Childbirth, 23(1), 1–8. https://doi.org/10.1186/s12884-023-05860-7

Zhu, D., Ding, R., Ma, H., Jiang, S., & Li, L. (2022). Fetal Cerebral Hemodynamic Changes in Preeclampsia Patients by Ultrasonic Imaging under Intelligent Algorithm. Computational Intelligence and Neuroscience, 2022(I). https://doi.org/10.1155/2022/4269308

Zwertbroek, E. F., Groen, H., Fontanella, F., Maggio, L., Marchi, L., & Bilardo, C. M. (2021). Performance of the FMF First-Trimester Preeclampsia-Screening Algorithm in a High-Risk Population in the Netherlands. Fetal Diagnosis and Therapy, 48(2), 103–111. https://doi.org/10.1159/000512335