Risk Factors Of Preeclampsia Among Pregnant Women In Indonesia

Preeclampsia is the second highest cause of maternal death in Indonesia. The incidence of preeclampsia in Indonesia is very high at 24%. West Java is a province in Indonesia with a high preeclampsia rate of 25%. Predisposing factors include preeclampsia including age. Health Research Data (2010) shows that the percentage of early marriage aged <20 years is still high at 46.7% and marriage age> 35 years at 0.6%. Objectives This study aims to determine the relationship between age and the incidence of preeclampsia at Dustira Hospital in Cimahi City. This study was conducted using the correlation with the case control approach. The population in this study was 130 postpartum mothers treated at Dustira Level II Hospital. The sampling technique used purposive sampling with a total of 24 for the preeclampsia group and 24 for the non-preeclampsia group. The data collected is secondary data collected by observing the medical record book. The research instrument uses a checklist sheet. The study was conducted in June 2019 at Dustira City II Kindergarten Hospital Cimahi. Univariate analysis uses frequency distribution and bivariate uses chi-square. Univariate test results showed that the incidence of preeclampsia was mostly experienced by pregnant women with age at risk of 58.3%. Bivariate test results showed a p value of 0.007 (α <0.05) and OR 7 (95% CI: 1.822-26.887) meaning that there was a relationship between age and the incidence of preeclampsia, and mothers with age at risk had 7 times greater occurrence of preeclampsia compared to age is not at risk. Pregnant women aged less than 20 years or more than 35 years are at high risk of experiencing preeclampsia. One of the efforts to prevent the occurrence of preeclampsia is through health promotion about the age of mothers who are safe to reproduce. It is expected that health workers, especially maternity nurses, can provide health services to the public regarding the ideal age for pregnancy or childbirth as well as the age at risk of preeclampsia.   Keywords: Indonesia, Maternal age pregnancies, Preeclampsi

Risk Factors of Maternal Nutrition Status During Pregnancy to Stunting in Toddlers Aged 12-59 Months

Maternal nutrition status during pregnancy highly contributed to risk factors of stunting among children. Bone ossification approximately begins in the sixth weeks of embryonic development and continues to the end of pregnancy. However, inadequate nutrient supply in pregnant women harmed fetal growth. The study aimed to identify the association between pregnant women’s nutrition status and stunting. The case-control study using the retrospective design involved mothers with children aged 12-59 months. A proportional random sampling technique was applied to select participants. The sample was 80 toddlers, divided into 40 stunted, and 40 non-stunted toddlers. Data were taken from 27 April to 3 May 2019 through observations following the Mother and Child Health handbook and children’s height. Weight gain calculation during pregnancy determined the maternal nutrition status, referred to as maternal pre-pregnancy body mass index. The univariate analysis used frequency distribution, while bivariate analysis used the chi-square test. This study obtained approval from The Health Research Ethics Committee of the Institute of Health Science of General Achmad Yani, Cimahi. The mothers’ poor nutritional status caused as many as 85% of stunted toddlers’ prevalence during pregnancy. Results showed that maternal nutritional status during pregnancy was significantly associated with stunting among children (p-value: 0.000). The OR value was 13,222, which means children born to mothers with inadequate nutrient supply during pregnancy were more likely to be stunted as much as 13,222 times, than children born to mothers who had good nutrient supply. It is recommended that health workers prevent stunting from pregnancy by providing supplementary food to pregnant women, and promoting the health of the maternal nutritional status during pregnancy. Suggestions for pregnant women is to increase nutrient intake and nutritional status during pregnancy to prevent stunting in children