HUBUNGAN BAKTERIURIA DENGAN KEJADIAN PERSALINAN PRETERM

Abstract

Background: Preterm delivery remains a major cause of perinatal morbidity and mortality. Asymptomatic bacteriuria will lead to acute pyelonephritis which assumed increases the risk factor of low birth weight infants, preterm delivery, and still birth. The relationship of asymptomatic bacteriuria in the absence of acute pyelonephritis with preterm delivery has been controversial. Bacteriuria examination is expected to prevent preterm delivery. Further research to study the relationship of asymptomatic bacteriuria and preterm delivery may be needed. Design: Cross sectional Location of study: RSUD Bantul and Puskesmas Sewon Result: A total of 118 patients were included in this study. This study showed bacteriuria in 65 patients and no bacteriuria in 53 patients. Most patients in this study were less than 35 years old (80,5%), low educated (91,5%), having low parity (77,1%), and long interval of pregnancy (87,3%). History of preterm delivery was low (5,9%), but history of periodontal disease was high (55,1%). Most patients had low psychological stress level (64,4%). Bivariate and multivariate analysis showed that bacteriuria and history of preterm delivery have significant association with preterm delivery. Bacteriuria associated with preterm delivery with OR 0,321 (95% CI 0,140-9,734), while history of preterm delivery associated with preterm delivery with OR 9,616 (95% CI 1,063-86,976). Conclusion: Bacteriuria reduces incidence of preterm delivery, while history of preterm delivery increases incidence of preterm delivery (p<0,05). Research with method improvement and more sample is needed to study the relationship of bacteriuria and preterm delivery