ACADSTAFF UGM
| Title | : | PENGARUH IBU HAMIL PEROKOK PASIF TERHADAP KEJADIAN LAHIR MATI DI KOTA AMBON |
| Author | : |
Prof. dr. Ova Emilia, M.Med.Ed., Sp.OG(K)., Ph.D. (2) Dr. Drs. Abdul Wahab, MPH. (3) |
| Date | : | 0 2015 |
| Keyword | : | pregnant woman, passive smoking, stillbirth pregnant woman, passive smoking, stillbirth |
| Abstract | : | Background: Intervention in the care for pregnant women can reduce antenatal mortality until 75%. Antenatal Care (ANC) in Ambon municipality is categorized good if compared from the mean rate of national level, that is, Visit 1 (89%) and Visit 4 (87.76%); however, the incidence of stillbirths in Ambon is still considered high. Data about the incidence of stillbirths in three hospitals of Ambon showed that there were 44.2 stillbirths per 1000 live births while national data in 2003 showed that there were only 9.6 stillbirths per 1000 live births. The direct cause of stillbirth is hypoxia, that is, the lack of oxygen in a pregnant woman’s body due to the exposure of cigarette smoke. In Ambon municipality, 65% of households have 1 active smoker and almost all of the smokers (90%) smoke inside the house. This rate of course exceeds the national rate. In addition, other factors causing stillbirth are the quality of antenatal care, age, parity, anemia and women’s educational level. Objective: To study whether passive smoking during pregnancy is a risk factor of the incidence of stillbirths. Method: This was an observational study with case-control study design. Study sites were in three hospitals of Ambon municipality, namely Dr. M. Haulussy District Hospital, Al-Fatah Hospital, and Sumber Hidup Hospital. Subjects were divided into two groups which were case and control with comparison of 1:1 (69 stillbirths as case and 69 live births as control) from January to December 2007. Samples were taken using non probability sampling which was determined with quota sample. The analysis of quantitative data used univariable analysis, bivariable analysis with chi-square test (?²) and stratification, and multivariable analysis with logistic regression. Result and Discussion: There was a significant relationship between passive smoking during pregnancy and the incidence of stillbirth based on bivariable analysis with OR=3.36 (95% CI=1.20-5.41) while based on multivariable analysis with OR=2.8 (1.01-7.94). Other risk factors that affected the incidence of stillbirth were the quality of antenatal care with OR=3.2 (95% CI=1.39-7.52) and anemia during pregnancy with OR=2.3 (95% CI=1.20-5.41). Meanwhile, stratification analysis showed that non anemic women during pregnancy was significantly related to stillbirths with OR=5.7 (95% CI 1.10-55.22). However, age, parity and education were not the risk factors of the incidence of stillbirth in Ambon. Conclusion: Passive smoking during pregnancy was a risk factor of the incidence of stillbirth in Ambon municipality. Other factors that caused the incidence of stillbirths were the quality of antenatal care and anemia. However, age, and parity were not the risk factors of the incidence of stillbirths in Ambon. |
| Group of Knowledge | : | Kesehatan Reproduksi |
| Original Language | : | Bahasa Indonesia |
| Level | : | Nasional |
| Status | : |
Published
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| No | Title | Action |
|---|---|---|
| 1 |
2015 Magdalena Pauno Pengaruh perokok pasif terhadap lahir mati 12647-25118-1-PB.pdf
Document Type : [PAK] Full Dokumen
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