IMPACT OF SMOKE EXPOSURE AND PREECLAMPSIA TO PREMATURE RUPTURE OF MEMBRANES; CASE STUDY IN ANUTAPURA HOSPITAL (KESAN PENDEDAHAN ASAP DAN PREEKLAMPSIA KE ATAS PEMBENGKAKAN PRAMATANG MEMBRAN: KAJIAN KES DI HOSPITAL ANUTAPURA)

Authors

  • Muh Jusman Rau Epidemilogy Department Public Health Faculty of Tadulako University Jl. Soekarno-Hatta KM. 9, Palu, 94116, Indonesia Universitas Tadulako, Jl. SoekarnoHatta KM 9, Palu, 94116, Indonesia
  • Dian Rusdianingsih Epidemilogy Department Public Health Faculty of Tadulako University Jl. Soekarno-Hatta KM. 9, Palu, 94116, Indonesia Universitas Tadulako, Jl. SoekarnoHatta KM 9, Palu, 94116, Indonesia
  • Adhar Arifuddin Epidemilogy Department Public Health Faculty of Tadulako University Jl. Soekarno-Hatta KM. 9, Palu, 94116, Indonesia Universitas Tadulako, Jl. SoekarnoHatta KM 9, Palu, 94116, Indonesia
  • Herawanto - Epidemilogy Department Public Health Faculty of Tadulako University Jl. Soekarno-Hatta KM. 9, Palu, 94116, Indonesia Universitas Tadulako, Jl. SoekarnoHatta KM 9, Palu, 94116, Indonesia
  • Rosmala Nur Biostatistic, Family Planning and Demography Department Public Health Faculty of Tadulako University Jl. Soekarno-Hatta KM. 9, Palu, 94116, Indonesia Universitas Tadulako, Jl. SoekarnoHatta KM 9, Palu, 94116, Indonesia
  • Lusia Salmawati Occupational Health and Safety Department, Public Health Faculty of Tadulako University Jl. Soekarno-Hatta KM. 9, Palu, 94116, Indonesia UniversitasTadulako, Jl. SoekarnoHatta KM 9, Palu, 94116, Indonesia
  • Pitriani - Enviromental Health Department Public Health Faculty of Tadulako University Jl. Soekarno-Hatta KM. 9, Palu, 94116, Indonesia UniversitasTadulako, Jl. SoekarnoHatta KM 9, Palu, 94116, Indonesia

Abstract

Abstract

Premature rupture of membranes is a major cause of maternal mortality in developed countries and developing countries. The content of cigarette smoke are nicotine that can endanger the health of pregnant women and fetuses. The purpose of this study was to determine the risk of second hand smoke exposure and preeclampsia on premature rupture of membranes in Anutapura Hospital Palu City. This study was an observational study with case-control approach. Subject maternity cases are experiencing premature rupture of membranes, and the control group was mothers with normal birth. Sample cases and controls respectively 30 and 60 respondents with education as matching. Samples were selected in total sampling;data were analysed using odds ratio at the limit of significance (95%). The results showed that exposure of cigarette smoke is a strong factor against the risk of premature rupture membrane with OR 4.333, 95% CI = 1.341-13. While preeclampsia is not at risk premature rupture of membranes with OR 1.195, 95% CI = 0.430-3.318. Considering the importance of the effect of tobaccoexposure on premature rupture of membranes, it is suggested that important to avoid exposure of tobacco. Besides, keeping control of blood pressure during pregnancy is also needed.


Keywords: Premature Rupture Membranes, Mother Maternity, Smoking Behaviour, Preeclampsia

 

Abstrak

Pembengkakan pramatang membran adalah penyebab utama kematian ibu di negara maju dan negara-negara membangun. Kandungan asap rokok adalah nikotin yang boleh membahayakan kesihatan wanita hamil dan janin. Tujuan kajian ini adalah untuk menentukan risiko pendedahan asap rokok dan preeklamsia pada pembengkakan pramatang membran di Hospital Anutapura, Bandar Palu. Kajian ini adalah kajian observasi dengan pendekatan kawalan kes. Kes subjek bersalin mengalami pecah pramatang membran, dan kumpulan kawalan adalah ibu dengan kelahiran normal. Kes dan kawalan sampel masing-masing 30 dan 60 responden dengan pendidikan sebagai sepadan. Sampel dipilih dalam jumlah persampelan, data dianalisis dengan menggunakan nisbah odds pada batas kepentingan (95%). Keputusan menunjukkan bahawa pendedahan asap rokok adalah faktor yang kuat terhadap risiko membran pecah pramatang dengan ATAU 4.333, 95% CI = 1.341-13. Walaupun preeclampsia tidak berisiko pecah pramatang membran dengan OR 1.195, 95% CI = 0.430-3.318. Memandangkan kepentingan kesan ketoksikan tembakau pada pecah membran pramatang, disarankan agar penting untuk mengelakkan pendedahan tembakau. Selain itu, menjaga kawalan tekanan darah semasa kehamilan juga diperlukan.


Kata kunci: Pembengkakan Pramatang Membran, Ibu Bersalin, Perilaku Merokok, Preeklampsia.

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Published

2018-09-01

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Archaeology & History