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RELATIONSHIP BETWEEN BIRTH SPACING AND BODY MASS INDEX

WITH THE INCIDENCE OF PREECLAMPSIA


AT RSUD PROF. DR. W.Z. JOHANNES KUPANG
2017

Yosephina P.B Tapowolo1, Jansen L. Lalandos2,


Dyah Gita Rambu Kareri3
1
Faculty of Medicine, University of Nusa Cendana
2
Department of Obstetrics and Gynecology Faculty of Medicine University of Nusa Cendana
3
Department of Medical Rehabilitation Faculty of Medicine University of Nusa Cendana

ABSTRACT

Background: Preeclampsia is hypertension arising after 20 weeks of pregnancy accompanied by


proteinuria. in the last two decades there has not been a noticeable decrease in the incidence of
preeclampsia, but the incidence of infection has declined in response to the development of
antibiotic findings. Birth spacing is too short will result in not recovering the body condition of
the mother after childbirth thus increasing the risk of maternal death. Prolonged pregnancy
distances may also increase the risk of preeclampsia. Obesity increases the risk of preeclampsia
by 2, 47-fold, whereas women with BMI before pregnancy> 35 compared with IMT 19-27 have
4 times the risk of preeclampsia.
Purpose: This study aims to analyze the relationship between birth spacing and body mass index
with the incidence of preeclampsia.
Method: This study used cross sectional design with 96 sample taken by consecutive sampling
method after fulfilling inclusion and exclusion criteria at RSUD Prof. Dr. W. Z. Johannes
Kupang, in August 2017 - October 2017. Data were obtained through the medical records and
respondents' KIA Book. Data analysis using Chi square test.
Results: Of the 96 samples studied, 79 respondents were obtained without preeclampsia and 17
respondents with preeclampsia. Of the 17 cases of preeclampsia, 7 respondents with birth
spacing <5 years and 10 respondents with birth spacing ≥ 5 years. Cases of preeclampsia from
mothers with BMI ≤25 kg / m2 were 6 respondents and 11 respondents with IMT> 25 kg / m2.
Conclusions: There was a significant relationship between birth spacing and preeclampsia (p =
0.022) and between IMT and preeclampsia (p = 0.001).

Keywords: preeclampsia, birth spacing, Body Mass Index.