STATUS PROTEINURIA DALAM KEHAMILAN DI KABUPATEN SUMBA BARAT DAYA, NUSA TENGGARA TIMUR TAHUN 2016

Angela Kurniadi, Tommy Tanumihardja, Marcia Marcia, Ediva Pradiptaloka

Abstract


Abstract

Background: Maternal mortality rate in Indonesia is still high. The three most causes of maternal death are hypertension in pregnancy, postpartum hemorrhage followed by infection. Eclampsia is one of the  pregnancy hypertension which has negative impact to mother and fetus. Early detection can prevent maternal death by pregnancy hypertention.  Proteinuria is one of the signs used for early detection of eclampsia and other pregnancy disorders.

Objective: In order to determine the status of proteinuria in pregnancy in Southwest Sumba District, East Nusa Tenggara in 2016.

Method: This is a cross sectional study conducted in 3 villages, namely Weetebula, Hombakaripit, and Palla. A total of 97 pregnant women participated in the study. The proteinuria status was examined using dipstick urine. Hypothesis testing of the relationship between gravida, hypertension status, age group, and trimester with the proteinuria occurrence was performed using Mann Whitney test

Results: A total of 89.5% of respondents showed positive proteinuria and other 10% were negative. Of those with positive proteinuria, 39,1% were plus minus, 48,3% were positive 1, and 12,7% were positive 2. Respondents who suffered from hypertension counted for 4,1%, 1 of whom suffered from preeclampsia.

Conclusions: The vast majority of respondents showed proteinuria, but the hypothesis test results indicated that gravida, hypertension, age and trimester status were not associated with proteinuria.

Keywords


proteinuria, pregnancy, Southwest Sumba District

References


WHO., UNICEF., UNFPA., World Bank., The United Nations Population Division. Trends in maternal mortality: 1990-2015: estimates from WHO, UNICEF, UNFPA, World Bank Group and the United Nations Population Division [Internet]. World Health Organization; 2015. Available from: http://apps.who.int/iris/bitstream/10665/194254/1/9789241565141_eng.pdf

UN. Goal 3: Ensure healthy lives and promote well-being for all at all ages [Internet]. [cited 2017 Jun 29]. Available from: http://www.un.org/sustainabledevelopment/health/

Dinas Kesehatan Provinsi Nusa Tenggara Timur. Profil Kesehatan Provinsi Nusa Tenggara Timur Tahun 2015.

Afifah T, Tejayanti T, Saptarini I, Rizkianti A, Usman Y, Senewe FP, et al. Maternal Death in Indonesia: Follow-Up Study of The 2010 Indonesia Population Census. J Kesehat Reproduksi [Internet]. 2016;7(1):1–13. Available from: http://ejournal.litbang.kemkes.go.id/index.php/kespro/article/view/5102

Coad S, Friedman B, Geoffrion R. Understanding urinalysis: Clues for the obstetrician-gynecologist. Expert Rev Obstet Gynecol [Internet]. 2012;7(3):269–79. Available from: http://www.tandfonline.com/doi/abs/10.1586/eog.12.21

Ompusunggu S, Syachroni S, Syarifah U, Yuianto A, Kulla RK. Riset Kesehatan Dasar 2013 Dalam Angka Provinsi Nusa Tenggara Timur. Vol. 7. Jakarta; 2013.

BPS Kabupaten Sumba Barat Daya. Jumlah dan Persentase Penduduk Miskin, P1, P2 dan Garis Kemiskinan Kabupaten Sumba Barat Daya dan Provinsi Nusa Tenggara Timur, 2010-2014 [Internet]. Available from: https://sumbabaratdayakab.bps.go.id/linkTabelStatis/view/id/62

Purboningsih T. Hubungan Pengetahuan Ibu Hamil Tentang Anc (Antenatal Care) Terhadap Perilaku Kunjungan Anc (Antenatal Care). Universitas Muhammadiyah Surakarta; 2014

Rajiv Kumar Gupta, Tajali Nazir Shora, Aruna K. Verma RJ. Knowledge regarding antenatal care services, its utilization, and delivery practices in mothers (aged 15‑49 years) in a rural area of North India. Trop J Med Res [Internet]. 2015;18(2):89–94. Available from: http://www.tjmrjournal.org/article.asp?issn=1119-0388;year=2015;volume=18;issue=2;spage=89;epage=94;aulast=Gupta;type=0

Airoldi J, Weinstein L. Clinical Significance of Proteinuria in Pregnancy. Obstet Gynecol Surv. 2007 Feb;62(2):117–24.

Maynard SE, Karumanchi SA. Angiogenic Factors and Preeclampsia. Semin Nephrol [Internet]. 2017 Jun 29;31(1):33–46. Available from: http://dx.doi.org/10.1016/j.semnephrol.2010.10.004

Adam I, Elhassan EM, Mohmmed AA, Salih MM, Elbashir MI. Malaria and pre-eclampsia in an area with unstable malaria transmission in Central Sudan. 2011;2–5.

Magee LA, Pels A. Diagnosis, evaluation, and management of the hypertensive disorders of pregnancy: executive summary. J Obs Gynaecol Can. 2014;36(307):416–38.

Piccoli GB, Attini R, Parisi S, Vigotti FN, Daidola G, Deagostini MC, et al. Excessive urinary tract dilatation and proteinuria in pregnancy : a common and overlooked association ? 2013;2–9.

Faúndes A, Brícola-Filho M, Pinto e Silva JL. Dilatation of the urinary tract during pregnancy: proposal of a curve of maximal caliceal diameter by gestational age. Am J Obstet Gynecol. 1998 May;178(5):1082–6.

Amin S V., Illipilla S, Hebbar S, Rai L, Kumar P, Pai M V. Quantifying Proteinuria in Hypertensive Disorders of Pregnancy. Int J Hypertens. 2015;2014.

Brown MA, Lam E, Co A, Firoz T, Liston RM, Côté A-M, et al. Diagnostic accuracy of urinary spot protein:creatinine ratio for proteinuria in hypertensive pregnant women: systematic review. BMJ. 2008;336(7651):1003–6.

Pemerintah Daerah Provinsi Nusa Tenggara Timur. Provinsi Nusa Tenggara Timur 2015 Analisis Pembangunan Wilayah Provinsi Nusa Tenggara Timur. 2015;

Badan Pusat Statistik Kabupaten Sumba Barat Daya. Kabupaten Sumba Barat Daya Dalam Angka 2016 [Internet]. Tambolaka: BPS Kabupaten Sumba Barat Daya; 2012. Available from: https://sumbabaratdayakab.bps.go.id/backend/pdf_publikasi/Kabupaten-Sumba-Barat-Daya-Dalam-Angka-2016.pdf

Carter JL, Tomson CR V, Stevens PE, Lamb EJ. Does urinary tract infection cause proteinuria or microalbuminuria? A systematic review. Nephrol Dial Transplant. 2006;21(11):3031–7.

Dhora L, Lika M. Risk Factors for Proteinuria in Pregnancy. Int J Tech Res Appl [Internet]. 2015;27(27):24–9. Available from: http://www.ijtra.com/special-issue-view/risk-factors-for-proteinuria-in-pregnancy.pdf


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