The Correlation between Occupation and Birth Interval in Primary Postpartum Hemorrhage
Abstract
ntroduction: Postpartum hemorrhage stands as one of the major contributors to maternal mortality globally. Postpartum hemorrhage is a rapid heavy vaginal bleeding that can cause signs and symptoms of hypovolemic shock. Many factors cause postpartum hemorrhage classified into indirect causes, namely type of delivery, age, parity, birth spacing, family income, education, and occupation.
Objective: This study aims to determine the correlation between occupation and birth spacing with primary postpartum hemorrhage.
Method: This study uses a case-control approach with a purposive sampling technique. The sample for this study included multigravida mothers and mothers diagnosed with primary postpartum hemorrhage at Ananda Maternity and Child Hospital, Makassar, in 2021. The total sample was 174 consisting of 84 cases and 84 control samples. The research instrument data is in the form of secondary data, namely medical records. Data analysis employed the chi-square test for bivariate analysis and multiple logistic regression for multivariate analysis, with a significance level of 0.05
Result: The results of the bivariate analysis showed a relationship between occupation (p-value: 0.000) and delivery distance (p-value: 0.000). Working mothers are 6 times at risk for experiencing primary postpartum hemorrhage (OR= 5.833) while mothers whose delivery interval is < 2 years or > 5 years have 4 times the risk (OR= 3.719). The results of the multivariate analysis show that the work and pregnancy distance is significantly related to the risk of postpartum hemorrhage (value P: 0,000) where the odds ratio for work (OR = 6,178) is higher than the distance of pregnancy (OR = 4.008).
Conclusion: Occupational factors and birth spacing are significantly associated with primary postpartum hemorrhage, working mothers have a higher risk of experiencing primary postpartum hemorrhage. Pregnant women and women of childbearing age should receive more education about postpartum hemorrhage and its influencing factors to help prevent and identify it early.
References
Budiman, Mayasari D. Perdarahan Post Partum Dini e.c Retensio Plasenta. Budiman Budiman, Diana Mayasari [Internet]. 2017;7(3):1–5.
Available from: https://media.neliti.com/media/publications/153330-ID-perdarahan-post-partum-dini-ec-retensio.pdf
Aida F, Rms JS. Determinant Factor Of Mother With Postpartum Hemorrhage At Madani Clinic Of Subulussalam City Period 2018-2019. 2022;3(2):1–10.
Lumbanraja SN. Kegawatdaruratan Obstetri. 2017
Nurkhaliza S, Rochmani S, Septimar Z. Penyebab Perdarahan Ibu Postpartum. Nusant Hasana Journa. 2021;1(1):95–101.
Satriyandari Y, Hariyati NR. Faktor-Faktor Yang Mempengaruhi Kejadian Perdarahan Postpartum. JHeS (Journal Heal Stud. 2017;1(1):49–64.
Latt SM, Alderdice F, Elkington M, Shar MA, Kurinczuk JJ, Rowe R. Primary postpartum haemorrhage and longer-term physical, psychological, and psychosocial health outcomes for women and their partners in high income countries: A mixed-methods systematic review. PLoS One [Internet]. 2023;18(6 June):1–30.
Available from: http://dx.doi.org/10.1371/journal.pone.0274041
Alfisyar F, Sumiati E, Khaerina R, Hardiani S. Hubungan Perdarahan Post Partum Dengan Anemia Pada Kehamilan Di Rsud Kota Mataram. J Penelit dan Kaji Ilm Kesehat. 2020;6(2):254–9.
Hidayah P, Wahyuningsinh, Kusminatun K. Hubungan Tingkat Risiko Kehamilan dengan Kejadian Komplikasi Persalinan di RSUD Panembahan Senopati Bantul. J Kesehat Vokasional. 2018;3(1):39.
Prawirohardjo S. Ilmu Kebidanan. 2020.
Dewie A, Sumiaty S, Tangahu R. Jarak Persalinan Berhubungan dengan Perdarahan Postpartum di RSUD Undata Palu Tahun 2017-2018. J Kedokt dan Kesehat. 2020;16(2):111.
fahira nur andi, Rahman A, Kurniawan H. Faktor Risiko Kejadian Perdarahan Postpartum Di Rumah Sakit Umum (Rsu) Anutapura Palu. J Kesehat Tadulako. 2019;5(1):26–31.
Hidayati M, Febrianty R, Syamsul Bahri A, Budi A. Faktor-Faktor Yang Berhubungan Dengan Perdarahan Pada Ibu Post Partum Di Rsup Wahidin Sudirohusodo Makassar. Media Publ Penelit Kebidanan. 2022;2(1):8–13.
Amirah K, Suriani S, Rahmawati R. Faktor Risiko Kehamilan Pada Kejadian Perdarahan Post Partum Di Rumah Sakit Khusus Daerah Ibu Dan Anak (RSKDIA) Siti Fatimah Makassar. Media Kesehat Politek Kesehat Makassar. 2021;16(1):173.
Bakri DU, Adenin SS, Wahid I. Faktor-Faktor Yang Berhubungan Dengan Kejadian Perdarahan Postpartum Pada Ibu Bersalin di Wilayah Kerja Dinas Kesehatan Kabupaten Merangin. Din Kesehat J Kebidanan Dan Keperawatan. 2019;10(2):546–60.
Indonesia MOHRO. Indonesia Health Profile 2020. 2020. p. 480.
Pitriani R. Factors related to post partum hemorrhage event in Camar II Room RSUD Arifin Achmad Riau Province 2016. Menara ilmu XI. 2017;1:243–55.
Yuliati A, Soejoenoes A, Suwondo A, Anies A, Kartasurya MI. Beberapa Faktor Kejadian Perdarahan Postpartum Ibu Bersalin yang Dirawat Di Rumah Sakit. J Epidemiol Kesehat Komunitas. 2018;3(1):7.
Jena BH, Biks GA, Gete YK, Gelaye KA. Association of primary postpartum hemorrhage with inter-pregnancy interval in urban South Ethiopia: A matched nested case-control study. PLoS One [Internet]. 2022;17(7 July):1–15.
Available from: http://dx.doi.org/10.1371/journal.pone.0271216
Maesaroh S, Iwana IP. Hubungan Riwayat Anemia Dan Jarak Kelahiran Dengan Kejadian Perdarahan Postpartum Di Rsud Dr. H. Abdul Moeloek. Midwifery J J Kebidanan UM Mataram. 2018;3(1):21.
Nuareni R, Wianti A. Hubungan Antara Umur, Paritas dan Interval Persalinan pada Kejadian Perdarahan Postpartum Akibat Atonia Uteri di Rsud Majalengka Tahun 2017. J Keperawatan dan Kesehat Med AKPER YPIB Majalengka [Internet]. 2018;4(7):1–11.
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