Reproductive factors and risk of spontaneous abortion
Abstract
One of the causes of bleeding and infection in pregnant women is abortion-a failure reproduction. Spontaneous abortion is a pregnancy complication that can affect women both physically and psychologically. This research was purposed to find out the spontaneous abortion incidence, the relation of mother’s age to the spontaneous abortion incidence by controlling the others risk factors such as the interval of the pregnancy, parity, and the usage of contraception. Type to the research is a case-control study where the number of subjects is 174 of pregnant women who have a spontaneous abortion as the case and who have no spontaneous abortion as the controlled group. The univariable used distribution of frequency, the analysis of bivariable used chi-square test, and the analysis of multivariable used multiple logistic regression analysis. The proportion of case group was The largest sample proportion in the case group for the age variable was at the age of 20-35 years (48.3%), pregnancy interval ?2 years (56.9%), parity gave birth more than 4 times (62.1%), and use contraception (56.9%). Meanwhile, the control group for the variable age was at the age of 20-35 years (78.4%), pregnancy interval ?2 years (79.3%), parity between 2-3 births (57.8%), and use contraception (73.6%). All variables were associated with the incidence of spontaneous abortion as follow age of mother <20 years old (p-value 0.000; OR 4.06; 95% CI 1.72-9.57), age of mother >35 years old (p-value 0.000; OR 3.61; 95% CI 1.17-11.07), pregnancy interval (p-value 0.002; OR 2.90; 95% CI 1.38-6.10), parity (p-value 0.013; OR 2.24; 95% CI 1.12-4.51), use of contraception (p-value 0.000; OR 3.43; 95% CI 1.59-7.34). The most dominant factor was mother age <20 years old (OR: 3.82; 95% CI 1.64-8.94). Mothers aged <20 years are at high risk for spontaneous abortion.
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References
2. BKKBN, BPS, Kemenkes, USAID. Survey Demografi dan Kesehatan. Indonesia: BKKBN; 2018.
3. Sari RDP, Rahmanisa S, Citra E. Hubungan Beban Kerja Mental terhadap kejadian Abortus pada Pekerja Bruruh Pabrik di PT. Great Giant Pineapple. JK Unila. 2019;3(1):117–22.
4. Habimana-Kabano I, Broekhuis A, Hooimeijer P. The Effects of Interpregnancy Intervals and Previous Pregnancy Outcome on Fetal Loss in Rwanda (1996–2010). Int J Reprod Med. 2015;2015:1–10.
5. Cunningham G. Williams Obstetrics. 24th ed. New York: Mc Graw-Hill; 2012. 856–69 hal.
6. Kuntari T, Wilopo SA, Emilia O. Determinan Abortus di Indonesia. Kesmas Natl Public Heal J. 2010;4(5):223.
7. Pranata S, Sadewo F. Kejadian Keguguran, Kehamilan Tidak Direncanakan Dan Pengguguran Di Indonesia. Bul Penelit Sist Kesehat. 2013;15(2 Apr).
8. Norsker FN, Espenhain L, Rogvi SÁ, Morgen CS, Andersen PK, Andersen AMN. Socioeconomic position and the risk of spontaneous abortion: A study within the Danish National Birth Cohort. BMJ Open. 2012;2(3):1–6.
9. Prihandini SR, Pujiastuti W, Hastuti TP. Usia Reproduksi Tidak Sehat Dan Jarak Kehamilan Yang Terlalu Dekat Meningkatkan Kejadian Abortus Di Rumah Sakit Tentara Dokter Soedjono Magelang. J Kebidanan. 2016;5(10):47–57.
10. Maliana.AS A. Faktor-faktor yang berhubungan dengan kejadian abortus inkomplit di ruang kebidanan rsud mayjend. hm. ryacudu kota bumi. J Kesehat. 2016;VII(1):17–25.
11. Handayani EY. Hubungan Umur dan Paritas Dengan Kejadian Abortus Di RSUD Kabupaten Rokan Hulu. J Martenity Neonatal. 2015;1(6):249–53.
12. Purwaningrum ED, Fibriana AI, Biostatistika E, Ilmu J, Masyarakat K. Faktor Risiko Kejadian Abortus Spontan. Public Heal Res Dev. 2017;
13. Hu X, Miao M, Bai Y, Cheng N, Ren X. Reproductive factors and risk of spontaneous abortion in the jinchang cohort. Int J Environ Res Public Health. 2018;15(11).
14. Rajuddin, Rini RF, Nurjanah. HUBUNGAN KADAR PROGESTERON DAN ?-HCG DENGAN ABORTUS PADA KEHAMILAN? 12 MINGGU DI KLINIK RASI BANDA ACEH. J Kedokt dan Kesehat Malikusaleh. 2016;2(2):21–9.
15. Moradinazar M, Najafi F, Nazar ZM, Hamzeh B, Pasdar Y, Shakiba E. Lifetime Prevalence of Abortion and Risk Factors in Women: Evidence from a Cohort Study. J Pregnancy. 2020;2020:4871494.
16. Adeniran A, Fawole A, Abdul I, Adesina K. Spontaneous abortions (miscarriages): Analysis of cases at a tertiary center in North Central Nigeria. J Med Trop. 2015;17(1):22.
17. Jumiati. Faktor-faktor yang berhubungan dengan abortus di RSU Mutia Sari Duri Periode 2017. Bidan Komunitas. 2017;II(1):59.
18. Sundermann AC, Hartmann KE, Jones SH, Torstenson ES, Velez Edwards DR. Interpregnancy interval after pregnancy loss and risk of repeat miscarriage. Obstet Gynecol. 2017;130(6):1312–8.
19. Kangatharan C, Labram S, Bhattacharya S. Interpregnancy interval following miscarriage and adverse pregnancy outcomes: systematic review and meta-analysis. Hum Reprod Update. 2017;23(2):221–31.
20. Conde-Agudelo A, Rosas-Bermudez A, Castaño F, Norton MH. Effects of Birth Spacing on Maternal, Perinatal, Infant, and Child Health: A Systematic Review of Causal Mechanisms. Stud Fam Plann. 2012;43(2):93–114.
21. World Health Organization. Report of a Technical Consultation on Birth Spacing. Geneva; 2014.
22. Hussein SM, Sc M, Shadhan S, Ogaili CA-, Ph D. Risk Factors Associated with Spontaneous Abortion at Al-Najaf City. Int J Sci Res Publ. 2017;7(8):433–44.
23. Polis CB, Bradley SEK, Bankole A, Onda T, Croft T, Singh S. Typical-use contraceptive failure rates in 43 countries with Demographic and Health Survey data: Summary of a detailed report. Contraception. 2016;94(1):11–7.
24. Zheng D, Li C, Wu T, Tang K. Factors associated with spontaneous abortion: A cross-sectional study of Chinese populations. Reprod Health. 2017;14(1):1–9.
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