PENGARUH USIA DAN PARITAS TERHADAP KEJADIAN PLASENTA PREVIA PADA IBU HAMIL TRIMESTER III di RSUD Dr. WAHIDIN SUDIRO HUSODO MOJOKERTO

Novi Kurniawati; Lilik Triyawati

The high maternal mortality rate ( MMR ) in Indonesia are caused by one of them is bleeding due to placenta previa. Placenta previa as one case of antepartum haemorrhage occurs in the third trimester of pregnancy. Preliminary studies in Hospital Dr . Wahidin Sudiro Husodo Mojokerto in 2013 from 20 pregnant women with placenta previa in terms of age there were 6 ( 30 % ) 20-35 years , and 7 ( 35 % 0 < 20 years and > 35 years , in terms of parity 4 people ( 20 % ) multiparous and 3 ( 15 % ) primiparous . factors affecting the incidence of placenta previa include age, history of placenta praevia parity , history of abortion , history of cesarean section , multiple pregnancy and smoking . takes the effort of early detection to prevent delays in treatment . the purpose of this study to determine the effect of age and parity on the incidence of placenta previa in the third trimester pregnant women in hospitals Dr . Wahidin Sudiro Husodo Mojokerto This study was analytical observational , cross- sectional approach . The entire population of pregnant women in the third trimester maternity hospital room Dr Wahidin Sudiro Husodo Mojokerto , in the period January-May , 2013, with a sample of 232 people were taken by simple random sampling . The independent variables are age and parity third trimester pregnant women , dependent variable is the incidence of placenta previa . Instrument in the form of data collection sheet . Bivariate analysis, Chi Square test , while alisis multivariate logistic regression multivariate test with α = 0.05 . The results showed that half of the respondents included in the age category 20-35 years ( 50.9 % ) , multiparous category ( 65.5 % ) and the incidence of placenta previa is very high , namely 32.8 % third trimester pregnant women minority ( 9 , 02 % ) had placenta previa . Results of statistical tests ( p = 0.0001 < α 0.05 ) note that the age and parity of pregnant women have a significant effect on the incidence of placenta previa at 48.6 % . Age and parity are important in planning a pregnancy . Midwives and health workers should provide counseling to pregnant women to plan pregnancy in healthy reproductive age ( 20 years – 35 years ) , regulate the number and spacing of pregnancy by following family planning , and terminate the pregnancy at the age of > 35 years . 2 ) Provide counseling to adolescents through health posts and schools about healthy reproductive age using leaflets.

Keywords : Age , Parity , Placenta Previa