Articles

The relationship between inter-pregnancy interval and gestational age with labor complications at the Sele Be Solu Regional Public Hospital of Sorong City, West Papua

Fegita Beatrix Pajala , Erfen Gustiawan Suwangto, Yunisa Astiarani, Astrid Fransisca Padang

Fegita Beatrix Pajala
Faculty of Medicine and Health Sciences, Atma Jaya Catholic University of Indonesia. Email: fegita_pajala@yahoo.com

Erfen Gustiawan Suwangto
Department of Ethics, Faculty of Medicine and Health Sciences, Atma Jaya Catholic University of Indonesia

Yunisa Astiarani
Department of Public Health and Nutrition, Faculty of Medicine and Health Sciences, Atma Jaya Catholic University of Indonesia

Astrid Fransisca Padang
Department of Obstetrics and Gynecology, Faculty of Medicine and Health Sciences, Atma Jaya Catholic University of Indonesia
Online First: December 31, 2020 | Cite this Article
Pajala, F., Suwangto, E., Astiarani, Y., Padang, A. 2020. The relationship between inter-pregnancy interval and gestational age with labor complications at the Sele Be Solu Regional Public Hospital of Sorong City, West Papua. Public Health and Preventive Medicine Archive 8(2): 162-167. DOI:10.15562/phpma.v8i2.277


Background and purpose: Labor complications are conditions during or after labor that can threaten life of the mother and the baby to be born. Some factors have been associated with labor complications, including inter-pregnancy interval and gestational age. This study was conducted to determine the relationship between inter-pregnancy interval and gestational age with labor complications at the Sele Be Solu Regional Public Hospital of Sorong City.

Methods: This study was an analytic observational study with a cross-sectional design. The samples of this study were pregnant women who gave birth at the Sele Be Solu Regional Public Hospital of Sorong City in 2016-2018 and met the inclusion criteria. We used secondary data from the medical records retrieved in July to August 2019. We retrieved mothers’ identities (age, education, employment status), inter-pregnancy interval, gestational age and labor complications. A number of 261 samples (121 with labor complications and 140 without labor complications) were selected using convenience sampling technique. Descriptive analysis and Chi-Square test with SPSS 25.0 were performed.

Results: Most of the mothers (85.8%) were in the non-high-risk age group, graduated from senior high school or above (82%), were not employed/housewives (68.6%), the majority (67.8%) of inter-pregnancy interval was in the non-high-risk group, more than half (52.5%) of gestational age was in the high-risk group and the most common type of complications (17.2%) was the premature rupture of membranes. There were significant relationship between age (p<0.001; OR=5.201; 95%CI: 2.275-11.889), inter-pregnancy interval (p<0.001; OR=2.955; 95%CI: 1.722-5.070) and gestational age (p<0.001; OR=4.606; 95%CI: 2.722-7.794) with labor complications. There were no relationship between education (p=0.166; OR=0.599; 95%CI: 0.312-1.151) and employment status (p=0.230; OR=1.428; 95%CI: 0.845-2.412) with labor complications.

Conclusions: There are significant relationship between inter-pregnancy interval and gestational age with labor complications. Health offices and health workers have an essential role in minimizing the risk of labor complications by providing early detection of possible labor complications and active counseling to the community especially women of childbearing age.

References

The Association of Southeast Asian Nations Secretariat. Association of Southeast Asian Nations Statistical Report on Millennium Development Goals 2017. Jakarta: ASEAN Secretariat 2017. p. 38.

West Papua Provincial Health Office. Profil Kesehatan Provinsi Papua Barat tahun 2017 [2017 West Papua Province Health Profile]. Manokwari: West Papua Provincial Health Office.2018. p. 32.

World Health Organization. Trends in Maternal Mortality: 1990 to 2015. World Health Organizations; 2015.

Kusuma J, Saifuddin AB, Abdulmuthalib. Ilmu Kebidanan [Midwifery Science]. 4th ed. Jakarta: PT Bina Pustaka Sarwono Prawirohardjo. 2014. p. 53-55.

Stokes M, Wilkinson J. The causes of maternal mortality are changing and preventable. BJOG.2018;125:1262.

Shachar BZ, Lyell DJ. Interpregnancy interval and obstetrical complications. Obstet Gynecol Surv. 2012;67(9):584–596.

Mahande MJ, Obure J. Effect of interpregnancy interval on adverse pregnancy outcomes in Northern Tanzania: A registry-based retrospective cohort study. BMC Pregnancy Childbirth. 2016;16(140).

Gebremedhin AT, Regan AK, Malacova E, Marinovich ML, Ball S, Foo D, et al. Effects of interpregnancy interval on pregnancy complications: protocol for systematic review and meta-analysis. BMJ Open. 2018;8(8).

Ranjana, Sinha A. Incidence, causes and feto-maternal outcomes of obstructed labour in a tertiary health care centre. Int J Reprod Contracept Obstet Gynecol. 2017;6(7):2817–21.

Khoshnood Shariati M, Karimi Z, Rezaienejad M, et al. Perinatal complications associated with preterm deliveries at 24 to 33 weeks and 6 days gestation (2011- 2012): A hospital-based retrospective study. Iran J Reprod Med. 2015;13(11):697-702.

Reddy UM, Rice MM, Grobman WA, et al. Serious maternal complications after early preterm delivery (24-33 weeks' gestation). Am J Obstet Gynecol. 2015;213(4):538.

Chaudhari SN, Bhikane DB. A clinical study of postdated pregnancy. Int J Reprod Contracept Obstet Gynecol. 2017;6:2077–82.

World Health Organization. Maternal mortality ratio (per 100,000 live births). [Internet]. World Health Organization. 2014 [cited 2019 May 2]. Available from: https://www.who.int/healthinfo/statistics/indmaternalmortality/en/.

World Health Organization. Maternal mortality. [Internet]. World Health Organization. 2018 [cited 2019 May 2]. Available from: https://www.who.int/gho/publications/ world_health_statistics/2018/EN_WHS2018_TOC.pdf?ua=1.

Ministry of Health of The Republic of Indonesia. Survei Demografi dan Kesehatan Indonesia (SDKI) tahun 2017 [Indonesian Demographic and Health Survey (IDHS) 2017]. Jakarta: 2018.

Bame MD. Survei Kesehatan Kota Sorong 2016 [2016 Sorong City Health Survey]. Sorong; 2017.

Hariyani F, Murti NN, Wijayanti E. Hubungan usia, paritas, dan kelas ibu hamil dengan komplikasi persalinan di RSKB Sayang Ibu Balikpapan [Relationship between age, parity, and class of pregnant women with delivery complications at RSKB Sayang Ibu Balikpapan ] [Internet]. Mahakam Midwifery Journal. 2019 [cited 2020 April 20]. Available from: http://ejournalbidan.poltekkes-kaltim.ac.id/ojs/index.php/midwifery/ article/view/116/70.

Hidayah P, Wahyuningsih HP, Kusmiatun. Hubungan tingkat risiko kehamilan dengan kejadian komplikasi persalinan di RSUD Panembahan Senopati Bantul [The relationship between the level of risk of pregnancy and the incidence of delivery complications in RSUD Panembahan Senopati Bantul]. J Kesehat Vokasional. 2018;3.

Khojasteh F, Arbabisarjou A, Boryri T, et al. The relationship between maternal employment status and pregnancy outcomes. Glob J Health Sci. 2015;8.

Cavazos-Rehg PA, Krauss MJ, Spitznagel EL, Bommarito K, Madden T, Olsen MA, et al. Maternal age and risk of labor and delivery complications. Maternal Child Health J. 2014;19(6):1202–11.

Komariah S, Nugroho H. Hubungan pengetahuan, usia dan paritas dengan kejadian komplikasi kehamilan pada ibu hamil trimester III di Rumah Sakit Ibu dan Anak Aisyiyah Samarinda [The association between knowledge, age and parity with pregnancy complications among the third trimester pregnant mothers at RSIA Aisyiyah Samarinda]. J Kesehat Masy. 2020;5(2):83.

Simarmata OS, Sudikno S, Kristina K, Bisara D. Determinan kejadian komplikasi persalinan di Indonesia: Analisis data sekunder Riset Kesehatan Dasar 2010 [Determinants of delivery complications in Indonesia: Secondary data analysis of 2010 Basic Health Research]. J Kesehat Reprod. 2015;5(3):165-174.

Moreira DDS, Gubert MB. Healthcare and sociodemographic conditions related to severe maternal morbidity in a state representative population, federal district, Brazil: A Cross-Sectional Study. PLos One. 2017;12(8).

Cofer FG, Fridman M, Lawton E, Korst LM, Nicholas L, Gregory KD. Interpregnancy interval and childbirth outcomes in California, 2007–2009. Matern Child Health J. 2016;20(S1):43–51.

Appareddy S, Pryor J, Bailey B. Inter-pregnancy interval and adverse outcomes: Evidence for an additional risk in health disparate populations. J Matern Fetal Neonatal Med. 2016;30(21):2640–2644.

Sanga LA, Mtuy T, Philemon RN, Mahande MJ. Inter-pregnancy interval and associated adverse maternal outcomes among women who delivered at Kilimanjaro Christian Medical Centre in Tanzania, 2000-2015. PLos One. 2020;15(2).

Kabano IH, Broekhuis A, Hooimeijer P. Inter-pregnancy intervals and maternal morbidity: new evidence from Rwanda. Afr J Reprod Health. 2015;19:77–86.

Gbremedhin AT, Regan AK, Malacova E, Marinovich ML, Ball S, Foo D, et al. Effects of interpregnancy interval on pregnancy complications: protocol for systematic review and meta-analysis. BMJ Open. 2018;8(8).

Granese R, Gitto E, D’Angelo G, et al. Preterm birth: seven-year retrospective study in a single centre population. Ital J Pediatr. 2019;45(1).

Fernandes S, Chandra S. A study of risk factors for preterm labour. Int J Reprod Contracept Obstet Gynecol. 2015;1306–12.

Deng K, Huang Y, Wang Y, Zhu J, Mu Y, Li X, et al. Prevalence of postterm births and associated maternal risk factors in China: Data from over 6 million births at health facilities between 2012 and 2016. Sci Rep. 2019;9(1).


Article Views      : 37
PDF Downloads : 28