Repository Poltekkes Kemenkes Palangka Raya

Jannah, Noor (2025) Gambaran kejadian risiko tinggi pada kehamilan di Puskesmas Pahandut Kota Palangka Raya. Laporan Tugas Akhir thesis, Poltekkes Kemenkes Palangka Raya.

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Abstract

Latar Belakang : Kehamilan risiko tinggi merupakan kondisi yang dapat meningkatkan kemungkinan komplikasi bagi ibu dan janin. Berdasarkan data Profil Kesehatan Kota Palangka Raya 2023 dan studi pendahuluan di Puskesmas Pahandut, ditemukan berbagai faktor risiko seperti usia ekstrem, tinggi badan terlalu pendek, paritas tinggi, jarak kehamilan dan persalinan yang bermasalah, serta adanya penyakit penyerta. Metode : Penelitian ini menggunakan metode deskriptif kuantitatif dengan pendekatan longitudinal. Sampel sebanyak 105 ibu hamil diambil secara purposive sampling, terdiri dari trimester I–III yang melakukan kunjungan ANC di Puskesmas Pahandut. Data dikumpulkan menggunakan Kartu Skor Poedji Rochjati dan dianalisis secara univariat. Penelitian ini telah mendapat persetujuan etik dari KEPK Polkesraya No. 524/V.KE.PE/2025. Hasil : Hasil penelitian menunjukkan bahwa mayoritas responden tergolong dalam kategori kehamilan risiko tinggi. Berdasarkan tabulasi data, diketahui bahwa 17.1% ibu hamil berusia >35 tahun, 3,8% ibu hamil berusia <20 tahun, 21.0% memiliki jarak kehamilan <2 tahun, 1.9% memiliki jumlah anak lebih dari 4 orang (grandemultipara), dan 6.7% memiliki tinggi badan <145 cm. Selain itu, terdapat 17.1% responden yang memiliki riwayat abortus, 31.4%% dengan riwayat persalinan melalui tindakan operasi, serta 25.7% menderita penyakit penyerta seperti 25.7% anemia. Pembahasan : Tingginya prevalensi faktor risiko menunjukkan bahwa kehamilan risiko tinggi masih menjadi tantangan kesehatan ibu di Puskesmas Pahandut. Faktor usia, jarak kehamilan, jumlah anak, tinggi badan, riwayat kehamilan bermasalah, riwayat persalinan, serta penyakit penyerta dapat meningkatkan risiko komplikasi selama kehamilan dan persalinan. Oleh karena itu, diperlukan upaya peningkatan deteksi dini, edukasi, serta pemantauan rutin terhadap ibu hamil dengan faktor risiko tersebut. Kata Kunci : Kehamilan, Faktor, Risiko, Usia, Paritas. Background : High-risk pregnancy is a condition that can increase the possibility of complications for the mother and fetus. Based on data from the Palangka Raya City Health Profile 2023 and a preliminary study at the Pahandut Public Health Center, various risk factors were found such as extreme age, too short height, high parity, problematic pregnancy and delivery intervals, and the presence of comorbidities. Methods : This study employed a quantitative descriptive method with a longitudinal approach. A total of 105 pregnant women in their first to third trimesters who attended ANC visits at Pahandut Health Center were selected using purposive sampling. Data were collected using the Poedji Rochjati Scorecard and analyzed univariately. This research received ethical approval from the Health Research Ethics Committee of Polkesraya, No. 524/V.KE.PE/2025. Results : The results showed that the majority of respondents were categorized as having high-risk pregnancies. Data tabulation revealed that 17.1% of pregnant women were over 35 years old, 3.8% were under 20 years old, 21.0% had pregnancy intervals of less than 2 years, 1.9% had more than four children (grand multipara), and 6.7% had a height of less than 145 cm. Additionally, 17.1% had a history of abortion, 31.4% had a history of operative delivery, and 25.7% suffered from comorbidities such as anemia. Discution: The high prevalence of risk factors indicates that high-risk pregnancy remains a significant maternal health challenge at Pahandut Health Center. Factors such as age, pregnancy spacing, number of children, maternal height, problematic pregnancy history, delivery history, and comorbidities can increase the risk of complications during pregnancy and childbirth. Therefore, there is a need to strengthen early detection, education, and routine monitoring for pregnant women with these risk factors. xvii + 82 pages; 2025; 11 Tables: 3 Figures Bibliography 51 references (2019-2024) Keywords: Pregnancy, Factors, Risk, Age, Parity.

Item Type:	Laporan Tugas Akhir / Karya Tulis Ilmiah / Laporan Praktek Asuhan Kebidanan (stase 9) / Skripsi / Tesis / Disertasi (Laporan Tugas Akhir)
Uncontrolled Keywords:	Kehamilan, Faktor, Risiko, Usia, Paritas.
Subjects:	11 MEDICAL AND HEALTH SCIENCES > 1110 Nursing > 111006 Midwifery
Divisions:	Jurusan Kebidanan > Program Studi Diploma III Kebidanan
Depositing User:	Mahasiswa D3 Kebidanan
Date Deposited:	09 Jul 2026 02:35
Last Modified:	09 Jul 2026 02:35
URI:	http://repo.polkesraya.ac.id/id/eprint/3437

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