HUBUNGAN USIA, PARITAS DAN KEPATUHAN ANTENATAL CARE DENGAN KEJADIAN DIABETES MELITUS GESTASIONAL

Allailatul Qadriah; Fauzy Ma’ruf; Ida Ayu Made Mahayani; Adib Ahmad Shammakh

Authors

Allailatul Qadriah Program Studi Pendidikan Dokter Fakultas Kedokteran Universitas Islam Al - Azhar Mataram
Fauzy Ma’ruf Universitas Islam Al-Azhar Mataram
Ida Ayu Made Mahayani Universitas Islam Al-Azhar Mataram
Adib Ahmad Shammakh Universitas Islam Al-Azhar Mataram

Keywords:

Gestational Diabetes Mellitus, Age, Parity, Antenatal Care Compliance

Abstract

Gestational diabetes mellitus (GDM) is a glucose intolerance disorder that appears during pregnancy, impacting the health of the mother and fetus. DMG causes up to 3 million infant deaths per year and increases the risk of maternal death fourfold. This study aims to analyze the relationship between age, parity, and compliance with antenatal care (ANC) with the incidence of GDM. The research method used is analytical observational research with case-control design. The sampling technique is purposive sampling. The sample consisted of 82 respondents who met the inclusion and exclusion criteria. Data analysis was carried out using the chi-square test. The results of this study is there were 46 respondents of risk age (56.1%) and 36 respondents of non-risk age (43.9%). There were 54 respondents at risk parity (65.9%) and 28 respondents at risk parity (34.1%). Respondents with ANC were compliant as many as 60 (73.2%) and ANC non-compliant as many as 22 (26.8%). There was no significant relationship between age at risk and the incidence of GDM (p=0.119). There was a significant relationship between risk parity and the incidence of GDM (p=0.036; OR=3.071) and ANC compliance (p=0.025; OR=0.268). There was no significant relationship found between maternal age and GDM, but there was a significant relationship between risk parity and ANC compliance with the incidence of DMG in the Mataram City Regional Hospital.

References

American Diabetic Association (2021) ‘Diabetes technology: Standards of medical care in diabetes−2021’, Diabetes Care, 44(January), pp. S85–S99. Available at: https://doi.org/10.2337/dc21-S007.

Ansari, M. and Banjarmasin, S. (2018) ‘Faktor Pendukung Timbulnya Resiko Gestasional Diabetes Mellitus Pada Ibu Hamil di BPS Kabupaten Malang’, pp. 1–15.

Belinda, R.A. (2021) ‘Studi Rasionalitas Penggunaan Obat Antidiabetes pada Pasien Diabetes Melitus Gestasional Tahun 2018-2020 di RSUD DR. H. Slamet Martodirjo Pamekasan’, Skripsi, pp. 19–180.

Daryanti, M.S. (2019) ‘Paritas Berhubungan Dengan Pemeriksaan Antenatal Care Pada Ibu Hamil Di Bidan Praktek Mandiri Yogyakarta’, Jurnal Kebidanan, 8(1), p. 56. Available at: https://doi.org/10.26714/jk.8.1.2019.56-60.

Djamaluddin, N. and Mursalin, V.M.O. (2020) ‘Gambaran Diabetes Melitus Gestasional Pada Ibu Hamil di RSUD Prof. Dr. H. Aloei Saboe Kota Gorontalo’, Jambura Nursing Journal, 2(1), pp. 124–130. Available at: https://doi.org/10.37311/jnj.v2i1.6858.

Fitriani, R. (2017) ‘Analisis Faktor Risiko Kejadian Diabetes Melitus Gestasional Di Wilayah Kerja Puskesmas Kecamatan Somba Opu Kabupaten Gowa Tahun 2016’, Molucca Medica, 10, pp. 110–126. Available at: https://doi.org/10.30598/molmed.2017.10.2.110.

Haiti, M. et al. (2022) ‘Usaha Preventif Dm Gestasional Dan Anxiestas Pada Ibu Hamil’, LOYALITAS: Jurnal Pengabdian Kepada Masyarakat, 5(2), pp. 153–166. Available at: https://doi.org/10.30739/loyalitas.v5i2.1690.

Harun, A. (2018) ‘Faktor Yang Berhubungan Dengan Kejadian Diabetes Gestasional Pada Ibu Hamil Di Puskesmas Dahlia Makassar Tahun 2017’, Jurnal Kesehatan Delima Pelamonia, 2(1), pp. 30–35. Available at: https://doi.org/10.37337/jkdp.v2i1.57.

James W, Elston D, T.J. et al (2013) ‘Prevalence Of Gestational Diabetes Mellitus & Associated Risk Factors At A Tertiary Care Hospital In Haryana.’, Indian Journal of Medical Research, 2(1), pp. 124–130.

Larebo, Y.M. and Ermolo, N.A. (2021) ‘Prevalence and Risk Factors of Gestational Diabetes Mellitus among Women Attending Antenatal Care in Hadiya Zone Public Hospitals, Southern Nation Nationality People Region’, BioMed Research International, 2021. Available at: https://doi.org/10.1155/2021/5564668.

Lawlor, D. et al. (2017) ‘Association of existing diabetes, gestational diabetes and glycosuria in pregnancy with macrosomia and offspring body mass index, waist and fat mass in later childhood: Findings from a prospective pregnancy cohort’, Diabetologia, 53(1), pp. 89–97. Available at: https://doi.org/10.1007/s00125-009-1560-z.

Muche, A.A., Olayemi, O.O. and Gete, Y.K. (2019) ‘Prevalence of gestational diabetes mellitus and associated factors among women attending antenatal care at Gondar town public health facilities, Northwest Ethiopia’, BMC pregnancy and childbirth, 19(1), p. 334. Available at: https://doi.org/10.1186/s12884-019-2492-3.

Nielsen (2015) ‘Faktor ibu hamil yang mempengaruhi terjadinya diabetes mellitus gestational’, 2015, 09.

Novita Anggraini and Margareta Haiti (2024) ‘Deteksi Dini Diabetes Mellitus Gestasional’, Jurnal Kesehatan dan Pembangunan, 14(27), pp. 88–93. Available at: https://doi.org/10.52047/jkp.v14i27.302.

PERKENI (2021) ‘Guidelines for the Diagnosis and Management of Hyperglycemia in Pregnancy 2021’, Pedoman Diagnosis dan Penatalaksanaan Hiperglikemia dalam Kehamilan, p. 51. Available at: https://pbperkeni.or.id/wp-content/uploads/2021/11/22-10-21-Website-Pedoman-Diagnosis-dan-Penatalaksanaan-Hiperglikemia-dalam-Kehamilan-Ebook.pdf.

Pratama, I., Wahiduddin and Sidik, D. (2012) ‘Faktor Risiko Kejadian Prediabetes atau Diabetes Melitus Gestasional di RSIA Siti Khadijah 1 Kota Makasaar’, Encyclopedia of Medical Decision Making, pp. 1–9. Available at: https://doi.org/10.4135/9781412971980.n30.

Rahmawati, F., Natosba, J. and Jaji, J. (2016) ‘Skrining Diabetes Mellitus Gestasional dan Faktor Risiko yang Mempengaruhinya’, Jurnal Keperawatan Sriwijaya, 3(2), pp. 33–43.

Rahmawati, A. (2019) ‘Deskripsi Faktor Resiko Diabetus Mellitus Gestasional Di Poli Kandungan RSD Kalisat Jember’, Jurnal Kesehatan dr. Soebandi, 7(2), pp. 98–105. Available at: https://doi.org/10.36858/jkds.v7i2.149.

Rajput, R. et al. (2013) ‘Prevalence of gestational diabetes mellitus & associated risk factors at a tertiary care hospital in Haryana’, Indian Journal of Medical Research, 137(4), pp. 728–733.

Sulistiyah et al. (2018) ‘Faktor Pendukung Timbulnya Resiko Gestasional Diabetes Mellitus’, (22), pp. 1–14.

Utz, B. et al. (2018) ‘Detection and initial management of gestational diabetes through primary health care services in Morocco: An effectiveness-implementation trial’, PLoS ONE, 13(12), pp. 1–17. Available at: https://doi.org/10.1371/journal.pone.0209322.

Yanti, L. and Surtiningsih, S. (2016) ‘Faktor Ibu Hamil Yang Mempengaruhi Terjadinya Diabetes Mellitus Gestational’, Viva Medika, 09(17), pp. 10–17.