Eka Lusiyani, Sholihin Sholihin, Fransisca Retno Asih

Prevalensi Kehamilan Risiko Tinggi dan Hubungannya Dengan Kualitas Hidup Ibu Hamil

Introduction

Prevalensi kehamilan risiko tinggi dan hubungannya dengan kualitas hidup ibu hamil. Penelitian di Banyuwangi mengungkap prevalensi kehamilan risiko tinggi & hubungannya dengan kualitas hidup ibu hamil. Ibu berisiko tinggi 11,5x lebih mungkin miliki kualitas hidup rendah.

Abstract

Latar belakang: Kehamilan risiko tinggi adalah masalah kesehatan utama di seluruh dunia. Kualitas hidup terkait kesehatan pada kehamilan masih menjadi perhatian utama dalam pemberian asuhan kebidanan. Penelitian ini bertujuan untuk mengetahui hubungan antara kehamilan risiko tinggi dan kualitas hidup ibu hamil di wilayah kerja Puskesmas Kalibaru Kulon, Kabupaten Banyuwangi, Indonesia. Metode: Penelitian dengan desain cross-sectional ini dilakukan pada 84 ibu hamil dari jumlah populasi 521 ibu hamil secara simple random sampling yang sesuai kriteria inklusi (usia kehamilan >24 minggu) dan eksklusi (disabilitas, gangguan kejiwaan, dan gawat darurat) pada bulan Oktober hingga November 2023. Kehamilan risiko tinggi dinilai berdasarkan kartu skor Poedji Rochjati, sedangkan kualitas hidup diukur menggunakan HRQoL (health related quality of life). Hasil: Penelitian menunjukkan bahwa prevalensi kehamilan risiko tinggi sebesar 41,7% dan terdapat hubungan signifikan antara kehamilan risiko tinggi dan kualitas hidup pada ibu hamil (p<0.05). Odds ratio menunjukkan bahwa ibu hamil risiko tinggi mempunyai kemungkinan 11,5 kali mengalami kualitas hidup yang rendah dibandingkan dengan ibu hamil risiko rendah atau tanpa risiko. Kesimpulan: Penilaian kualitas hidup pada ibu hamil di fasilitas pelayanan kesehatan primer merupakan salah satu upaya preventif yang penting untuk dilakukan.

Review

This study addresses a critical public health issue by investigating the prevalence of high-risk pregnancy and its relationship with the quality of life among pregnant women in a specific Indonesian primary healthcare setting. The research clearly articulates its objective to understand this association, underscoring the global relevance of high-risk pregnancies and the importance of health-related quality of life in maternal care. The abstract provides a concise overview of a cross-sectional study design, participant selection, and the tools utilized, immediately establishing the study's focus and the directness of its approach. Methodologically, the study is well-structured as described, employing simple random sampling to recruit 84 participants and clearly defining inclusion and exclusion criteria. The use of the Poedji Rochjati score card for assessing high-risk pregnancy offers a standardized and locally relevant tool, while the use of a HRQoL instrument provides a comprehensive measure of well-being. The findings are compelling: a significant prevalence of high-risk pregnancies (41.7%) and a strong statistical relationship with quality of life (p<0.05). Crucially, the reported odds ratio of 11.5 highlights a substantial increased likelihood for high-risk pregnant women to experience a lower quality of life, which is a powerful and impactful result. The study's conclusion, emphasizing the importance of HRQoL assessment in primary healthcare as a preventive measure, is a vital take-home message with clear practical implications for maternal health services. While the abstract is comprehensive, specifying the exact HRQoL instrument used would further enhance the study's replicability and allow for more direct comparisons with other research. Given the cross-sectional design, the study establishes an association but does not imply causality. Future research could benefit from longitudinal designs to explore causal pathways and intervention studies to assess the impact of targeted HRQoL support for high-risk pregnant women, building upon these significant findings.

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