ANALYSIS OF MATERNAL AND PERINATAL LABOUR COMPLICATIONS WITH MOTHER WHO HAVE GESTATIONAL DIABETES MELLITUS

Authors

  • Desi Sarli Lecturer of Midwifery, Midwifery of Alifah Academy Padang- Indonesia
  • Husni Lecturer of Midwifery, Midwifery of Alifah Academy Padang- Indonesia

DOI:

https://doi.org/10.31674/mjmr.2019.v03i02.002

Abstract

Gestational diabetes mellitus is a metabolic disorder caused by mild or severe carbohydrate intolerance, which is first known during pregnancy. Gestational Diabetes Mellitus (GDM) increases maternal, fatal and perinatal morbidity and mortality and increases the risk of developing DM. Epidemiological data show 14% of pregnancies accompanied by gestational diabetes mellitus. The purpose of this study was to analyse the incidence of maternal and perinatal labour complications in mothers with gestational diabetes.

The type of research carried out is analytical research with Case Control research design. The population of this study was all women who gave birth in the city of Padang Hospital in 2017, with a total sample of 65 mothers with no diabetes mellitus, and 65 samples of mothers with diabetes mellitus. Research implementation ± 6 months. The data obtained are secondary data, where the data is obtained from the 2017 Labour Medical Record data at Padang City Hospital. Data analysis using univariate analysis, bivariate analysis and multivariate analysis with Multiple Linear Regression Analysis.

The results showed univariate analysis at age: No risk 104 people (80%) and at risk 26 people (20%), Gravida: Primiparous 46 people (35.4%), Multiparous 64 people (49.2), grandemultiparous 20 people ( 15.4), Maternal Labor Complication: Normal 58 people (44.6%), Complications 72 people (55.4%), Perinatal Labor Complication: Normal 92 babies (70.8%), Complications 38 babies (29, 2%), Infant Weight: range 2500-3500 grams as many as 93 babies (71.5%),> 3500 grams as many as 19 babies (14.6%), <2500 grams 18 babies (13.8%), average Maternal weight is 66.70 kg. There was no relationship between Gestational Diabetes with age p value = 0.661, there was no relationship between Gestational Diabetes and Parity p value = 0.798, there was no relationship between Gestational Diabetes and Maternal Weight p value = 0.190, there is a relationship between Gestational diabetes and infant weight obtained p value = 0.039. There was a relationship between Gestational Diabetes and Complication of Maternal Labor p value = 0,000, There is a relationship between Gestational Diabetes and Complication of Pernatal Labor with p value = 0.054. There is interaction between Gestational Diabetes and Complication of Maternal Labor with  OR value in maternal labor complication = 2.904.

From the results of the study, it can be concluded that mothers with gestational diabetes have 2.9 times the chance of experiencing complications in childbirth. Therefore, you should be able to do a GDM screening examination, and pregnant women can plan for childbirth and prevent childbirth complications to reduce maternal and infant mortality.

 

Keywords:

Diabetes Gestasional Mellitus, Complications of Labor in Maternal and Perinatal

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References

Ali, A., Shastry, S., Nithiyananthan, R., Ali, A. & Ganapathy, R. (2018). Gestational diabetes– Predictors of response to treatment and obstetric outcome. European Journal of Obstetrics Gynecology and Reproductive Biology, 220, pp 57–60.

Cunningham, F.G., Leveno, K., Bloom,S., Spong,C., Dashe,J., Hoffman,B. & Casey, B. (2018). Wiilliams Obstetrics. 25th Edition, Mc Graw Hill, USA

Delima, Isnawati, A. & Raini, M. (2012). Hipertensi dan Diabetes Mellitus pada Wanita Usia Subur (WUS) di Daerah Urban di Indonesia. Jurnal Biotek Medisiana Indonesia, 1(1), pp 41–53.

Dyah, M., Tito, M., Wahjudi, P. & Prasetyowati, I. (2018). Gambaran Kondisi Ibu Hamil dengan Diabetes Mellitus di RSD dr . Soebandi Jember Tahun 2013-2017 ( Description of Pregnant Women Condition with Diabetes Mellitus in RSD dr . Soebandi Jember on 2013-2017 ). E-Jurnal Pustaka Kesehatan, 6 (1), pp 46–52.

Fitriani, R. (2017). Analisis Faktor Resiko Kejadian Diabetes Melitus Gestasional di Wilayah Kerja Puskesmas Kecamatan Somba OPU Kabupaten GOWA Tahun 2016. Molucca Medica, 10(1), pp 110– 126.

Istiyana, D. T., Hartoyo, E. & Bayu, I. S. (2016). Hubungan Antara Ibu Penderita Pre-Gestasional Diabetes Mellitus Dengan Risiko Kelahiran Bayi Cleft Lip and Palate. Jurnal Kedokteran Gigi, 1(1), pp 32–36.

Kurniasari, D. & Arifandini, F. (2015). Hubungan Usia , Paritas Dan Diabetes Mellitus Pada Kehamilan Dengan Kejadian Preeklamsia Pada Ibu Hamil Di Wilayah Kerja Puskesmas Rumbia Kabupaten Lampung Tengah Tahun 2014. Holistik Jurnal Kesehatan, 9(3), pp 142–150.

Kurniawan, L. B. (2016). Patofisiologi, Skrining, dan Diagnosis Laboratorium Diabetes Melitus Gestasional. Tinjauan Pustaka, 43(11), pp 811–813.

Permatasari, I. I. M. (2017). The Correlation Between Hypertension And Overweight In Pregnant Women In The Operational Area. Sekolah Tinggi Ilmu Kesehata Muhammadiyah Samarinda.

Prawirohardjo, S. (2009). Ilmu Kebidanan. 4th Edition, Jakarta :Yayasan BinaPustaka Sarwono Prawirohardjo.

Rahayu, A. & Rodiani. (2016). Efek Diabetes Melitus Gestasional terhadap Kelahiran Bayi Makrosomia. Majority, 5(4), pp 17–22.

Rahmawati, F., Natosba, J. & Jaji. (2016). Skrining Diabetes Mellitus Gestasionaldan Faktor Risiko Yang Mempengaruhinya. Jurnal Keperawatan Sriwijaya, 3(2), pp 33–43.

Wahyuni, S. & Alkaff, R. N. (2013). Diabetes Mellitus Pada Perempuan Usia Reproduksi Di Indonesia Tahun 2007. Jurnal Kesehatan Reproduksi, 3(1), pp 46–51.

Wilda Silvia Nora, E. M. (2015). Faktor Resiko Kejadian Diabetes Melitus dalam Kehamilan pada Ibu Hamil di Rumah Sakit Ibu dan Anak tahun 2014, 67

Published

03-04-2019

How to Cite

Desi Sarli, & Husni. (2019). ANALYSIS OF MATERNAL AND PERINATAL LABOUR COMPLICATIONS WITH MOTHER WHO HAVE GESTATIONAL DIABETES MELLITUS. Malaysian Journal of Medical Research (MJMR), 3(2), 17-24. https://doi.org/10.31674/mjmr.2019.v03i02.002

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