Factors Associated with the Incidence of Hyperemesis Gravidarum among First-Trimester Pregnant Women
Abstract
Hyperemesis gravidarum is the grievance of nausea and severe vomiting more than 10 times in a day during pregnancy which may cause dehydration, weight loss or electrolyte disorders, that disturbing in daily activities and harm the fetus in the womb. Hyperemesis-related unfavorable baby outcomes are primarily restricted to women who have not gained enough weight during pregnancy. The hyperemesis gravidarum incidence reaches 0,3-3,2% of through amount from the pregnancy in the world and this one cause of mother treated in the hospital on first trimester of pregnancy. The purpose of this research is to determine what are the factors that influence hyperemesis gravidarum among pregnant women at first trimester in Bhakti Husada Cikarang Hospital Bekasi Regency West Java Province in 2017.This research was an analytic survey by cross-sectional design, sampling technique was total sampling which were 96 pregnant women in the first trimester. Data were collected using Hamilton Rating Scale for Anxiety (HRS-A) questionnaire. Statistic analysis performed was univariate and bivariate analysis. From the univariate analysis result is known that percentage of respondents who experienced Hyperemesis gravidarum incidence were 63.5%, the majority of respondents were primigravida was (55.2%), respondents who had a hereditary history of hyperemesis gravidarum was (55.2%), and respondents who experienced mild anxiety was (55.2%), while there was significant correlation between hyperemesis gravidarum and gravida status (p=0.005), hyperemesis gravidarum and hereditary history (p=0.005), and also hyperemesis gravidarum and anxiety levels (p=0.005). The incident rate of hyperemesis gravidarum in Bhakti Husada hospital caused by gravida status, hereditary history, and anxiety level. It is expected that health personnel to provide counselling about health lifestyle and their family to provide more mental support and attentions for pregnant women to prevent the occurrence of anxiety that resulted by hyperemesis gravidarum.
References
Aksoy, H., Aksoy, U., Karadag, O., Hacimusalar., Acmaz, G., Aykut, G., ... & Babayigit, M.A. (2015). Depression levels in patients with hyperemesis gravidarum: a prospective case control study. SpringerPlus, 4, 34. 1-6. doi: 10.1186/s40064-015-0820-2.
Azizah, N., Kundaryanti, R., & Novelia, S. (2022). The Effect of Ginger Decoction on Emesis Gravidarum among Trimester I Pregnant Women. Nursing and Health Sciences Journal (NHSJ), 2(1), 5-9. https://doi.org/10.53713/nhs.v2i2.66
Depkes RI. (2013). Riset Kesehatan Dasar. Badan Penelitian dan pengembangan Kesehatan Kementrian Kesehatan RI.
Fejzo, M., Ching, C., Schoenberg, F., Macgibbon, K., Romero, R., Goodwin, P., & Mullin, P. (2012). Change in paternity and recurrence of hyperemesis gravidarum. J Matern Fetal Neonatal Med, 25(8), 1241–1245. doi:10.3109/14767058.2011.632039.
Fossum, S., Vikanes, Å. V., Naess, Ø., Vos, L., Grotmol, T., & Halvorsen, S. (2017). Hyperemesis gravidarum and long-term mortality: a population-based cohort study. BJOG: an international journal of obstetrics and gynaecology, 124(7), 1080–1087. https://doi.org/10.1111/1471-0528.14454
Golberg., MD, Deborah., Szilagyi., Md, Andrew., Graves., MD, Lisa., CCFP. (2007). Hyperemesis Gravidarum and Helicobacter pylori Infection: A Systematic Review. Obstetrics & Gynecology, 110(3), 695-703. doi: 10.1097/01.AOG.0000278571.93861.26.
Jueckstock, JK., Kaestner, R., Mylonas, I. 2010. Managing hyperemesis gravidarum: a multimodal challenge. BMC Medicine, 8,46, 1-12. Retrieved from http://www.biomedcentral.com/1741-7015/8/46. October, 26 2017.
Manuaba, I.B.G., Manuaba, I.A.C, Manuaba, I.B.G.F. (2007). Pengantar Kuliah Obstetri. EGC.
Mariantari, Y., Lestari, W, Arneliwati. (2014). Hubungan Dukungan Suami, Usia Ibu, dan Gravida terhadap Kejadian Hiperemesis Gravidarum. JOM PSIK, 1(2), 1-9.
McCarthy, F., Khashan, A., North, R., Moss-Morris, R., Baker, P., Dekker, Gus., ... Kenny, L. (2011). A Prospective Cohort Study Investigating Associations between Hyperemesis Gravidarum and Cognitive, Behavioural and Emotional Well-Being in Pregnancy. PLoS ONE, 6(11), e27678, 1-7. doi:10.1371/journal.pone.0027678.
McCarthy, F., Lotumski, J., & Greene, R. (2014). Hyperemesis gravidarum: current perspectives. International Journal of Women’s Health, 4(6), 719–725. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4130712/ October, 20 2017.
Morgan, G., Carol, H. (2009). Obstetri Dan Ginekologi: Panduan Praktik. EGC.
Mullin,P., Ching, C., Shoenberg, F., MacGibbon,K., Romero,M.,Goodwin, TM., & Fejzo, MS. (2012). Risk factors, treatments, and outcomes associated with prolonged hyperemesis gravidarum. J Matern Fetal Neonatal Med, 25(6), 632–636. doi:10.3109/14767058.2011.598588.
Oxorn, H. (2010). Patologi dan fisiologi persalinan. Yayasan Essentia Medica.
Poursharif, B., Korst, L., Fejzo, M., Macgibbion, K., Romero R., & Goodwin, T. (2008). The psychosocial burden of hyperemesis gravidarum. Journal of Perinatology, 28, 176–181
Rukiyah, A Y., & Yulianti, L. (2010). Asuhan Kebidanan Patologi Kebidanan. TIM.
Runiari, N. (2010). Asuhan Keperawatan pada Klien dengan Hiperemesis Gravidarum: Penerapan Konsep dan Teori Keperawatan. Salemba Medika.
Sheehan & Penny. (2007). Hyperemesis gravidarum: Assessment and management. Australian Family Physician; Melbourne, 36(9). 698-701. Retrieved from http://www.prgmea.com/pdf/hyperemesisgravidarum/0.pdf. October, 19 2017.
Simsek, Y., Celik, O., Yilmaz, E., Karaer, A., Yildirim, E., & Yologlu, S. (2011). Assessment of anxiety and depression levels of pregnant women with hyperemesis gravidarum in a case-control study. J Turkish-German Gynecol Assoc, 13, 32-36. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/24627672. October 26 2017.
Tan, P., Zaidi, S, Azmi, N., Omar, S., & Khong, S. (2014). Depression, Anxiety, Stress and Hyperemesis Gravidarum: Temporal and Case Controlled Correlates. Plos One, 9(3), e92036. doi:10.1371/journal.pone.0092036.
Tiran, D. (2008). Mual-muntah kehamilan. EGC.
Varney, H., Jan, MK, Carolyn, L.G. (2007). Buku Ajar Asuhan Kebidanan, Ed.4, Vol.1. EGC.
Veenendaal, MVE., Abeelen, AFM., Painter, RC., Post, JAM, Van der., & Roseboom, TJ. (2011). Consequences of hyperemesis gravidarum for offspring: a systematic review and meta-analysis. BJOG An International Journal of Obstetrics and Gynaecology, 10, 1303-1313. doi : 10.1111/j.1471-0528.2011.03023.
Vikanes, A., Grjibovski , A., Vangen, S,. Gunnes, N,. Samuelsen, S,. Magnus, P. (2010). Maternal Body Composition, Smoking, and Hyperemesis Gravidarum. AEP, 20(8), 592-598. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/20609338. October, 18 2017.
Warsuli., Saparwati, M., Purbowati. (2016). Hubungan Primigravida Terhadap Kejadian Hiperemesis Gravidarum di Puskesmas Pringapus Kecamatan Pringapus Kabupaten Semarang Tahun 2016. Laporan Kasus. DIV Kebidanan Stikes Ngudi Waluyo.
Wiknjosastro, H. (2007). Ilmu kebidanan. Yayasan Bina Pustaka Sarwono Prawiroharjo
World Health Organisation (WHO). (2015). Trends in Maternal Mortality: 1990 to 2015. Departement of Reproductive Health and Research.
Zhang, Y., Cantor, R., Cantor, R., Macgibbon, K., Romero, R... Fejzo, M. 2011. Familial Aggregation of Hyperemesis Gravidarum. Am J Obstet Gynecol, 204(3), 230.e1–230.e7. doi:10.1016/j.ajog.2010.09.018.
