Risk Factors and Impact of High-Risk Pregnancy on Neonatal Outcomes in Lamongan

Abstract

High-risk pregnancy is a problem which received great attention in the current era, considering that the pregnancy poses a great risk of increasing morbidity and perinatal mortality both in pregnant women, the delivery process, and even newborns. Therefore, prevention efforts with early detection of risk factors need to be performed to reduce maternal and infant mortality. Likewise, data related to risk factors and their impact required to be conveyed to perceive the magnitude of the problem so that prevention and treatment efforts can be maximized. The purpose of this study was to present objective data related to sociodemographic and its relation to the impact of high-risk pregnancy. The research design applied correlational analytics with a population taken from the medical record data of pregnant women who at the time of entering the ward had high risk pregnancy indicators based on the Poedji Rochjati score above 6. The research sample was obtained by total sampling with a total sample size of 91 high-risk pregnant women. The data was then analyzed using a cross table and Spearman’s rank test. The results showed that maternal age, medical history, and obstetric factors had a significant relationship with high-risk pregnancies (p=0.026; 0.004, rs; 0.229; 0.302), in which very high-risk pregnancy had a higher proportion in mothers over 35 years of age, and obstetric emergency namely bleeding and PEB also had a greater risk of very high-risk pregnancy than high-risk pregnancy while the weight and length of the baby and gestational age, had no statistical effect in high-risk pregnancies. Thus, it can be concluded that maternal age and obstetric medical factors are risk factors for high-risk pregnancy and very high-risk pregnancy based on Poedji Rochjati’s score.