KEHAMILAN RESIKO TINGGI

FAKTOR RESIKO KEHAMILAN

 

FAKTOR RESIKO

Beberapa wanita akan menghadapi masalah saat hamil. Terdapat sejumlah faktor resiko yang dapat memperkirakan bahwa seorang wanita akan menghadapi masalah saat hamil.

Sejumlah faktor resiko lebih bermakna dibanding fator resiko lain. Sejumlah wanita yang memiliki resiko tinggi dapat memberikan out come persalinan yang baik dengan surveilen dan memanfaatkan tehnologi yang ada.

Moderate increase in risk:

  • Age < 16 or > 35
  • 2 spontaneous or induced abortions
  • < 8th grade education
  • > 5 deliveries
  • Abnormal presentation
  • Active TB
  • Anemia (Hgb <10, Hct <30%)
  • Chronic pulmonary disease
  • Cigarette smoking
  • Endocrinopathy
  • Epilepsy
  • Heart disease class I or II
  • Infertility
  • Infants > 4,000 gm
  • Isoimmunization (ABO)
  • Multiple pregnancy (at term)
  • Poor weight gain
  • Post-term pregnancy
  • Pregnancy without family support
  • Preterm labor (34-37 weeks)
  • Previous hemorrhage
  • Previous pre-eclampsia
  • Previous preterm or SGA infant
  • Pyelonephritis
  • Rh negative
  • Second pregnancy in 9 months
  • Small pelvis
  • Thrombophlebitis
  • Uterine scar or malformation
  • Venereal disease

More than moderate increase in risk:

  • Age >40
  • Bleeding in the 2nd or 3rd TM
  • Diabetes
  • Chronic renal disease
  • Congenital anomaly
  • Fetal growth retardation
  • Heart disease class III or IV
  • Hemoglobinopathy
  • Herpes
  • Hypertension
  • Incompetent cervix
  • Isoimmunization (Rh)
  • Multiple pregnancy (pre-term)
  • > 2 spontaneous abortions
  • Polyhydramnios
  • Premature rupture of membranes
  • Pre-term labor (<34 weeks)
  • Prior perinatal death
  • Prior neurologically damaged infant
  • Severe pre-eclampsia
  • Significant social problems
  • Substance abuse

 

About Bambang Widjanarko

Obstetrician and Gynecologist ; Staf pengajar di Fakultas Kedokteran & Kesehatan UMJ ; Kepala Departemen Obstetri Ginekologi FKK UMJ ; Ahli Kebidanan & Ilmu Penyakit Kandungan di RS Islam Jakarta Utara.

Posted on 26/04/2012, in Uncategorized. Bookmark the permalink. Leave a comment.

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