FAKTOR RISIKO YANG BERHUBUNGAN DENGAN KEJADIAN POSTPARTUM HEMORRHAGE (PPH), PENCEGAHAN DAN PENATALAKSANAANNYA : SEBUAH LITERATURE REVIEW

Diva Amory Yunan, Adiel (2023) FAKTOR RISIKO YANG BERHUBUNGAN DENGAN KEJADIAN POSTPARTUM HEMORRHAGE (PPH), PENCEGAHAN DAN PENATALAKSANAANNYA : SEBUAH LITERATURE REVIEW. Diploma thesis, Universitas Andalas.

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Abstract

ABSTRACT RISK FACTORS ASSOCIATED WITH POST PARTUM HEMORRHAGE (PPH), PREVENTION AND MANAGEMENT : A LITERATURE REVIEW By Diva Amory Yunan Adiel, Abdiana, Meilinda Agus, Firdawati, Feri Anita Wijayanti The maternal mortality rate in Indonesia is still high, namely 305/100,000 live births. Maternal death occurs due to complications during pregnancy and childbirth. The main complication that causes almost 75% of all maternal deaths is Postpartum Hemorrhage (PPH). Several risk factors are associated with the occurrence of PPH, which, if known through early detection, can be prevented to reduce the incidence of PPH. Midwives, as health professionals, must also know the management if PPH occurs. This study aims to determine the risk factors associated with the incidence of PPH, its prevention, and management. This study used the Literature Review method. It was carried out by tracing, reading, summarizing, and analyzing literature data from various primary sources related to PPH risk factors, their prevention, and management in 2017-2021. This article search yielded 15 journals relevant to the topic to be analyzed. The results showed two factors associated with postpartum hemorrhage: antenatal and maternal. Antenatal factors associated with PPH include macrosomia, multiple pregnancies, preeclampsia, premature rupture of membranes, and gestational spacing. Maternal factors associated with the incidence of PPH include age, history of PPH, mode of delivery, history of SC, prolonged third stage, BMI, parity, ethnicity, and anemia. These factors can be identified through early detection during ANC and supported by optimal P4K implementation by midwives as a form of prevention. Midwives can carry out stage III management as the management of PPH events. The conclusion is that the risk factors associated with PPH are divided into antenatal and maternal factors. Prevention of PPH can be done through early detection in ANC services and running P4K. The initial management that midwives can do when PPH occurs is stage III management. Key Words : Postpartum Hemorrhage, Risk factors, Prevention, Management, Role Midwives

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