HUBUNGAN PARITAS, IMT, USIA MENARCHE, HIPERTENSI, DAN RIWAYAT KELUARGA DENGAN KEJADIAN MIOMA UTERI DI RSUD ABDUL WAHAB SJAHRANIE SAMARINDA

  • Syaidah Fakultas Kedokteran Universitas Mulawarman
  • Novia Laboratorium Ilmu Kebidanan dan Penyakit Kandungan, Fakultas Kedokteran Universitas Mulawarman
  • Hary Laboratorium Ilmu Anatomi, Fakultas Kedokteran Universitas Mulawarman
  • Agustina Laboratorium Ilmu Fisiologi, Fakultas Kedokteran Universitas Mulawarman
  • Endang Laboratorium Ilmu Fisiologi, Fakultas Kedokteran Universitas Mulawarman
Keywords: Uterine Myomas;, Risk Factor;, Parity;, Age at Menarche;, Hypertension;

Abstract

Uterine myomas, which are also called fibroids or uterine leiomyomas, are the most common benign pelvic tumors in women of reproductive age and their incidence increases every year. Uterine myomas usually have no clinical symptoms, but symptoms can be found, such as abnormal bleeding, pain, urinary disorders, or infertility. This study aims to determine the relationship between parity, BMI, age at menarche, hypertension, and family history with the incidence of uterine myoma at Abdul Wahab Sjahranie Hospital Samarinda. This research design was observational analytic with case control method. Data obtained from the medical records of patients at Abdul Wahab Sjahranie Hospital Samarinda for the period January-December 2019 with a purposive sampling technique, obtained 48 cases and 48 controls. The bivariate analysis used the Chi-Square test and Fisher's exact test. The results showed cases:control, parity nulliparous 14:5 and non nulliparous 34:43 with p=0.039 and OR=3.541, BMI ≤25.0 19:18 and >25.0 29:30 with p=0.834, age at menarche <11 years 3:1 and ≥11 years 45:47 with p=0.617, there is hypertension 15:6 and no hypertension 33:42 with p=0.047 and OR=3.182, there is a family history 2:0 and no family history 46:48 with p=0.495. It is concluded that there is a significant relationship between parity and hypertension with the incidence of uterine myomas and there is no relationship between BMI, age at menarche, and family history with the incidence of uterine myomas.

References

Agustian, W., Kurniawan, & Azhari, A. (2013, September). Hubungan Usia dan Paritas dengan Kejadian Mioma Uteri di RSUP Dr. Mohammad Hoesin Palembang Periode Januari 2011-Januari 2012. Syifa' MEDIKA, 4(1).

Arifint, H., Wagey, F. W., & Tendean, H. M. (2019, Januari). Karakteristik Penderita Mioma Uteri di RSUD Prof Dr. R.D. Kandou Manado. Medik dan Rehabilitasi, 1(3), 1-6.

Ciavattani, A., Giuseppe, J. D., Stortoni, P., Montik, N., Giannubilo, S. R., Litta, P., … Ciarmela, P. (2013). Uterine Fibroids: Pathogenesis and Interactions with Endometrium and Endomyometrial Junction. Obstetric and Gynecology International, 1-11.

Haan, Y., De Lange, M.E., Suhooli, H.J.M., Ankum, W.M., Timmermans, T.A., Limpens, J., Brewster, L.M. (2015). The Association between Hypertension and Uterine FIbroids. Journal of Hypertension.

Jacoby, V. L., Jacoby, A., Learman, L. A., Schembri, M., Gregorich, S. E., Jackson, R., Kuppermann, M. (2014). Use Of Medical, Surgical And Complementary Treatments Among Women WIth Fibroids. European Journal of Obstetrics & Gynecology and Reproductive Biology, 220-225.

Laughlin, S.K., Fuchs, E.L., Wellons, M.F., Lewis, C.E., Calderon-Margalit, R., Stewart, E.A., Schreiner, P.J. (2018). Uterine Fibroids and the Risk of Cardiovascular DIsease in the Coronary Artery Risk Developmen in Young Adult Women's Study. Journal of Women's Health, 1-7.

Lubis, P. N. (2020). Diagnosis dan Tatalaksana Mioma Uteri. CDK-284, 47, 196-200. Diunduh 15 November 2020 dari http://www.cdkjournal.com/index.php/CDK/article/download/371/169

Marwin, A. A. (2019). Hubungan Indeks Massa Tubuh dan Paritas dengan Kejadian Mioma Uteri di RSUP DR. M. Djamil Padang Tahun 2017. Skripsi. Universitas Andalas.

Published
2021-06-29
Section
Articles
Abstract = 642 times
PDF downloaded = 510 times