The Effect of Pre-Pregnancy Body Mass Index (BMI) with The Incidence of Hypertension in Pregnancy

Fitriani Fitriani, Syahruni Syahruni

Abstract


Hypertension is a health problem that often appears during pregnancy and can cause complications in 5-10 percent of pregnancies, and causes maternal morbidity. High body mass index before pregnancy is associated with an increased risk of pregnancy outcome, one of them is hypertension in pregnancy.

The aim is to study the effect of pre-pregnancy Body Mass Index (BMI) with the incidence of hypertension in pregnancy. This research was conducted with  cross-sectional study method in pregnant women and sample chosen randomly which numbered 78 people, at the Jongaya Health Center in Makassar during the period June to July 2019.

There are 33.3% of pregnant women who had obesity and hypertension, 50% of pregnant women who had overweight and hypertension, and 16.7% of pregnant women who had normal Body Mass Index and Hypertension. There was significant correlation between Body Mass Index (BMI) with systolic blood pressure (p = 0,000), Body Mass Index (BMI) with diastolic blood pressure (p = 0.002). Body Mass Index (BMI), significantly influence the incidence of hypertension in pregnancy.

Prevalence of pregnancy women who are overweight / obese during pregnancy caused by diet or improper pregnancy weight management. Suggested an early clinical detection of prehypertension and intervention including life style modification, particularly weight management

Keywords: Pregnancy, Hypertention, Body Mass Index (BMI), Blood Pressure


Full Text:

PDF

References


Isnaniar, Wiwik N, Niken S. Pengaruh Obesitas Terhadap Kejadian Hipertensi Dalam Masa Kehamilan Di Puskesmas Harapan Raya Pekanbaru. Jurnal Photon. 2019 Juni; 9(2).

Kemenkes RI. Profil Kesehatan Indonesia Tahun 2018. 2019.

Dinas Kesehatan Kota Makassar. Profil Kesehatan Kota Makassar Tahun 2017. Makassar. 2018.

Kemenkes RI. Profil Kesehatan Indonesia. Kementerian Kesehatan Republik Indonesia. Jakarta; 2014.

Cunningham FG, Leveno KJ, Bloom SL. Hypertensive Disordersin William Obstetrics. 24thEdition. McGraw Hill Education. 2014: 762-768

Malha, et al. Hypertension in Pregnancy in Hypertension: A Companion to Braunwald's Heart Disease. 3rd. Ch 39 Elsevier. 2018.

Muflihan FA. Analisis Faktor-Faktor Terjadinya Preeklamsia Berat di RSUD Tugurejo tahun 2011. Semarang. Universitas Muhammadiyah Semarang. 2012: 1-2.

Dwiana O, Maya D. Masalah dan Tata Laksana Obesitas dalam Kehamilan. J. Indon Med Assoc. 2018 Juni ; 68(6).

Institute of Medicine ( IOM). Weight Gain During Pregnancy: Reexamining The Guidelines . Washington, DC: National Academies Press; 2009.

Committee to Reexamine IOM Pregnancy Weight Guidelines Food and Nutrition Board on Children Youth and Familie. Weight Gain During Pregnancy: re-examining The Guidelines, dalam Rasmussen, K,M. dan Yaknite, A.L. (eds). 2009. Washington. The National Academic Press. https://www.ncbi.nlm.nih.gov/books/NBK32813/pdf/Bookshelf_NBK32813.pdf.

Sugiritama IW, Wiyawan IG, Repro M, et al. Gambaran IMT (Indeks Massa Tubuh) Kategori Berat Badan Lebih Dan Obesitas Pada Masyarakat Banjar Demulih, Kecamatan Susut, Kabupaten Bangli. Bagian Histologi Program Studi Pendidikan Dokter Fakultas Kedokteran Universitas Udayana. 2015.

Agnihotri S. Obesity: Time to re-examine carefor Pregnant Women. Br J Obes. 2016;1(3):94–8.)

Laura A. Magee MD, Peter VD, et al. The FIGO Textbook of Pregnancy Hypertension An evidence-based guide to monitoring, prevention and management. The Global Library of Women’s Medis. 2016

Vernini JM, Moreli JB, Magalhães CG, Costa RAA, Rudge MVC, Calderon IMP. Maternal and fetal outcomes in pregnancies complicated by overweight and obesity. Reprod Health. 2016;13(1):1– 8.

Christina Coroyannakis & Asma Khalil. Management of Hypertension in the Obese Pregnant Patient. Current Hypertension Reports . 2019 ; 21: 24 . Springer https://doi.org/10.1007/s11906-019-0927-x.

WHO Regional Office for Europe. “Body Mass Index (BMI). World Health Organization.2017.http://www.euro.who.int/en/health-topics/disease prevention/nutrion/a-healthy-lifestyle/body-mass-index-bmi.

Widharto. Bahaya Hipertensi. 2007. Jakarta. PT Sunda Kelapa Pustaka

Quedarusman H, Wantania J, Kaeng JJ. Hubungan Indeks Massa Tubuh Ibu Dan Peningkatan Berat Badan Saat Kehamilan Dengan Preeklampsia. Ejournal Unsrat. 2013;(1):1-7. http://ejournal.unsrat.ac.id/index.php/ebiomedik/article/view/4363/3892

Puspitasari DR, Setyabudi MT, Rohmani A. Hubungan Usia, Graviditas Dan Indeks Massa Tubuh Dengan Kejadian Hipertensi Dalam Kehamilan. Jurnal Kedokternan Muhammadiyah. 2015;2:1-5.

Ibrahim M, Moety F, Anwer M. Relationship Between Maternal Obesity And Increased Risk Of Preeclampsia. Alexandria Bulletin. 2010;02 : 207-210.

ACOG. Obesity in Pregnancy. Obstet Gynecol. 2015;126(6): e112–e.

Kathleen M. Rasmussen and Ann L. Yaktine, . Weight Gain During Pregnancy: Reexamining the Guidelines. Committee to Reexamine IOM Pregnancy Weight Guidelines Food and Nutrition Board and Board on Children, Youth, and Families. Institute of Medicine And National Research Council of the National Academies. 2009.


Refbacks

  • There are currently no refbacks.


Muhammadiyah Journal of Epidemiology

Faculty of Public Health University of Muhammadiyah Jakarta

Jl. KH. Ahmad Dahlan, Cirendeu Ciputat, South Tangerang, 15419

E-mail: jurnal_mje@umj.ac.id

Powered by Puskom-UMJ