Influencing Factors Of Preeclampsia Among Expectant Mothers At Marisa Primary Health Care, Pohuwato Regency
Keywords:
Nutritional status , Preeclampsia, Pregnancy, Third trimester, Body Mass Index, Maternal healthAbstract
Preeclampsia remains a major contributor to maternal morbidity and mortality worldwide. Nutritional status is considered a modifiable risk factor, particularly during the third trimester when maternal physiological demands increase. This study aimed to determine the relationship between nutritional status and the occurrence of preeclampsia among third-trimester pregnant women at Pohuwato Regency Primary Health Care. A quantitative analytic study with a cross-sectional design was conducted among 30 third-trimester pregnant women selected through purposive sampling. Nutritional status was assessed using Body Mass Index (BMI), while preeclampsia was identified based on clinical diagnosis, including elevated blood pressure and proteinuria. Data were analyzed using the Chi-square test with a significance level of p < 0.05. Of the respondents, 53.3% had normal nutritional status, 33.3% were overweight or obese, and 13.3% were underweight. Preeclampsia occurred in 36.7% of respondents, mostly among overweight or obese women. Statistical analysis showed a significant relationship between nutritional status and preeclampsia (p = 0.045). Nutritional status, particularly overweight or obesity, is significantly associated with preeclampsia in third-trimester pregnant women.
References
Black, R. E., Victora, C. G., Walker, S. P., Bhutta, Z. A., Christian, P., de Onis, M., ... & Uauy, R. (2013). Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet, 382(9890), 427–451. https://doi.org/10.1016/S0140-6736(13)60937-X
Bodnar, L. M., Catov, J. M., Klebanoff, M. A., Ness, R. B., & Roberts, J. M. (2007). Prepregnancy body mass index and the occurrence of severe hypertensive disorders of pregnancy. Epidemiology, 18(2), 234–239. https://doi.org/10.1097/01.ede.0000254694.98262.b2
Cunningham, F. G., Leveno, K. J., Bloom, S. L., Spong, C. Y., & Dashe, J. S. (2018). Williams obstetrics (25th ed.). McGraw-Hill Education.
Hauth, J. C., Ewell, M. G., Levine, R. J., Esterlitz, J. R., Sibai, B., Curet, L. B., ... & Morris, C. D. (2000). Pregnancy outcomes in healthy nulliparas who developed hypertension. Obstetrics & Gynecology, 95(1), 24–28.
Kaiser, L., & Allen, L. H. (2008). Position of the American Dietetic Association: nutrition and lifestyle for a healthy pregnancy outcome. Journal of the American Dietetic Association, 108(3), 553–561. https://doi.org/10.1016/j.jada.2008.01.030
Kementerian Kesehatan Republik Indonesia. (2021). Profil Kesehatan Indonesia 2020. Jakarta: Kemenkes RI.
Khan, K. S., Wojdyla, D., Say, L., Gülmezoglu, A. M., & Van Look, P. F. A. (2006). WHO analysis of causes of maternal death: a systematic review. The Lancet, 367(9516), 1066–1074. https://doi.org/10.1016/S0140-6736(06)68397-9
Mol, B. W. J., Roberts, C. T., Thangaratinam, S., Magee, L. A., de Groot, C. J. M., & Hofmeyr, G. J. (2016). Pre-eclampsia. The Lancet, 387(10022), 999–1011. https://doi.org/10.1016/S0140-6736(15)00070-7
Redman, C. W. G., & Sargent, I. L. (2005). Latest advances in understanding preeclampsia. Science, 308(5728), 1592–1594. https://doi.org/10.1126/science.1111726
Roberts, J. M., & Gammill, H. S. (2005). Preeclampsia: recent insights. Hypertension, 46(6), 1243–1249. https://doi.org/10.1161/01.HYP.0000188408.49896.c5
Sibai, B. M. (2005). Diagnosis and management of gestational hypertension and preeclampsia. Obstetrics & Gynecology, 105(2), 402–410. https://doi.org/10.1097/01.AOG.0000152340.10598.d2
ibai, B. M., Caritis, S., Hauth, J., Lindheimer, M., VanDorsten, P., Klebanoff, M., ... & Miodovnik, M. (2003). Preterm delivery in women with pregestational diabetes mellitus or chronic hypertension relative to women with uncomplicated pregnancies. American Journal of Obstetrics and Gynecology, 189(4), 1115–1119.
Setyorini, D., Kep, M., Mat, S., Putri, K. M., Danti, R. R., Putri, N. R. B., ... & Kep, M. (2023). Anthology of maternity nursing and family planning. PT KIMHSAFI ALUNG CIPTA.
Prisusanti, R. D., Kanan, M., Badawi, B., Elis, A., Syahrir, M., Yusuf, N. N., ... & Purnama, Y. (2022). Keterampilan Klinik Praktek Kebidanan. Yayasan Penerbit Muhammad Zaini.
Prisusanti, R. D., & Salsabila, F. V. (2025). Inovasi Breast Care Dengan Minyak Aromaterapi Lavender Terhadap Kelancaran Produksi ASI. Diagnosis Jurnal Ilmiah Kesehatan, 20(4), 67-72.
WHO. (2016). Recommendations on antenatal care for a positive pregnancy experience. World Health Organization. https://www.who.int/publications/i/item/9789241549912
Xiong, X., Mayes, D., Demianczuk, N. N., Olson, D. M., Davidge, S. T., & Newburn-Cook, C. (2007). Impact of pregnancy-induced hypertension on fetal growth. American Journal of Obstetrics and Gynecology, 197(3), 1–6. https://doi.org/10.1016/j.ajog.2007.06.015
Zhang, J., Meikle, S., & Trumble, A. (2003). Severe maternal morbidity associated with hypertensive disorders in pregnancy in the United States. Hypertension in Pregnancy, 22(2), 203–212.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 jiarti kusbandiyah, Junita Ishak

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
