Correlation Between Insulin Resistance And Occurrence Of Preeclampsia And Its Affecting Factors
Nasrayanti Nurdin (a*), Elizabet Jusuf (b), Himawan Sanusi (b)
a) Midwifery Studies Program, Graduate University of
Hasanuddin
b) Department of Obstetrics and Gynecology
b) Department of Medicine
Abstract
Aim: This study aimed to determine the correlation between insulin resistance on the incidence of preeclampsia and factors - factors that influence it. Method: This study uses an observational analysis with dsain hybrid. Subjects in this study were pregnant women with gestational age> 20 weeks with a sample of 87 people selected by using total sampling technique. result: Research shows that as many as 56.7% of pregnant women with preeclampsia insulin resistance and 17.5% of pregnant women with normal pregnancy insulin resistance. Based on the statistical test by using Chi-Square test showed that the age of 20-35 years (P-Value = 0.000), parity <1 and> 3 (P-Value = 0.003), nutritional status LILA 23-33 cm (P-Value = 0.000), there was no history of hypertension (P-Value = 0.000), normal weight gain (P-Value = 0.000), proteinurine> 300mg / dL (P-Value = 0.000). It can be concluded that these characteristics are factors that could be at risk for insulin resistance that might lead to preeclampsia. Results Spearman test showed that age (P-Value = 0.706), parity (P-Value = 0.251), the nutritional status of the LILA (P-Value = 0.288), history of hypertension (P-Value = 0.796), weight gain ( P-Value = 0.469). Conclusion: Insulin resistance was significantly related to the incidence of preeclampsia. Characteristics of respondents in the 20-35 years age, parity <1 and> 3, the nutritional status of MUAC 23-33 cm, respondents with no history of hypertension, weight gain is normal and significant proteinurine be a risk factor for insulin resistance that leads to preeclampsia. No characteristics of respondents who have a correlation with insulin resistance will lead to a risk for preeclampsia.
Keywords: Insulin resistance, characteristics of pregnant women, preeclampsia.
Topic: Uncommunicable disease related to women