Classification of Hypertension in Pregnant Women Using Multinomial Logistic Regression
Abstract
Maternal Mortality Rate (MMR) is still a crucial problem in Indonesia and other developing countries; one of the causes is Hypertension in Pregnancy (HDK). This study aims to classify hypertension in pregnant women based on the factors that influence it, with a case study of patients from the Obstetrics and Gynecology Specialist Clinic at the Regional General Hospital (RSUD) Dr. R. Sosodoro Djatikoesoemo Bojonegoro. The variables used were age, gravidity, gestational age, obesity, history of abortion, hypertension, and diabetes mellitus. The research method used in this study is multinomial logistic regression because it uses four categories of dependent variables, namely pregnant women without hypertension, pregnant women with chronic hypertension, pregnant women with gestational hypertension, and pregnant women with preeclampsia. The results obtained in this study were from 3 categories of hypertension in pregnant women; the influencing factors were obesity, gestational age > 36 weeks, having a history of hypertension, and diabetes mellitus, with the resulting model classification accuracy value of 79.6%, which means the classification is classified as good. This research contributes to applying statistical methods in the health sector and as a mitigation effort to help minimize the number (prevalence) of maternal deaths, especially those caused by hypertension.
Keywords
Full Text:
DOWNLOAD [PDF]References
Abbaszadeh Afshar, F., Ayoubi, S., & Jafari, A. (2018). The extrapolation of soil great groups using multinomial logistic regression at regional scale in arid regions of Iran. Geoderma, 315(November 2017), 36–48. https://doi.org/10.1016/j.geoderma.2017.11.030
Alisse Hauspurg, M., Samuel Parry, M., Brian M. Mercer, M., William Grobman, M., Tamera Hatfield, MD, P., Robert M. Silver, M., Corette B. Parker, P., David M. Haas, M. J. D., Iams, M., George R. Saade, M., Ronald J. Wapner, M., Uma M. Reddy, M., & Hyagriv Simhan, M. (2019). Blood pressure trajectory and category and risk of hypertensive disorders of pregnancy in nulliparous women. American Journal of Obstetrics & Gynecology, 221(3), :277.e1-8.
Anggreni, D., Mail, E., & Adiesty, F. (2018). Hipertensi dalam kehamilan.
Ayorinde, A. A., & Bhattacharya, S. (2017). Inherited predisposition to preeclampsia: Analysis of the Aberdeen intergenerational cohort. Pregnancy Hypertension, 8, 37–41. https://doi.org/10.1016/j.preghy.2017.03.001
Blondel, B., Beuzelin, M., Bonnet, C., & Moreau, C. (2023). Pregnancy intention and preconception contraceptive behaviors and substandard prenatal care in France. Journal of Gynecology Obstetrics and Human Reproduction, 52(7). https://doi.org/10.1016/j.jogoh.2023.102608
Cameron, N. A., Molsberry, R., Pierce, J. B., Perak, A. M., Grobman, W. A., Allen, N. B., Greenland, P., Lloyd-Jones, D. M., & Khan, S. S. (2020). Pre-Pregnancy Hypertension Among Women in Rural and Urban Areas of the United States. Journal of the American College of Cardiology, 76(22), 2611–2619. https://doi.org/10.1016/j.jacc.2020.09.601
Corrigan, L., O’Farrell, A., Moran, P., & Daly, D. (2021). Hypertension in Pregnancy: Prevalence, Risk Factors and Outcomes for Women Birthing in Ireland. Journal of Women’s Cardiovascular Health, 24, 1–6. https://doi.org/10.1016/j.preghy.2021.02.005
Dinas Kesehatan Provinsi Jawa Timur. (2021). Profil Kesehatan Dinas Kesehatan Provinsi Jawa Timur 2020.
Drechsel, K. C. E., Adu-Bonsaffoh, K., Olde Loohuis, K. M., Srofenyoh, E. K., Boateng, D., & Browne, J. L. (2022). Maternal near-miss and mortality associated with hypertensive disorders of pregnancy remote from term: a multicenter observational study in Ghana. AJOG Global Reports, 2(2), 100045. https://doi.org/10.1016/j.xagr.2021.100045
Farida, Y., Nurfadila, M. R., & Yuliati, D. (2022). Identifying Significant Factors Affecting the Human Development Index in East Java Using Ordinal Logistic Regression Model. JTAM (Jurnal Teori Dan Aplikasi Matematika), 6(3), 476–487.
Gunderson, E. P., Ederle, J., Featherstone, R. L., & Brown, M. M. (2023). Early Pregnancy Systolic Blood Pressure Patterns Predict Early- and Later-Onset Preeclampsia and Gestational Hypertension Among Ostensibly Low-to-Moderate Risk Groups. Journal of the American Heart Association, 12(1), 1–43. https://doi.org/10.1161/JAHA.123.029617
Kassebaum, N. J., Lozano, R., Lim, S. S., & Murray, C. J. (2017). Setting maternal mortality targets for the SDGs – Authors’ reply. The Lancet, 389(10070), 697–698. https://doi.org/10.1016/S0140-6736(17)30339-2
Kementerian Kesehatan RI. (2021). Profil Kesehatan Indonesia 2020. In Kementerian Kesehatan Republik Indonesia.
Kuckertz, A., Berger, E. S. C., & Gaudig, A. (2019). Responding to the greatest challenges? Value creation in ecological startups. Journal of Cleaner Production, 230, 1138–1147. https://doi.org/10.1016/j.jclepro.2019.05.149
Lao, T. T., Hui, A. S. Y., Law, L. W., & Sahota, D. S. (2018). Prior Abortion History and Pregnancy Hypertensive Disorders in Primiparous Gravidae. Pregnancy Hypertension, 14, 168–173. https://doi.org/10.1016/j.preghy.2018.10.001
Marniarti, Rahmi, N., & Djokosujono, K. (2016). Analisis hubungan usia, status gravida dan usia kehamilan dengan pre-eklampsia pada ibu hamil di Rumah Sakit Umum dr . Zaionel Abidin Provinsi Aceh. Journal of Healthcare Technology and Medicine, 2(1), 99–109.
Reddy, M., Rolnik, D. L., Harris, K., Li, W., Mol, B. W., Da Silva Costa, F., Wallace, E. M., & Palmer, K. (2020). Challenging the definition of hypertension in pregnancy: a retrospective cohort study. American Journal of Obstetrics and Gynecology, 222(6), 606.e1-606.e21. https://doi.org/10.1016/j.ajog.2019.12.272
Reddy, S., & Jim, B. (2019). Hypertension and Pregnancy: Management and Future Risks. Advances in Chronic Kidney Disease, 26(2), 137–145. https://doi.org/10.1053/j.ackd.2019.03.017
Riise, H. K. R., Sulo, G., Tell, G. S., Igland, J., Egeland, G., Nygard, O., Selmer, R., Iversen, A. C., & Daltveit, A. K. (2019). Hypertensive pregnancy disorders increase the risk of maternal cardiovascular disease after adjustment for cardiovascular risk factors. International Journal of Cardiology, 282, 81–87. https://doi.org/10.1016/j.ijcard.2019.01.097
Simamora, L., Sembiring, N. P., & Simbolon, M. (2019). Pengaruh Riwayat Keluarga, Obesitas Dan Stress Psikosial Terhadap Kejadian Hipertensi Pada Ibu Pasangan Usia Subur Di Wilayah Kerja Puskesmas Simalingkar. Jurnal Mutiara Ners Januari, 2(1), 188–194.
Sudarman, Tendean, H. M. M., & Wagey, F. W. (2021). Faktor-Faktor yang Berhubungan dengan Terjadinya Preeklampsia. E-CliniC, 9(1), 68–80. https://doi.org/10.35790/ecl.v9i1.31960
Wibowo, A., & Ridha, M. R. (2020). Comparison of Logistic Regression Model and MARS Using Multicollinearity Data Simulation. JTAM | Jurnal Teori Dan Aplikasi Matematika, 4(1), 39. https://doi.org/10.31764/jtam.v4i1.1801
Zabor, E. C., Reddy, C. A., Tendulkar, R. D., & Patil, S. (2022). Logistic Regression in Clinical Studies. International Journal of Radiation Oncology Biology Physics, 112(2), 271–277. https://doi.org/10.1016/j.ijrobp.2021.08.007
Zhao, X., Ding, Y., Yao, Y., Zhang, Y., Bi, C., & Su, Y. (2022). A multinomial logit model: Safety risk analysis of interchange area based on aggregate driving behavior data. Journal of Safety Research, 80, 27–38. https://doi.org/10.1016/j.jsr.2021.11.002
Ziert, Y., Abou-Dakn, M., Backes, C., Banz-Jansen, C., Bock, N., Bohlmann, M., Engelbrecht, C., Gruber, T. M., Iannaccone, A., Jegen, M., Keil, C., Kyvernitakis, I., Lang, K., Lihs, A., Manz, J., Morfeld, C., Richter, M., Seliger, G., Sourouni, M., … von Versen-Höynck, F. (2022). Maternal and neonatal outcomes of pregnancies with COVID-19 after medically assisted reproduction: results from the prospective COVID-19-Related Obstetrical and Neonatal Outcome Study. American Journal of Obstetrics and Gynecology, 227(3), 495.e1-495.e11. https://doi.org/10.1016/j.ajog.2022.04.021
DOI: https://doi.org/10.31764/jtam.v7i4.16481
Refbacks
- There are currently no refbacks.
Copyright (c) 2023 Yuniar Farida, Roro Niken Enggar Tiasti, Silvia Kartika Sari
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
_______________________________________________
JTAM already indexing:
_______________________________________________
JTAM (Jurnal Teori dan Aplikasi Matematika) |
_______________________________________________
_______________________________________________
JTAM (Jurnal Teori dan Aplikasi Matematika) Editorial Office: