Factors Associated with the Incidence of Hyperemesis Gravidarum among First-Trimester Pregnant Women

Hyperemesis gravidarum is the grievance of nausea and severe vomiting more than 10 times in a day during pregnancy which may cause dehydration, weight loss or electrolyte disorders, that disturbing in daily activities and harm the fetus in the womb. Hyperemesis-related unfavorable baby outcomes are primarily restricted to women who have not gained enough weight during pregnancy. The hyperemesis gravidarum incidence reaches 0,3-3,2% of through amount from the pregnancy in the world and this one cause of mother treated in the hospital on first trimester of pregnancy. The purpose of this research is to determine what are the factors that influence hyperemesis gravidarum among pregnant women at first trimester in Bhakti Husada Cikarang Hospital Bekasi Regency West Java Province in 2017.This research was an analytic survey by cross-sectional design, sampling technique was total sampling which were 96 pregnant women in the first trimester. Data were collected using Hamilton Rating Scale for Anxiety (HRS-A) questionnaire. Statistic analysis performed was univariate and bivariate analysis. From the univariate analysis result is known that percentage of respondents who experienced Hyperemesis gravidarum incidence were 63.5%, the majority of respondents were primigravida was (55.2%), respondents who had a hereditary history of hyperemesis gravidarum was (55.2%), and respondents who experienced mild anxiety was (55.2%), while there was significant correlation between hyperemesis gravidarum and gravida status (p=0.005), hyperemesis gravidarum and hereditary history (p=0.005), and also hyperemesis gravidarum and anxiety levels (p=0.005). The incident rate of hyperemesis gravidarum in Bhakti Husada hospital caused by gravida status, hereditary history, and anxiety level. It is expected that health personnel to provide counselling about health lifestyle and their family to provide more mental support and attentions for pregnant women to prevent the occurrence of anxiety that resulted by hyperemesis gravidarum.