Association Between Parity and Placenta Previa Among Pregnant Women at BLUD RSU Banjar City

Introduction: Obstetric haemorrhage remains one of the leading causes of maternal mortality in Indonesia. Antepartum bleeding can result from various obstetric and non-obstetric conditions, with placental abnormalities, particularly placenta previa, being among the important obstetric causes. Several factors are associated with placenta previa, including maternal parity, particularly multiparity and grand multiparity. In Indonesia, the estimated incidence of placenta previa was 0.4%–0.7% of pregnancies in 2023. Furthermore, 64 cases of placenta previa were reported at BLUD RSU Banjar City in 2024. Objective: This study aimed to analyze the association between parity and the incidence of placenta previa among pregnant women at BLUD RSU Banjar City. Methods: This study employed a quantitative cross-sectional design. The study population consisted of 1,118 medical records of pregnant women at BLUD RSU Banjar City in 2024. A total of 92 medical records were selected using random sampling. Data were collected from medical records and analyzed using univariate and bivariate analyses, with the Chi-square test used to examine the association between parity and placenta previa. Results: The univariate analysis showed that, among the 92 medical records, 50 women (54.3%) were classified into the low-risk parity category (primiparity), while 42 women (45.7%) were classified into the high-risk parity category (multiparity and grand multiparity). Regarding the incidence of placenta previa, 58 women (63.0%) did not have placenta previa, whereas 34 women (37.0%) were diagnosed with the condition. The Chi-square test demonstrated a statistically significant association between parity and the incidence of placenta previa (p < 0.001). Conclusion: There was a statistically significant association between parity and the incidence of placenta previa among pregnant women at BLUD RSU Banjar City. These findings highlight the importance of considering maternal parity as one of the factors in identifying pregnant women who may require closer obstetric monitoring.