HUBUNGAN TRIMESTER KEHAMILAN PADA IBU HAMIL DENGAN TINGKAT GINGIVITIS (STUDI DI PUSKESMAS BRONDONG LAMONGAN)
DOI:
https://doi.org/10.51878/healthy.v5i4.15709Keywords:
Gingivitis, Ibu Hamil, Trimester KehamilanAbstract
Gingivitis is a common oral health problem among pregnant women, resulting from increased levels of estrogen and progesterone, which enhance the sensitivity of gingival tissues to plaque accumulation. Secondary data from Brondong Public Health Center showed that the prevalence of gingivitis among pregnant women increased from 48% in July 2024 to 51% in July 2025. Differences in hormonal changes across pregnancy trimesters are hypothesized to be associated with the occurrence of gingivitis. This study aimed to determine the association between pregnancy trimester and gingivitis among pregnant women at Brondong Public Health Center, Lamongan Regency. This study employed an analytical cross-sectional design. A total of 54 pregnant women were selected using consecutive sampling. Data on pregnancy trimester were obtained through interviews, while gingival condition was assessed through oral examination using the Gingival Index. Data were analyzed using the Chi-Square test with a significance level of α = 0.05. The results showed that most respondents were in the second trimester, totaling 35 women (64.8%), followed by the first trimester with 11 women (20.4%) and the third trimester with 8 women (14.8%). Gingivitis in the first trimester was predominantly mild (63.6%), while the second trimester was predominantly moderate (37.1%). All respondents in the third trimester had mild gingivitis (100%). The Chi-Square test showed a p-value of 0.041 (p < 0.05), indicating an association between pregnancy trimester and gingivitis. The second trimester showed the most prominent level of gingivitis. Monitoring and prevention of gingivitis should be strengthened throughout pregnancy, particularly during the second trimester, through Antenatal Care services.
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