In Indonesia, the incidence of preeclampsia is around 5.3% or
128,273 per year. In addition, preeclampsia is still accounts for
26.9% of maternal deaths in Indonesia. Purpose : This research
attempts to analyze factors associated with the prevalence of
severe preeclampsia in pregnant women at Dr. M. Djamil
Padang Hospital. Methods : This study took a cross-sectional
approach and employed an analytical design. The sample
consisted of 200 pregnant women taken using the systematic
random sampling method from a total population of 705
patients. In July, data gathering was completed 2024 from
medical records and examined using the chi-square test both
univariately and bivariately. Result : The results showed that
age (p = 0.006), parity (p = 0.001), history of preeclampsia (p =
0.005), and pregnancy spacing (p = 0.001) were significantly
associated with the incidence of severe preeclampsia. However,
obesity (p=0.923) showed no significant relationship.
Implications : These findings imply the need for healthcare
providers to prioritize early education and screening for
pregnant women at risk due to age, parity, history of
preeclampsia, and pregnancy spacing, in order to reduce the
prevalence of severe preeclampsia and prevent further maternal
and fetal complications. Conclusions: It is recommended that
health workers increase prevention efforts through education
and counseling on the risk of preeclampsia in pregnant women.