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Asphyxia neonatorum is the cause of 23% of all neonatal mortality in the world. Three quarters from the mortalityare caused by conditions that can be prevented and treated, including the incident of asphyxia. Low Birth Weight(LBW) has the risk of having a respiratory failure that can cause asphyxia neonatorum, however not all LBWinfants is prematurity, due to this problem, it can be estimated that approximately one-third of LBW is aterminfants. This research was conducted in Budi kemuliaan hospital, which was one of the private mother and childhospital that reference to the birth process in Jakarta. The design of this research was case-control by using medicalrecord data, with 120 cases and 240 controls. The multivariate analysis showed that asphyxia neonatorum on theLBW had OR 2.17 (CI 95% 088-5.37) and the risk increase on the premature (normal and low birth weight) OR4.69 (CI 95% 2.68-8.18). Premature (normal and low birth weight) had 4.69 more at risk of asphyxia neonatorumthan the normal weight neonatal.Keyword: Asphyxia, Low Birth Weight, Prematurity.
Tujuan penelitian ini untuk melihat hubunganantara hipertensi pada Ibu hamil dengan kejadian Bayi Berat Lahir Rendah (BBLR) diRSIA Budi Kemuliaan Jakarta Tahun 2017. Desain dalam penelitian ini adalah studicohort retrospective dengan menggunakan data rekam medik rumah sakit. Analisis datayang digunakan adalah Cox Regression.
Hasil analisis menunjukkan bahwa tidak adahubungan antara hipertensi pada Ibu hamil dengan kejadian BBLR di RSIA BudiKemuliaan Jakarta Tahun 2017 (RR 1,048-- 95% CI 0,611-1,797) setelah dikontrol olehvariabel usia gestasi.
Kata kunci: Hipertensi Ibu Hamil, BBLR.
The incidence of neonatal asphyxia remains a serious problem in Indonesia. Oneof the causes of the high infant mortality in Indonesia is asphyxia neonatorum isequal to 33.6%. One of the factors associated with the incidence of birth asphyxianeonatorum is the Sectio Caesarea delivery. The purpose of this study was todetermine the relationship of labor action by sectio Caesarea with the incidence ofneonatal asphyxia after covariate control variables. This study used a case controldesign design using secondary data from maternal medical records in RSIA BudiKemuliaan, Jakarta in 2013 samples of this study was neonatal asphyxia. Analysisusing logistic regression. The results showed 66.2% of babies born with birthasphyxia sectio Caesarea. In addition it was found that labor relations act sectioCaesarea and asphyxia events have statistically significant association with a p-value of 0.042 where the mother who gave birth to the labor action sectioCaesarea has 2 times the risk (95% CI 1.03 to 4.32) for the case of asphyxia ininfants born to mothers who gave birth compared with vaginal delivery (normal)after controlled with variable layout abnormalities, fetal distress, andpreeclampsia.Keywords : Sectio caesarea, asphyxia
Persalinan pada dasarnya merupakan proses alamiah yang sudah merupakan tugas seorang ibu yang harus dihadapi. Namun demikian, tidak jarang terjadi penyimpangan, sehingga keadaan ini bukan saja menimbulkan risiko bagi ibu, tetapi juga berisiko terhadap bayinya. Salah satu risiko yang mungkin terjadi bagi bayi akibat persalinan ini adalah afiksia neonatorum. Departemen Kesehatan Republik Indonesia memperkirakan prevalen afisia neonatorum sedang dan berat di Indonesia setiap tahun sekitar 144.900 bayi. Sementara itu data pada Rumah Sakit Umum Dr. Adjidarmo Rangkasbitung tahun 2000 terungkap kejadian asfiksia neonatorum sedang dan berat tahun 1999 sebesar 24,9 % meningkat menjadi 45,9 % pada tahun 2000. Penelitian ini menggunakan data sekunder yang bersumber dari register ibu dan register bayi di Rumah SakitUmum Dr.Adjidarmo Rangkasbitung tahun 2000. Tujuan penelitian ini untuk memperoleh informasi tentang hubungan persalinan lama dengan kejadian asfiksia neonatorum. Faktor lain meliputi umur ibu saat bersalin, paritas, berat badan bayi lahir, kelainan plasenta, persalinan tindakan, kelainan letak dan kasus rujukan diduga mempengaruhi hubungan persalinan lama dengan kejadian asfiksia neonatorum. Desain yang digunakan adalah case control. kelompok kasus adalah bayi yang lahir di Rumah sakit Umum Dr. Adjidarmo Rangkasbitung selama tahun 2000 dengan nilai Apgar menit pertama kurang dari 7. Sedangkan kelompok kontrol adalah bayi yang lahir di Rumah sakit Umum Dr. Adjidarmo Rangkasbitung periode selama 2000 dengan nilai Apgar menit pertama 7 sampai 10. Dari keseluruhan sampel, bayi yang lahir dengan mengalami persalinan lama pada kelompok kasus proporsinya hampir lima kali lebih besar (43%) dibanding kelompok kontrol (8,5%). Terbukti adanya hubungan bermakna antara persalinan lama dengan kejadian asfiksia neonatorum. Bayi yang lahir dengan asfiksia neonatorum, setelah dikontrol persalinan tindakan dan kasus rujukan berperan sebagai confounder, atau mempunyai pengaruh terhadap hubungan persalinan lama dengan kejadian asfiksia neonatorum. Perlunya dilakukan persalinan tindakan sesegera mungkin,apabila diketahui ibu bersalin telah mengalami persalinan lama. Kegiatan lainnya adalah perlu terus dilakukan upaya penyuluhan kepada masyarakat, khususnya ibu hamil untuk selalu melakukan perawatan ante natal yang baik selama kehamilannya guna mendeteksi secara dini penyulit persalinan. The Connection Between Long Duration Childbirth rith Neonatorum Asphyxia Case to Newborn Baby at RSU Dr. Adjidarmo Rangkasbitung in 2000Delivering a baby or childbirth, basically is a natural process as a mother's duty that have to deal with. In such a case, sometimes there is childbirth deviations have risks that could be dangerously to mothers and also to newborn babies. One of this risks is Neonatorum Asphyxia. Ministry of Health Republic of Indonesia has predicted that medium and heavy cases of Neonatorum Aphyxia in Indonesia are about 144.900 cases. In the same cases, RSU Dr. Adjidarmo Rangkasbitungs Neonatorum Asphyxia in 1999 is 24,9% and increasing to 45,9% in 2002. This research was using the secondary data that sourced on numbers of mothers and babies registration data at RSU Dr. Adjidarmo Rangkasbitung in 2000.
The main goal of this research is to find out the connection between long duration childbirth and Neonatorum Asphyxia case. Others factors that could make effect are; mother's age, paritas, baby's weight, placenta disorder, breech delivery, and referral cases had presumed to influrnce the long duration childbirth with Neonatorum Asphyxia cases. The research's design that used by the writer is case control design. The cases group is numbers of babies that born at RSU Dr. Adjidarmo Rangkasbitung in 2000 with Apgar value less than 7. Whereas the control group is number of babies with Apgar value range at 7 - 10. From all samples, the babies that born with long duration childbirth at the cases group have the proportion cases five times bigger (43%) than the babies at control group (8,5%). It shows that there's connection between long duration childbirth and Neonatorum Asphyxia cases. The babies with Neonatorum Asphyxia cases from long duration childbirth have 3.053 probability odds times than the babies without Neonatorum Asphyxia cases, after being controlled by maternity acts and referral cases. Maternity acts and referral cases it also predicted had taken part as cofounder, or influence to long duration childbirth and Neonatorum aphyxia cases. The maternity acts must be conducted as soos as possible if a long duration childbirth has been detected. Another actions that should be done and continued are public information or illumination acts, especially to pregnant mothers, to always take care of their pregnancy by doing the best ane natal caring along hers/their pregnancy to pre-detect and prevent maternity or childbirth problems.
Kata kunci: BBLR; kehamilan remaja
Low Birth Weight (LBW) in Indonesia has the prevalence of 7,3 % according to IDHS 2012. Some research showed that more LBW occurences happened to mother aged 15-19 at the time of birth. This study aims to prove the association between adolescent pregnancy and low birth weight after controlling all the confounding variables. The method used for this study is case-control (1:1) by analyzing IDHS 2012. The selected cases are 871 with 871 controls. Covariate variables are education, parity, complication during pregnancy, complication at birth, months of pregnancy at first antenatal visit and number of antenatal visit. The result of the study is that there is a significant association between adolescent pregnancy after controlling all confounding variables which are education, complication during pregnancy and months of pregnancy at first antenatal visit and number of antenatal visit (OR: 2,65; p value= 0,013; 95% CI: 1,232-5,712).
Key words: LBW; adolescent pregnancy
Kata kunci: Berat lahir, grafik persentil, panjang lahir, usia kehamilan
LBW is brith weight less than 2500 grams (up to 2499 grams). LBW can cause prenatal death and pain, and increase the risk of causing non-communicable diseases. The proportion of LBW in Indonesia from the 2007 IDHS period, 2012, 2017 was stable and there was no different from 2007 to 2017. Unwanted pregnancies became one of the risk factors for LBW. Unwanted pregnancy is a pregnancy that occurs outside of planning. Because a husband or wife partner cannot use contraception, there is no access to family planning services which causes pregnancy, while the physical or psychological condition of the partner is not ready and rejects the pregnancy. The proportion of unwanted pregnancies in the 2007, 2012, 2017 IDHS period is stable.
Kata kunci: BBLR, determinan, Pancoran Mas.
Pendahuluan. Kelahiran bayi prematur di Indonesia masih cukup tinggi (14,2%), bila dibandingkan dengan negara-negara lainnya yang termasuk kedalam negara berpenghasilan sedang seperti Cina, Chili, Amerika Latin, Uruguay dan Brazil. Dampak yang ditimbulkan akibat persalinan prematur ini sangat besar seperti peningkatan mortalitas dan morbiditas bayi serta gangguan tumbuh kembang yang nantinya akan berdampak panjang pada kelangsungan hidup bayi. Salah satu penyebab terjadinya prematur adalah anemia pada ibu hamil. Meskipun pada beberapa penelitian anemia telah terbukti meningkatkan risiko terjadinya persalinan prematur, namun masih perlu dilakukan penelitian lain pada populasi yang berbeda, yaitu populasi perkotaan (rural) disalah satu rumah sakit di Jakarta Pusat (RSIA Budi Kemuliaan). Tujuan Penelitian. Mengetahui seberapa besar pengaruh anemia ibu hamil pada trimester III dengan kejadian persalinan prematur di RSIA Budi Kemuliaan Jakarta periode Januari - April 2010 setelah di kontrol dengan variabel karakteristik ibu, Status Sosio Ekonomi, kondisi kehamilan dan persalinan saat ini, dan riwayat obstetri yang pernah dialami ibu. Metode Penelitian. Desain penelitian yang digunakan adalah kasus kontrol dengan penggunaan data sekunder rekam medik. Populasi penelitian pada kelompok kasus yaitu semua ibu yang melahirkan < 37 minggu di RSIA Budi Kemuliaan dan populasi kontrol adalah semua ibu yang melahirkan aterm (cukup bulan) > 37-42 minggu di RSIA Budi Kemuliaan Jakarta. Sampel penelitian diambil dari persalinan pada periode waktu Januari – April 2010. Metode analisis yang digunakan adalah regresi logistik. Hasil Penelitian. Pada analisis bivariat hubungan anemia prematur diperoleh OR 4,38 (95% CI: 2,24 – 7,85) sebelum dikontrol dengan variabel kovariat. Setelah dilakukan analisis multivariat didapatkan model akhir hubungan anemia ibu hamil dan prematur dan faktor lainnya yang berpengaruh yaitu pendidikan, jarak kehamilan, cara melahirkan dan komplikasi kehamilan didapatkan OR 5.79 (95% CI: 3,03 – 11,08). Kesimpulan. Hubungan anemia ibu hamil dan terjadinya prematur didapatkan OR 5.79 (95% CI: 3,03 – 11,08), artinya ibu hamil yang menderita anemia berisiko 5,79 kali untuk melahirkan prematur dibandingkan dengan ibu hamil yang tidak anemia setelah dikontrol oleh variabel pendidikan, jarak melahirkan, cara melahirkan dan komplikasi kehamilan Kata kunci: prematur, anemia.
Introduction. Premature in Indonesia if compare to the other developmental countries such as China, Chile, America Latin, Uruguay and Brazil is still high (14,2%). The effect of premature is extremely huge, for example it’s increasing the baby mortality and the morbidity rate as well as interfering the growth and developmental process from childhood to adulthood and the future. One of the causal factors of prematurity is anemia during pregnancy. Eventough the relationship between premature and anemia in pregnancy is well-noted in some previous researchs, the author believe that it still needs to be done on other settings like urban population at Rumah Sakit Ibu dan Anak Budi Kemuliaan Jakarta Pusat. Objective. To obtain the magnitude of the risk prematur caused by anemia during pregnancy at Third Trisemeters at RSIA Budi Kemuliaan Jakarta period January-April 2010 after contolled by variabel maternal characteristics, social economic status, condition of current pregnancy and delivery, and obstetrical history. Method. This case control research used data from medical record. The case population is whole mothers whom delivered < 37 weeks of gestation, while control population is whole mothers whom delivered aterm > 3742 weeks at RSIA Budi Kemuliaan Jakarta. Sampel was taken from period January to April 2010 and the data was analized with logistic regression. Result. On bivariat analisys found OR 4,38 (95% CI: 2,24 – 7,85. Fitted model on multivariate analysis after controlling variables education, length of pregnancy, mode of delivery and complication OR 5.79 (95% CI: 3,03 – 11,08). Conclusion. The effect of anemia in pregnancy to premature found OR 5.79 (95% CI: 3,03 – 11,08), which implies the mother whom anemia during pregnancy having risk 5,79 times to have premature baby than mother whom are not anemia during pregnancy after controlled by variable education, length of pregnancy, mode of delivery, and complication in pregnancy. xi Key words: prematur, anemia.
