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"[ABSTRAKLatar belakang: Hipotermia pada bayi baru lahir (BBL) masih merupakan masalah utama dan menjadi penyebab morbiditas dan mortalitas. Angka kejadian hipotermia pada BBL rujukan saat datang di rumah sakit masih tinggi.Tujuan: Mengetahui hubungan antara hipotermia saat masuk Instalasi Gawat Darurat (IGD) dengan mortalitas pada BBL rujukan di RSUD Dr. Moewardi.Metode: Penelitian ini merupakan penelitian kohort prospektif yang dilakukan di RSUD Dr. Moewardi. Pengumpulan data dilakukan pada 1 Januari sampai 31 Maret 2015 terhadap pasien BBL rujukan.Variabel tergantung adalah mortalitas dan variabel bebas meliputi umur kehamilan, berat lahir, sepsis, gangguan napas berat, dan suhu saat masuk IGD. Data dianalisis dengan menggunakan metode chi-square dan regresi logistik dengan nilai p<0,05 dan 95 % Confidence Interval (CI).Hasil: Didapatkan 56 BBL rujukan dengan angka kejadian hipotermia 60,7% dan mortalitas 19,6%. Dari analisis chi-square didapatkan variabel umur kehamilan dan berat lahir tidak memenuhi syarat analisis multivariat (p>0,25). Dari analisis multivariat regresi logistik didapatkan gangguan napas berat berhubungan dengan mortalitas pada BBL rujukan yang secara statistik tidak bermakna (OR=5,250; IK 95%=0,894-30,820). Setelah dilakukan analisis multivariat regresi logistik untuk mendapatkan OR terkontrol didapatkan hubungan yang bermakna antara suhu saat masuk IGD (OR=11,04; IK 95%=1,180-103,274) dan sepsis (OR=8,028; IK95%= 1,650-39,053) dengan mortalitas BBL rujukan.Simpulan: Angka kejadian pada BBL rujukan hipotermia masih tinggi. Hipotermia saat masuk IGD dan sepsis merupakan faktor risiko mortalitas pada BBL rujukan.

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ABSTRACTBackground.Hypothermia still as a mayor cause of neonatal morbidity and mortality. The incidence of hypothermia on admission is high.Objective. To analyzed the risk of mortality associated with hypothermia on admission in newborns reffered to Moewardi hospitalMethods.A cohort prospectif study of neonate referred at Moewardihospital from January 1st to March 31st, 2015. Analyzed variables were gestational age, birth weight, septicaemia, severe respiratory distress and temperature on admission. Data were analyzed by chi-square and logistic regretion with 95% confidence interval (CI)Results. Out of 56 neonates referred, the incidence of hypothermia was 60,7% and mortality was 19,6%. Gestational age and birth weightwere not significant associated with neonates referred mortality (p>0,25). Multivariat logistic regression analysis revealed that severe respiratory distress was not statistically significant associated with neonates referred mortality (OR=5,250; 95% CI =0,894-30,820). Multivariat logistic regression analysis revealed that hypothermia on admission (OR=11,04; 95% CI= 1,180-103,274) and septicaemia [OR=8,028; 95% CI=1,650-39,053) were statistically significant associated with neonates referred mortality.Conclusion. The incidence of hypothermia on admission is high. Hypothermia on admission to be a risk factor for neonatal mortality., Background.Hypothermia still as a mayor cause of neonatal morbidity and mortality. The incidence of hypothermia on admission is high.Objective. To analyzed the risk of mortality associated with hypothermia on admission in newborns reffered to Moewardi hospitalMethods.A cohort prospectif study of neonate referred at Moewardihospital from January 1st to March 31st, 2015. Analyzed variables were gestational age, birth weight, septicaemia, severe respiratory distress and temperature on admission. Data were analyzed by chi-square and logistic regretion with 95% confidence interval (CI)Results. Out of 56 neonates referred, the incidence of hypothermia was 60,7% and mortality was 19,6%. Gestational age and birth weightwere not significant associated with neonates referred mortality (p>0,25). Multivariat logistic regression analysis revealed that severe respiratory distress was not statistically significant associated with neonates referred mortality (OR=5,250; 95% CI =0,894-30,820). Multivariat logistic regression analysis revealed that hypothermia on admission (OR=11,04; 95% CI= 1,180-103,274) and septicaemia [OR=8,028; 95% CI=1,650-39,053) were statistically significant associated with neonates referred mortality.Conclusion. The incidence of hypothermia on admission is high. Hypothermia on admission to be a risk factor for neonatal mortality.]"

"Buku ini membahas cara memeriksa secara sistematik seluruh tubuh bayi baru lahir. Dimulai dari kelainan yang dapat segera dilihat, dan dilanjutkan dengan pemeriksaan yang lebih terarah."

"Corona Virus Disease 2019 (COVID-19) merupakan penyakit menular yang disebabkan oleh Severe Acute Respiratory Syndrome Corona Virus 2 (SARS-CoV-2), telah menyebar luas terutama ibu hamil dan bayi baru lahir. Bayi baru lahir dapat terpapar SARS-CoV-2 dari ibu yang melahirkan dengan terkonfirmasi positif dan ibu terkonfirmasi positif dapat berisiko melahirkan bayi premature. Kondisi tersebut dapat berisiko terjadinya NEC pada bayi baru lahir. Tujuan penulisan studi kasus ini adalah menggambarkan komplikasi yang terjadi pada bayi baru lahir dari ibu terkonfirmasi positif COVID-19. Ilustrasi kasus: Seorang perempuan usia 36 tahun terkonfirmasi positif COVID-19, status kehamilan G2P1A0 hamil 32 minggu melahirkan bayi perempuan dengan berat 1975 gram. Bayi dirawat di neonatal intensive care unit (NICU) dengan diagnosis COVID 19 terkonfirmasi derajat sedang, necrotizing enterocolitis (NEC) grade II. Kesimpulan: bayi baru lahir premature positif COVID-19 dapat berisiko terjadinya NEC. Hal ini dikarenakan SARS-CoV-2 secara langsung menginfeksi saluran gastrointestinal yang dapat menyebabkan reaksi inflamasi. Selain itu, imaturitas saluran cerna dapat berisiko terjadinya cedera usus. Kondisi tersebut dapat mengarah pada masalah keperawatan disfungsi motilitas gastrointestinal. Menajemen muntah, nutrisi, pemantauan tanda-tanda vital, pemberian posisi, pengendalian infeksi, dan tindakan kolaborasi seperti pemberian TPN pada bayi dengan NEC merupakan hal penting untuk memenuhi nutrisi pada bayi dengan NEC. Case study ini, dapat dijadikan sebagai data dasar untuk penelitian selanjutnya dalam meneliti bayi premature terkonfirmasi positif COVID-19 dengan NEC dengan metode penelitian yang berbeda.

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Corona Virus Disease 2019 (COVID-19) is an infectious disease caused by Severe Acute Respiratory Syndrome Corona Virus 2 (SARS-CoV-2), which has spread widely, especially to pregnant women and newborns. Newborns can be exposed to SARS-CoV-2 from mothers who give birth with a confirmed positive and mothers who are confirmed positive can be at risk of giving birth to premature babies. These conditions can increase the risk of NEC in newborns. The purpose of writing this case study is to describe complications that occur in newborns from mothers who are confirmed positive for COVID-19. Case illustration: A 36-year-old woman who was confirmed positive for COVID-19, pregnancy status G2P1A0 32 weeks pregnant gave birth to a baby girl weighing 1975 grams. The baby was admitted to the neonatal intensive care unit (NICU) with a confirmed diagnosis of moderate-grade COVID-19, necrotizing enterocolitis (NEC) grade II. Conclusion: COVID-19 positive premature newborns can be at risk for NEC. This is because SARS-CoV-2 directly infects the gastrointestinal tract which can cause an inflammatory reaction. In addition, the immaturity of the gastrointestinal tract can increase the risk of intestinal injury. These conditions can lead to gastrointestinal motility dysfunction nursing problems. Management of vomiting, nutrition, monitoring of vital signs, positioning, infection control, and collaborative measures such as administration of TPN in infants with NEC are important to meet nutrition in infants with NEC. This case study can be used as basic data for further research in examining premature infants confirmed positive for COVID-19 with NEC with different research methods."

"Ruam popok dapat meningkatkan ketidaknyamanan pada bayi baru lahir, bahkan bisa menjadi masalah yang serius. Penelitian ini bertujuan mengetahui faktorfaktor risiko yang berhubungan dengan kejadian ruam popok pada bayi baru lahir dan prevalensinya, di ruang perinatologi salah satu rumah sakit rujukan di Jakarta, Indonesia. Penelitian menggunakan metode survey dengan desain cross sectional restrospective study. Sampel (n=95) dipilih berdasarkan teknik consecutive sampling. Ruam popok ditentukan menggunakan instrumen DDSIS (Diaper Dermatitis Severity Intensity Score). Hasil penelitian menunjukkan prevalensi ruam popok 26,3 %. Analisis multivariat regresi logistik menunjukkan dua faktor risiko yang berhubungan dengan kejadian ruam popok: infeksi mikroorganisme dan lama hari rawat.

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Besides increasing infant's discomfort, diaper rash could cause other serious problems. This study aimed to investigate the risk factors of infant's diaper rash and its prevalence in a perinatology ward at a recommended hospital in Jakarta, Indonesia. This study used a survey method with cross-sectional retrospective design. The respondents (n=95) were chosen based on consecutive sampling. Diaper rash was identified using DDSIS (Diaper Dermatitis Severity Intensity Score). The results showed that the prevalence of diaper rash was 26.3%. The multivariate logistic regression analysis showed that there were two risk factors related to diaper rash prevalence: microorganism infection and inpatient time."

"ABSTRAKIndonesia termasuk dalam lima wilayah dengan prevalensi Hepatitis B tertinggi di dunia.Penyebaran Hepatitis B dapat dicegah dengan pemberian imunisasi Hepatitis B yangdimulai dari bayi baru lahir usia 0-7 hari HB 0 . Penelitian ini bertujuan untukmengetahui faktor-faktor yang berhubungan dengan akses imunisasi HB 0 di Indonesia.Studi dengan desain potong lintang ini menggunakan data Susenas 2016 dan Podes 2014.Sampel adalah bayi dari wanita yang pernah menikah berumur 15-49 tahun danmelahirkan bayi dengan berat lahir ge; 2,5 Kg pada dua tahun sebelum survei denganjumlah responden 18.407 individu. Hasil penelitian menunjukkan 59,63 bayimemanfaatkan imunisasi HB 0. Analisis regresi logistik logit menunjukkan variabelpendidikan, jarak, umur ibu, wilayah tempat tinggal, regional, tempat lahir bayi danpenolong persalinan berhubungan dengan akses imunisasi HB 0. Bayi yang dilahirkan difasilitas kesehatan dan ditolong oleh tenaga kesehatan memiliki peluang yang lebih baik.Disarankan untuk meningkatkan upaya promosi kesehatan, kemitraan tenaga kesehatandan mendorong ibu hamil untuk bersalin di fasilitas kesehatan dan ditolong oleh tenagakesehatan.

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ABSTRACTIndonesia is among the five regions in the world with the highest Hepatitis B prevalence.One of the efforts to prevent Hepatitis B infection is to give Hepatitis B birth dose vaccineto infants at age 0 7 day HB 0 . This research aimed to analyze factors related to theaccess of HB 0 vaccinations in Indonesia. This cross sectional study was using Susenas2016 and Podes 2014 data, sample size was 18.407 babies of married women whose agebetween 15 49 years and gave birth baby birth weight ge 2,5 Kg in the last two yearsbefore the survey was done. About 59,63 infants accesses HB 0 vaccination. Logisticregression analysis model logit resulted marginal effects which showed variabel of ageand education of the mother, region, place of birth, distance and birth attendants hadrelationship with access the HB 0 vaccination. To increase the HB 0 vaccinationcoverage, it is recommended that the government or the policy makers should improveprograms and acess through health promotions, partnerships among health personnels,as well as encourage facility based delivery. "

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Abstrak

Capaian pemberian ASI eksklusif di Kabupaten Lahat tahun 2019 mengalami penurunan yang drastis dan belum mencapai Global Nutritional Targets 2025 yaitu 50%. Tujuan penelitian ini adalah untuk mengetahui pengaruh program “Cerdas ASI” terhadap pemberian ASI eksklusif dan perubahan berat badan bayi baru lahir. Penelitian quasi experimental digunakan dengan tehnik pengambilan sampel consecutive sampling terhadap 116 pasangan ibu-bayi. Kelompok intervensi mendapatkan program “Cerdas ASI” yaitu edukasi dengan menggunakan video audiovisual, melibatkan anggota keluarga serta pemberian reinforcement positif melalui whatsapp. Sedangkan kelompok kontrol mendapatkan edukasi standar rumah sakit. Hasil penelitian menyatakan bahwa terdapat perbedaan yang signifikan antara kelompok (p=0,000) dalam mempraktikkan pemberian ASI eksklusif setelah intervensi. Peningkatan berat badan bayi pada kelompok intervensi lebih tinggi dibandingkan kelompok kontrol. Berdasarkan uji statistik didapatkan bahwa selisih perubahan berat badan antara kelompok kontrol dan intervensi mengalami perbedaan yang signifikan (p=0,000). Hasil uji statistik menunjukkan bahwa tidak ada hubungan antara karakteristik responden ibu dengan pemberian asi eksklusif. Program “Cerdas ASI” efektif dalam meningkatkan pemberian asi eksklusif dan berat badan pada bayi baru lahir.

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Achievement of exclusive breastfeeding in Lahat district in 2019 has decreased drastically and has not yet reached the Global Nutritional Targets in 2025, which is 50%. The purpose of this study was to determine the effect of "Cerdas ASI" program on exclusive breastfeeding and infant weight changes. The quasi-experimental study was used in this study with consecutive sampling techniques for 116 mothers-infants. Intervention group received"Cerdas ASI" program; education using audiovisual videos, involving family members and giving positive reinforcement through whatsapp. While the control group received hospital standard education. The results of the study stated that there were significant differences between groups (p = 0,000) in practicing exclusive breastfeeding after the intervention. Infant weight gain in the intervention group was higher than in the control group. Based on statistical tests it was found that the difference in weight change between the control and intervention groups experienced a significant difference (p = 0,000). The results showed that there was no relationship between the characteristics of maternal respondents with exclusive breastfeeding. "Cerdas ASI" program may be effective in promoting exclusive breastfeeding and infant weight changes.

 

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