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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."