Hasil Pencarian  ::  Simpan CSV :: Kembali

"Latar belakang: Persalinan prematur adalah persalinan pada usia kehamilan kurang dari 37 minggu. Berdasarkan Riset Kesehatan Dasar 2018, sebanyak 29,5 persen bayi Indonesia terlahir secara prematur. Kelahiran prematur menjadi salah satu penyebab utama kematian bayi dan memiliki berbagai komplikasi jangka panjang bagi anak. Anemia merupakan salah satu faktor yang dapat meningkatkan risiko terjadinya prematur. Penelitian ini bertujuan untuk mengetahui hubungan antara anemia dan persalinan prematur. Metode: Penelitian dilakukan dengan metode case-control dengan uji statistik Chi square dan uji Fisher jika syarat Chi square tidak terpenuhi. Sampel penelitian ini berjumlah 100 sampel yang terdiri dari 50 sampel ibu yang bersalin secara prematur dan 50 sampel ibu yang tidak menjalani persalinan prematur. Pengambilan sampel menggunakan metode consecutive sampling. Data yang digunakan adalah data sekunder berdasarkan pencatatan pada rekam medis ibu melahirkan pada tahun 2021 di Rumah Sakit Umum Bhayangkara Brimob, Depok. Hasil: Dari 100 subjek, sebanyak 69 persen memiliki usia 20-34 tahun, 73 persen memiliki IMT >24,9 kg/m2, 36 persen memiliki paritas 1, dan 33 persen mengalami anemia. Ibu dengan anemia yang menjalani persalinan prematur adalah 16 persen dari keseluruhan ibu. Hasil uji analisis bivariat menunjukkan tidak ada hubungan bermakna antara anemia dan persalinan prematur dengan nilai p 0,832, 95%CI 0,397-2,103, OR 0,913. Kesimpulan: Tidak terdapat hubungan bermakna antara anemia dengan persalinan prematur di Kota Depok pada tahun 2021.

---

Introduction: Preterm birth is a term to describe a birth that takes place before the 37th week of gestational age. According to Indonesian Basic Health Research (Riset Kesehatan Dasar) 2018, the incidence of preterm birth in Indonesia is as high as 29.5% of live births. Preterm birth is one of the leading causes of neonatal mortality and one of many factors of long-term health complication of children. Anemia is a factor that could possibly increase the risk of preterm birth incidence. This study was conducted to determine the correlation between anemia and preterm birth incidence. Method: Case-control study was conducted using clinical record information of 100 subjects consisting of 50 women with preterm delivery and 50 women with term delivery at Rumah Sakit Umum Bhayangkara Brimob, Depok in year 2021. The number of samples was determined with consecutive sampling. The correlation between variables were then analyzed with the Chi-square test or Fisher’s exact test, if the assumptions for the Chi-square test were not met. Result: Within the 100 subjects studied, 69% were 20-34 years old, 73% had BMI >24,9 kg/m2, 36% were primiparous, and 33% had anemia in pregnancy. As many as 16% of the subjects had anemia in pregnancy and preterm deliveries. Bivariate analysis showed no significant correlation between anemia in pregnancy and preterm delivery (p=0.832; 95%CI: 0.397-2.103; OR=0.913) Conclusion: There is no significant correlation between anemia in pregnancy and preterm birth incidence in Depok in 2021."

"Tesis ini bertujuan untuk mengetahui pengaruh pemberian stimulasi auditorivisual-taktil-kinestetik terhadap perkembangan perilaku neonatus prematur di ruang perinatologi RSCM Jakarta. Penelitian ini adalah penelitian quasi experiment dengan disain one group pre and post test. Sampel penelitian berjumlah 18 responden. Hasil penelitian terdapat perbedaan yang signifikan antara perilaku neonatus prematur sebelum dan setelah diberi stimulasi (p = 0,0005). Hasil seleksi bivariat menunjukkan bahwa usia gestasi, berat badan lahir dan jenis kelamin bukan merupakan faktor perancu pada perilaku neonatus prematur setelah diberi stimulasi. Hipotesis berupa adanya pengaruh pemberian stimulasi auditori-visual-taktil-kinestetik terhadap perkembangan perilaku neonatus prematur dapat dibuktikan dalam penelitian ini.

---

This thesis aims to investigate the influence of stimulation of auditory-visualtactile-kinesthetic to the behaviour development of premature neonate. This study is a quasi-experimental research with one group pre and post test design. The samples were 18 respondents. The results there are significant differences between the behavior of preterm neonates before and after a given stimulation (p = 0.0005).

Bivariate selection results showed that gestational age, birth weight and gender is not a confounding factor in the premature neonate behavior after a given stimulation. The hypothesis of the existence of the effect of stimulation of auditory-visual-kinesthetic-tactile to the development of a premature neonate behavior could be demonstrated in this study."

"ABSTRAKAsfiksia Neonatorum Menurut Berat Badan Lahir Bayi BerdasarkanUsia Kehamilan Di RSIA Budi Kemuliaan Tahun 2017Pembimbing : dr. Asri Adisasmita MPH., M.Phil., Ph.DAsfiksia kelahiran adalah penyebab 23 dari semua kematian neonatal di seluruh dunia. Tiga perempat darisemua kematian bayi baru lahir disebabkan dari kondisi yang dapat dicegah dan diobati termasuk kejadianasfiksia. BBLR mempunyai risiko mengalami kegagalan nafas yang dapat menyebabkan asfiksia neonatorumnamun tidak semua bayi BBLR adalah prematuritas, sehubungan dengan hal tersebut diperkirakan sekitarsepertiga bayi berat lahir rendah sebenarnya adalah bayi aterm. Penelitian ini dikukan di RSIA Budi Kemuliaan,merupakan salah satu rumah sakit ibu dan anak swasta rujukan untuk proses kelahiran yang ada di Jakarta. Designpenelitian ini adalah kasus kontrol dengan menggunakan data rekam medik, jumlah kasus sanyak 120 dan kontrolsebanyak 240. Hasil analisis menunjukkan asfiksia neonatorum pada bayi BBLR cukup bulan memperlihatkannilai OR 2.17 0.88-5.37 dan risikonya meningkat pada bayi premature normal dan BBLR OR 4.69 CI 95 2.68-8.18 , ini berarti bahwa bayi prematur normal dan BBLR berisiko 4.69 kali untuk mengalami asfiksiadibanding dengan bayi yang beratnya normal.Kata kunci: Asfiksia Neonatorum, BBLR, Prematur.

---

ABSTRACT Asphyxia Neonatorum of Neonates Weight Base on Gestational Age in Mother andChild Hospital Budi Kemuliaan Jakarta 2017Asphyxia 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"

"Air Susu Ibu (ASI) merupakan sumber nutrisi utama bagi bayi baru lahir hingga usia minimal enam bulan. Pemberian ASI di awal kehidupan mampu meningkatkan tumbuh kembang, psikologis, dan imunitas bayi. World Health Organization menyatakan bahwa seluruh bayi, termasuk bayi prematur yang dirawat, harus diberikan ASI. Kondisi fisiologis bayi prematur serta lingkungan seringkali menyebabkan kesulitan dalam pemberian ASI dan ditambah dengan masa pandemi COVID-19. Pandemi menyebabkan layanan BFHI terganggu dan terjadi perubahan regulasi sebagai tindakan pencegahan dan perlindungan bagi bayi sakit. Proses pencapaian peran sebagai seorang ibu dikhawatirkan dipengaruhi oleh hal ini. Penting bagi ibu untuk tetap merasa dihargai dan diakui sebagai pengasuh utama dalam kehidupan bayinya. Penelitian ini dilakukan untuk menggali makna yang dalam terhadap pengalaman ibu dalam menyusui bayi prematur saat dirawat di ruang Perinatologi pada masa pandemi COVID-19. Desain kualitatif fenomenologi digunakan pada penelitian ini untuk melihat makna dari pengalaman sebelas ibu sebagai partisipan. Teknik pengumpulan data dilakukan dengan wawancara mendalam dan proses perekaman yang dilanjutkan dengan membuat verbatim. Verbatim diolah menggunakan protokol Moustakas hingga dihasilkan tiga tema. Tiga tema tersebut meliputi: (1) Pandemi membuat saya sulit bertemu bayi, (2) Menyusui itu tidak mudah, dan (3) Saya pemerah ASI. Pengalaman menyusui ibu yang memiliki bayi prematur dan harus dirawat di Perinatologi pada masa pandemi penuh dengan tantangan dan keterbatasan dukungan. Hasil penelitian ini merekomendasikan untuk dilakukan telaah ulang terhadap peraturan yang saat ini berlaku kemudian para staf diberikan pendidikan laktasi berkelanjutan agar mampu menyampaikan informasi kepada ibu dengan bayi prematur. Edukasi berbasis teknologi juga disarankan untuk mendukung ketercapaian informasi kepada para ibu.

---

Mother's Milk is the main source of nutrition for newborns up to six months of age. Breastfeeding in early life can improve the growth, psychology, and immunity of babies. The World Health Organization states that all infants, including premature infants, should be breastfed. The physiological condition of premature babies, the environment, and the COVID-19 pandemic can causes difficulties in breastfeeding. The pandemic caused BFHI to be disrupted and regulatory changes took place as a precaution and protection premature babies. The process of motherhood is influenced by this. It is important for the mother to feel valued and recognized as the primary caregiver in her baby's life. This study was conducted to explore the meaning of mothers’ experience in breastfeeding premature babies while being treated in the Perinatology room during the COVID-19 pandemic. The qualitative phenomenological design used in this study was described the meaning of eleven mothers’ experiences as participants. In-depth interviews were recorded and transcribed verbatim. Verbatim was processed using the Moustakas protocol and three themes were identified. The three themes include: (1) The pandemic has made it difficult for me to meet babies, (2) Breastfeeding is not easy, and (3) I am a milk expressions’ mother The breastfeeding experience of having a premature baby and having to be cared for in a Perinatology during a pandemic is full of challenges and limited support. The results of this study recommend that a review of the current regulations be carried out and then the staff should be given continuing lactation education in order to convey information to mothers with premature babies. Technology-based education is also recommended to support the achievement of information to mothers"

"Salah satu penyebab utama kematian pada neonatal di Indonesia disebabkan oleh kelahiran prematur. Tujuan penelitian ini adalah untuk mengetahui determinan kejadian kelahiran prematur di Indonesia. Data berasal dari Riset Kesehatan Dasar Indonesia 2018 dengan menggunakan desain studi potong lintang. Sampel terdiri dari 72.602 anggota rumah tangga perempuan berusia 10-54 tahun dengan status kawin/cerai hidup/cerai mati yang pernah bersalin dan memiliki anak hidup. Analisis menggunakan model uji regresi logistik. Hasil penelitian ini menemukan prevalensi kelahiran prematur di Indonesia sebesar 33%. Hasil penelitian juga menemukan terdapat hubungan antara faktor iatrogenik yaitu preeklampsia (aOR: 1,71; 95% CI: 1,22-2,38), perdarahan antepartum (aOR: 1,39; 95% CI: 1,23-1,57), dan plasenta previa (aOR: 1,30; 95% CI: 1,07-1,57), faktor maternal yaitu frekuensi kunjungan antenatal care (aOR: 1,56; 95% CI: 1,50-1,62) dan kehamilan kembar (aOR: 1,56; 95% CI: 1,33-1,82), faktor riwayat reproduksi ibu yaitu paritas (aOR: 1,07; 95% CI: 1,03-1,11), faktor penyakit dan keadaan kehamilan yaitu hipertensi (aOR: 1,26; 95% CI:1,16-1,37) dan hidromnion (aOR: 1,34; 95% CI: 1,22-1,46), serta faktor sosiodemografi yaitu usia ibu (aOR: 1,04; 95% CI:1,00-1,08) dan daerah tempat tinggal (aOR: 1,21; 95% CI:1,17-1,25). Diharapkan pemangku kebijakan dapat mempertimbangkan faktor-faktor tersebut dalam menurunkan prevalensi kejadian kelahiran prematur di Indonesia.

---

One of the main causes of neonatal death in Indonesia is preterm birth. This study aimed to determine the risk factors of preterm birth in Indonesia. Data were obtained from the Indonesia Basic Health Research (Riskesdas) 2018 and a cross-sectional design was used. The sample consisted of 72,602 female household members aged 10-54 years with married/divorced status who had given birth and had living children. The logistic regression model was used in the analysis. This study found that the prevalence of preterm birth in Indonesia was 33%. The results showed that there was a relationship between iatrogenic factors e.g., preeclampsia (aOR: 1,71; 95% CI: 1,22-2,38), antepartum hemorrhage (aOR: 1,39; 95% CI: 1,23-1,57), and placenta previa (aOR: 1,30; 95% CI: 1,07-1,57), maternal factors e.g., frequency of ANC visits (aOR: 1,56; 95% CI: 1,50-1,62 ) and twin pregnancy (aOR: 1,56; 95% CI: (1,33-1,82), maternal reproductive history factor, namely parity (aOR: 1,07; 95% CI: 1,03-1,11), disease factors and pregnancy conditions, namely hypertension (aOR: 1,26; 95% CI: 1,16-1,37) and hydromnios (aOR: 1,34; 95% CI: 1,22-1,46), as well as sociodemographic factors e.g., maternal age (aOR: 1,04; 95% CI: 1,00-1,08) and area of residence (aOR: 1,21; 95% CI: 1,17-1,25) Therefore, policy makers should consider these factors to reduce the prevalence of premature births in Indonesia."

"Tujuan Millennium Development Goals keempat adalah menurunkan angka kematian bayi baru lahir. Ibu yang tidak percaya diri menghambat pertumbuhan dan perkembangan bayi tersebut. Penelitian fenomenologi pada Sembilan partisipan ini bertujuan memperoleh gambaran tentang pengalaman ibu merawat bayi prematur di rumah. Pengumpulan data menggunakan indepth interview. Hasil analisa tematik didapatkan tujuh tema yaitu kondisi stres ibu terhadap penampilan bayi, kekhususan merawat bayi, dukungan terhadap ibu, kesulitan yang dialami ketika merawat bayi, kebahagiaan merawat bayi, kebutuhan ibu merawat bayi, dan harapan ibu dengan bayi prematur. Disarankan ibu mendapat dukungan sosial selama merawat bayi prematur dirumah dan penelitian lebih lanjut terkait dengan stres dan koping pada ibu dengan bayi prematur.

---

The fourth goal of Millennium Development Goals is to reduce mortality of newborns. Mothers who do not feel confident in caring the babies will hamper the growth and development of the babies. This study is phenomenological on the nine participants. This study aims to gain an overview of the experience of mothers in caring premature babies at home. Data were collected using indepth interviews. The results of thematic analysis got seven themes, namely the mother's stress on the appearance of the baby, specificity for babies care, support to mothers, the difficulties experienced when caring for babies, the joy of caring for babies, premature baby care needs, and expectations of mothers to the premature baby. Recommended for mothers to have social support in caring for a premature baby at home. The further researches related to stress and coping in mothers with premature babies are needed."

"[ABSTRAKBayi prematur dapat mengalami hambatan kenaikan berat badan yang disebabkan oleh usia gestasi, penyakit penyerta, dan pengalaman nyeri atau stres. Hambatan kenaikan berat badan dapat diatasi dengan asuhan keperawatan yang tepat dalam pemenuhan kebutuhan nutrisi pada bayi prematur. Asuhan keperawatan dengan Model Konservasi Levine telah digunakan pada aplikasi praktik residensi di Ruang Neonatus Rumah Sakit Cipto Mangunkusumo dalam menganalisis kenaikan berat badan bayi prematur pada lima kasus terpilih mulai dari Bulan Maret-Mei tahun 2015. Analisis kasus didapatkan dari tahap pengkajian, tropikognosis, hipotesis, intervensi, dan evaluasi. Tropikognosis yang telah teridentifikasi yaitu risiko gangguan pemenuhan kebutuhan nutrisi. Intervensi telah dilakukan berdasarkan prinsip konservasi dan hasil evaluasinya yaitu bayi prematur mengalami kenaikan berat badan dengan konservasi energi. Kenaikan berat badan pada bayi prematur menunjukkan keberhasilan dari penerapan asuhan keperawatan berbasis Model Konservasi Levine.

---

ABSTRACTThe preterm infant can has an obstacle of increasing weight which is caused by gestational age, health problems which followed and pain/ stress experience. The obstacle of increasing weight can be handled with giving nursing care in proper nutrition needs. Nursing care with Levine?s Conservation Model has been applied in residence practice application in neonates wards Cipto Mangunkusumo hospital to analyze increasing weight of preterm infant in five selected cases start from March until May 2015. Case analyze is founded from assessment, trophicognosis, hypothesis, intervention, and evaluation. Trophicognosis which identified was disturbance risk in fullfil nutrition needs. Intervention were done based on conservation principle and the result of evaluation that preterm infant has increasing weight with energy conservation. Increasing weight in preterm infant showed a successful application of nursing care based on Levine?s Conservation Model. ;The preterm infant can has an obstacle of increasing weight which is caused by gestational age, health problems which followed and pain/ stress experience. The obstacle of increasing weight can be handled with giving nursing care in proper nutrition needs. Nursing care with Levine?s Conservation Model has been applied in residence practice application in neonates wards Cipto Mangunkusumo hospital to analyze increasing weight of preterm infant in five selected cases start from March until May 2015. Case analyze is founded from assessment, trophicognosis, hypothesis, intervention, and evaluation. Trophicognosis which identified was disturbance risk in fullfil nutrition needs. Intervention were done based on conservation principle and the result of evaluation that preterm infant has increasing weight with energy conservation. Increasing weight in preterm infant showed a successful application of nursing care based on Levine?s Conservation Model. , The preterm infant can has an obstacle of increasing weight which is caused by gestational age, health problems which followed and pain/ stress experience. The obstacle of increasing weight can be handled with giving nursing care in proper nutrition needs. Nursing care with Levine’s Conservation Model has been applied in residence practice application in neonates wards Cipto Mangunkusumo hospital to analyze increasing weight of preterm infant in five selected cases start from March until May 2015. Case analyze is founded from assessment, trophicognosis, hypothesis, intervention, and evaluation. Trophicognosis which identified was disturbance risk in fullfil nutrition needs. Intervention were done based on conservation principle and the result of evaluation that preterm infant has increasing weight with energy conservation. Increasing weight in preterm infant showed a successful application of nursing care based on Levine’s Conservation Model. ]"

"ABSTRAKDisertasi ini membahas pengaruh asfiksia pada bayi prematur terhadap kualitas hidup anak usia 2-4 tahun, dengan desain kohort retrospektif. Data asfiksia diperoleh dari catatan medik RSUP Dr. Sardjito, sedangkan kualitas hidup anak dinilai menggunakan PedsQL. Analisis data menggunakan regresi cox.Hasil penelitian menunjukkan ada pengaruh asfiksia terhadap kualitas hidup anak dengan RR: 2,2 (CI: 1.19-4.08). Asfiksia berpengaruh pada fungsi fisik dengan RR: 2,4 (CI: 1.33-4.36) dan fungsi sosial RR: 2,4 (CI: 1.36-4.15) tetapi tidak bermakna pada fungsi emosi RR: 1.4 (CI: 0.86-2.29) dan fungsi sekolah RR: 1.2 (CI: 0.63-2.31).

---

ABSTRACT

This dissertation discusses the association of asphyxia in premature infants to the quality of life of children aged 2-4 years with retrospective cohort design. Asphyxia data were obtained from the medical records of Dr. Sardjito hospital, while the quality of life of children data were assessed using PedsQL. Data were analyzed using Cox regression.

The results of study showed strong association of asphyxia to the quality of life of children with RR: 2.2 (CI: 1:19 to 4:08). Risk of asphyxia effects on physical function was RR: 2.4 (CI: 1:33 to 4:36) and on social functioning was RR: 2.4 (CI: 1:36 to 4:15). However, the risk was not significant to the emotional function with RR: 1.4 (CI: 0.86-2.29 ) and school functions RR: 1.2 (CI: 0.63-2.31)."

"Persalinan prematur definisi adalah persalinan prematur adalah persalinan masa kehamilan kurang dari 37 minggu (WHO, 1993), penelitian Rooney B & Calhoun B.C, (2003) menjelaskan bahwa prematur terjadi masa kehamilan antara 20 minggu sampai kurang 37 minggu.Penelitian dilakukan untuk mengetahui risiko penyakit periodontal terhadap kejadian persalinan prematur berdasarkan pemeriksaan klinis, antara lain Level perlekatan klinis (Clinical Attachment Level/CAL), Periodontal poket dalam (Periodontal Pocket in Depth/PPD), Perdarahan probing (Bleeding on Probing/BOP) dan mengetahui ibu hamil menderita penyakit periodontal lebih berisiko terjadi persalinan prematur daripada tidak menderita penyakit periodontal.Penelitian observasional dengan disain kasus kontrol yang dilakukan di fasilitas kesehatan (hospital based). Penelitian dilaksanakan pada beberapa rumah sakit di Pontianak seperti RSUD dr Soedarso, RSIA Anugrah Bunda Khatulistiwa, RSIA Jeumpa dan RS Kharitas Bakti. Besar sampel minimal dalam penelitian dengan kasus 87 responden dan kontrol 98 responden, pengumpulan data dilakukan bulan agustus 2014 s/d mei 2015.Hasil penelitian diperoleh bahwa proporsi penyakit periodontal dengan persalinan prematur sebesar 71,40% dan pada persalinan aterm 49,00%. Sedangkan proporsi yang tidak menderita penyakit periodontal dengan persalinan prematur 28,60%, pada persalinan aterm 51,00%. Penyakit periodontal berhubungan bermakna dengan resiko 2,4 lebih besar dibandingkan tidak menderita penyakit periodontal. Sebagai konfonder berhubungan bermakna antara lain faktor resiko ANC dan Pekerjaan.Saran penelitian ini, ibu hamil dapat melakukan pemeriksaan penyakit periodontal pada tata laksana ANC baik pada pelayanan dasar maupun rujukan pada ibu hamil.

---

Preterm labor is the definition of preterm labor is labor gestation less than 37 weeks (WHO, 1993), research Rooney B.C B & Calhoun (2003) explain that premature occur between 20 weeks gestation until less than 37 weeks.The study was conducted to determine the risk of periodontal disease on the incidence of preterm birth based on clinical examination, including Clinical Attachment Level (CAL), Periodontal Pocket in Depth (PPD), Bleeding on Probing (BOP) that pregnant women suffer from periodontal disease is a risk of premature delivery than not suffer from periodontal disease.Observational study with case control design conducted in health facilities (hospital based). The experiment was conducted at several hospitals in Singapore as dr Soedarso, RSIA Anugrah Mother Equator, RSIA JEUMPA and RS Kharitas Bakti. Minimum sample size in the study with the case of 87 respondents and 98 control respondents, data collection conducted in August 2014 s / d of May, 2015.The result showed that the proportion of periodontal disease and preterm labor at 71.40% and 49.00% of term deliveries. While the proportion who do not suffer from periodontal disease and preterm labor 28.60%, 51.00% in labor at term. Periodontal disease significantly associated with the risk greater than 2.4 do not suffer from periodontal disease. As confounder significant relationship between other risk factors ANC and Employment.Suggestion of this study, pregnant women can conduct examination of periodontal disease in ANC governance both at primary and referral services to pregnant women."