[ABSTRAK
Pendahuluan : Prediksi persalinan preterm penting untuk menunda terjadinyakelahiran preterm dan merujuk ke fasilitas dengan perawatan neonatal intensif.Hal ini penting guna menurunkan mortalitas dan morbiditas neonatal. Beberapametode untuk memprediksi persalinan preterm adalah menggunakan prediksiklinis yaitu indeks persalinan preterm atau prediksi biofisik dengan mengukurpanjang servik.Tujuan: Membandingkan nilai risiko indeks persalinan preterm dan panjangservik terhadap kejadian kelahiran preterm pada kasus persalinan preterm tanpaketuban pecah.Metode: Desain penelitian ini adalah case- control menggunakan data dari rekammedis, dilakukan di RS Dr. Cipto Mangunkusumo sejak Agustus 2013 ? Februari2014. Semua pasien persalinan preterm tanpa ketuban pecah pada periode tersebutditelusuri. Dilakukan pengamatan data demografik dan klinis, setelah itudilakukan penilaian indeks persalinan preterm dan panjang servik. Kemudianselanjutnya pasien ditentukan apakah mengalami kelahiran preterm atau tidakHasil: Dari bulan Agustus 2013 ? Februari 2014 terdapat 127 kasus persalinanpreterm tanpa ketuban pecah, tetapi hanya 57 subjek penelitian yang memenuhikriteria inklusi dan eksklusi. Karakteristik demografik dan klinis pada kelompokindeks persalinan preterm dan panjang servik tidak berbeda bermakna saat dibandingkan. Duapuluh dari 57 subjek mengalami kelahiran preterm (35.1%).Dari hasil analisis bivariat, variabel yang bermakna mempengaruhi kejadiankelahiran pretem adalah indeks persalinan preterm dan panjang servik. Pasiendengan indeks persalinan preterm ≥ 4 memiliki kemungkinan 4 kali lipat (OR =4,024) untuk mengalami kelahiran preterm. Sementara itu, pasien dengan panjangserviks ≤ 25 mm memiliki kemungkinan hingga 38 kali lipat (OR = 38,00) untukmengalami kelahiran preterm.Kesimpulan : Indeks persalinan preterm dan panjang servik merupakan variabelyang baik untuk menilai risiko terjadinya kelahiran preterm pada persalinanpreterm tanpa ketuban pecah.
ABSTRACT
Introduction : Prediction of preterm labor is important to delay the incident ofpreterm birth and refers to the facility with a neonatal intensive care. It isimportant to reduce neonatal mortality and morbidity. Several methods forpredicting preterm labor are using clinical prediction : preterm labor index orbiophysical prediction with measurement cervical length.Objectives : comparing risk value of preterm labor index to cervical length onpreterm birth incident in preterm labor without rupture of membrane casesMethods : the research was a case control study using data from medical recordsin Dr. Cipto Mangunkusumo hospital since August 2013 ? February 2014. Allpreterm labor without rupture of membrane cases were traced. Demographic andclinical data were observed. After that preterm labor index and cervical lengthwere assessed. Then patients were determined whether they had experiencedpreterm birth or not.Results : From August 2013 - February 2014 there were 127 cases of pretermlabor without rupture of membrane, but only 57 research subjects who meet theinclusion and exclusion criteria. The demographic and clinical characteristics ofthe index group of preterm labor and cervical length did not differ significantlywhen compared. Twenty from 57 subjects were experience preterm birth (35.1%).From the results of the bivariate analysis, the variables that significantly affectthe incidence of preterm birth are preterm labor index and cervical length Patients with preterm labor index ≥ 4 has a possibility of 4-fold (OR = 4.024) toexperience preterm birth. Meanwhile, patients with a cervical length ≤ 25 mmhave the possibility of up to 38-fold (OR = 38.00) to experience preterm birth.Conclusions : Preterm labor index and cervical length is a good variable forassessing the risk of preterm birth in preterm labor without rupture of membranecases;Introduction : Prediction of preterm labor is important to delay the incident ofpreterm birth and refers to the facility with a neonatal intensive care. It isimportant to reduce neonatal mortality and morbidity. Several methods forpredicting preterm labor are using clinical prediction : preterm labor index orbiophysical prediction with measurement cervical length.Objectives : comparing risk value of preterm labor index to cervical length onpreterm birth incident in preterm labor without rupture of membrane casesMethods : the research was a case control study using data from medical recordsin Dr. Cipto Mangunkusumo hospital since August 2013 ? February 2014. Allpreterm labor without rupture of membrane cases were traced. Demographic andclinical data were observed. After that preterm labor index and cervical lengthwere assessed. Then patients were determined whether they had experiencedpreterm birth or not.Results : From August 2013 - February 2014 there were 127 cases of pretermlabor without rupture of membrane, but only 57 research subjects who meet theinclusion and exclusion criteria. The demographic and clinical characteristics ofthe index group of preterm labor and cervical length did not differ significantlywhen compared. Twenty from 57 subjects were experience preterm birth (35.1%).From the results of the bivariate analysis, the variables that significantly affectthe incidence of preterm birth are preterm labor index and cervical length Patients with preterm labor index ≥ 4 has a possibility of 4-fold (OR = 4.024) toexperience preterm birth. Meanwhile, patients with a cervical length ≤ 25 mmhave the possibility of up to 38-fold (OR = 38.00) to experience preterm birth.Conclusions : Preterm labor index and cervical length is a good variable forassessing the risk of preterm birth in preterm labor without rupture of membranecases, Introduction : Prediction of preterm labor is important to delay the incident ofpreterm birth and refers to the facility with a neonatal intensive care. It isimportant to reduce neonatal mortality and morbidity. Several methods forpredicting preterm labor are using clinical prediction : preterm labor index orbiophysical prediction with measurement cervical length.Objectives : comparing risk value of preterm labor index to cervical length onpreterm birth incident in preterm labor without rupture of membrane casesMethods : the research was a case control study using data from medical recordsin Dr. Cipto Mangunkusumo hospital since August 2013 ? February 2014. Allpreterm labor without rupture of membrane cases were traced. Demographic andclinical data were observed. After that preterm labor index and cervical lengthwere assessed. Then patients were determined whether they had experiencedpreterm birth or not.Results : From August 2013 - February 2014 there were 127 cases of pretermlabor without rupture of membrane, but only 57 research subjects who meet theinclusion and exclusion criteria. The demographic and clinical characteristics ofthe index group of preterm labor and cervical length did not differ significantlywhen compared. Twenty from 57 subjects were experience preterm birth (35.1%).From the results of the bivariate analysis, the variables that significantly affectthe incidence of preterm birth are preterm labor index and cervical length Patients with preterm labor index ≥ 4 has a possibility of 4-fold (OR = 4.024) toexperience preterm birth. Meanwhile, patients with a cervical length ≤ 25 mmhave the possibility of up to 38-fold (OR = 38.00) to experience preterm birth.Conclusions : Preterm labor index and cervical length is a good variable forassessing the risk of preterm birth in preterm labor without rupture of membranecases] |
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