scholarly journals Hubungan faktor perinatal dan neonatal terhadap kejadian ikterus neonatorum

2018 ◽  
Vol 5 (2) ◽  
pp. 083-089
Author(s):  
Dwi Yuliawati ◽  
Reni Yuli Astutik

Abstract: Neonatal jaundice is the cause of 6.6% of newborns aged 0-8 days in Indonesia. Jaundice can be physiological and pathological which can cause persistent or death disorders. The aim of the study is to determine the relationship between perinatal and neonatal factors with the incidence of neonatal jaundice in the District Hospital of Kediri. The research design is a correlation with a retrospective cohort approach. The research sample consisted of 54 respondents using simple random sampling. Data collection with medical record in October 2017. Data analysis using Chi-Square test and Fisher Exact test. Test results showed that there was a relationship between birth weight (p = 0.018; POR 0.085 95% CI 0.10-0.713), gestational age (p = 0.044; POR = 0.202 95% CI 0.049-0.836), perinatal complications (p = 0,031; POR = 4,714 95% CI 1,250-17,784) with the incidence of neonatal jaundice and there was no correlation between gender (p = 0,441; POR = 0,503 95% CI 0,143-1,767) with the incidence of neonatal jaundice in RSUD Kediri. The absence of sex relations with the incidence of neonatal jaundice is probably due to other factors that are more influential. Conditions of low birth weight, prematurity, male sex, perinatal complications (asphyxia / sepsis / cephalhematom) lead to the occurrence of patho- logical jaundice in infants..Keywords: Birth weight, gestational age, perinatal complications, gender, neonatal jaundiceAbstrak: Ikterus neonatorum adalah penyebab 6,6% bayi baru lahir usia 0-8 hari di Indonesia. Ikterus dapat bersifat fisiologis dan patologis yang dapat menimbulkan gangguan menetap atau kematian Tujuan penelitian yaitu mengetahui hubungan faktor perinatal dan neonatal dengan kejadian ikterus neonatorum di RSUD Kabupaten Kediri. Desain penelitian yaitu korelasi dengan pendekatan kohort retrospektif. Sampel penelitian sebanyak 54 responden menggunakan simple random sampling. Pengumpulan data dengan rekam medik pada bulan Oktober 2017. Analisa data menggunakan uji Chi-Square dan Fisher Exact test. Hasil uji didapatkan terdapat hubungan antara berat lahir (p= 0,018; POR 0,085 95% CI 0,10-0,713), usia gestasi (p= 0,044; POR= 0,202 95% CI 0,049-0,836), komplikasi perinatal (p= 0,031; POR= 4,714 95% CI 1,250-17,784) dengan kejadian ikterus neonatorum dan tidak terdapat hubungan antara jenis kelamin (p=0,441; POR=0,503 95% CI 0,143-1,767) dengan kejadian ikterus neonatorum di RSUD Kabupaten Kediri. Tidak adanya hubungan jenis kelamin dengan kejadian ikterus neonatorum kemungkinan disebabkan adanya faktor lain yang lebih berpengaruh. Kondisi BBLR, prematuritas, jenis kelamin laki-laki, komplikasi perinatal (asfiksia/sepsis/sefalhematom) mengarah pada terjadinya ikterus patologis pada bayi.Kata kunci: Berat lahir, usia gestasi, komplikasi perinatal, jenis kelamin, ikterus neonatorum

2020 ◽  
Vol 11 (1) ◽  
pp. 115
Author(s):  
Muhasidah Muhasidah ◽  
Herman Djewarut ◽  
Sumira Sumira ◽  
Nuraeni Jalil

ABSTRACTThe influence of preeclampsis in pregnant women varies from mild hypertension, severe hypertension or hypertensive crisis, eclampsia to HELLP syndrome (Hemolysis, Elevated Liver Enzyme, Low Platelet), the condition of this severe preeclampsy can occur in ± 1 per 1000 pregnancies. While the impact of this disorder on the fetus also varies from premature birth, obstructed fetal growth that can occur in 1 of 3 cases of preeclampsi to fetal death. This study aims to determine the preeclampsia relationship with the genesis of low birth weight babies. Type of retrospective research, with a cross sectional study draft. The number of samples in this study was 47 people obtained using Simple Random Sampling according to the criteria of the preset sample. Test analysis using the Chi Square Test statistical analysis (Chi squared) based on Pearson Correlation Chi Square with the provisions of Interval Confidence (confidence level) 95%, Probability (fault tolerance) 5% (α = 0.05). The results showed a preeclampsia relationship with the low birth weight incident. Acquired ρ-value value of 0.002 smaller than α = 0.05. It is expected for mothers with preeclampts should routinely be checked in to nearby medical personnel to be taken steps-prevention of preeclampsia. Keywords : LBBW, Mom, Pre-eclampsia ABSTRAK Pengaruh preeklampsi pada ibu hamil bervariasi dari hipertensi ringan, hipertensi berat atau krisis hipertensi, eklampsia sampai sindroma HELLP (Hemolysis, Elevated Liver Enzyme, Low Platelet), kondisi preeklampsi berat ini dapat terjadi pada ±1 per 1000 kehamilan. Sedangkan dampak kelainan ini pada janin juga bervariasi dari kelahiran prematur, pertumbuhan janin terhambat yang dapat terjadi pada 1 dari 3 kasus preeklampsi sampai kematian janin. Penelitian ini bertujuan untuk mengetahui Hubungan Preeklampsia dengan Kejadian Bayi Berat Lahir Rendah. Jenis penelitian retrospektif, dengan rancangan cross sectional study. Jumlah sampel dalam penelitian ini adalah sebanyak 47 orang yang didapatkan dengan menggunakan Simple Random Sampling sesuai dengan kriteria sampel yang telah ditetapkan. Analisis uji menggunakan analisis statistik Chi Square Test (Chi Kuadrat) berdasarkan Pearson Correlation Chi Square dengan ketentuan Interval Confidence (taraf keyakinan) 95%, Probability (toleransi kesalahan) 5% (α = 0,05). Hasil penelitian menunjukkan terdapat hubungan Preeklampsia dengan Kejadian Berat  Badan Lahir Rendah. Diperoleh nilai -value sebesar 0,002 yang lebih kecil dari α = 0,05. Diharapkan bagi ibu dengan preeklampsi hendaknya rutin memeriksakan diri ke tenaga medis terdekat agar dapat diambil langkah – langkah pencegahan terjadinya preeklampsia. Kata kunci : BBLR, Ibu, Pre-eklampsia


2018 ◽  
Vol 10 (2) ◽  
Author(s):  
Ajeng Ayu M.Jannah ◽  
Mahalul Azam

ABSTRAKStroke merupakan penyebab kematian terbesar di dunia. Selain sebagai penyebab kematian juga menyebabkan kelumpuhan. Rehabilitasi medik menjadi sangat penting bagi penderita stroke agar dapat kembali normal atau meminimalkan cacat yang mungkin terjadi. Tujuan dari penelitian adalah untuk mengetahui faktor-faktor yang berhubungan dengan kepatuhan menjalani rehabilitasi medik pada pasien stroke di RSI Sunan Kudus. Jenis penelitian ini adalah survei analitik dengan pendekatan cross sectional. Jumlah sampelnya adalah 40 diambil dengan teknik simple random sampling. Data dianalisis dengan uji validitas dan reliabilitas dan analisis hipotesis penelitian menggunakan chi square test dan Fisher’s Exact test. Hasil penelitian menunjukkan bahwa faktor yang berhubungan dengan kepatuhan menjalani rehabilitasi medik pada pasien stroke adalah motivasi pasien  (p=0,017) dan dukungan keluarga  (p=0,001). Faktor yang tidak berhubungan dengan kepatuhan menjalani rehabilitasi medik pada pasien stroke adalah pengetahuan keluarga  (p=0,442), penghasilan (p=0,664), keterjangkauan akses  (p=0,726 ), status serangan  (p=1,000 ), serta pelayanan petugas kesehatan  (p=0,712). Saran yang diberikan khususnya bagi tenaga kesehatan bagian rehabilitasi medik agar lebih mendukung dalam memberikan informasi mengenai hal-hal yang terkait dengan stroke dan pentingnya rehabilitasi medik bagi pasien stroke.


2018 ◽  
Vol 24 (3) ◽  
pp. 124
Author(s):  
Mert Turgal ◽  
Banu Seven ◽  
Bilal Icer ◽  
Ismail Burak Gultekin ◽  
Tuncay Kucukozkan

<p><strong>Objective:</strong> Aim of this study was to compare the maternal and neonatal outcomes between adolescent multiparas and adults.</p><p><strong>Study Design:</strong> This retrospective cohort study included over 11 years and singleton multiparous pregnancies from women less than 29 years admitted for delivery after 22nd gestational weeks in tertiary educational hospital. All of patients were divided into two groups as adolescent multipara (under 18 years) and control (19-29 years). Pregnancy outcome and perinatal complications were evaluated. Mann-Whitney U-test, Independent sample t test, Pearson Chi-square test and Fisher Exact test were used for statistical analyses.</p><p><strong>Results:</strong> Gestational week at delivery was significantly lower in adolescent multipara group (38.37 ± 2.17) than control group (38.79 ± 1.684) (p=0.014). Preterm birth rate (12.6%) and postpartum hemorrhage (5.7%) were higher in the adolescent multipara group than in controls as to be statistically significant. The cesarean delivery rate and other pregnancy complications such as diabetes mellitus, preeclampsia, intrauterine growth restriction, oligohydramnios, polyhydramnios, and placental abruption were similar with controls.</p><p><strong>Conclusion:</strong> In conclusion, adolescent multipara pregnancies were associated with higher risks of adverse pregnancy outcomes, in particular preterm birth, lower birthweight and postpartum hemorrhage.</p>


2014 ◽  
Vol 132 (2) ◽  
pp. 85-91 ◽  
Author(s):  
Eduardo Gonçalves ◽  
Luciano Sólia Násser ◽  
Daniella Reis Martelli ◽  
Isadora Ramos Alkmim ◽  
Thalita Veloso Mourão ◽  
...  

CONTEXT AND OBJECTIVE: Retinopathy of prematurity (ROP) is a known cause of blindness in which diagnosis and timely treatment can prevent serious harm to the child. This study aimed to evaluate the incidence of ROP and its association with known risk factors. DESIGN AND SETTING: Longitudinal incidence study in the neonatal intensive care unit (NICU) of Universidade Estadual de Montes Claros. METHODS: Newborns admitted to the NICU with gestational age less than 32 weeks and/or birth weight less than 1,500 grams, were followed up over a two-year period. The assessment and diagnosis of ROP were defined in accordance with a national protocol. The chi-square test or Fisher's exact test were used to determine associations between independent variables and ROP. Analysis on the independent effect of the variables on the results was performed using multiple logistic regression. RESULTS: The incidence of ROP was 44.5% (95% confidence interval, CI = 35.6-46.1) in the study population. The risk factors associated with the risk of developing the disease were: birth weight less than 1,000 grams (odds ratio, OR = 4.14; 95% CI = 1.34-12.77); gestational age less than 30 weeks (OR = 6.69; 95% CI = 2.10-21.31); use of blood derivatives (OR = 4.14; 95% CI = 2.99-8.99); and presence of sepsis (OR = 1.99; 95% CI = 1.45-2.40). CONCLUSIONS: The incidence of ROP was higher than that found in the literature. The main risk factors were related to extreme prematurity. CONTEXTO E OBJETIVO: A retinopatia da prematuridade (ROP) é causa conhecida de cegueira e diagnóstico e tratamento oportunos podem evitar graves danos à criança. Este estudo objetivou avaliar a incidência da ROP e sua associação com fatores de risco conhecidos.


2020 ◽  
Vol 4 (2) ◽  
pp. 163-171
Author(s):  
Dadan Ramadhan ◽  
Lilies Setiartiti

This research is quantitative. The population of this research was all of Micro Enterprises in Kulon Progo Regency. The sample of this research were 156 micro-entrepreneurs in the Kulonprogo district. This research used a simple random sampling technique to get the data. The researcher used a questionnaire as the instrument, which tested both its validity and its reliability. The data analysis technique used in this research is the Chi-Square test. The result showed, the majority of respondents had knowledge (79,5%), and the ability of financial literacy (80,8%) was categorized in the high-level category. There was a no different level of financial literacy for the micro-entrepreneur in Kulon Progo Regency based on the gender.


2019 ◽  
Vol 28 (1) ◽  
pp. 57-62 ◽  
Author(s):  
Rima Irwinda ◽  
Budi Iman Santoso ◽  
Raymond Surya ◽  
Lidia Firmiaty Nembo

BACKGROUND Pregnancy-induced hypertension (PIH) causes high maternal morbidity and mortality worldwide. This study aims to assess the impact of PIH on fetal growth according to gestational age in preterm deliveries.METHODS A prospective cohort study using secondary data was undertaken in Ende District, East Nusa Tenggara, Indonesia from September 2014 to August 2015. The t-test was performed to compare mean birth weight based on gestational week between normotensive and PIH women, continued by linear regression. The chi-square or Fisher exact test was also conducted to determine the probability of birthing small for the gestational age (SGA) and large for gestational age (LGA) babies between normotensive and PIH women.RESULTS A total of 1,673 deliveries were recorded in Ende Hospital over the 1-year study period, among which 182 cases involved preterm births. The PIH group had lower birth weight than normotensive women at each gestational age starting from 32–35 weeks (p=0.004; 95% CI 150.84–771.36). Normotensive women at gestational ages of 32 (p=0.05; 95% CI 0.01–0.83), 34 (p=0.37; 95% CI 0.01–4.12), and 36 (p=0.31; 95% CI 0.02–2.95) weeks had a lower risk of birthing SGA babies than PIH women; LGA babies were recorded at gestational ages of 33 (p=1.00; 95% CI 0.07–37.73) and 35 (p=0.31; 95% CI 0.34–63.07) weeks.CONCLUSIONS Poor perfusion of the uteroplacental is one of the reasons behind intrauterine growth restriction, which results in SGA babies born to PIH women.


2016 ◽  
Vol 4 (3) ◽  
pp. 365-371
Author(s):  
Sabita Subedi ◽  
Meera Prajapati ◽  
Bhojan Dhakal

A cross sectional study was conducted in Eastern and Western parts of Chitwan district from November 2015 to April, 2016  in two parts, the social study followed by biological to determine and compare the prevalence, distribution of antibodies, and level of awareness of farmers  against Brucella abortus in cattle of the two regions of same district. Altogether blood samples of 92 cattle were taken for detection of Brucella antibodies by using RBPT test and the positive samples were further retested by Indirect ELISA test through ID Vet iELISA kit 2016. The samples which showed positive on both tests were confirmed as seropositive. Chi -square test and Fisher Exact test was used to find out the association between various variables. The result showed that 14.13% (13/92) and 10.86% (10/92) sample were positive by RBPT and iELISA test respectively. There was no significant prevalence differences (p>0.05) on location, age group, breed type, and method of service (artificial and natural) used in cattle. Comparing abortion with prevalence of Brucellosis, there was significant differences (p<0.05) in the result of both RBPT and iELISA test. Inferring from this result, there is association between the abortion and occurrence of Brucellosis. The higher significant prevalence differences (p<0.01) was according to the time of abortion where higher seropositivity was obtained in the cattle aborted on 5-7th month of pregnancy and cattle of 3rd parity. The study showed the existence of Brucellosis in Chitwan district with no adoption of any preventive measures against this disease, so here is current need of the strategies for its prevention and control in order to mitigate such overwhelming situation.Int J Appl Sci Biotechnol, Vol 4(3): 365-371


2006 ◽  
Vol 43 (4) ◽  
pp. 435-441 ◽  
Author(s):  
Deborah A. Driscoll ◽  
Torrey Boland ◽  
Beverly S. Emanuel ◽  
Richard E. Kirschner ◽  
Don LaRossa ◽  
...  

Objective To evaluate potential modifiers of the palatal phenotype in individuals with the 22q11.2 deletion syndrome. Design Data from 356 subjects enrolled in a study of the 22q11.2 deletion syndrome were used to evaluate potential modifiers of the palatal phenotype. Specifically, subjects with and without velopharyngeal inadequacy and/or structural malformations of the palate were compared with respect to gender, race, and genotype for variants of seven genes that may influence palatal development. Methods The chi-square test or Fisher exact test was used to evaluate the association between palatal phenotype and each potential modifier. Odds ratios and their associated 95% confidence intervals were used to measure the magnitude of the association between palatal phenotype, subject gender and race, and each of the bi-allelic variants. Results The palatal phenotype observed in individuals with the 22q11.2 deletion syndrome was significantly associated with both gender and race. In addition, there was tentative evidence that the palatal phenotype may be influenced by variation within the gene that encodes methionine synthase. Conclusions Variation in the palatal phenotype observed between individuals with the 22q11.2 deletion syndrome may be related to personal characteristics such as gender and race as well as variation within genes that reside outside of the 22q11.2 region.


2018 ◽  
Vol 2 (3) ◽  
pp. 237
Author(s):  
Aditya Faisal Rakhman ◽  
Taufiqurrahman Taufiqurrahman

Background: Wasting prevalence in Indonesia is never been decreased for years. Wasting caused by many factors such as skipping breakfast and inappropriate selection of snacks that contribute to children’s level of nutritional intake adequacy.Objectives: The purpose of this research was to analyze correlation between skipping breakfast and selection of snack among elementary school children. Method: This was an analytical observational research with case control design conducted in three elementary schools in Sembung Village, Gresik. The sample size was 22 students in each group, which taken using a simple random sampling technique at student of 3rd, 4th and 5th grade. Data was collected by interviewing the respondent with structured questionnaire. Nutritional status was classified with BMI/Age using WHO-MGRS standard. Association among variables were analyzed using Chi-Square test. (α=0.05). Result: The result showed that 68.2% respondent from cases used skipping breakfast while 27.3% respondent from control used to skip breakfast. 22.7% respondent in cases used to consume high nutritional value snack food while 72.7% respondent in control used to consume high nutritional value snack food. Chi-Square test showed there was an association between breakfast habits and the selection of snack with wasting (p=0.007; OR=5.714) (p=0.001; OR=9.067).Conclusion: Skipping breakfast habits and the selection of snack had a correlation with wasting incident in village children.ABSTRAKLatar Belakang: Prevalensi wasting di Indonesia tidak pernah mengalami penurunan yang signifikan selama tahun ke tahun. Kejadian wasting dipengaruhi oleh beberapa faktor seperti kebiasaan sarapan dan pemilihan makanan jajanan yang mampu berkontibusi terhadap tingkat kecukupan energi dan zat gizi anak.Tujuan: Penelitian ini bertujuan untuk menganalisis hubungan antara kebiasaan melewatkan sarapan dan kebiasan memilih jajanan makanan kejadian wasting pada anak sekolah dasar di pedesaan.Metode: Penelitian observasional analitik dengan desain case control ini dilakukan di 3 sekolah dasar di Desa Sembung Kecamatan Wringinanom Kabupaten Gresik. Besar sampel penelitian ini adalah 22 sampel untuk masing -masing kelompok yang berasal dari kelas III, IV dan V dan diambil secara simple random sampling. Pengambilan data dilakukan dengan cara wawancara pada anak dengan kuisioner tersktutur. Klasifikasi berdasarkan pada nilai tabel z-score IMT/U WHO-MGRS.  Analisis data dilakukan dengan menggunakan uji chi-square (α=0,05)Hasil: Hasil penelitian menunjukkan bahwa 68,2% responden kelompok kasus, terbiasa melewatkan sarapan sedangkan 27,3% responden kelompok kontrol terbiasa melewatkan sarapan. 22,7% responden kelompok kasus terbiasa membeli makanan jajan bernilai gizi tinggi sedangkan 72,7% responden kelompok kontrol terbiasa membeli makanan jajan bernilai gizi tinggi. Hasil Uji Chi-Square menunjukkan ada hubungan antara kebiasaan sarapan dan pemilihan makanan jajanan dengan kejadian wasting (p= 0,007 OR: 5,714) (p= 0,001 OR: 9,067).Kesimpulan: Kebiasaan melewatkan sarapan dan pemilihan makanan jajanan berhubungan dengan kejadian wasting pada anak pedesaan.


2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Israini Suriati ◽  
Nurliana Mansyur

Pendahuluan: Obesitas adalah suatu kondisi yang menggambarkan seseorang memiliki badan yang sangat gemuk dan mengandung banyak lemak pada tubuhnya, sebagai akibat dari penumpukan zat gizi terutama karbohidrat, lemak dan protein. Kondisi ini disebabkan oleh ketidak seimbangan konsumsi kalori dan kebutuhan energy. Obesitas dapat dipengaruhi oleh berbagai faktor.Faktor-faktor tersebut diantaranya adalah faktor genetik, kurang gerak / olahraga, emosi, Pola makan,kurang istirahat,suhu, hormonal Tujuan:  Mengetahui Faktor-faktor yang berhubungan dengan kejadian obesitas pada warga dusun sabbang paru desa salu paremang selatan Kabupaten Luwu Kecamatan Kamanre Provinsi Sulawesi SelatanMetode: Penelitian ini menggunakan studi komparatif dengan pendekatan case control study dilihat secara retrospektif. Desain ini dilakukan dengan melihat variabel dependen terlebih dahulu, sedangkan variabel independen ditelusuri secara retrospektif untuk menentukan ada tidaknya hubungan faktor faktor yang berperan. Populasi dalam penelitian ini adalah warga yang obesitas di Dusun sabbang paru desa salu paremang selatan kecamatan kamanre sulawesi selatan. Adapun pengambilan sampel dilakukan dengan cara Random sampling yakni dengan cara acak tanpa memperhatikan strata yang ada dalam anggota populasi yaitu sebanyak 40 responden.Hasil: Berdasarkan uji chi square dengan Fisher Exact test pada variabel genetika diperoleh nilai hitung p = 0,001 lebih kecil dari nilai α = 0,05, pada variabel pola makan diperoleh nilai hitung p = 0,002 lebih kecil dari nilai α = 0,05, dan pada variabel aktifitas fisik diperoleh nilai hitung p = 0,001 lebih kecil dari nilai α = 0,05 Simpulan: Dari analisis tersebut dapat diartikan bahwa Ha diterima atau ada hubungan genetika, pola makan dan aktivitas fisik dengan obesitas pada warga desa salu paremang selatan kecamatan kamanre sulawesi selatan. Kata kunci: Obesitas


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