scholarly journals Pengalaman Ibu Usia Remaja Dalam Merawat Bayi Berat Lahir Rendah (BBLR) Di Kota Medan: Studi Fenomenologis

2018 ◽  
Vol 1 (1) ◽  
pp. 53-58
Author(s):  
Widy Santri Ningsih ◽  
Setiawan Setiawan

Bayi Berat Lahir Rendah (BBLR) adalah bayi baru lahir yang berat badannya kurang dari 2.500 gram (sampai dengan 2.499 gram). BBLR merupakan penyebab utama dalam mortalitas, morbiditas dan kecacatan pada neonatus, balita dan anak-anak serta memiliki efek yang sangat panjang dalam kesehatan dewasa nantinya. Penelitian ini bertujuan untuk mengeksplorasi pengalaman ibu usia remaja dalam merawat bayi berat lahir rendah di Kota Medan. Desain penelitian yang digunakan adalah studi fenomenologi. Teknik pengambilan sampel yang digunakan adalah purposive sampling dengan jumlah partisipan sebanyak sepuluh orang. Kriteria partisipan adalah ibu remaja usia 17-20 tahun yang melahirkan bayi berat lahir rendah dan mempunyai pengalaman merawat bayi berat lahir rendah di rumah. Penelitian ini dilaksanakan di satu rumah sakit dan satu klinik bersalin. Penelitian ini dimulai tanggal 16 Februari 2016 sampai 30 April 2016. Analisa data menggunakan metode Colaizzi. Hasil penelitian ini didapatkan lima tema pengalaman ibu usia remaja dalam merawat bayi berat lahir rendah, yaitu (1) mengupayakan pengobatan untuk BBLR; (2) memberikan perawatan khusus pada BBLR; (3) mengalami keterbatasan dalam kegiatan sosialisasi; (4) menderita secara fisik, psikologis dan emosional saat merawat BBLR; dan (5) mendapat dukungan dari pihak keluarga dan tenaga kesehatan. Berdasarkan hasil penelitian, diharapkan agar pelayanan keperawatan dapat memberikan asuhan keperawatan secara holistik pada ibu remaja dalam perawatan bayi berat lahir rendah di rumah. Low birth weight (LBW) baby is a newborn whose weight is less than 2,500 grams (up to 2,499 grams). LBW is the main cause of mortality, morbidity and disability in neonates, toddlers and children which still affects their health up to their adulthood. This study aimed to explore the experiences of adolescent mothers in caring for low birth weight babies in Medan. This study used a phenomenology study design. The sampling technique used was purposive sampling. Ten mothers were selected as the participants. The criteria of participants were adolescent mothers aged 17-20 years who gave births to low birth weight babies and had experiences in caring for low birth weight babies at home. This study was conducted in a hospital and in a maternity clinic from February 16 to April 30, 2016. Data were analyzed using Colaizzi method. The results of this study showed that there were five themes of experiences of adolescent mothers in caring for low birth weight babies, namely (1) seeking treatment for LBW; (2) providing special care for LBW; (3) having limited time for social activities; (4) suffering physically, psychologically, and emotionally when treating LBW; and (5) getting support from the family and medical staffs. It is expected that nurses provide holistic nursing care to adolescent mothers in caring for low birth weight babies at home.

2020 ◽  
Vol 11 (2) ◽  
pp. 37-42
Author(s):  
Firdausi Ramadhani ◽  
Yanti Hz. Hano

Penelitian ini bertujuan untuk mengetahui beberapa faktor yang berhubungan dengan kejadian bayi Bayi Berat Badan Lahir Rendah (BBLR) di Wilayah Kerja Puskesmas Limboto Kabupaten Gorontalo. Metode yang digunakan adalah  Observasional Analitik dengan pendekatan cross sectional study. Populasi adalah seluruh ibu yang melahirkan berjumlah 853 responden, dengan Sampel yaitu sebanyak 202 responden. Teknik pengambilan sampel menggunakan tekhnik Purposive Sampling. Analisis data menggunakan uji Chi Square. Hasil penelitian menunjukkan proporsi bayi Berat Badan Lahir Rendah (BBLR) 34 responden (16,8%) dan bayi Berat Badan Lahir Normal (BBLN) 168 responden (83,2%). Hasil bivariat didapatkan bahwa ada hubungan pengetahuan (p-value 0,044), pendapatan keluarga (p-value 0,029) dengan kejadian bayi Berat Badan Lahir Rendah (BBLR). Sedangkan, jumlah paritas (p value 0,523),  jarak kehamilan (p-value 0,659), dan Kekurangan Energi Kronik (KEK) (p-value 0,637) tidak memiliki hubungan yang bermakna secara statisti dengan kejadian bayi Berat Badan Lahir Rendah (BBLR).    This study aims to determine several factors associated with the incidence of low birth weight babies (LBW) in the Limboto Health Center, Gorontalo District. The method used is analytic observational with a cross sectional study approach. The population was all mothers who gave birth totaling 853 respondents, with a sample of 202 respondents. The sampling technique used purposive sampling technique. The results showed that the proportion of Low Birth Weight (LBW) babies was 34 respondents (16.8%) and Normal Birth Weight (BBLN) babies were 168 respondents (83.2%). The bivariate results showed that there was a relationship between knowledge (p value 0.044), family income (p value 0.029) with the incidence of low birth weight babies (LBW). Meanwhile, the parity (p value 0.523), pregnancy distance (p-value 0.659), and Chronic Energy Deficiency (P-value 0.637) did not have a statistically significant relationship with the incidence of Low Birth Weight (LBW).


2021 ◽  
Vol 3 (3) ◽  
pp. 93-97
Author(s):  
Ramenia M Lubis

Behavior of caring for babies with low birth weight (LBW) is a reaction or response to the condition of LBW babies which is divided into three domains, namely knowledge, attitudes and actions. Good behavior of mothers in caring for infants with LBW will have an impact on reducing mortality and morbidity rates for infants and toddlers. Descriptive research was conducted with the aim of knowing the level of knowledge, attitudes and actions of mothers in caring for LBW babies at home. The sample in this study were 30 mothers who had LBW babies aged 1 year, residing in Medan and had been taking care of them at home. This research uses purposive sampling technique. The results showed that the mother's behavior in caring for LBW babies at home for the majority knowledge domain was good (100%), for the attitude domain the majority is positive (100%) and for the action domain the majority is good (100%). It is concluded that knowledge, attitudes, actions in this study are in line with behavioral theory. It is recommended to conduct research by exploring the factors that support the formation of a good level of knowledge, positive attitudes and good actions.


2017 ◽  
Vol 24 (08) ◽  
pp. 1176-1180
Author(s):  
Brig® Khalid Mehmood ◽  
Ijaz Ali ◽  
Syed Hyder Raza

Objectives: To determine the proportion of LBW Babies among those deliveredat DHQ Hospital Mirpur. Study design: Descriptive cross sectional study. Setting: DHQ hospitalMirpur AJK. Duration of study: January 2013-May 2013. Sample size: 459 deliveries. Studypopulation: women reporting in Peads OPD of DHQ hospital Mirpur AJ&K with their babiesduring study period. Sampling technique: Convenience method. Data collection tool: Datacollection Performa. Data analysis: SPSS version 14.0.Results: Out of 459 deliveriesconducted at Divisional Head Quarter hospital Mirpur, 149 cases of low birth weight babies(<2500gms) whereas the rest 310 had normal birth weight. Frequency of Low Birth Weight inmale new born babies was high, i.e ratio of male babies were 55% (82) out of 149 individualswhile females were 45% (67). Less than 37 weeks of gestational age, 37% (55) were pretermbabies and 37 – 42 weeks of gestational age, 63% (94) were full term babies.


2020 ◽  
Vol 1 (1) ◽  
pp. 16
Author(s):  
Hatijar Hatijar

Low birth weight babies are babies born with a weight less than 2500 grams. LBW (low birth weight) affects the high mortality rate in infants and is at risk of experiencing obstacles in growth and development. LBW is generally caused due to lack of nutrition and nutritional needs from mother to fetus while pregnant women aged less than 20 years and more than 35 years have the risk of giving birth to LBW. The purpose of this study is to determine the risk factors that cause LBW based on maternal age and nutritional status. The research method used was observational with a cross sectional study approach. The sampling technique was random sampling at the Regional Haji Makassar General Hospital in the January to July 2015 period with a total sample of 65 people. Analysis using the Chi Square Test. The results showed that there was a relationship between maternal age, nutritional status of LBW with a value (p value = 0.00 <α = 0.05). Maternal age and nutritional status are factors that influence low birth weight where the results of the study indicate that there is a relationship between maternal age and nutritional status on the incidence of low birth weight. To reduce the incidence of low birth weight, it is necessary to increase counseling about the causes of low birth weight babies by health workers, especially midwives to pregnant women to prevent the risk of low birth weight birth.


2021 ◽  
Vol 8 (2) ◽  
pp. 117
Author(s):  
Ratna Widhiastuti ◽  
Susi Muryani

Bayi Berat Badan Lahir Rendah (BBLR) memerlukan perawatan lebih khusus dibandingkan dengan bayi lahir dengan berat badan normal, hal ini terlihat dari beberapa ibu yang kembali ke RSI Muhammadiyah Tegal  karena ibu  kurang memahami tentang perawatan bayi BBLR di Rumah. Family Centered Maternity Care (FCMC) adalah perawatan yang berpusat pada keluarga dengan memberikan perawatan bagi wanita dan keluarga mereka yang mengintegrasikan kehamilan, persalinan, persalinan, dan perawatan bayi ke dalam kontinum kehidupan keluarga.Tujuan penelitian ini untuk mengidentifikasi kebutuhan perawatan bayi BBLR di rumah dengan pendekatan family centered maternity care secara studi kualitatif. Penelitian dilakukan di RSI PKU Muhammadiyah Tegal. Metode dengan kualitatif dengan design studi kasus menggunakan ibu dan keluarga yang bayi BBLR sebanyak 9 orang dan focus group discussion (FGD) pada 7 perawat perinatologi. Berdasarkan hasil analisa Colaizzi didapatkan beberapa tema yaitu dukungan keluarga untuk meningkatkan kepercayaan diri ibu merawat bayi BBLR, strategi pemenuhan kebutuhan nutrisi, strategi mencegah terjadinya hipotermia, upaya mencegah terjadinya infeksi, home visit perawat. Peningkatan perhatian untuk menjaga bayi BBLR tetap hangat dalam bentuk FCMC berintergrasi pada ibu, keluarga serta perawat dapat mengoptimalkan perawatan Bayi BBLR di rumah. Kata Kunci : Bayi BBLR; family centered; maternity care, motherQualitative Study: Identification Of Low Birth Weight Baby Care Needs At Home With Family Centered Maternity Care ApproachAbstractBabies with low birth weight require more special care than babies born with normal weight; this can be seen from some mothers who return to RSI Muhammadiyah Tegal because mothers do not understand how to care for low birth weight babies at home. Family Centered Maternity Care (FCMC) is family-centered care providing care for women and their families that integrates pregnancy, childbirth, childbirth, and infant care into the continuum of family life. The purpose of this study was to identify the care needs of low birth weight baby at home with a family centered maternity care approach in a qualitative study. The research was conducted at Muhammadiyah Hospital Tegal. Qualitative method with case study design was used in 9 mothers and families of low birth weight babies and focus group discussion on 7 perinatology nurses. Based on the results of Colaizzi's analysis, several themes were found, namely family support to increase mother's confidence in caring for low birth weight babies, strategies to fulfill nutritional needs, strategies to prevent hypothermia, efforts to prevent infection, nurse home visits. Increased attention to keeping low birth weight babies warm in the form of Family Centered Maternity Care with interaction with mothers, families and nurses can optimize the care of low birth weight babies at home. Keywords: low birth weight babies; family center; maternity care; mother 


2020 ◽  
Vol 5 (2) ◽  

Background: Low birth weight continues to be a significant public health problem globally. Kangaroo mother care (KMC) is a promising intervention to improve the survival of low birth weight babies. KMC comprises of early and continuous skin-to-skin contact between mother and baby as well as exclusive breastfeeding. More interest has given to initiate KMC at the health facility for low birth weight babies born at home but, there has been trace evidence to support initiation of KMC at home. Thus, this study was aimed at to estimate the proportion of mothers who continued to practice kangaroo mother care at home and identify factors influencing this practice following hospital discharge. Methods: It was a cross-sectional study of 190 mothers with their low birth weight babies who were discharged from KMC unit at Dessie referral and Akesta hospitals and counseled about KMC to practice at home. In the first week following hospital discharge the data collectors visited the mothers to interviewe her about KMC practice and the factors influencing it; and analyzed by SPSS V.25.0. Crud odd ratio and adjusted odd ration were performed to test the association between dependent and independent variables. Result: The proportion of mothers who practice KMC at home was 89 (46.8%). Multivariate logistic regression showed that support from husband (AOR= 4.4, 95% CI = 1.8-10.4), support from HEW(AOR=3.4, 95% CI = 1.6-7.2), availability of helper (AOR= 4.5, 95% CI= 1.9-4.10) and mothers explained the important of KMC (AOR =2.3,95% CI =1.1- 4.9) were statistically associated with KMC practice at home. Conclusion: This study concludes that support comes from husband, health extension workers and family and the mothers understanding of importance of KMC were found to be the significant enhancing factors to implement KMC at home.


2019 ◽  
Vol 1 (2) ◽  
pp. 6-9
Author(s):  
Ika Nur Sapurtri ◽  
Dwi Handayani ◽  
Maharani Nazmi Nasution

Babies with low birth weight have a temperature that is unstable and prone to hypothermia (temperature <36,5ºC). Cold stress can increase mortality and hamper growth. The warmth of the mother's body or a known method of kangaroo care proved to be an effective heat source for infants born at term or low birth weight. This study aims to determine whether there is influence kangaroo care method to your body temperature low birth weight infants. This type of research is pre experiment with models (one group pre-post test design). The population of this research is all low birth weight babies. Sampling techniques in use purposive sampling, that the sampling technique was based on sample criteria specified by the researchers themselves. In this case the samples found as many as 22 people. Data analysis using paired sample t-test with a level of 95%. The results of this study gained an average prior to 34.7 kangaroo care method, after doing kangaroo care method 36.9. The mean before and after kangaroo care method 2.2273. Based on the analysis results showed pvalue (0.004) <α (0.05), It can be concluded no treatment effect kangaroo method to your body temperature low birth weight infants. Recommendations from this research is the kangaroo care method can be used as one LBW care that can be done by the mothers in raising and maintaining body temperature.


2020 ◽  
Vol 10 (1) ◽  
pp. 25-34
Author(s):  
Achmad Rif'at ◽  
Elly Nurachmah ◽  
Yustan Azidin

Latar Belakang: Rumah Sakit sebagai pemberi layanan kesehatan bertanggung-jawab untuk memberikan pelayanan yang bermutu dan aman. Permasalahan yang kompleks pada Bayi Berat Lahir Rendah (BBLR) menjadi alasan untuk diteliti. Bayi BBLR berisiko mengalami ketidaksempurnaan fungsi organ, sistem imun bayi atau pertahanan tubuh yang belum sempurna sehingga berisiko infeksi, tumbuh kembang bayi yang mungkin terlambat pasca perawatan. Perawat sebagai salah satu profesional pemberi asuhan bertanggung-jawab memberikan asuhan yang bermutu dan aman.  Oleh karena itu kemampuan perawat dalam memberikan asuhan, pengetahuan yang di miliki, pengalaman selama merawat, hubungan dengan petugas kesehatan lain, kesiapan orang tua untuk merawat  di rumah pasca perawatan menjadi sangat penting untuk di teliti.Tujuan: Penelitian  ini mengeksplorasi  pengalaman penerapan kemampuan berpikir kritis perawat saat memberikan asuhan keperawatan  pada bayi berat lahir rendah.Metode: Penelitian  ini menggunakan metode kualitatif dengan pendekatan fenomenologi. Pengumpulan data di lakukan dengan wawancara mendalam pada tujuh partisipan yang diambil dengan teknik purposive sampling. Partisipan adalah perawat yang bekerja di Ruang Mutiara Lantai 2  RSUD dr. H. Moch. Ansari Saleh Banjarmasin. Hasil: Hasil analisis didapatkan empat tema : kemampuan perawat mengenali BBLR, kemampuan perawat memberikan asuhan BBLR, kebutuhan dokumentasi pada BBLR, dan keterlibatan keluarga, petugas kesehatan dan unit kerja dalam asuhan BBLR. Rekomendasi hasil penelitian ini adalah pendidikan. Pendidikan berkelanjutan dapat meningkatkan pengetahuan dan kompetensi perawat. Pengetahuan dan kompetensi  memberikan dampak pada sikap perawat untuk berpikir kritis pada asuhan yang diberikan. Abstract Background:Hospitals as health care providers are responsible for providing quality and safe services. Complex problems in Low Birth Weight (LBW) clients are reasons to be investigated. Low Birth Weight babies are at risk of developing imperfections in organ function, the baby's immune system or body defenses, so they are at risk of infection, delay growth and development post hospitalization. Nurses as one of the professionals care providers are responsible for providing  a quality and safe care.. Therefore the ability of nurses to provide care, possessed knowledge, experience during caring, relationships with other health workers, and the readiness of parents to care for their babies at home after hospitalization are very important to be examined. Aim: The aim of the study was to explore the perceived experience of nurses' critical thinking skills when providing nursing care to low-birth- baby clients. Method: This study used a qualitative method with a phenomenological approach. Data collection was conducted through in-depth interviews with seven participants taken by a purposive sampling technique. Participants were nurses who worked and care for neonatal babies in Mutiara Room 2nd floor of RSUD dr. H. Moch. Ansari Saleh Banjarmasin. Result: The results of the analysis found four themes: the ability of nurses to recognize LBW, the ability of nurses to provide care to LBW, requirements of documentation on LBW, and the involvement of families, health workers and work units in providing care. The recommendation of this research is education. Continuing education can improve nurses' knowledge and competence. Knowledge and competence have an impact on nurses' attitudes to think critically on care providing Keywords: critical thinking, Low Birth Weight 


Author(s):  
Nita Hestiyana ◽  
Fakhruddin Razy

Latar belakang: Hipertensi pada persalinan mempengaruhi 10% semua wanita bersalin diseluruh dunia dan merupakan penyebab penting morbiditas akut berat. Hipertensi pada ibu hamil dapat berlanjut sampai ke masa persalinan yang mengakibatkan gangguan pertumbuhan janin intrauterin yang tentunya akan berdampak terhadap berat badan lahir sehingga pada ibu dengan tekanan darah tinggi akan lebih tinggi kemungkinan melahirkan dengan BBLR. Data RSUD Dr. H. Moch. Ansari Saleh Banjarmasin menyatakan tahun 2017 sebanyak 344 orang (11,1%) yang menderita hipertensi dan sebanyak 223 bayi (33,33%) mengalami BBLR.Tujuan: Mengetahui Korelasi Hipertensi Pada Persalinan dengan Kejadian Bayi Berat Lahir Rendah (BBLR) di RSUD Dr. H. Moch. Ansari Saleh Banjarmasin.Metode: Penelitian ini menggunakan pendekatan case control. Sampel penelitian menggunakan rasio 1:1 yaitu kasus (BBLR) sebanyak 223 dengan menggunakan teknik pengambilan sampel total sampling dan kontrol (tidak BBLR) sebanyak 223 dengan menggunakan sytematic random sampling. Penelitian ini menggunakan uji chi square.Hasil: Terdapat  korelasi antara hipertensi pada persalinan dengan kejadian bayi berat lahir rendah (BBLR) di RSUD Dr. H. Moch Ansari Saleh Banjarmasin. Nilai OR 3.027 yang berarti ibu bersalin dengan hipertensi berpeluang 3 kali mengalami BBLR dibandingkan dengan ibu yang tidak hipertensi.Simpulan: Hasil analisis menunjukkan ada korelasi antara hipertensi pada ibu bersalin dengan kejadian bayi berat lahir rendah (BBLR) di ruang VK.Kata kunci :bayi berat lahir rendah, hipertensi, persalinan Hypertension Correlation in Labor With the incidence of Low Birth Weight Babies (LBWB)in RSUD DR. H. Moch Anshari Saleh Banjarmasin  Abstract Background: Labor hypertension affects 10% of all maternity women worldwide and is an important cause of severe acute morbidity. Hypertension in pregnant women can continue into labor, which results in intrauterine fetal growth disorders which of course will have an impact on birth weight so that women with high blood pressure will be more likely to give birth with LBW. Data from Dr. H. Moch. Ansari Saleh Banjarmasin stated that in 2017 there were 344 people (11.1%) who suffered from hypertension and as many as 223 babies (33.33%) had LBW.Objective: To determine the correlation of hypertension in childbirth with the incidence of low birth weight babies at the Dr. H. Moch. Ansari Saleh Banjarmasin.Method: This study uses a case control approach. The study sample used a ratio of 1: 1, namely case (LBW) as much as 223 by using a total sampling and control sampling technique (not LBW) of 223 by using systematic random sampling. This study used the chi square test.Results: There was a correlation between labor hypertension and the incidence of low birth weight (LBW) in Dr. Hospital. H. Moch Ansari Saleh Banjarmasin. OR value of 3,027 which means that mothers giving birth with hypertension have a 3 times chance of having low birth weight compared to mothers without hypertension.Conclusion: The results of the analysis show that there is a correlation between hypertension in maternity and the incidence of low birth weight babies in the VK room. Keywords: low birth weight babies, hypertension, labor


2020 ◽  
Vol 2 (1) ◽  
pp. 18-21
Author(s):  
Dina Dewi Anggraini ◽  
Martha Kahi Juwa

Jaundice is a yellow stain on the skin, sclera, or mucous membranes as a result of excessive accumulation of bilirubin in the tissues. Low birth weight babies (LBW) are defined as birth weight 2,500 grams or less. In infants with low birth weight can experience various complications, one of which is hyperbilirubinemia (jaundice). This study aims to determine the relationship of Low Birth Weight Babies (LBW) with the incidence of jaundice in Bhayangkara Hospital in the city of Kediri. The research design used is correlational analytic research. The method used is a cross sectional approach. The sampling technique was carried out in total sampling as many as 105 samples of infants with LBW. Research data is taken from medical records. Data were analyzed univariately and bivariately using Spearman's Rho test. The results of the study showed that out of 105 infants with low birth weight who experienced physiological jaundice as many as 75 infants (71.4%) and pathological jaundice as many as 30 infants (28.6%). The results of the Spearman Rh Rho test analysis showed that the p value = 0.067 or less than α = 0.05 (0.067 0.05), which means that H0 is rejected and H1 is accepted, meaning that there is a relationship between the incidence of LBW and neonatal jaundice in Bhayangkara Hospital in the City Kediri in 2018. The strength of the relationship is based on the correlation coefficient of 0.196 which means that there is a moderate relationship between the incidence of LBW and jaundice in Bhayangkara Hospital in Kota Kadiri in 2018.


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