scholarly journals HUBUNGAN KETUBAN PECAH DINI DENGAN KEJADIAN ASFIKSIA LITERATURE REVIEW: THE CORRELATION OF PREMATURE RUPTURE OF MEMBRANES (PROM) WITH THE INCIDENCE OF ASPHYXIA

2022 ◽  
Vol 5 (1) ◽  
pp. 49-55
Author(s):  
Hanny Yuli Andini ◽  
Lara Santi Indah Lestari ◽  
Ninda Sulastin

Menurut Human Development Report tahun 2010 Ketuban Pecah Dini (KPD) di Indonesia berkisar 4,4-7,6% dari seluruh kehamilan dengan KPD berkisar antara 3-18% yang terjadi pada kehamilan preterm, sedangkan pada kehamilan aterm sekitar 8-10%. Menurut beberapa peneliti KPD dapat menyebabkan terjadinya asfiksia. Penelitian ini bertujuan untuk mengetahui hubungan ketuban pecah dini dengan kejadian asfiksia. Jenis penelitian yang digunakan adalah kepustakaan atau kajian literatur. Data penelitian ini berasal dari data sekunder, yaitu berasal dari beberapa sumber penelitian yang terdiri dari 25 sumber yang terdiri dari 7 jurnal ilmiah, 3 jurnal internasional, 5 skripsi/tesis, dan 10 buku. Pencarian sumber menggunakan google scholar, microsoft academic, media meneliti, and google. Dari penelitian ini didapatkan bahwa penyebab terjadinya asfiksia yang disebabkan oleh faktor langsung maupun faktor tidak langsung. Faktor langsung tersebut adalah KPD itu sendiri. Sedangkan, untuk faktor yang tidak langsung adalah CPD dan usia kehamilan. Sehingga asfiksia yang disebabkan kedua faktor tersebut dapat memperburuk keadaan terjadinya asfiksia. Dari salah satu penelitian dalam negeri oleh peneliti Anisa di daerah Kediri didapatkan angka kejadian asfiksia sebanyak 53% oleh ibu yang mengalami KPD. Berdasarkan hasil penelitian dari dalam negeri dan luar negeri dengan rata-rata p value ?0,005, sehingga didapatkan kesimpulan terdapat hubungan antara ketuban pecah dini dengan kejadian asfiksia.

2017 ◽  
Vol 3 (2) ◽  
pp. 19
Author(s):  
Yanu Yufita Lestariningsih

Premature rupture of  membranerevolves 5-10% from all birth. Impact a birth premature that espoused broken fetal membrane early causess 12-15% asphyxia neonatorum. The purpose of the study to determine the correlation between premature rupture of  membrane with the incidence of asphyxia neonatorum. The research method used is analytic with retrospective cohort approach with independent variable of premature rupture of membrane, dependent variable asphyxia neonatorum. The study was conducted on 7 June to 12 July 2017. The population of 1519 mothers inregional public hospital of Kediri regency 2016. Sample 139 respondents, taken by simple random sampling, was analyzed by Chi Square test with a significant of 0.05. Result of research most of respondent with rupture of membrane counted 46 respondents, almost all respondents that is 82.6% gave birth baby with asphyxia. From result of Chi Square test obtained by result of p-value equal to 0.000 (<0.05), result of coefficient of contingency (C) equal to 0.639 with closeness strong relation, so H1 received H0 rejected which means there is significant relation with closeness strong between premature rupture of membrane with asphyxia neonatorum inregional public hospital of Kediri regency 2016. Relative Risk (RR) 1.65 which means the possibility of a baby experiencing asphyxia neonatorum of 1.65 times in maternal who experience premature rupture of membranes compared to mothers who did not experience premature rupture of membranes.


Author(s):  
Desi Hariani

ABSTRAK Ketuban pecah dini adalah pecahnya selaput ketuban pada setiap saat sebelum permulaan persalinan tanpa memandang apakah pecahnya selaput ketuban terjadi pada kehamilan 24 minggu atau 44 minggu. Kadar hemoglobin adalah ukuran pigmen respiratorik dalam butiran-butiran darah merah. Kelainan letak janin merupakan malpresentasi janin atau kelainan letak janin yang dapat membuat ketuban bagian terendah langsung menerima tekanan intra uteri yang dominan. Tujuan penelitian ini adalah mengetahui hubungan kadar hemoglobin ibu dan letak janin dengan kejadian ketuban pecah dini di klinik alisa talang keramat kenten Palembang Tahun 2018. Desain penelitian ini menggunakan metode survey analitik dengan pendekatan crossectional. Sampel berjumlah 63 orang. Pengambilan menggunakan teknik total sampling. Pengumpulan data menggunakan lembar checklist.Hasil analisis univariat didapatkan jumlah ibu yang mengalami ketuban pecah dini (22,3%), HB tidak normal (41,3%) dan letak sungsang (6,3%).  Dari hasil analisis bivariat dengan uji statistik Chi – Square ada hubungan bermakna antara kadar hemoglobin ibu p value  = 0,001 < α 0,05 nilai OR = 0,049 dan letak janin p value = 0,001 < α 0,05 nilai OR = 0,032 dengan kejadian ketuban pecah dini secara statistik terbukti. Melalui penelitian ini, diharapkan dapat memberikan pelayanan kesehatan yang lebih baik lagi pada ibu hamil dan bersalin sehingga tidak terjadi komplikasi.   Kata Kunci : Ketuban Pecah Dini, Kadar Hemoglobin, Letak Janin ABSTRACT Premature rupture of membranes isthe  rupture of the membranes at any time before the onset of labor, regardless of whether the rupture of the membranes occurs at 24 weeks or 44 weeks' gestation. Hemoglobin levels are the size of respiratory pigments in red blood granules. Fetal abnormalities are malpresentations of fetuses or fetal abnormalities that can make the lowest part of the membrane directly accept the dominant intrauterine pressure. The aim of this study is to know the correlation between maternal hemoglobin level and fetal location toward the incidence of premature rupture of membranes at klinik alisa talang keramat kenten The study design using analytical survey method with crossectional approach. The sample numbered 63 people. Taking by using total sampling technique. Data collection using checklist sheet. The result of univariate analysis showed that the number of mothers who had membranes rupturedearly was (22.3%), HB was not normal  (41.3%) and breech position was (6.3%). From bivariate analysis with Chi-Square statistical test there was a significant correlation between maternal hemoglobin level p value = 0.001 <α 0.05 value OR = 0.049 and fetal location p value = 0.001 <α 0.05 value OR = 0.032 with incidence of premature rupture of membranes was statistically proven. Through this research, it is expected to provide better health services in pregnant and maternity women so thereis no complications occur. Key word  : Premature rupture of membranes, Hemoglobin levels, Fetal Location


2021 ◽  
Vol 4 (1) ◽  
pp. 74-81
Author(s):  
Alfitra Salam ◽  
Nadyah ◽  
Fhirastika Annisha Helvian

Background : Nutritional status could be used as an assessment of the risk of premature rupture of membranes. One way to determine the nutritional status of pregnant women is to calculate the gestational weight gain of women based on body mass index before pregnancy. Objective : The purpose of this study was to determine the relationship between gestational weight gain and the occurrences of premature rupture of membranes. Methodology : An observational analytic study with a cross sectional approach was adopted in this study. The data of this study were collected from the patients’ medical records at RSUD Lamaddukelleng of Wajo Regency in which the inclusion and exclusion sampling criteria were used. A total of 90 samples of patients’ medical record was obtained related to premature rupture of membranes. The collected data were processed and analyzed using the Chi-Square test with the p value of <0.05. Result : The results of the study indicated that there was a significant relationship between weight gain during pregnancy and the occurrence of premature rupture of membranes with the p value of 0.016. Conclusion : This study concluded that while there is a significant relationship between weight gain during pregnancy and premature rupture of membranes


2020 ◽  
Vol 13 ◽  
pp. 175628482095259
Author(s):  
Birgit Terjung ◽  
Renate Schmelz ◽  
Robert Ehehalt ◽  
Jochen Klaus ◽  
Jana Knop ◽  
...  

Background: Crohn’s disease (CD) and ulcerative colitis (UC) commonly affect women in their childbearing years. Vedolizumab (VDZ) is approved for treatment of moderate-to-severe CD and UC, but there is a knowledge gap regarding its use during pregnancy. This targeted literature review describes available evidence on safety of VDZ in pregnant patients in order to offer physicians a detailed and balanced view on persistent data during their decision-making process for an individualized treatment concept. Methods: The search included literature from the MEDLINE database and abstracts of five gastroenterological conferences published until November 2019. Publications were included if pregnancy outcomes in women receiving VDZ or neonatal outcomes in newborns of women previously exposed to VDZ were reported. Results: Out of 196 initially identified records, 18 publications reporting results of five different studies were identified. In total, for 213 of 284 VDZ-exposed documented pregnancies the following pregnancy outcomes were reported: 167 live births (172 infants due to twin births), 1 stillbirth, 35 miscarriages, 10 elective terminations (1 due to detected Down syndrome). Furthermore, during pregnancy, the following complications were observed: seven cases of (pre) eclampsia, three cases of premature rupture of membranes and one case each of placenta previa, chorioamnionitis, pneumonia, first-trimester bleeding, cholestasis, sepsis, or neonatal intraventricular hemorrhage. Based on 172 infants, 30 preterm deliveries (17.4%), 9 cases of low birth weight (5.2%), 5 infections (2.9%), and 6 cases (3.8%) with congenital anomalies were reported. Conclusion: There was no evidence for safety concerns regarding pregnancy outcomes associated with VDZ therapy. Due to the limited scope of included records, further research is needed to understand the safety profile regarding the use of VDZ during pregnancy.


2021 ◽  
Vol 1 (2) ◽  
pp. 19-25
Author(s):  
Putri Devy Septya ◽  
Martanty Aditya ◽  
Hendra Godeliva Adriani

Abstrak Pil KB oral merupakan salah satu alat kontrasepsi paling banyak digunakan oleh para wanita untuk mencegah kehamilan. Namun pil KB juga memiliki efek samping yang dapat meningkatkan tekanan darah ?140 mmHg (sistolik) dan ?90 mmHg (diastolik) atau dikenal dengan hipertensi. Penelitian ini bertujuan untuk mengetahui apakah penggunaan kontrasepsi pil KB oral dapat menimbulkan resiko terjadinya hipertensi. Metode yang digunakan dalam penelitian ini adalah literture review dengan sumber data melalui pencarian secara menyeluruh dengan mesin pencari PubMed dan Google Scholar untuk menemukan artikel sesuai kriteria inklusi dan ekslusi dengan kata kunci tertentu dalam periode 2010-2020 kemudian dilakukan review. Hasil penelusuran yang didapatkan yaitu 3 artikel ilmiah secara observasional dengan menggunakan metode cohort dan cross sectional. Hasil dari literature review ini menunjukkan bahwa penggunaan kontrasepsi pil KB oral dapat menimbulkan risiko terjadinya hipertensi. Hal tersebut dibuktikan dari artikel ilmiah yang memiliki nilai p-value dibawah 0,05. Namun adapula yang membuktikan bahwa penggunaan kontrasepsi oral di usia muda tidak menyebabkan hipertensi pascamenopause serta terdapat artikel yang menyatakan bahwa tidak ada hubungan yang signifikan antara penggunaan pil KB kombinasi yang didapatkan dari klinik AS dengan penggunaan pil KB kombinasi yang didapatkan tanpa resep dokter tapi penggunaan pil KB perlu lebih di pantau agar tidak terjadi resiko yang diinginkan. Kata Kunci : Hipertensi, literature review, pil KB Abstract Oral contraceptive pills are one of the most widely used contraceptives for women to prevent pregnancy. However, oral contraceptive pills also have side effects, one of which is increasing blood pressure to ? 140 mmHg (systolic) and ? 90 mmHg (diastolic) or known as hypertension. This study aimed to determine whether the use of oral contraceptive pills poses a risk of developing hypertension. The method used in this study was literature review whose data were sourced from thorough searches with the PubMed and Google Scholar to find articles according to the inclusion and exclusion criteria with certain keywords in the 20102020 and then reviewed. The results obtained were 7 scientific articles observed using a case control and cross sectional methods. The results of this literature review indicate that the use of oral contraceptive pills can increase the risk of developing hypertension. This is evidenced by scientific articles with a p-value below 0.05. However, there is also evidence that the use of oral contraceptives at a young age does not cause postmenopausal hypertension and there is an article stating that there is no significant link between the use of combination birth control pills obtained from U.S. clinics and the use of combination birth control pills obtained without a doctor's prescription but the use of birth control pills needs to be monitored more so that there is no desired risk. Keywords: Hypertension, literature review, oral contraceptive pills


2019 ◽  
Author(s):  
Lida Moghaddam-Banaem ◽  
Shiva Niyaty ◽  
Hadis Sourinejad ◽  
Samira Mokhlesi

Abstract Objectives We aimed to evaluate the association of metabolic syndrome (MetS), its components and lipid profile in mid-pregnancy with preterm delivery and preterm premature rupture of membranes (PPROM).Methods This prospective cohort study was conducted on 203 pregnant women between 24-28 weeks of gestation, undergoing the gestational diabetes screening test with 50 gr glucose challenge test (GCT). Fasting serum total cholesterol, low-density lipoprotein cholesterol (LDL-C), high -density lipoprotein cholesterol (HDL-C), and triglyceride (TG) levels were measured during the week after GCT assessment. Information on the participants' pre-pregnancy weight, demographic/ reproductive characteristics, and height and blood pressure (BP) measurements were documented at baseline entry into the study. Metabolic syndrome was defined as the co-existence of 3 or more of the following criteria: Body mass index (BMI) before pregnancy≥30 kg/m2, BP≥130/85 mmHg, GCT≥140mg/dl, TG≥150mg/dl, and HDL-C≤50mg/dl. All participants were followed through routine prenatal care, up to delivery. Any deliveries or rupture of membranes of less than or equal to weeks of pregnancy, were considered preterm delivery and PPROM respectively. Statistical analysis was performed by SPSS V.20, and p-value of less than 0.05 was considered significant.Results MetS was detected in 10 (4.9%) of participants. Logistic regression analysis showed HDL-C levels, and hypertension had significant effects on preterm delivery occurrence [(OR: 0.952, 95%CI: 0.910_0.995), (OR: 1.629, 95% CI: 1.554_1.709) respectively], but no statistically significant results were found for PPROM.Conclusions Low HDL-C levels and hypertension in mid-pregnancy may increase the occurrence of preterm deliveries, indicating that MetS and its components should be monitored more closely in pregnancy.


2021 ◽  
Vol 1 ◽  
pp. 608-615
Author(s):  
Nur Khasanah ◽  
Tri Sakti Wirotomo ◽  
Siti Rofiqoh

AbstractFractures cause physiological disturbances, one of which is pain. Pain in fracture patients is caused by muscle spasms. Cold compression is the easiest method to reduce pain. This study identifies cold compresses’ effect in reducing closed fracture patients by finding research articles from Google Scholar. Keywords for the search include “closed fracture”, “pain intensity”, and “cold compress”, published in 2011-2020. Three articles were analyzed. The results showed that 57 total respondents were male (68.09%) and female (31.91%). Before the intervention was 6.72, pain intensity dropped to 3.50 after the intervention with a p-value <0.01. This Literature Review concludes that cold compress therapy is effective in reducing pain among closed fracture patients. Nurses are expected to apply cold compress therapy as an intervention to reduce pain in fracture patients.Keywords: cold compress; pain intensity; closed fracture; AbstrakFraktur merupakan ancaman potensial maupun aktual terhadap integritas seseorang, sehingga akan mengalami gangguan fisiologis salah satunya respon berupa nyeri. Nyeri pada pasien fraktur disebabkan karena spasme otot. Upaya menurunkan nyeri pada pasien fraktur tertutup dengan cara memberikan terapi kompres dingin. Tujuan dari penulisan ini untuk menggambarkan pengaruh pemberian kompres dingin terhadap nyeri pasien fraktur tertutup. Desain karya tulis ini berupa Literature Review dengan jumlah tiga artikel yang diambil dari laman google scholar dengan kata kunci “fraktur tertutup”, “intensitas nyeri”, dan “kompres dingin”, terbit tahun 2011-2020. Hasil analisa karakteristik responden dari ketiga artikel menunjukkan jumlah responden 57 pasien, sebagian besar laki-laki (68,09%) sedangkan perempuan (31,91%). Nilai rata-rata nyeri sebelum intervensi 6,72 setelah intervensi 3,50 dengan p-value 0,000. Simpulan dari Literature Review ini adalah terapi kompres dingin efektif dalam menurunkan tingkat nyeri pasien fraktur tertutup. Saran bagi perawat diharapkan dapat menerapkan terapi kompres dingin sebagai salah satu intervensi untuk menurunkan nyeri pasien fraktur.Kata kunci:kompres dingin; intensitas nyeri; fraktur tertutup;


2021 ◽  
Vol 1 ◽  
pp. 1172-1181
Author(s):  
Annisa Dwi Lestari ◽  
Neti Mustikawati

AbstractThe developmentof technology causeschildren to spend time withgadgets. Meanwhile, their outdoor activities are reduced. The use ofgadget with close distances and long durations results in the eyes being continuously accommodated so that it can cause myopia. This Study aimed to analyze the correlation betweengadget useand myopia in children. The research uses a quantitative descriptive correlation study with a literature review approach. The databases used are PubMed, Garba Garuda, and Google Scholar. Articles are selected based on the suitability of keywords, topics and inclusion and exclusion criteria that have been determined. The articles used in researching five articles from 2011-2021. The critical research instrument used is the JBI (The Joanna Briggs Institute) instrument. The results of the literature review of 5 articles showed that duration ofgadgets use wasmostly more than 2 hours (60.0% or 136 respondents). The distance of gadgets use was mostly less than30cm (59.5% or 176 respondents). The position of gadget use was mostly in the sleeping position (64.3% or 146 respondents). Myopiarefractive disorderswere 176 (31,3%). Three articles showed a correlation between viewing distanceusing gadgets and myopia with a p-value <0.05. There was no correlationbetween duration and position ofgadget use with myopia with p-value >0.05. Of the five articles, there are three articles that have a relationship between the distance between gadget use and myopia with a p-value <0.05.Keywords: Children; gadgets; myopia AbstrakSemakin berkembangnya teknologi menyebabkan anak menghabiskan waktu dengan gadget, sementara aktivitas di luar ruangan menjadi berkurang. Penggunaan gadget dengan jarak yang dekat dan durasi yang lama berakibat pada mata yang terus menerus berakomodasi sehingga dapat menyebabkan terjadinya miopia. Penelitian ini bertujuan untuk menganalisis hubungan penggunaan gadget terhadap miopia pada anak secara literature review. Penelitian menggunakan metode kuantitatif jenis studi deskriptif korelatif dengan pendekatan literature review. Database yang digunakan PubMed, Garba Garuda, dan Google Scholar. Artikel diseleksi berdasarkan kesesuaian kata kunci, topik serta kriteria inklusi dan eksklusi yang tekah ditentukan. Artikel yang digunakan dalam penelitian berjumlah lima artikel rentang waktu 2011-2021. Instrumen telaah kritis yang digunakan adalah instrumen JBI (The Joanna Briggs Institute). Hasil penelitian literature review dari ke lima artikel menunjukan durasi penggunaan gadget sebagian besar >2 jam sebanyak 136 (60,0%), jarak penggunaan gadget sebagian besar <30cm sebanyak 176 (59,5%), dan posisi penggunaan gadget sebagian besar pada posisi tidur sebanyak 146 (64,3%). Gangguan refraksi miopia sebanyak 176 (31,3%). Dari kelima artikel terdapat tiga artikel yang ada hubungan antara jarak pandang penggunaan gadget dengan miopia dengan p-value <0,05. Dari kelima artikel terdapat tiga artikel yang tidak ada hubungan durasi dan dari ketiga artikel terdapat dua artikel yang tidak ada hubungan posisi penggunaan gadget dengan miopia dengan p-value >0,05. Dari kelima artikel terdapat tiga artikel yang ada hubungan antara jarak penggunaan gadget terhadap miopia dengan p-value <0,05.Kata kunci: Anak; gadget; miopia


2021 ◽  
pp. 3-4
Author(s):  
Savita Chandra

During the two years study period, 8557 deliveries took place, of which 114 were pregnancies with myoma giving the incidence as 1.33%. 12 of the 114 pregnancies ended in abortion, i.e.10.5%. The myoma placenta relationship and the obstetric outcome was analyzed in the remaining 102 pregnancies which continued beyond 22 weeks. Of these, 41.2% had complications. Premature rupture of membranes was the commonest complication seen in 22.5%. No case of preeclampsia or antepartum haemorrhage occurred in the 'no contact' category. Amongst the cases where the placenta was either in contact or superimposed on the broid, 85.5% -87.5% developed one or more complication. The myoma placenta relationship was found to be statistically signicant, p value <0.001. 39.3% were caesarean deliveries. Overall 37.25% were low birth weight neonates. There were two stillbirths, both in the superimposed category.


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