scholarly journals GAMBARAN FAKTOR RESIKO IBU DENGAN TERHADAP KEJADIAN ASFIKSIA NEONATORUM DI RSUD RASIDIN PADANG TAHUN 2017

2019 ◽  
Vol 2 (2) ◽  
Author(s):  
Novria Hesti

Tahun 2012 angka kematian neonatus di Indonesia yaitu 35 per 1.000 kelahiran, dari angka tersebut 35,9 % disebabkan oleh gangguan pernapasan/asfiksia. Faktor resiko dari ibu seperti usia, paritas, riwayat perdarahan di trimester III dan hipertensi dapat menyebabkan asfiksia pada bayi. Tujuan penelitian adalah untuk menggambarkan faktor resiko individual ibu terhadap kejadian asfiksia neonatorum di RSUD Rasidin Padang Tahun 2017. Jenis penelitian descriptif. Dilakukan di RSUD Rasidin Padang pada Tanggal 11 Juli 2018, dengan populasi seluruh ibu yang melahirkan dengan bayi asfiksia di RSUD Rasidin, dengan teknik pengambilan sampel total sampling dengan menggunakan kriteria inklusi, dengan jenis pengambilan data yaitu data sekunder, teknik pengolahan data editing, coding, entry data,tabulating, cleaning serta analisa data menggunakan analisa univariat. Dari hasil penelitian ibu yang melahirkan dengan bayi asfiksia didapatkan 22 orang ibu (66,67%) memiliki usia < 20 tahun atau > 35 tahun, sebanyak 19 orang ibu (57,57%) yang melahirkan anak pertama atau anak ke >3, sebanyak 4 orang ibu (12,12%) memiliki riwayat perdarahan timester III, sebanyak orang ibu(9,10%) memiliki riwayat hipertensi. Sebagian besar ibu yang  yang melahirkan bayi dengan asfiksia  memiliki usia < 20 tahun atau > 35 tahun. Sebagian Ibu yang melahirkan bayi dengan asfiksia merupakan anak pertama atau anak ke >3. Sebagian kecil ibu yang melahirkan dengan bayi asfiksia memiliki riwayat perdarahan timester III. Sebagian kecil ibu yang melahirkan dengan bayi asfiksia memiliki riwayat hipertensi. Diharapkan agar meningkatkan pelayanan yang lebih efektif dalam medeteksi persalinan dengan resiko sehinga keadaan ibu dan bayi dapat tertangani secara optimal.   Kata Kunci : Asfiksia Neonatorum, Usia, Paritas, Perdarahan Trimester III, Hipertensi           ABSTRAK                  In 2012 the neonatal mortality rate in Indonesia was 35 per 1,000 births, of which 35.9% were caused by respiratory / asphyxia disorders. Maternal risk factors such as age, parity, history of bleeding in the third trimester and hypertension can cause asphyxia in infants. The aim of the study was to describe the individual maternal risk factors for the incidence of neonatal asphyxia in Rasidin Padang Hospital in 2017. Descriptive research type. It was conducted at Rasidin Hospital in Padang 11 Juli 2018, with a population of all mothers giving birth to asphyxia babies in Rasidin Hospital, with a total sampling technique using inclusion criteria, with data collection types namely secondary data, editing data processing techniques, coding, data entry, tabulating, cleaning and data analysis using univariate analysis. From the results of the research, mothers who gave birth to asphyxial infants found 22 mothers (66.67%) had an age of <20 years or> 35 years, as many as 19 mothers (57.57%) who gave birth to their first child or> 3 children, as many as 4 mothers (12.12%) had a history of bleeding in the third trimester, as many as mothers (9.10%) had a history of hypertension. Most of the mothers who gave birth to asphyxial babies had <20 years or> 35 years. Some mothers who give birth to babies with asphyxia are the first child or> 3 children. A small percentage of mothers giving birth to asphyxial infants have a history of bleeding in the third trimester. A small percentage of mothers giving birth to asphyxial babies have a history of hypertension. It is expected to improve services that are more effective in detecting labor with risk so that the condition of the mother and baby can be handled optimally. Keywords: Neonatal Asphyxia, Age, Parity, Third Trimester Bleeding, Hypertension

Author(s):  
Almira Maharani ◽  
Aditiawarman Aditiawarman ◽  
Widati Fatmaningrum

Introduction: Preterm birth becomes a global problem due to its high rate of morbidity and mortality. In 2010, it is estimated approximately 15 premature birth cases per 100 lives birth in Indonesia. This study aimed to analyze the maternal risk factors towards preterm birth at Universitas Airlangga Hospital Surabaya in 2017-2018.Methods: This was observational analytic study using case-control approach to observe 178 medical records at Universitas Airlangga Hospital Surabaya. The population of this study was women who had preterm and aterm birth. The sample consisted of case group and control group which were convenient to exclusion and inclusion criteria. Univariate analysis was used to observe the relationship between dependent and independent variable. The significance value was p ≤ 0.05. The data were analysed using SPSS.Results: The research samples consisted of 89 case groups and 89 control groups. The case sample characteristic showed that 36% patients had overweight BMI; 62.9% patients had normal/hypotension; 69.7% patients gave birth to male baby; and 82% patients had no history of disease.There was no patient who used drugs and substance abuse (0%). Mothers aged 20 years old and older than 35 years old had OR = 2.13 (95% CI : 1.106-4.11) to become preterm birth. The primiparous women had risk for preterm birth 2.978 folds (95%, CI : 576-5.625) higher.Conclusion: There was a relationship between maternal age and parity to preterm birth. There was no relationship between maternal education, maternal occupation, hemoglobin levels, history of obstetric complications, and multiple pregnancy to preterm birth.


2019 ◽  
Vol 48 (2) ◽  
pp. 7-12
Author(s):  
Alpana Adhikary ◽  
Anwara Begum ◽  
Fahmida Sharmin Joty ◽  
Nihar Ranjan Sarker ◽  
Rifat Sultana

Placenta praevia is one of the most serious obstetric emergencies, which continues to be an important contributor to perinatal mortality and is responsible for leading maternal and infant morbidity. Very few data on etiology of placenta praevia are available till now. This study aims to explore the maternal risk factors related to occurrence of placenta praevia and its effects on maternal and fetal outcome. This cross-sectional observational study was carried out among 3279 obstetrics patients admitted in labour ward in the Department of Obstetrics and Gynecology, Sher-e-Bangla Medical College Hospital from January to December 2006. Out of 3279 obstetrics patients 93 placenta praevia cases were identified purposively as study subjects. The patients of placenta praevia were selected either diagnosed clinically by painless antepartum haemorrhage or asymptomatic placenta praevia diagnosed by ultrasonography irrespective of age, gestational age, parity, booking status. Pregnant woman admitted with painful antepartum haemorrhage were excluded from the study. With the ethical approval from the Institutional Ethical Committee (IEC), patients were selected after taking their written consent. A structured questionnaire and a chick list were designed with considering all the variables of interest. Out of 93 respondents, 73.88% were associated with risk factors in addition to advanced maternal age and high parity. Among them 24.73%, 33.33% and 7.52% had history of previous caesarean section (CS), MR and abortion and both CS & abortion previously. Patients aged above 30 years were 47% and 35.48% were in their 5th gravid and more; whereas, 31.18% patients were asymptomatic, 68.82% patients presented with varying degree of vaginal bleeding, among them 12.08% were in shock. Active management at presentation was done on 76.34% patients and 23.66% were managed expectantly. CS was done o 82.79% patients and only 17.2% were delivered vaginally. Case fatality rate was 1.07% and about 22% perinatal death was recorded, majority belonged to low birth weight (<1500 gm). About 10% patients required caesarean hysterectomy, 3.22% required bladder repair. Advanced maternal age, high parity, history of previous CS and abortion found to be common with the subsequent development of placenta praevia. Proper diagnosis, early referral and expectant management of patients will reduce prematurity, thereby improvised foetal outcome but to improve maternal outcome rate of primary CS have to be reduced and increase practice of contraception among women of reproductive age. Bangladesh Med J. 2019 May; 48 (2): 7-12


Author(s):  
Manisha Malik ◽  
Pardeep Khanna ◽  
Ramesh Verma

Background: Macrosomia affects 1-10% of all pregnancies. The macrosomia is reportedly associated with neonatal morbidity, neonatal injury, maternal injury and cesarean delivery. The present study was aimed at finding out prevalence and assessing association of maternal risk factors with macrosomia.Methods: This community based retrospective and cross-sectional study was carried out in 23 rural sub-centres of block Beri, district Jhajjar (Haryana, India) among 920 mothers. A predesigned pretested semistructured questionnaire was used to collect information. Univariate analysis along with logistic regression analysis was performed.Results: The prevalence of macrosomia among live births was 1.3% (n=12). In the present study, mothers from upper and upper middle socio-economic status had six times higher odds of delivering a large baby. Diabetic mothers had seventeen times higher incidence of macrosomia as compared to non-diabetic mothers. Mothers who consumed full course of iron folic acid (IFA) tablets during antenatal period had 24% lesser chances of macrosomia in live births as compared to mothers who did not consume the full course.Conclusions: The findings of the present study emphasize that incidence of macrosomia can be reduced by strengthening antenatal monitoring, prevention of complications, early diagnosis and appropriate and adequate management of treatable risk factors in mothers.


2018 ◽  
Vol 21 (04) ◽  
pp. 745-749
Author(s):  
Sikandar Ali Bhand ◽  
Farzana Sheikh ◽  
Abdul Rehman Siyal ◽  
Muhammad Akber Nizamani ◽  
Muhammad Saeed

… Objective: To determine the presenting features and assessment of the neonateswith hypoglycemia along with maternal and neonatal risk factors for hypoglycemia. Subjects &methods: All consecutive neonates with hypoglycemia admitted were included in the study.Demographic characteristics of the mothers and their babies, past medical history and illnessesduring pregnancy especially that, of diabetes mellitus and duration, details of the management oflabour and place of delivery, birth asphyxia as well as history of feeding prior to admission. All therisk factors and clinical features were documented. Results: From presenting features neonateswere most common temperature instability 32% of the neonates. Maternal risk factors were asMaternal diabetic mellitus, Intrapartum administration of glucose , Maternal drug uses as: (Betablockers, Oral hypoglycemic agents, Valproate), family history of metabolic disorder and withoutany factors with the percentage 13%, 17%, (15%, 08%, 07%) , 27% and 13% respectively.Neonatal risk factors of the patients were found low birth weight 49%, small gestational age 26%,macrosomia 11%, respiratory distress 32%, sepsis 20%, hypothermia 25%, congenital cardiacabnormalities 4%, endocrine disorder 4%, family history of metabolic disorder 7%, inborn errorsof metabolism 4%, rhesus hemolytic disease 5%, erythroblastosis fetalis 1%, inadequate feeding35% and neonates without factors were 6%. Conclusions: The risk factors associate withneonatal hypoglycemia are, low birth weight, small gestational age, macrodome, respiratorydistress, sepsis, hypothermia and inadequate feeding , and maternal risk factors associate toneonatal hypoglycemia was Eclampsia, Maternal diabetic mellitus, and maternal drug uses


2021 ◽  
Author(s):  
Carlos Izaias Sartorão Filho ◽  
Fabiane Affonso Pinheiro ◽  
Luiz Takano ◽  
Raghavendra Hallur Lakshmana Shetty ◽  
Sthefanie K. Nunes ◽  
...  

Abstract Background Gestational Diabetes Mellitus and long-term urinary incontinence (UI) have a severe impact on women's health. New methods to identify pregnant predictor risk factors of UI are needed. Our study investigated clinical and pelvic floor 3D-ultrasound markers in pregnant women at the second and third trimesters to predict 6-18 months postpartum UI. Methods This ongoing prospective cohort study included one hundred five nulliparous pregnant women with universal GDM screening and diagnosis, treated with nutritional and healthy lifestyle intervention. Pelvic floor 3DUltrasound was performed at the second and third trimesters of gestation. Clinical and pelvic floor 3DUltrasound biometry were collected. The ICIQ-SF and ISI questionnaires for UI were applied in the third trimester and 6-18 months postpartum. We performed univariate analysis (P<.20) to extract risk factors variables and multivariate logistic regression analysis (P<.05) to obtain the adjusted relative ratio for 6-18 months postpartum UI. Results In a preliminary result, a total of 93 participants concluded the follow-up. Using the variables obtained by the univariate analysis and after the adjustments for potential confounders, logistic regression analysis revealed that Gestational Diabetes Mellitus exposure was a strong and independent risk factor for 6-18 months postpartum UI (Adjusted RR 8.088; 95%CI 1.17-55.87; P:.034). In addition, higher hiatal area distension at rest from the second to the third trimester was negatively correlated with 6-18 months postpartum UI (Adjusted RR 0.966; 95%CI 0.93-0.99; P: .023). Conclusion Gestational Diabetes Mellitus was positively correlated with 6-18 months postpartum UI, and a higher hiatal area distension was negatively correlated with 6-18 months postpartum UI development. Trial registration: Regulatory approval was obtained from the Institutional Review Board (number 1.716.895) by “Botucatu Medical School of São Paulo State University (Unesp)” Ethics Committee.


2018 ◽  
Vol 1 (1) ◽  
pp. 56-60
Author(s):  
Ziske Maritska ◽  
Bintang Arroyantri

Intellectual Disability (ID) is a condition where there is a significant disturbance in one’s development including social, cognitive and adaptive function. The prevalence of ID worldwide is varied, whereas its prevalence in South East Asia including Indonesia is quite high. The exact cause of ID is yet to be known. A couple of risk factors are believed to be involved in the occurence of ID. This study aims to identify parental risk factors in children with ID in Special Need School in Palembang. This is a observational descriptive study towards children with ID in Special Need School in Palembang. Primary data were obtained from direct interview and questionnaire filled by parents. Variables being identified were Paternal risk factors (age and smoking habit), Maternal risk factors (age, parity, drug and herbs consumption history during pregnancy, smoking exposure during pregnancy) and family history. There are 68 samples who are mostly male (64.70%) with Mild ID (60.29%). Majority of the Father were <35 years old when they had their child (64.71%) with a smoking habit of 52.94%. Most Mother were age 21-35 years old when pregnant, with parity history of less than 4 (77.94%). Children with ID in Special Need School Palembang showed similar risk factors compared to previous studies. It is hoped that the prevalence of ID can be reduced by preventing the known risk factors.


2017 ◽  
Vol 4 (suppl_1) ◽  
pp. S42-S42
Author(s):  
Amrita Bhardwaj ◽  
Maroun Mhanna ◽  
Nazha Abughali

Abstract Background Lack of adequate testing and follow-up in infants born to hepatitis C virus (HCV) infected mothers continue to be a major challenge. There are multiple risk factors associated with this low rate of testing and follow-up including maternal, healthcare-related, and social factors. We sought to identify maternal risk factors that are associated with low HCV testing and follow-up in perinatally exposed infants. Methods In a retrospective cohort study, all HCV-infected pregnant women and their infants were reviewed. The study period expanded from June 1993 to May 2016. Medical records were reviewed for maternal characteristics and risk factors that could be associated with inadequate testing and loss to follow-up in infants with perinatal HCV exposure. Results During the study period, medical records of 407 mothers and their infants were reviewed. Only 26.5% (108/407) of all infants had adequate testing and follow-up for HCV. Among all infants, history of maternal intravenous drug use (IVDU) was significantly higher in infants with inadequate HCV testing than infants who were adequately tested [88% (193/218) vs. 76% (70/92) respectively; P = 0.005]. Infants who were adequately tested for HCV had a higher percentage of mothers on methadone maintenance therapy during pregnancy than infants who were not adequately tested [53% (35/66) vs. 34% (65/186) respectively; P = 0.010]. Also, infants with mothers who had HCV care were more likely to be adequately tested than infants whose mothers did not have HCV care [54% (56/102) vs. 41% (106/255), respectively; P = 0.022]. HCV transmission rate among infants with adequate testing was 11.1% (12/108). Conclusion Infants born to HCV infected mothers continue to have suboptimal testing. Maternal history of IVDU is associated with inadequate testing and loss to follow-up among infants exposed perinatally to HCV. Whereas, maternal methadone maintenance therapy during pregnancy, and maternal HCV medical care are associated with better follow-up. Screening pregnant women with HCV infection for history of IVDU and linking them to drug treatment centers as well as to HCV medical care may improve testing and follow-up in infants with perinatal HCV exposure. Disclosures All authors: No reported disclosures.


2015 ◽  
Vol 53 (200) ◽  
pp. 250-255 ◽  
Author(s):  
Neebha Ojha

Introduction: Low birth weight and preterm birth are the major community health problems in developing countries. They are the major determinants of perinatal survival and infant morbidity and mortality.  The aim of this study was to determine the proportion and the maternal risk factors for low birth weight and preterm birth among hospital deliveries in Tribhuvan University Teaching Hospital. Methods: A cross sectional retrospective study was carried out in the Department of Obstetrics and Gynecology of TUTH. Maternal risk factors like age, parity, ethnicity, history of previous abortion, history of previous cesarean section, antepartum hemorrhage and medical disorders were studied. Information on all births that occurred was extracted from maternity case notes and delivery registers. Results: During the study period, there were 685 singleton live births.  Among these 78(11.4%) were low birth weight and 47(6.9%) were preterm birth. The mean birth weight was 2950 ± 488 gm. The mean weight of female was statistically less compared to male babies (p=0.032). The significant risk factors for LBW were primiparity (OR 2.12; 95%CI 1.25-3.58), Indo-Aryan ethnicity (OR 1.97; 95%CI 1.12-3.45) and history of medical disorder (OR 3.08; 95%CI 1.17-8.12). As for PTB antepartum hemorrhage (OR 8.63; 95%CI 1.99-37.30) and history of medical disorder (OR 3.20; 95%CI 1.04-9.89) were significant risk factors. Conclusions: Parity, ethnicity, and medical disorders were the main risk factors for low birth weight. Antepartum hemorrhage and medical disorders were significant risk factors for preterm birth. Keywords: low birth weight; preterm birth; risk factors.


2020 ◽  
Vol 9 (2) ◽  
pp. 81-86
Author(s):  
Amshu Shakya ◽  
Sweta Kumari Gupta

Background: Premature Rupture of Membranes  has been known to complicate pregnancy since ages. Several risk factors may be associated with occurrence of premature rupture of membranes. It is associated with varied neonatal complications, neonatal sepsis and prematurity being the most hazardous ones. Objectives: This study was conducted to evaluate the incidence of neonatal sepsis following premature rupture of membranes, risk factors and neonatal complications associated with premature rupture of membrane of more than 18 hours in the neonates admitted in a tertiary care center. Methodology: Descriptive observational study was undertaken for 18 months from August 2013 to January 2015 in the College of Medical Sciences, Chitwan, Nepal. This study included 82 neonates admitted to the Neonatal Intensive Care Unit with maternal history of premature rupture of membranes of more than 18 hours with medical conditions excluded.  Results: The incidence of premature rupture of membranes in this hospital was 8.9%. Frequently associated maternal risk factors were history of prior abortion (16, 19.5%), urinary tract infection (7, 8.5%), and antecedent coitus (7, 8.5%). In the study population, 68 (83%) neonates had complications and 14 (17%) neonates had no complication. The incidence of neonatal sepsis following PROM in present study was 6.1%. Neonatal sepsis was significantly associated with chorioamnionitis (p<0.001). The most frequently occurring complication was probable neonatal sepsis (53, 64.6%), followed by prematurity (31, 37.8%) and perinatal asphyxia (15, 18.3%). There was a directly proportional relation of neonatal sepsis, chorioamnionitis, respiratory distress syndrome and mortality with duration of premature rupture of membranes. Conclusion: Commonly occurring maternal risk factors with PROM were prior abortion, UTI and antecedent coitus. In the study population, infectious morbidity was highest.  Chorioamnionitis was significantly associated with culture proven neonatal sepsis. Prolonged duration of premature rupture of membranes increased the risk of neonatal sepsis, meningitis, respiratory distress syndrome and perinatal death. Prevention of these risk factors, appropriate and timely management including improved obstetric and neonatal care can provide intact survival of the neonates.


Author(s):  
Amjad F. H. ElShanti ◽  
Bothyna Bassyoni EL syed Etewa ◽  
Ahmed S. H. Dhair ◽  
Naema Mohammed Salem Abo Samra

The study aimed to find out the factors that cause fetal death in the womb in governmental hospitals in Gaza Strip a controlled study during the period 2018-2019. The study problem was formulated in the following main question: What were the most important factors causing childhood deaths in the womb? The study used descriptive and analytical methods. the study sample was (70) women and (70) controls. For each case, one control was matched. The study found that the average age of cases was (29.60) years compared to (27.1) for controls. The most common maternal risk factors for fetal intrauterine death were parity (24.3%) among cases versus (21.4%) among controls. Medication/substance, congenital anomalies of the fetus, bleeding in the third trimester of pregnancy, prolonged pregnancy after birth, and intrauterine growth retardation are the main risk factors. The study recommended conducting a continuing education program for women and nurses about risk factors for fetal death in the womb.


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