scholarly journals GAMBARAN KETUBAN PECAH DINI, WARNA KETUBAN JELEK DAN INFEKSI IBU DENGAN KEJADIAN INFEKSI PADA BAYI BARU LAHIR DI RSUD ABDUL WAHAB SJAHRANIE SAMARINDA

2020 ◽  
Vol 8 (1) ◽  
pp. 1-7
Author(s):  
Amalia Rizkiannur Putri ◽  
Sukartini ◽  
Evi Fitriany

The early 28 days of life called the neonatal period is the most vulnerable period for infants. The infants face the highest risk of death in the first month after birth. The most common cause of infant death is asphyxia, prematurity, and infection. Infection in newborns is defined as a condition where the newborns have a disease caused by microorganisms. One of the risk factors causing infection in newborns includes factors from the mother, such as premature rupture of membranes, green or meconium and smelly amniotic fluid, maternal infection, and others. The main objective of this research was to describe the risk factors of incidence of infection in newborns at RSUD Abdul Wahab Sjahranie Samarinda. This research uses a retrospective descriptive method with the cross-sectional approach. Sampling was done by taking data on medical records of patients at the RSUD Abdul Wahab Sjahranie Medical Record Installation using total sampling technique. The results obtained were 99 samples that met the inclusion and exclusion criteria with details of patients who experienced premature rupture of membranes by 18 people (18,2%), poor amniotic color by 62 people (62,6%), mothers who had leukocytosis by 15 people (15,2%), and the incidence of infection in newborns by 2 people (2%). the collected data were tabulated bu frequency and percentage and displayed in tables

2020 ◽  
Vol 3 (1) ◽  
pp. 20-28
Author(s):  
Yushera Atika Sari ◽  
Wisda Widiastuti ◽  
Betty Fitriyasti

Introduction: CAD occurs indirectly, usually a person will experience a process of narrowing of the coronary arteries in quite a long period of time. Primary survey results that researchers have done at Siti Rahmah Padang Hospital, recorded from 2017-2018 the number of CAD events as many as 115 cases. Aims : To obtain information about an overview of risk factors for the occurrence of coronary artery disease in the heart policlinic of Siti Rahmah Hospital Padang in 2017-2018. Method: This research covers the field of internal medicine and cardiology, this study was conducted at the Islamic hospital Siti Rahmah Padang in May to November 2019. This research used a descriptive method with a cross sectional approach using secondary data from medical records. The affordable population of this study is CAD patients who seek treatment at Siti Rahmah Hospital in Padang in 2017-2018 with 51 samples using Total Sampling technique. Univariate analysis is presented in the form of a frequency distribution table. Results: Based on the results of the study the most age was at the age of 50-59 years, 21 people (41.2%), the most sex was female, 26 people (51%), hypertension, 27 people (52,9%), experienced DM 26 people (51%) were obese, 16 people (31,4%) and hyperlipidemia, 13 people (25,5%). Conclusion : Most age 50-59 years, most sexes of women, most have hypertension, less than half are obese, most have DM and less than half have hyperlipidemia. 


Author(s):  
Pierre M. Tebeu ◽  
Aurelien Kamdem ◽  
Jean P. Ngou-Mve-Ngou ◽  
Esther Meka ◽  
Jesse S. S. Antaon ◽  
...  

Background: Surgical site infection is the invasion by microorganisms of the tissue layers affected by the surgical procedure. Maternal morbidity from infections has been shown to be higher after caesarean section compared to the vaginal delivery. Objective of the research was to analyze the risk factors associated with surgical site infections after caesarean section.Methods: This was a cross sectional (affected/non affected) study approved by the institutional committee for ethics and research of the faculty of medicine and biomedical sciences. A total of 310 medical files were assessed, 62 files from patients with surgical site infections and 248 files from patients without any complications. The data was collected using a pretested questionnaire and analyzed using the statistical package for the social sciences (SPSS) software version 22.0. The Chi squared and the Fisher exact tests were used to assess homogeneity between the 2 groups. Odd ratio 95% confidence interval was used to assess the association between the variables.Results: The proportion of surgical site infections during the study was 1.81%. Factors associated with surgical site infections were premature rupture of membranes (OR: 2.065; 95% CI 1.051-4.05; p=0.035); the vertical midline incision (OR=5.26; 95% CI; 1.41-19.57; p=0.013) and a operation by a resident physician doctor (OR=1.98; 95% CI 1.09-3.59; p=0.02).Conclusions: A factors associated with surgical site infections after caesarean section are a premature rupture of membranes, vertical midline incision and the qualification of the practitioner.


2015 ◽  
Vol 35 (1) ◽  
pp. 44-48 ◽  
Author(s):  
SM Gurubacharya ◽  
S Rajbhandari ◽  
R Gurung ◽  
A Rai ◽  
M Mishra ◽  
...  

Introduction: The incidence of meconium aspiration syndrome is still high in the developing world contributing significantly to the neonatal mortality. The study was aimed to know the risk factors contributing to meconium aspiration syndrome and neonatal outcome in a tertiary government hospital of the country.Materials and Methods: It was a hospital based cross sectional study done over a period of three months. All live newborns born through meconium stained liquor were enrolled and all the details regarding mother, neonate were recorded. Odd’s ratio and bivariate analysis was done to assess the risk factors for meconium aspiration syndrome.Result: Out of all the deliveries 14.6% were meconium stained amniotic fluid and meconium aspiration syndrome developed in 6.6% of the neonates. Low Apgar score and premature rupture of membranes was significantly associated with the risk of occurrence of meconium aspiration syndrome. Neonates who developed meconium aspiration syndrome had mortality of 11.3%.Conclusion: Perinatal asphyxia and premature rupture of membranes were significantly associated with the development of meconium aspiration syndrome and neonates who developed meconium aspiration syndrome had high mortality.J Nepal Paediatr Soc 2015;35(1):44-48


2020 ◽  
Vol 5 (2) ◽  
pp. 219
Author(s):  
Lian Sintya ◽  
Karlina Sumiari Tangkas ◽  
I Made Sundayana

Introduction: IUD is one type of non-hormonal contraception and including long-term contraception are ideal in an attempt to space pregnancy. Post-placental IUD is an IUD fitted in 10 minutes after the release of the placenta in vaginal childbirth. The use of post-placental IUD in Bali is still relatively low, it is known from the 69 829 new acceptors throughout 2014 only 908 are being post-placental IUD acceptors. The purpose of this study is to determine the level of  knowledge of pregnant women about post-placental IUD. Methods: This study uses descriptive method with cross sectional approach. The sampling technique used is non-probability sampling technique total sampling with sample of 30 people who fulfill the inclusion and exclusion criteria. The collecting of data is by distributing questionnaires. Result:  From the results study, the level of knowledge is known that the respondents who have  good knowledge is 23.3%, quite is 30.0%, and less knowledgeable is 46.7%. Conclusions: The majority of respondents surveyed have less knowledge is 46,7 percent.   Keywords : Knowledge, pregnant women, Post placenta IUD


Author(s):  
Roni Aldiano ◽  
Fitta Deskawati

The high rate of infant mortality is caused by many factors, including neonatal asphyxia and premature rupture of membranes. KPD followed by infection can increase perinatal morbidity and mortality. Asphyxia is a newborn emergency in the form of respiratory depression that continues, causing various complications. This study aims to determine the relationship between premature rupture of membranes and Asphyxia Neonatorum. Method : The research method used was an analytic survey with a cross sectional approach. Conducted at the ST Hospital. Elisabet, the study was conducted for 6 months, the population in this study were all patients in the delivery room with term delivery at Santa Elisabeth Hospital, Batam City from January to December as many as 1,018 people. The sample in this study was 91 people. The sampling technique was carried out by systematic random sampling technique with research instruments using checklists. Data analysis using Chi square. Result :The results of the study with a sample of 91 in 32 mothers with KPD, showed 20 neonates (62.5%) were not asphyxia and 12 neonates (37.5%) had asphyxia. Meanwhile, 59 non-KPD mothers whose babies were not asphyxiated were 53 neonates (89.8%) and 6 neonates had asphyxia (10.2%). The analysis results obtained p = 0.004 (<0.05). Conclusion : The conclusion is that there is a relationship between PROM and the incidence of neonatal asphyxia at term delivery at Santa Elisabeth Hospital, Batam City. Research suggestion that efforts to reduce the incidence of KPD can be increased.


2018 ◽  
Vol 4 (2) ◽  
pp. 63-69
Author(s):  
Sefita Aryuti Nirmala ◽  
R. Tina Dewi Judistiani ◽  
Sri Astuti ◽  
Wulan Tanti Aprianti

The maternal mortality (AKI) and the neonatal mortality (AKN) in Kabupaten Sumedang is caused by the maternal urgency and neonatal. The maternal urgency is a dangerous phenomena that can be a life-threatening caused by the problems of pregnancy, labor, and postpartum. It is the phenomena that threatens the life of newborn babies in the range of 0-28 days old. This study aimed to investigate the maternal and neonatal urgency in Puskesmas PONED Tanjungsari in 2015. Descriptive method with cross sectional approachment was used in this study. The data was retrospectively gained from the medical record of the patients that experienced maternal and neonatal urgency in Puskesmas PONED Tanjungsari Kabupaten Sumedang in 2015.  The cases of maternal urgency that frequently happened in Puskesmas Tanjungsari was premature rupture of membranes that reached 28 cases or 37,8%. Meanwhile, in 2015, there was no neonatal urgency happened and recorded in Puskesmas PONED Tanjungsari. The characteristics of maternal age that experienced the maternal urgency was about 20-35 years ord with 51 cases happened or 68,9%. The number of live birth in range of 2-3 reached 37 cases or 50%. The referal cases with a healthy condition reached 72 cases or 97,3% and for them who got complicated cases reached 2 cases or 2,7%.  The cases of maternal and neonatal urgency that happened in Puskesmas Tanjungsari mostly caused by the premature rupture of membranes with the characteristics of maternal age about 20-35 years old and the number of live birth in range of 2-3. Puskesmas Tanjungsari has followed the clinic procedure before referring the patients to the nearest PONEK hospital by doing stabilization to the patients. Moreover, the condition of the patients reffered to the nearest PONEK hospital were mostly in a good and health condition.


2021 ◽  
Vol 8 (2) ◽  
pp. 168
Author(s):  
Endang Dwi Suhartiningsih ◽  
Dora Samaria

<p><em>The rate of exclusive breastfeeding that is not in accordance with the national target is influenced by several factors. Factors that influence the process of breastfeeding can come from within the mother and from outside. This research was conducted with the aim to identify the characteristics of breastfeeding mothers in the Exclusive Pumping Mama Indonesia Group. This research uses descriptive method with survey approach. The population in this study is breastfeeding mothers who are members of the Exclusive Pumping Mama Indonesia Group. Sampling was done by purposive sampling technique by adjusting the inclusion and exclusion criteria that have been set by 49 respondents. Data collection was carried out by distributing questionnaires containing the characteristics of respondents. Analysis of the data used is univariate analysis by looking at the frequency distribution of the percentages of each sub-variable characteristic of nursing mothers. The results showed that of the 49 respondents involved mostly aged 20-35 years, namely 87.5%, had a high level of education (D3 / S1) of 85.4%, 79.2% of working mothers and primiparous mothers which is as much as 68.8%.</em></p><p> </p><p><strong>BAHASA INDONESIA </strong>Angka pemberian ASI Eksklusif tidak mencapai target nasional. Hal ini dapat disebabkan oleh beberapa faktor yang memengaruhi proses menyusui, yaitu faktor internal dan eksternal ibu. Penelitian ini dilakukan dengan tujuan untuk mengidentifikasi karakteristik ibu menyusui di Group Exclusive Pumping Mama Indonesia. Penelitian ini menggunakan metode deskriptif dengan pendekatan survei. Populasi dalam penelitian ini adalah ibu menyusui yang tergabung dalam Group Exclusive Pumping Mama Indonesia. Pengambilan sampel dilakukan dengan teknik <em>purposive sampling</em> sejumlah 49 responden. Pengumpulan data dilakukan dengan menyebarkan kuesioner yang berisi karakteristik responden ibu menyusui. Analisis data yang digunakan adalah analisis univariat yaitu dengan melihat distribusi frekuensi persentase dari masing-masing subvariabel karakteristik ibu menyusui. Hasil penelitian menunjukkan bahwa dari 49 responden yang terlibat sebagian besar berusia 20-35 tahun yaitu 87,5%, memiliki tingkat pendidikan tinggi (D3/S1) yaitu sebanyak 85,4 %, ibu berstatus bekerja sebanyak 79,2% dan merupakan ibu primipara yaitu sebanyak 68,8%. Direkomendasikan desain penelitian cross-sectional untuk penelitian selanjutnya agar dapat mengindentifikasi lebih jauh hubungan antar subvariabel karakteristik ibu menyusui dalam kaitannya dengan pemberian ASI eksklusif.</p>


2021 ◽  
Vol 2 (1) ◽  
pp. 67-74
Author(s):  
Dara Prameswari ◽  
M. Totong Kamaluddin ◽  
Nita Parisa

Rationality of Diclofenac Use in Osteoarthritis Outpatient Case at RSUP MH Palembang in January-March 2018. Osteoarthritis (OA) is the most common disease in joints that affects people in their middle until late years. In Indonesia the prevalence of OA is relatively high and disturbs their daily activity. Diclofenac is one of the drug of choice in treating OA. To avoid multiple side effects from Diclofenac use, the usage must be in accordance to rationality indicators which are correct dose, correct frequency, and correct length of use. This study is aimed to know the rationality of Diclofenac use in Osteoarthritis outpatient cases at RSUP Mohammad Hoesin Palembang. This study is a descriptive observational with a cross-sectional approach to know the rationality of Diclofenac use in outpatient cases of osteoarthritis at RSUP Mohammad Hoesin Palembang. Samples were medical records of OA patients in outpatient setting from January to March 2018 which fulfilled the inclusion and exclusion criteria. Sampling technique used was total sampling. The amount of samples fulfilling the inclusion criteria were 201 patients, with the most were aged 46-65 years (60.2%), female (55.7%), and has a history of comorbidity which includes low back pain (22.8%). The result of this study shows pattern of Diclofenac use with dosage of 2 x 25mg (73.6%), length of use about <7 days (57.2%). In combination with other drugs there were no interaction to be found (84.4%), or synergistic interaction (8.5%) and antagonistic interaction (7.1%). The use of diclofenac in osteoarthritis cases at outpatient setting in RSUP Dr Mohammad Hoesin Palembang is rational and needs to be maintained.


2021 ◽  
Vol 4 (2) ◽  
pp. 58-63
Author(s):  
Kinanatul Qomariyah ◽  
Dewi Susanti Oktavia

Based on data from the International NGO Forum on Indonesia Development (INFID) in 2013, the incidence of prolongation of the first stage of the active phase in Indonesia was 5% of all causes of maternal death. In BPS Suhartatik, S.ST, in 2013 there were 63 (53.8%) mothers who gave birth experienced an extension of the first stage of the active phase, and increased in 2014 as many as 76 (61.29%) of mothers who gave birth experienced an extension of the first phase of the active phase that was wrong one of the biggest causes is premature rupture of membranes. The purpose of this study was to determine the relationship between premature rupture of membranes and the extension of the first stage of the active phase at BPS Suhartatik, S.ST. The design of this research is correlative analytic. Meanwhile, based on time, this study is a cross sectional study. The total population is 34 with the sampling technique using saturated sampling. The independent variable in this study is premature rupture of membranes, while the dependent variable is the extension of the first stage of the active phase. Data were collected using partograph and observation sheet. The statistical test used was chi-square. Based on the cross tabulation, most of the women who gave birth did not experience premature rupture of membranes and extended phase I of the active phase, after being analyzed using the chi-square statistical test, the results obtained were X2count (6.69)> X2table (3.841) so it could be concluded that there was a relationship between ruptured membranes. early stage with an active phase I extension at BPS Suhartatik, S.ST. Maternity women who experience prolonged phase I of the active phase due to premature rupture of membranes can be prevented by regular pregnancy checks, following pregnancy exercises, and attending posyandu every month. In addition, mothers also need to know the signs and symptoms of premature rupture of ketuban  


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