scholarly journals FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN LASERASI PERINEUM PADA KEHAMILAN NORMAL DI RSUD DR. IBNU SOETOWO BATURAJA KABUPATEN OGAN KOMERING ULU

Masker Medika ◽  
2020 ◽  
Vol 8 (1) ◽  
pp. 58-65
Author(s):  
Sabtian Sarwoko

Pendahuluan: Banyak kemungkinan masalah yang muncul pada ibu pasca persalinan salah satunya adalah laserasi perineum. Laserasi perineum dapat menjadi suatu hal yang mengancam jika diikuti dengan perdarahan. Ada beberapa factor yang dapat mengakibatkan laserasi perineum yaitu jarak kehamilan,, berat bayi lahir, dan usia ibu. Tujuan penelitian: ini ditujukan untuk mengetahui factor apa saja yang berhubungan dengan laserasi perineum pada kehamilan normal. Di RS Ibnu Sotowo Baturaja. Metode Penelitian: ini menggunakan survey analitik dengan pendekatan cross sectional. Populasi penelitian ini adalah seluruh ibu bersalin normal di RSUD dr. Ibnu Soetowo Baturaja Kabupaten Ogan Komering Ulu, dengan sampel pengambilan sampel secara random sampling dengan jumlah sampel 177 responden. yang selanjutnya dilakukan uji statistik Chi-Square, dengan derajat kepercayaan 95%. Hasil penelitian: menunjukkan bahwa ada hubungan jarak persalinan dengan kejadian laserasi perineum (p value 0,002), ada hubungan berat badan lahir dengan kejadian laserasi perineum (p value 0,001) serta ada hubungan umur ibu dengan kejadian laserasi perineum (p value 0,001).   Bacground: Many possible problems that arise in mothers after childbirth one of which is perineal laceration. Perineal laceration can be a threat if followed by bleeding. There are several factors that can cause perineal laceration, namely the distance of pregnancy, birth weight, and maternal age. This study aimed to determine what factors are associated with perineal laceration in normal pregnancy. At the Ibnu Sotowo Baturaja Hospital. Methode This research uses analytic survey with cross sectional approach. The study population was all normal delivery mothers at RSUD dr. Ibnu Soetowo Baturaja Ogan Komering Ulu Regency, with a random sampling with 177 respondents. the Chi-Square statistical test was then performed, with a 95% confidence level. The results showed that there was a relationship between the distance of labor with the incidence of perineal laceration (p value 0.002), there was a relationship of birth weight with the incidence of perineal laceration (p value 0.001) and there was a relationship between maternal age and the incidence of perineal laceration (p value 0.001).

Author(s):  
Juliana Widyastuti Wahyuningsih Juliana Widyastuti Wahyuningsih

ABSTRACT   Low birth weight (LBW) infants with birth weight is less than 2500 grams, regardless of gestational age. Statistically showed 90 % incidence of LBW obtained in developing countries with a mortality rate 35 times higher tinggi.Di South Sumatra Province Infant Mortality Rate ( IMR ) is 29 per 1,000 live births. In Palembang BARI hospitals incidence of LBW in 2013 amounted to 317 cases . The purpose of this study is to determine is there a relationship between the factors of age, education, and parity with the incidence of Low Birth Weight in Palembang BARI hospitals in 2013. This study used survey method crosss sectional analytic approach. The study population was all women who gave birth and was admitted to hospital obstetrics Palembang BARI installations in 2013 amounted to 901. This research was conducted in February 2014. Samples were taken with a random sampling method sistematic. Analyze data using statistical test Chi - Square. Results of univariate analysis of this study showed that 193 (69.4 %) of the respondents had low birth weight, and 85 (30.6 %) respondents had BBLN. 63 (22.7 %) of respondents with a high risk of maternal age and 215 (77.3 %) of respondents with a low risk of maternal age. 157 (56.5 %) respondents with low education mothers and 121 (43.5 %) of respondents with higher education mothers. 48 (17.3 %) respondents with high parity mothers and 230 (82.7 %) respondents with low parity mothers. So the bivariate analysis showed no significant association between maternal age with the incidence of LBW with P value = 0.035, no significant association between education and the incidence of LBW with P value = 0.006, and no significant relationship between the incidence of low birth weight with parity P value = 0.041. It is recommended for health care workers (midwives) hospital in order to be used as material information regarding the occurrence of LBW and as an input as well as the evaluation of success in good health or when needed to do counseling and care of LBW, especially to mothers who give birth to low birth weight baby.   ABSTRAK Berat badan lahir rendah (BBLR) adalah bayi dengan berat lahir kurang dari 2500 gram tanpa memandang masa gestasi. Secara statistik menunjukkan 90% kejadian BBLR didapatkan di negara berkembang dengan angka kematiannya 35 kali lebih tinggi.Di Propinsi Sumatera Selatan Angka Kematian Bayi (AKB) sebesar 29 per 1.000 kelahiran hidup. Di RSUD Palembang BARI Tahun 2013 angka kejadian BBLR berjumlah 317 kasus. Tujuan Penelitian ini adalah untuk mengetahui adakah hubungan antara faktor umur, pendidikan, dan paritas dengan kejadian Berat Badan Lahir Rendah di RSUD Palembang BARI Tahun 2013. Penelitian ini menggunakan metode survey analitik dengan pendekatan crosss sectional. Populasi penelitian ini adalah semua ibu yang melahirkan dan dirawat inap di instalasi kebidanan RSUD Palembang BARI Tahun 2013 berjumlah 901. Penelitian ini dilakukan pada bulan Februari 2014. Sampel penelitian diambil dengan metode sistematic random sampling. Analisa data menggunakan uji statistik Chi – Square. Hasil penelitian analisis univariat ini menunjukkan bahwa 193 (69,4%) responden mengalami BBLR, dan 85 (30,6%) responden mengalami BBLN. 63 (22,7%) responden dengan umur ibu resiko tinggi dan 215 (77,3%) responden dengan umur ibu resiko rendah. 157 (56,5%) responden dengan ibu pendidikan rendah dan 121 (43,5%) responden dengan ibu pendidikan tinggi. 48 (17,3%) reponden dengan ibu paritas tinggi dan 230 (82,7%) responden dengan ibu paritas rendah. Sehingga analisa bivariat menunjukkan ada hubungan yang bermakna antara umur ibu dengan kejadian BBLR dengan P value = 0,035, ada hubungan yang bermakna antara pendidikan dengan kejadian BBLR dengan P value = 0,006 dan ada hubungan yang bermakna antara paritas dengan kejadian BBLR dengan P value = 0,041. Disarankan bagi petugas kesehatan (bidan) rumah sakit agar dapat dijadikan sebagai bahan informasi mengenai terjadinya BBLR dan sebagai bahan masukan serta evaluasi keberhasilan dalam pelayanan kesehatan yang baik atau bila perlu dilakukannya penyuluhan serta asuhan  tentang BBLR khususnya kepada ibu yang melahirkan Bayi dengan BBLR.  


2020 ◽  
Vol 5 (1) ◽  
pp. 36-42
Author(s):  
Yeviza Puspitasari

Hyperbilirubinemia is one of the clinical phenomena most often found in neonates occurring in the first week of life, which is also one of the factors causing infant death is influenced by the immature liver function of the baby to process erythrocytes (red blood cells), resulting in the accumulation of bilirubin. The purpose of this study was to determine the relationship of birth weight of infants with the incidence of hyperbilirubinemia in RSUD dr. Ibnu Soetowo Baturaja Ogan Komering Ulu Regency in 2019. This study uses analytic methods with a cross-sectional approach. The study population was all infants aged 0-7 days in the neonatal room at RSUD dr. Ibnu Soetowo Baturaja Ogan Komering Ulu Regency in 2019, with a random sampling. Data analysis uses univariate analysis and bivariate analysis using distribution tables and Chi-Square statistical tests, with a 95% confidence level. In the univariate analysis, of 203 respondents found 26.5% had hyperbilirubinemia and those without hyperbilirubinemia 72.5%, 24.6% of infants with LBW and non-LBW infants 75.4%. Bivariate analysis showed that there was an LBW relationship with the incidence of hyperbilirubinemia (p-value 0,000).


2020 ◽  
Vol 2 (1) ◽  
pp. 31-36
Author(s):  
Wa Ode Hajrah ◽  
Niken Purbowati ◽  
Novia Nuraini

erineal rupture needs attention because it can cause dysfunction of the female reproductive organs, as a source of bleeding, a source, or a way in and out of infection, then it can cause death due to bleeding or sepsis. About 85% of Women who delivery vaginally experience perineal rupture, in the age group 25-30 years 24%, while in maternal age 32-39 years by 62%. In Asia, perineal rupture is also a problem in society, 50 % of the world's occurrence is in Asia. The study aims to determine the relationship of maternal factors to the position of the second stage labor and perineal rupture occurrence. This research applied a descriptive-analytic method using a cross-sectional research design. The research sample was 102 respondents, accidental random sampling, which was all labor with perineal rupture in July to November 2018. Statistical tests used chi-square. The results of perineal rupture with maternal age was p-value 0.042 (p <0.05), perineal rupture with maternal parity was p-value 0.01 (p <0.05). Suggestions for various maternal positions in maternity and ANC classes to prevent perineal rupture.


2018 ◽  
Vol 3 (3) ◽  
pp. 449
Author(s):  
Fadhita Rizkilla ◽  
Riski Novera Yenita

<p><em>This study aims to determine the Relationship of the house physical condition and behavior of family with incident of Acute Respiratory Infection (ARI) in the workplace UPTD Health center Siak district Siak. This type of research is quantitative with cross sectional design. This research was conducted toward community inthe workplace UPTD Health center Siak especially Kampung Rempak Village with a sample of 302 house. The sampling technique in this study using the simple random sampling. The data were analyzed by Chi Square statistic test on house physical condition on the occurrence of ARI value of p value 0,002 ≤ value of α (0,05) and family behavior toward ISPA value p value 0,001 ≤ value α (0,05), hence can be drawn conclusion that there is a significant relationship between independent variable and dependent variable. If p value&gt; α value (0,05,  it can be concluded that there is a significant relationship between the independent variabel and dependent variabel. Whereas if the p value &gt; α value (0,05) it can be concluded that there is no relationship between the independent variabel and dependent variabel. The conclusion of this discussion there is his relationship of the house physical condition and behavior of family with incident of Acute Respiratory Infection (ARI) in the workplace UPTD Health center Siak district Siak.</em></p><p><em><br /></em></p><p>Penelitian ini bertujuan untuk mengetahui hubungan kondisi fisik rumah dan perilaku keluarga dengan kejadian Infeksi Saluran Pernapasan Akut (ISPA) di wilayah kerja UPTD Puskesmas Siak Kabupaten Siak. Jenis penelitian ini adalah <em>kuantitatif </em>dengan desain <em>Cross Sectional</em>. Penelitian ini dilakukan terhadap masyarakat di wilayah kerja UPTD Puskesmas Siak khususnya kelurahan Kampung Rempak dengan sampel 302 rumah. Teknik pengambilan sampel dalam penelitian ini menggunakan <em>simple random sampling.</em> Analisis data dilakukan dengan menggunakan uji statistik <em>Chi Square</em> pada kondisi fisik rumah terhadap kejadian ISPA nilai p value 0,002 ≤ nilai α (0,05) dan perilaku keluarga terhadap kejadian ISPA nilai p value 0,001 ≤ nilai α (0,05), maka dapat ditarik kesimpulan bahwa terdapat hubungan yang bermakna antara variabel independen dan variabel dependen. Jika p value &gt; nilai α (0,05), maka dapat disimpulkan bahwa tidak ada hubungan antara variabel independen dan dependen. Kesimpulan yang diperoleh dari pembahasan ini adanya hubungan kondisi fisik rumah dan perilaku keluarga dengan kejadian Infeksi Saluran Pernapasan Akut (ISPA) di wilayah kerja UPTD Puskesmas Siak Kabupaten Siak.</p>


2020 ◽  
Vol 14 (1) ◽  
pp. 110-117
Author(s):  
Wahid Tri Wahyudi ◽  
Risa Herlianita ◽  
Deswiyan Pagis

Family support, adherence and understanding of a low-salt diets among patients with hypertensiveBackground: Hypertension is a disorder of the blood vessels that results in the supply of oxygen and nutrients carried by the blood blocked to the tissues of the body that needs it. Based on data from the Gedong Air Health Center, it is known that from 2015 to 2018 the incidence of hypertension fluctuated, wherein 2016 it amounted to 1962 cases but in 2017 it increased to 2814 cases and in 2018 the incidence of hypertension was 3102 cases.Purposes: Knowing the relationship of family support, adherence, and understanding of a low-salt diet among patients with hypertensiveMethod: A quantitative research designed with analysis by cross-sectional approach and the population was patients with hypertensive with a sample of 139 as respondents by simple random sampling. Collecting data by questionnaires and Analysing data used Univariate and Bivariate (Chi-Square).Results: Finding that the patient has negative family support was 58.7%, the patient was noncompliant to a low-salt diet .57.2%, and few patients have an understanding of a low-salt diet. There is a relationship between the understanding of a low-salt diet (p-value = 0.000), family support (p-value = 0.032) and compliance with a low-salt diet among patients with hypertensive.Conclusion: There is a relationship of understanding of low-salt diets, family support and compliance to a low-salt diet among patients with hypertensive. Suggestions for  health workers in providing health education to families and patients with hypertensive about the importance of low salt diets in the management of hypertensionKeywords: Family support; Compliance; Understanding; Low-salt diet; Hypertensive. Pendahuluan: Hipertensi merupakan suatu gangguan pada pembuluh darah yang mengakibatkan suplai oksigen dan nutrisi yang dibawa oleh darah terhambat sampai ke jaringan tubuh yang membutuhkanya. Berdasarkan data dari Puskesmas Gedong Air, diketahui bahwa dari tahun 2015 – 2018 kejadian hipertensi mengalami fluktuatif , dimana tahun 2016 sebesar 1962 kasus namun di tahun 2017 mengalami peningkatan menjadi sebesar 2814 kasus dan di tahun 2018 kejadian hipertensi sebesar 3102 kasus.Tujuan: Diketahui hubungan dukungan keluarga, kepatuhan dan pemahaman  pasien terhadap diet rendah garam  pada pasien dengan hipertensiMetode: Penelitian kuantitatif dengan rancangan analitik dan pendekatan cross sectional, populasinya seluruh pasien dengan hipertensi dengan sampel sebanyak 139 dengan simple random sampling. Pengumpulan data dengan kuesioner data dianalisa secara univariate dan bivariate (chi square)Hasil: Diketahui dukungan keluarga kategori negatif 58,7%, responden tidak patuh 57,2%, dan sedikit yang memiliki pemahaman diet rendah garam  (p-value=0,000), ada hubungan antara dukungan keluarga (p-value = 0,032), kepatuhan dan pemahaman  pasien terhadap diet rendah garam  pada pasien dengan hipertensiSimpulan: Ada hubungan dukungan keluarga, kepatuhan dan pemahaman  pasien terhadap diet rendah garam  pada pasien dengan hipertensi. Saran bagi petugas kesehatan puskesmas dalam memberikan pendidikan kesehatan kepada keluarga dan pasien dengan hipertensi tentang pentingnya diet rendah garam.


Author(s):  
Rosmiati Rosmiati

ABSTRAK   Berat badan lahir rendah (BBLR) adalah bayi dengan berat badan lahir kurang dari 2500 gram. WHO memperkirakan hampir semua (98%) dari 5 juta kematian neonatal terjadi di negara berkembang. Menurut data dinas kesehatan kota Palembang, angka kelahiran BBLR tahun 2008 sebanyak 213 per 1.000 kelahiran hidup dan pada tahun 2009 sebanyak 203 per 1.000 kelahiran hidup. Penyebab BBLR adalah kelahiran prematur, paritas ibu, umur ibu, faktor plasenta, faktor janin dan lingkungan. Penelitian ini bertujuan untuk mengetahui hubungan paritas ibu dengan kejadian  BBLR di Rumah Sakit Pusri Palembang Tahun 2017. Desain penelitian ini adalah survai analitik dengan pendekatan cross sectional dimana variabel yang diteliti meliputi paritas ibu. Populasi penelitian ini adalah seluruh ibu bersalin di Rumah Sakit Pusri Palembang tahun 2017 yang berjumlah 553 orang dengan besar sampel penelitian sebanyak 240  orang yang diambil dengan teknik acak sistematik, instrumen penelitian yaitu check list. Analisa data dilakukan secara univariat dan bivariat. Hasil penelitian ini menunjukan dari 240 ibu didapatkan kejadian BBLR 142 orang (59,2%) yang memiliki paritas risiko tinggi 32 orang dengan kejadian BBLR (87,5%) sedangkan umur ibu risiko tinggi 123 orang dengan kejadian BBLR ( 51,,2%). Dari statistik uji Chi-Square yang membandingkan p value dengan tingkat kemaknaan α = 0,05 menunjukan bahwa ada hubungan yang bermakna antara paritas ibu p value (0,00) dengan kejadian BBLR di Rumah Sakit Pusri Palembang Tahun 2017. Dari hasil penelitian ini dapat disimpulkan bahwa ibu dengan paritas dan  risiko tinggi lebih banyak melahirkan bayi dengan BBLR dibandingkan dengan risiko rendah. ­­ ABSTRACK Low birth weight (LBW) is a baby with a birth weight of less than 2500 grams. WHO estimates that almost all (98%) of 5 million neonatal deaths occur in developing countries. According to Palembang city health office data, the birth rate of LBW in 2008 was 213 per 1,000 live births and in 2009 as many as 203 per 1,000 live births. The causes of LBW are premature birth, maternal parity, maternal age, placental factors, fetal factors and the environment. This study aims to determine the relationship of mother parity with the occurrence of LBW at Pusri Palembang Hospital Year 2017. The design of this study is an analytical survey with cross sectional approach where the variables studied include parity of the mother. The population of this study were all maternal mothers at Pusri Palembang Hospital in 2017, which amounted to 553 people with a large sample of 240 samples taken by systematic random technique, research instrument that is check list. Data analysis was done univariat and bivariate. The results of this study showed that from 240 mothers, there was an occurrence of BBLR 142 people (59.2%) who had high risk parity of 32 people with LBW incidence (87.5%) while the high risk maternal age was 123 people with LBW incidence (51, 2% ). From Chi-Square test statistic that compare p value with significance level α = 0,05 indicate that there is significant relation between mother parity p value (0,00) with incidence of BBLR at Pusri Palembang Hospital 2017. From this research result it was concluded that mothers with parity and high risk were more likely to deliver babies with LBW than low risk.


2016 ◽  
Vol 1 (2) ◽  
Author(s):  
Rita Sari Sidal

ABSTRAK Latar Belakang: Pos Pelayanan Terpadu (Posyandu) merupakan salah satu bentuk upaya kesehatan bersumber daya masyarakat yang dikelola dan diselenggarakan oleh masyarakat. Berdasarkan Data dan Informasi Kesehatan Lampung, didapatkan bahwa cakupan penimbangan balita atau D/S tahun 2014 di Indonesia sebesar 76,80%. Dari 10 propinsi regional di Sumatera, tidak ada satu propinsi pun yang memiliki cakupan balita ditimbang D/S yang memenuhi target 85%.Tujuan  penelitian untuk mengetahui hubungan pengetahuan dengan kunjungan balita.Metode : Desain penelitian menggunakan pendekatan cross sectional dengan populasi adalah semua ibu yang mempunyai balita usia 1 sampai 5 tahun sebanyak 126 orang. Teknik sampling yang digunakan random sampling dengan menggunakan data primer dan skunder. Analisa data menggunakan univariat dan bivariat melalui uji statistik Chi Square.Hasil: penelitian didapatkan dari 96 responden terdapat katagori pengetahuan kurang 57 orang (59,38%), kunjungan posyandu aktif sebanyak 51 orang (53,12%) dan terdapat hubungan antara pengetahuan ibu tentang posyandu dengan kunjungan balita usia 1 sampai 5 tahun berdasarkan nilai p value 0,045 dan OR=2,56.Kesimpulan: penelitian UPT Puskesmas Kedaloman sebaiknya dapat meningkatkan penyuluhan dan sosialisasi tentang kegiatan posyandu kepada masyarakat. Sosialisasi dapat dilakukan dengan penyuluhan secara individu, keluarga atau kelompok dan dapat juga dilakukan dengan berbagai media.                                                                                                                                                       Kata Kunci          : Pengetahuan, kunjungan balita ABSTRACT Background: Integrated Services posts (Posyandu) is one form of health efforts is predicated on community resources are managed and organized by the community. Based on Data and information obtained by that Lampung, Health coverage is weighing a toddler or D/S 2014 in Indonesia of 76,80%. Of the 10 regional provinces in Sumatra Province, no one else has the scope of toddler weighted D/S which meets the target of 85%. The purpose of the research to know the relationship of knowledge with a visit to a toddler.  Methods: design research using the approach of cross sectional population are all mothers who have toddlers age 1 to 5 years as many as 126 people.The sampling techniques used random sampling by using primary data and skunder. Data analysis Univariate and bivariat use through the Chi Square statistical tests.Result: The research results obtained from 96 respondents there is less knowledge requirement of 57 people (59,38%), visits of posyandu active as much as 51 people (53,12%) and there is a relationship between the mother's knowledge about posyandu with the visit of toddlers ages 1 to 5 years based on the value of the p value 0.045 and OR = 2.56.Conclusion: the research Clinics Kedaloman UPT should be able to increase the extension and dissemination of posyandu activities to the community. Socialization can be done with individual counselling, family or group and can also be done with a variety of media. Keyword: Knowledge, Toddler visit


2018 ◽  
Vol 2 (2) ◽  
pp. 18-29
Author(s):  
Latif Rusnanibinti Ab Latif

Introduction:Every pregnant mother wants their baby to be born in normal and healthy condition. Therefore, it would become a stressful event that might cause psychological distress or even emotional crisis in mother, when their infants are premature and low birth weight born. Methodology: A cross-sectional study to investigate the psychological well being of mothers with low birth weight infants admitted to the SCN. It was conducted on one hundred and thirty (n=130) of mothers who delivered their babies at labor room, HRPZ II, Kota Bharu, Kelantan. Depression Anxiety Stress Scale (DASS-21) score were used. Data were analyzed using the Chi-square tests. Statistically significant with p-value < 0.05. Results:There was statistically significant between maternal age and anxiety (χ²=22.10, p=0.036) and stress (χ²=17.50, p=0.041) by using chi square test. There was no significant association between maternal age and depression (χ²=10.37, p=0.321). For others demographic variables, there was no statistically significant with depression, anxiety and stress of mothers (p>0.05). Conclusion:Based on the finding in this study, most of the respondent’s have anxiety compared to depression and stress. Therefore, a nurse must have knowledge and skills, especially in terms of psychology, in handling cases related to the mother who have given birth to a low birth weight (LBW) child because parting with their children due to the relatively long hospitalization.


Author(s):  
Nurdjani Nurdjani

ABSTRACT According to WHO there is about 3% (3,6 million) of 120 million newborn babies get of asphyxia each year. According to Indonesian Health and Demography Survey On 2007 Baby mortality rate as many as 34 death/1000 new birth. Baby mortality rate South Sumatera on 2002 is 44,59/1000 live birth. Meanwhile baby mortality rate in Palembang 0n 2004 is 26,68 for male and 20,02/1000 live birth for female. The purpose of this research is to know asocciated factors with asphyxia insidens in new born baby in Bhayangkara Hospital Palembang on 2012. This research use Analytic Survey Method With Cross Sectional approach. Population in this research is all of birthing mother in Bhayangkara Hospital on 2012, as many as 1014 respondent. This research taken on May 2013. The sample in this reseach is half of birthing mother in Bhayangkara Hospital Palembang as many as 287 respondent. The sample taken by Random Sampling with Simple Random Sampling Technic. File analysis use Chi-square statistic test. The result of this univariat analysis research show that 92 respondents (32,1%) get asphyxia and 195 respondents (67,9%) dont get asphyxia. 68 (23,7%) respondents with low birth weight, 219 (76,3%) respondents without low bith weight, 33 (11,5%) respondents with early birth amnion, 254 (88,5%) respondents without early birth amnion, 163 (58,4%) respondent with sectio cecarea and 124 (43,2%) respondents without sectio cecarea. Because of bivariat analysis show there is significant relationship between low birth weight with asphyxia insidens with p value (0,004) and there is significant relationship between early birth anmion with asphyxia insident with  p value (0,006), as well as there as significant relationship between sectio cecarea with asphyxia insidens with p value (0,009). Advice for hospital can become an advice in midwefery service depelovment effort in improving health service quality especially to asphyxia cases.   ABSTRAK   Menurut WHOsetiaptahunnyakira-kira 3% (3,6juta) dari 120 jutabayibarulahirmengalamiasfiksia. Menurut SDKItahun 2007 angkakematianbayisebesar 34 kematian/1000 kelahiranhidup. AKBdi Sumatra Selatan tahun 2002 adalah 44,59 per 1000 kelahiranhidup. Sedangkan AKB di kota Palembang 2004 adalah 26,68untuk laki-laki dan untuk perempuan 20,02 per 1000 kelahiranhidup. Tujuan penelitian ini adalah untuk mengetahui faktor-faktor apa saja yang berhubungan dengan kejadian asfiksia pada bayi baru lahir di RS. Bhayangkara Palembang Tahun 2012. Penelitian ini menggunakan metode survey analitik dengan pendekatan Cross Sectional. Populasi dalampenelitianiniadalahsemuaibuyang bersalin di RS.Bhayangkara Palembang Tahun 2012, yang berjumlah 1014 responden. Penelitian ini dilakukan pada bulan mei 2013. Sampel dalampenelitianiniadalahsebagian ibu yang bersalin di RS.Bhayangkara Palembang berjumlah 287 responden.Sampelpenelitiandiambilsecararandom sampling denganteknikSimple random sampling.Analisa data menggunakan uji statistik Chi – Square. Hasil penelitian analisis univariat ini menunjukkan bahwa 92 responden (32,1%) yang mengalami asfiksia dan 195 responden (67,9%) yang tidak mengalami asfiksia. 68 (23,7%) responden dengan BBLR , 219 (76,3%) responden yang tidak BBLR , 33 (11,5%) responden dengan KPD, 254 (88,5%) responden yang tidak KPD, 163 (58,4%) responden dengan persalinan SC dan 124 (43,2%) responden yang persalinan dengan tidak SC. Sehingga analisa bivariat menunjukkan ada hubungan yang bermakna antara BBLR dengan kejadian asfiksia dengan P value (0,004) dan ada hubungan yang bermakna antara KPD dengan kejadian asfiksia dengan P value (0,006), serta ada hubungan yang bermakna antara persalinan SC dengan kejadian asfiksia dengan P value (0.009). saran bagi rumah sakit dapat dijadikan masukan dalam mengupayakan pengembangan tatalaksana asuhan kebidanan dalam meningkatkan mutu pelayanan kesehatan terutama pada kasus-kasus yang berhubungan dengan kejadian asfiksia..    


Author(s):  
Rini Mayasari Rini Mayasari

ABSTRACT [Low birth weight is still a problem in Indonesia, because it is a major cause of death in the neonatal period. Based on data from the World Health Organization in 2003 estimated neonates each year about 20 million are born low birth weight. Based on results of the Basic Health Research in 2007 prevalence of low birth weight in Indonesia was 11.5%. In South Sumatra Province the IMR in 2012 was 29 per 1,000 live births, the IMR in Palembang in 2012 there were 97 infant deaths of 29. 451 live births, one of the causes of infant mortality was low birth weight. In the Muhammaddiyah Palembang hospital low birth weight in 2013obtained as many as 151 cases. The purpose of this study was to determine the relationship of maternal age, parity, education and work by simultaneously newborns with low birth weight. The design of this research is an analytic survey with cross sectional approach and applied by retrospectively. The population in this study were all mothers of normal birth at term gestation at Muhammadiyah Palembang hospital in 2013 as 2215. The sample are 339 respondents. In this study conducted univariate, bivariate and multivariate analyzes. From the analysis we found no association between maternal age with low birth weight (P Value = 0.043, OR = 0.551), no relationship between parity and low birth weight (P Value = 0.034, OR = 0.484), no relation between education and low birth weight (P Value = 0.020, OR = 0.998), no relationship between work maternity and low birth weight (P Value = 0.049, OR = 0.500). The most dominant variable is the maternity age. It is suggested to the leadership of Muhammadiyah Palembang hospital is expected to be able to further improve health care programs such as counseling about the importance of prenatal care, nutrition and nutritional needs during pregnancy that can detect early complications in pregnancy to prevent low birth weight.   ABSTRAK BBLR masih menjadi masalah di Indonesia, karena merupakan penyebab utama kematian pada masa neonatal. Berdasarkan data WHO tahun 2003 setiap tahun diperkirakan neonatus yang lahir sekitar 20 juta adalah BBLR. Berdasarkan hasil Riset Kesehatan Dasar tahun 2007 prevalensi BBLR di Indonesia sebesar 11,5 %. Di Propinsi Sumatera Selatan AKB tahun 2012 sebesar 29 per 1.000 kelahiran hidup, di Kota Palembang AKB tahun 2012 sebanyak 97 kematian bayi dari 29.451 kelahiran hidup, salah satu penyebab kematian bayi adalah BBLR. Di Rumah Sakit Muhammaddiyah Palembang didapatkan kejadian  BBLR pada tahun 2013 sebanyak 151 kasus. Tujuan penelitian ini untuk mengetahui hubungan umur ibu, paritas, pendidikan dan pekerjaan secara simultan bayi baru lahir dengan kejadian BBLR. Jenis penelitian yang digunakan adalah survey analitik dengan pendekatan cross sectional yang dilakukan secara retrospektif. Populasi dalam penelitian ini adalah semua ibu melahirkan  normal dengan usia kehamilan aterm di rumah sakit Muhammadiyah Palembang pada Tahun 2013 yang berjumlah 2215. Sampel penelitian ini berjumlah 339 responden. Dalam penelitian ini dilakukan analisis univariat, bivariat dan multivariat. Dari hasil analisis didapatkan ada hubungan antara umur ibu dengan BBLR (P Value = 0,043, OR = 0,551), ada hubungan paritas dengan BBLR (P Value = 0,034, OR = 0,484), ada hubungan pendidikan dengan BBLR       (P Value = 0,020, OR = 0,998), ada hubungan pekerjaan dengan BBLR                    (P Value = 0,049, OR = 0,500). Variabel paling dominan adalah umur ibu. Disarankan kepada pimpinan rumah sakit Muhammadiyah Palembang diharapkan untuk dapat lebih meningkatkan program pelayanan kesehatan seperti penyuluhan tentang pentingnya pemeriksaan kehamilan, kebutuhan nutrisi dan gizi selama masa kehamilan yang dapat mendeteksi dini komplikasi kehamilan untuk mencegah terjadinya BBLR.    


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