scholarly journals STUDI KASUS: ASUHAN KEPERAWATAN PADA PASIEN DENGAN ASFIKSIA NEONATORUM

2021 ◽  
Vol 7 (2) ◽  
pp. 116-123
Author(s):  
Derma Wani Damanik ◽  
Julwansa Saragih ◽  
Riris Artha Dhita Purba
Keyword(s):  
Apgar Score

Latar Belakang; Asfiksia neonatorum adalah keadaan dimana bayi tidak dapat bernapas secara spontan dan teratur setelah lahir, disebabkan oleh hipoksia janin dalam uterus. Tujuan: penelitian ini bertujuan untuk mengetahui asuhan keperawatan pada pasien dengan asfiksia neonatorum. Metode: penelitian ini menggunakan metode deskriptif dengan pendekatan melalui pengelolaan asuhan keperawatan pada By R usia 0 hari. Hasil: penelitian ini dilakukan di Rumah Sakit Tentara TK IV 010701 Pematangsiantar pada bulan April 2021. Pengumpulan data dilakukan melalui wawancara dengan keluarga pasien dan perawat. Berdasarkan pengkajian diperoleh data bayi sesak frekuensi 68x/menit, apgar score 5/6, irama nafas irregular, adanya retraksi dada, menggunakan otot bantu pernafasan, mata dan kulit kekuningan, urin kuning pekat, feces berwarna pucat, suhu tubuh 37,5 ºC, peningkatan nilai bilirubin dan leukosit.  Setelah dilakukan tindakan keperawatan selama 4 hari seluruh masalah teratasi. Kesimpulan: Implementasi yang dilakukan sesuai dengan rencana yang disusun sehingga ketiga masalah keperawatan dapat teratasi.

HUBUNGAN JENIS PERSALINAN DENGAN STATUS KESEHATAN BAYI BARU LAHIR DI KOTA BUKITTINGGI

2019 ◽  
Vol 1 (1) ◽  
pp. 29
Author(s):  
Nurhayati Nurhayati
Keyword(s):  
Health Status ◽  
Infectious Diseases ◽  
Apgar Score ◽  
Health Workers ◽  
Statistical Tests ◽  
City Hospital ◽  
Cross Sectional ◽  
Normal Delivery ◽  
Meconium Aspiration ◽  
Respiratory Conditions

<p><em>Every woman wants her labor to run smoothly and can give birth to a baby perfectly. Childbirth can run normally, but it is not uncommon for labor to experience obstacles and must be done through surgery. This means the fetus and mother are in an emergency and can only be saved if labor is performed by surgery. The purpose of this study is to find out the related to the health status of newborn babies at delivery in the City of Bukittinggi.</em></p><p><em>Type of analytic survey research with design cross-sectional</em><em>.</em><em>The object of the study was a newborn baby with Caesarean section and normal delivery at Bukittinggi City Hospital. The test used is thetest Chi-Square with a 95% confidence level.</em></p><p><em>The results showed that as many as 65 people (54.2%) had the incidence of asphyxia. 65 people (54.2%) had normal respiratory conditions, 62 people (51.7%) had meconium aspiration</em><em>.</em><em>63 people (52.5%) had trauma to an abnormal baby</em><em>.</em><em>64 people (53.3%) had infectious diseases. 70 people (58.3%) had IMD.</em><em>72 people (60%) have joined care. 60 people (50%) with type of labor SC. Statistical tests showed that there was a relationship between apgar score (p = 0.003), respiratory conditions (p = 0.010), meconium aspiration (p = 0.0005), trauma in infants (p = 0.0005), joint care (p = 0.002 ) and IMD (p = 0.0005) for the type of labor. While infectious diseases do not have a relationship to the type of labor (p = 0.583).</em></p><p><em>It was concluded that there was a relationship between apgar score, respiratory condition, meconium aspiration, admission and IMD with different types of delivery. Expected to health workers especially midwives can be used as input in order to improve health status in newborns.</em></p>

Maternal and Neonatal Effect of Fentanyl as a Premedication before Induction of General Anesthesia in Cesarean Surgery: A Systematic Review and Meta-analysis of Randomized Clinical Trials

2019 ◽  
Vol 15 (4) ◽  
pp. 232-237
Author(s):  
Mir Hadi Musavi ◽  
Behzad Jodeiri ◽  
Keyvan Mirnia ◽  
Morteza Ghojazadeh ◽  
Zeinab Nikniaz
Keyword(s):  
Systematic Review ◽  
Clinical Trials ◽  
Cesarean Section ◽  
General Anesthesia ◽  
Apgar Score ◽  
Randomized Clinical Trials ◽  
Meta Analysis ◽  
Intravenous Fentanyl ◽  
Neonatal Effect ◽  
Fentanyl Group

Background: Although, some clinical trials investigated the maternal and neonatal effect of fentanyl as a premedication before induction of general anesthesia in cesarean section, to the best of our knowledge, there is no systematic review to summarize these results. Objectives: The present systematic review and meta-analysis evaluated the maternal and neonatal effect of intravenous fentanyl as a premedication before induction of general anesthesia in cesarean section. Methods: The databases of Pubmed, Embase, Scopus and Cochrane library were searched till July 2017 to identify randomized clinical trials which evaluated the effects of intravenous fentanyl as a premedication before induction of general anesthesia compared with placebo on neonate first and fifth minute Apgar score and maternal heart rate and mean arterial pressure (MAP) in cesarean section. Standard Mean difference (SMD) was calculated and I-square statistic test was used for heterogeneity analysis. Results: The present systematic review and meta-analysis consisted of three clinical trials including 180 women in labor. Considering the results of meta-analysis, there is no significant differences between fentanyl and placebo in the case of Apgar score at 1 minute; however, the Apgar score of 5 minutes was significantly lower in fentanyl group compared with placebo (SMD -0.68, 95%CI: - 0.98, -0.38, p<0.001). In the term of maternal hemodynamics, the heart rate (SMD -0.43, 95%CI: - 0.72, -0.13, p=0.004) and MAP (SMD -0.78, 95% CI: -1.09, -0.48, p<0.001) in fentanyl group were significantly lower compared with placebo group. Conclusion: The present meta-analysis showed that using intravenous fentanyl as a premedication before induction of general anesthesia had adverse effects on neonate Apgar score. However, it had positive effects on preventing adverse consequences of intubation on maternal hemodynamics.

Apgar score and fetal acidemia

1996 ◽  
Vol 72 (3) ◽  
Author(s):  
Edna M. A. Diniz
Keyword(s):  
Apgar Score

ASSESSMENT OF POSTOPERATIVE MORBIDITY RISK AFTER HYSTERECTOMY USING THE SURGICAL APGAR SCORE: IGCS-0041 05. Nursing, Symptom Management, Palliation

2015 ◽  
Vol 25 (Supp 1) ◽  
pp. 47-47
Author(s):  
T. Shemshedini ◽  
T. S. Pradhan ◽  
S. Labrecque ◽  
F. Moy ◽  
S. S. Tedjarati ◽  
...  
Keyword(s):  
Apgar Score ◽  
Symptom Management ◽  
Postoperative Morbidity ◽  
Morbidity Risk ◽  
Surgical Apgar Score

Apgar Score at 5 Minutes Is Associated with Mortality in Extremely Preterm Infants Even after Transfer to an All Referral NICU

2015 ◽  
Vol 32 (13) ◽  
pp. 1268-1272 ◽  
Author(s):  
Thomas Bartman ◽  
Roopali Bapat ◽  
Elizabeth Martin ◽  
Edward Shepherd ◽  
Kristina Reber ◽  
...  
Keyword(s):  
Preterm Infants ◽  
Apgar Score ◽  
Extremely Preterm ◽  
Extremely Preterm Infants

Outcomes of infants with Apgar score of zero at 10 min: the West Australian experience: Table 1

2015 ◽  
Vol 100 (6) ◽  
pp. F492-F494 ◽  
Author(s):  
Piyush Shah ◽  
Ajay Anvekar ◽  
Judy McMichael ◽  
Shripada Rao
Keyword(s):  
Apgar Score ◽  
The West ◽  
Australian Experience

scholarly journals A Dual Gender Rare Case with 47,XY, + 18/46,XX Karyotype: Chimera or Mosaic?

2021 ◽  
Vol 11 (01) ◽  
pp. e41-e44
Author(s):  
Ravindran Ankathil ◽  
Foong Eva ◽  
Zulaikha Abu Bakar ◽  
Nazihah Mohd Yunus ◽  
Nurul Alia Nawi ◽  
...  
Keyword(s):  
Birth Weight ◽  
Blood Sample ◽  
Cell Line ◽  
Apgar Score ◽  
Cytogenetic Analysis ◽  
Rare Case ◽  
Trisomy 18 ◽  
Normal Female ◽  
Conventional Cytogenetic Analysis ◽  
Edwards Syndrome

Our objective is to report one rare case of dual gender chimerism involving abnormal male trisomy 18 and normal female karyotype. The baby was born full term with birth weight of 1.8 kg, not vigorous with light meconium stained liquor and Apgar score of 51, 85 and 910. Parents are 40 years old and mother is G6P5 + 1. The baby had clinical features of Edwards syndrome, and a blood sample was sent to Human Genome Centre, Universiti Sains Malaysia, Malaysia for cytogenetic analysis. Conventional cytogenetic analysis results showed two distinct sex discordant genetic cell lines XY and XX in 90:10 ratio. The male genetic cell line XY also showed trisomy 18 (47,XY, + 18) consistent with clinical diagnosis of male Edwards syndrome, whereas the second genetic cell line showed normal 46,XX female. The present case was reported as dual gender chimera with chi 47,XY, + 18/46,XX karyotype pattern. To the best of available knowledge, dual gender chimerism with abnormal male trisomy 18 and normal female karyotype has not been reported so far, and this case is reported for its rarity and as the first report.

scholarly journals The Association between the Five-Minute Apgar Score and Neurodevelopmental Outcomes among Children Aged 8−66 Months in Australia

2021 ◽  
Vol 18 (12) ◽  
pp. 6450
Author(s):  
Tahir Ahmed Hassen ◽  
Catherine Chojenta ◽  
Nicholas Egan ◽  
Deborah Loxton
Keyword(s):  
Apgar Score ◽  
Generalized Estimating Equations ◽  
Entire Range ◽  
Neurodevelopmental Outcomes ◽  
Apgar Scores ◽  
Neurodevelopmental Delay ◽  
Australian State ◽  
Perinatal Data ◽  
Data Collections ◽  
Minute Apgar Score

This study aimed to evaluate the association of the five-minute Apgar score and neurodevelopmental outcomes in children by taking the entire range of Apgar scores into account. Data from the Australian Longitudinal Study of Women’s Health (ALSWH) and Mothers and their Children’s Health (MatCH) study were linked with Australian state-based Perinatal Data Collections (PDCs) for 809 children aged 8−66 months old. Generalized estimating equations were used to model the association between the five-minute Apgar scores and neurodevelopmental outcomes, using STATA software V.15. Of the 809 children, 614 (75.3%) had a five-minute Apgar score of 9, and 130 (16.1%) had an Apgar score of 10. Approximately 1.9% and 6.2% had Apgar scores of 0−6 and 7−8, respectively. Sixty-nine (8.5%) of children had a neurodevelopmental delay. Children with an Apgar score of 0−6 (AOR = 5.7; 95% CI: 1.2, 27.8) and 7−8 (AOR = 4.1; 95% CI: 1.2, 14.1) had greater odds of gross-motor neurodevelopment delay compared to children with an Apgar score of 10. Further, when continuously modelled, the five-minute Apgar score was inversely associated with neurodevelopmental delay (AOR = 0.75; 95% CI: 0.60, 0.93). Five-minute Apgar score was independently and inversely associated with a neurodevelopmental delay, and the risks were higher even within an Apgar score of 7−8. Hence, the Apgar score may need to be taken into account when evaluating neurodevelopmental outcomes in children.

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