ANALYSIS OF PROLONGED LABOR AND PREMATURE RUPTURE OF MEMBRANES RISK FACTORS ON THE OCCURRENCE OF ASFIKSIA IN A NEW BORN BABIES IN MAMUJU DISTRICT, 2017 - 2018

Ahmady Ahmady, Ashriady Ashriady, Dina Mariana

Abstract


According to the World Health Organization (WHO), Asphyxia causes 23% of all neonatal deaths worldwide and the fifth largest cause of death at the age of under five years (8%). The causes of Infant Mortality Rate (IMR) in Indonesia include the slow growth of the fetus (23.53%), lack of oxygen in the womb (intra uterine hypoxia) (21.24%), neonatal asphyxia (29.23%). AKB in West Sulawesi Province in 2015 amounted to 337 deaths or 13.24 / 1000 Births. The prolonged labor contributes to maternal mortality and newborn mortality. The prolonged labor will cause infection, dehydration, and run out of energy can sometimes cause post partum bleeding which can cause maternal death. Premature rupture of membrane affects asphyxia due to the occurrence of oligohydramnios which suppresses the umbilical cord so that the umbilical cord is narrowed and the blood flow that carries maternal oxygen to the baby is hampered causing neonatal asphyxia or hypoxia in the fetus. The aim of the study was to analyze the risk factors for Old Partus and Premature rupture of membrane on the incidence of asphyxia in Newborns in Mamuju District Hospital and West Sulawesi Regional Regional Hospital. This type of research is an analytical study with a Case Control Study design. Time of study in August - September of 2018. Population cases were all infants born and experiencing asphyxia, the control population was all infants born and not experiencing asphyxia in the Regional General Hospital of Mamuju Regency and General Hospital of West Sulawesi Province. Case sample size = 36 and control sample = 72, with a ratio of 1: 2, the total sample size is 108 people using purposive sampling technique. The results showed that mothers who experienced prolonged labor risk 9,609 times. Preventive efforts need to be made by providing good knowledge to pregnant women during antenatal care regarding the high risk of pregnancy that can lead to prolonged parturition asphyxia so that if it occurs it can be treated early.

Keywords: prolonged labor, premature rupture of membrane, Asphyxia


Full Text:

PDF (Full Text)

References


Altuncu, E., Kavuncuoðlu, S. & Albayrak, Z., 2005. The Effect Of Premature Rupture Of Membranes To The Morbidity And Mortality Of Preterm Babies, pp.179–183.

Baktiyani, S.C.W., Meirani, R. & Khasanah, U., 2016. Hubungan antara Partus Lama dengan Kejadian Perdarahan Postpartum Dini di Kamar Bersalin Rumah Sakit Umum dr. Saiful Anwar Malang. Majalah Kesehatan FKUB, 3(4), pp.190–195.

Dars, S. et al., 2014. Maternal morbidity and perinatal outcome in preterm premature rupture of membranes before 37 weeks gestation. Pak J Med Sci, 30(3), pp.6–9. Available at: www.pjms.com.p.

Depkes RI, 2010. Pusat Data Dan Informasi Profil Kesehatan Indonesia, Jakarta.

Dinkes Provinsi Sulawesi Barat, 2015. Profil Kesehatan Sulawesi Barat,

Gane, B. et al., 2013. Antenatal and intrapartum risk factors for perinatal asphyxia: A case control study. Current Pediatric Research, 17(2), pp.119–122.

Kibai, E.K., 2017. Perinatal Factors Associated with Birth Asphyxia Among Neonates in Maternity Ward Kakamega County Refferal Hospital, Kenya. Nursing and Midwifery of Masinde Muliro University of Science and Technology. Available at: http://r-library.mmust.ac.ke/ 123456789/244.

Komsiyati, 2014. Hubungan Ketuban Pecah Dini dengan Kejadian Asfiksia Neonatorum di RSUD Ambarawa. STIKES Ngudi Waluyo, Jawa Tengah.

Lestariningsih, Y.Y. & Ertiana, D., 2017. Hubungan Ketuban Pecah Dini dengan Kejadian Asfiksia Neonatorum di RSUD Kabupaten Kediri Tahun 2016. Midwiferia Jurnal Kebidanan, 3(2), pp.1–10.

Manuaba, I.B.G., 2013. Ilmu Kebidanan, Penyakit Kandungan dan Keluarga Berencana untuk Pendidikan Bidan, Jakarta: EGC.

Mochtar, R. & Sofian, A., 2012. Sinopsis Obstetri: Obstetri Fisiologi, Obstetri Patologi 3rd ed., Jakarta: EGC.

Muntari, 2009. Hubungan antara Ketuban Pecah Dini dengan Kejadian Asfiksia pada Bayi Baru Lahir di RSUD dr. R. Koesma Tuban tahun 2009. STIKES NU Tuban.

Nyoman, N. et al., 2018. Maternal and Infant Risk Factors on The Incidence of Neonatal Asphyxia in Bali : Case Control Study Faktor Risiko Ibu dan Bayi Terhadap Kejadian Asfiksia Neonatorum di Bali : Penelitian Case Control. , 4(2), pp.95–100.

Oxorn, H. & Forte, W.R., 2010. Ilmu Kebidanan : Patologi dan Fisiologi Persalinan, Yogyakarta: Yayasan Essentia Medica.

Prawirohardjo, S., 2014. Ilmu Kebidanan, Yogyakarta: Yayasan Bina Pustaka Sarwono Prawirohardjo.

Shireen, N., Nahar, N. & Mollah, A.H., 2009. Risk Factors and Short-Term Outcome of Birth Asphyxiated Babies in Dhaka Medical College Hospital. , 33(3), pp.83–89.

Tahir, R., Rismayanti & Ansar, J., 2012. Risiko Faktor Persalinan Dengan Kejadian Asfiksia Neonatorum Di Rumah Sakit Umum Daerah Sawerigading Kota Palopo Tahun 2012. Universitas Hasanuddin. Available at: http://repository.unhas.ac.id/bitstream/handle/ 123456789/4278/Rahmah tahir_K11109011.Pdf.

Ugwu, G.I.M., 2010. Prematurity in Central Hospital and GN Children’s Clinic in Warri Niger Delta. Nigerian Journal of Medicine.

Wahyuningsih, 2010. Insidensi Partus Lama pada Primipara dan Multipara di RSUD Dr. Moewardi Surakarta Tahun 2009. Fakultas Kedokteran Universitas Muhammadiyah Surakarta.

Wiradharma, K. & Wyn, D., 2013. Risiko Asfiksia pada Ketuban Pecah Dini di RSUP Sanglah. Sari Pediatri, 14(5), pp.4–7. Available at: http://saripediatri. idai.or.id/pdfile/14-5-9.pdf.




DOI: https://doi.org/10.32382/uh.v2i1.1812

Refbacks

  • There are currently no refbacks.