Latar belakang dan tujuan: Data Survei Demografi dan Kesehatan Indonesia (SDKI) tahun 2012 menunjukkan angka kematian neonatal (AKN) di Indonesia sebesar 19/1000 kelahiran hidup. Penyebab utamanya adalah gangguan pernapasan/asfiksia (35,9%), prematur, BBLR (32,4%) dan sepsis (12%). Kejadian asfiksia neonatorum 5 tahun terakhir di RSUP Sanglah Denpasar relatif stagnan yaitu: 2010 (8,6%), 2011 (9,3%), 2012 (11,6%), 2013 (8,3%) dan 2014 (11,3%). Penelitian ini bertujuan untuk mengetahui faktor risiko ibu dan bayi terhadap kejadian asfiksia neonatorum.Metode: Rancangan penelitian adalah kasus kontrol dengan sampel sebanyak 172 bayi yaitu 86 kasus dan 86 kontrol yang dipilih secara acak sederhana dari register kelahiran di RSUP Sanglah tahun 2015 dan dilakukan matching berdasarkan variabel usia kehamilan. Kasus adalah neonatus yang lahir dengan diagnosis asfiksia neonatorum (0-28 hari), sedangkan kelompok kontrol adalah neonatus yang tidak asfiksia. Analisis data dilakukan secara univariat, bivariat (chi square test) dan multivariat dengan regresi logistik. Hasil: Hasil penelitian menunjukkan bahwa faktor risiko yang bermakna meningkatkan kejadian asfiksia neonatorum adalah: lilitan tali pusat dengan adjusted OR (AOR)=6,55 (95%CI: 2,34-18,33); anemia pada saat hamil dengan AOR=6,49 (95%CI: 2,21-19,03); partus lama dengan AOR=6,27 (95%CI: 1,37-28,70); BBLR dengan AOR=3,85 (95%CI: 1,61-9,18); umur ibu <20 tahun dan >35 tahun dengan AOR=3,57 (95%CI: 1,48-8,61) dan hipertensi pada saat hamil dengan AOR=2,40 (95%CI: 1,06-5,44).Simpulan: Faktor ibu dan bayi yang berpengaruh terhadap kejadian asfiksia neonatorum yaitu lilitan tali pusat, anemia pada saat hamil, partus lama, BBLR, umur ibu <20 tahun dan >35 tahun, dan hipertensi pada saat hamil.
Background:The achieving target of exclusive breast milk in Indonesia has not been achieved. The unsuccessful approval of exclusive breastfeeding is partly due to the mother's reasons for the inadequacy of milk production. Physiologically, oxytocin and prolactin are responsible for the smooth production of breast milk. The release of the hormone oxytocin in addition to being transferred by stimulation to the nipple through the baby's mouth or through spinal massage. Application of back massage techniques or oxytocin massage to provide stimulation that is expected to increase patient comfort, prevent oxytocin release, and increasing milk production. Methods: This research is a quasi-experimental design with a time series design and a control time series design. The sample this study were 15 postpartum mothers treated group and 15 postpartum mothers in the control group. Data was collected by the method of intervention and direct observation on the frequency of urinating infants. Data analysis using repeated ANOVA test. Results: Based on the results of research on the frequency of urinating in the control group had an average of 5.6 and a treatment group of 6.9. This is reinforced by the value of p=0.0001 (p<0.005) which means that there is an effect of giving back massage to increase milk production in postpartum mothers. Conclusion: This study suggests that giving back massage techniques to postpartum mothers as an alternative to increase milk production in postpartum mothers and included as one of the basic care for postpartum mothers since the first day after childbirth.
Background and purpose: Indonesia Demographic and Health Survey (IDHS) in 2012 showed neonatal mortality rate (AKN) in Indonesia amounted to 19/1000 live births. The cause was respiratory distress or asphyxia (35.9%), premature delivery, low birth weight (32.4%) and sepsis (12%). Neonatal asphyxia in the last 5 years at Sanglah Hospital in Denpasar relatively stagnant namely: 2010 (8.6%), 2011 (9.3%), 2012 (11.6%), 2013 (8.3%), and 2014 (11.3%). This study aims to identify risk factors of mothers and infants to neonatal asphyxia.Methods: The study design was a case control with a sample of 172 infants of 86 cases and 86 controls were selected randomly from the birth register at Sanglah Hospital in 2015 and matched by age of gestation. Cases were neonatal (0-28 days) borned with asphyxia, while control were neonatal without asphyxia. Data analysis was performed using univariate, bivariate (chi square test) and multivariate using logistic regression.Results: The study finding showed that significant risk factors which increased the incidence of neonatal asphyxia were nuchal cord with adjusted OR (AOR)=6.55 (95% CI: 2.34 to 18.33); anemia during pregnancy with AOR=6.49 (95% CI: 2.21 to 19.03); prolonged labor with AOR=6.27 (95% CI: 1.37 to 28.70), low birth weight with AOR=3.85 (95% CI: 1.61 to 9.18); maternal age <20 years and >35 years with AOR=3.57 (95% CI: 1.48 to 8.61) and hypertension during pregnancy with AOR=2.40 (95% CI: 1.06 to 5.44).Conclusion: Mathernal and infant factors that increased risk of neonatal asphyxia were nuchal cord, anemia during pregnancy, prolonged labor, low birth weight, maternal age <20 years and> 35 years and hypertension during pregnancy.
Relationship Pattern Of Physical Activity With Nutritional Status On Age Children 6-12 Years. The purpose of this study was to analyze the relationship between physical activity and nutritional status in children aged 6-12 years at SDK Marsudirini Jembrana. The pattern of physical activity of children today has experienced a shift from the past that is more mobile to be less physical activity. Physical activity in children plays an important role in determining the nutritional status of children, including the risk of obesity. Riskesdas (2013), shows the nutritional status of children aged 6-12 years which is 4.6% very thin, 7.6% thin, 78.6% normal and 19.2% fat. this research is a research analatik correlational by using the approach of cross-sectional on 83 samples and selected by using simple random sampling. data collection consists of measurement of body weight, measurement height, direct observation and interview with the questionnaire physical activity questionnaire for children (paq -c). this study shows that there is the relationship between the pattern of physical activity with nutritional status in which the value of P <0,05. these results obtained most of the 45 children (54,2%) that has a pattern of physical activity low. almost half of the 33 children (39,8%) had a nutritional status good. there are significant relation between the level of activity with nutritional status on age children 6-12 years in the SDK Marsudirini Jembrana.
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