Factors Associated with Newborn Asphyxia at Dr. Harjono Hospital, Ponorogo, East Java

Purwaningsih, Yustina; Dewi, Yulia Lanti Retno; Indarto, Dono; Murti, Bhisma

doi:10.26911/thejmch.2018.03.04.06

Cited by 5 publications

(9 citation statements)

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“…Neonates born with low birth weight were 6.52 times (OR: 6.52, 95% CI: 4.40, 9.65) more likely to develop birth asphyxia as compared to neonates born with normal birth weight. Similar study findings were observed in different countries: Uganda [26], Indonesia [27], Pakistan [3], East Java [28] and Thailand [29]. This could be explained by because a high proportion of small babies might be pre-term that they might not have enough surfactant which might not prevent suffering from difficulty of breathing and developing difficulty in cardiopulmonary transition and subsequent birth asphyxia.…”

Section: Discussionsupporting

confidence: 83%

Perinatal asphyxia and its associated factors in Ethiopia: a systematic review and meta-analysis

2020

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Background: Despite different preventive strategies that have been implemented in different health institutions in the country, neonatal mortality and morbidity are still significantly increasing in Ethiopia. Perinatal asphyxia is the leading cause of neonatal morbidity and mortality worldwide. As a result, this systematic review and meta-analysis aimed to assess the prevalence and associated factors of perinatal asphyxia in Ethiopia. Methods: Online databases (PubMed, HINARI, EMBASE, Google Scholar and African Journals), other gray and online repository accessed studies were searched using different search engines. Newcastle-Ottawa Quality Assessment Scale (NOS) was used for critical appraisal of studies. The analysis was done using STATA 11 software. The Cochran Q test and I 2 test statistics were used to test the heterogeneity of studies. The funnel plot and Egger's test were used to detect publication bias of the studies. The pooled prevalence of perinatal asphyxia and the odds ratio (OR) with a 95% confidence interval was presented using forest plots. Result: Nine studies were included in this review, with a total of 12,249 live births in Ethiopia. The overall pooled prevalence of perinatal asphyxia in Ethiopia was 24.06% (95 95%CI: 18.11-30.01). Associated factors of perinatal asphyxia included prolonged labor (OR = 2.79, 95% CI: 1.98, 3.93), low birth weight (OR = 6.52, 95% CI: 4.40, 9.65), meconium-stained amniotic fluid (OR = 5.91, 95% CI: 3.95, 8.83) and instrumental delivery (OR = 4.04, 95% CI: 2.48, 6.60) were the determinant factors of perinatal asphyxia in Ethiopia. Conclusions: The overall pooled prevalence of perinatal asphyxia was remarkably high. Duration of labor, meconium-stained amniotic fluid, instrumental deliveries, and birth weight were the associated factors of perinatal asphyxia in Ethiopia. Therefore, efforts should be made to improve the quality of intrapartum care service to prevent prolonged labor and fetal complications and to identify and make a strict follow up of mothers with meconium-stained amniotic fluid. This finding is important to early recognition and management of its contributing factors, might modify hypoxic-ischemic encephalopathy and may improve the implementation of the standard guideline effectively and consistently.

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Section: Discussionsupporting

confidence: 83%

Perinatal asphyxia and its associated factors in Ethiopia: a systematic review and meta-analysis

2020

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“…2 Kematian serta defisit yang terjadi akibat kejadian asfiksia disebabkan dari adanya gangguan mekanisme pertukaran gas sebelum, selama, atau setelah melahirkan serta gangguan aliran darah plasenta yang berkontribusi dalam meningkatkan kejadian asfiksia. 3,4 Menurut data Riset Kesehatan Dasar (Riskesdas) tahun 2013, sebanyak 10,3% balita di Nusa Tenggara Timur (NTT) mengalami asfiksia saat periode neonatal dan menjadi salah satu provinsi dengan persentase kejadian asfiksia bayi baru lahir dan neonatus tertinggi di Indonesia. 5 Asfiksia disebabkan oleh beberapa faktor risiko baik faktor ibu maupun faktor bayi.…”

Section: Pendahuluanunclassified

“…Faktor lainnya seperti metode persalinan seperti ekstraksi dengan forceps dan section caesarea berisiko lebih tinggi melahirkan bayi dengan asfiksia dibandingkan dengan ibu yang melahirkan secara spontan. 4 Sedangkan faktor risiko bayi yang diidentifikasi antara lain prematuritas. Bayi baru lahir dikatakan prematur jika lahir sebelum usia kehamilan 37 minggu.…”

Section: Pendahuluanunclassified

“…Bayi yang lahir pada usia kehamilan 35 minggu, berisiko mengalami gangguan pernapasan, karena alveolus dan surfaktan pada paru-paru yang berfungsi mengurangi tegangan permukaan, belum sepenuhnya matur. 4,6 Untuk menurunkan angka tersebut, maka diperlukan kembali mengidentifikasi dan mendeteksi faktor-faktor risiko yang dapat meningkatkan kejadian asfiksia antara lain usia ibu, kondisi anemia, jumlah persalinan sebelumnya, riwayat hipertensi pada kehamilan, kejadian ketuban pecah dini, usia kehamilan prematuritas, serta metode persalinan. Faktor-faktor tersebut, selanjutnya akan diidentifikasi dan dicari hubungannya terhadap kejadian asfiksia pada neonatus.…”

Section: Pendahuluanunclassified

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Faktor risiko yang berhubungan dengan kejadian asfiksia pada neonatus di RSIA Dedari Kupang, Nusa Tenggara Timur, Indonesia

Dewanta¹,

Padma²,

Wiraningrat³

2022

Intisari Sains Medis

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Background: Asphyxia is one of the three main causes of newborn death. In Indonesia, the neonatal mortality rate (AKN) in 2018 was 15-20% due to asphyxia with several risk factors including maternal age, anemia, number of previous deliveries, history of hypertension, premature rupture of membranes, prematurity, and method of delivery. This study aims to evaluate the risk factors associated with asphyxia in neonates at RSIA Dedari Kupang, East Nusa Tenggara, Indonesia. Methods: The research design is an observational analytic study with a case-control design. This study consisted of 40 case samples and 40 control samples. Sampling was from January 2020 - December 2021 in the maternity ward and perinatology room at RSIA Dedari Kupang with a total sampling technique in the case group and a random sampling technique in the control group. The sample used has met the inclusion and exclusion criteria. Data were analyzed univariate and bivariate using SPSS version 23.0 for Windows. Results: There was a significant relationship between premature rupture of membranes and prematurity on the incidence of neonatal asphyxia in bivariate analysis (p<0.05). In addition, there was also a significant relationship between a history of hypertension and asphyxia with logistic regression analysis (p<0.05). Conclusion: There is a significant relationship between premature rupture of membranes, prematurity and hypertension in pregnancy with the incidence of asphyxia in neonates. Latar Belakang: Asfiksia menjadi salah satu dari tiga penyebab utama kematian bayi baru lahir. Di Indonesia angka kematian neonatal (AKN) pada tahun 2018 sebesar 15-20% disebabkan oleh asfiksia dengan beberapa faktor risiko antara lain usia ibu, kondisi anemia, jumlah persalinan sebelumnya, riwayat hipertensi, ketuban pecah dini, prematuritas, serta metode persalinan. Penelitian ini bertujuan untuk mengevaluasi faktor risiko yang berhubungan dengan kejadian asfiksia pada neonatus di RSIA Dedari Kupang, Nusa Tenggara Timur, Indonesia. Metode: Rancangan penelitian adalah studi analitik observasional dengan desain case-control. Sampel penelitian ini terdiri dari 40 sampel kasus dan 40 sampel kontrol, Pengambilan sampel sejak Januari 2020 - Desember 2021 di Ruang Bersalin dan Ruang perinatologi RSIA Dedari Kupang dengan teknik total sampling pada kelompok kasus serta teknik random sampling pada kelompok kontrol. Sampel yang digunakan telah memenuhi kriteria inklusi dan eksklusi. Data dianalisis secara univariat dan bivariat menggunakan SPSS versi 23.0 untuk Windows. Hasil: Terdapat hubungan yang bermakna antara ketuban pecah dini dan prematuritas terhadap kejadian asfiksia neonatus pada analisis bivariat (p<0,05). Di samping itu terdapat juga hubungan yang bermakna antara riwayat hipertensi dengan asfiksia dengan analisis regresi logistik (p<0,05). Simpulan: Terdapat hubungan yang signifikan antara ketuban pecah dini, prematuritas dan hipertensi dalam kehamilan dengan kejadian asfiksia pada neonatus.

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“…Kegagalan pernafasan asfiksia pada bayi disebabkan karena beberapa faktor, seperti keadaan ibu, keadaan tali pusat, dan keadaan bayi (Dwi & Devy, 2015) Faktor risiko yang terkait dengan asfiksia bayi baru lahir adalah cairan ketuban bermekonium sedang, presentasi sungsang, berat lahir <2.500 g, sedasi intrapartum dengan morfin atau pethidin dan pelahiran premature (Pitsawong, 2011). Faktor lain penyebab asfiksia neonatal adalah: a) faktor-faktor pra-kelahiran seperti: usia ibu, pra-eklampsia dan eklampsia, sosial ekonomi, riwayat asfiksia sebelum lahir, b) faktor-faktor dalam kelahiran seperti presentasi janin, persalinan dengan operasi sesar, anestesi umum selama persalinan sectio, persalinan, ekstraksi vakum, forsep, prolaps tali pusat, dan disproporsi panggul cephalo (CPD), c) Faktor bayi, termasuk BBLR, prematuritas, tanggal kadaluwarsa, polihidramnion, dan Retardasi Pertumbuhan Intra Uterine (IUGR) (Purwaningsih, Lanti, Dewi, Yulia, Indarto, & Murti, 2018). BBLR adalah penyebab pertama asfiksia neonatorum.…”

Section: Pendahuluanunclassified

Analisis Faktor Fetus dan Tali Pusat terhadap Risiko Asphyxia Perinatal di Surakarta

Lestari

Astuti

Ramadhani

2020

Jurnal Ilmu Keperawata Anak

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Asfiksia perinatal merujuk pada kekurangan oksigen selama persalinan, sehingga berpotensi menyebabkan kematian dan kecacatan. WHO memperkirakan 4 juta anak terlahir dengan asfiksia setiap tahun, dimana 1 juta di antaranya meninggal dan 1 juta anak bertahan hidup dengan gejala sisa neurologis yang parah. Penelitian ini bertujuan untuk menganalisis faktor risiko fetal dan tali pusat pada asfiksia neonatal.Penelitian dilakukan di lakukan di RS Dr Moewardi Surakarta dengan pendekatan quantitative retrospective case control study. Data diambil dari rekam medis antara tahun 2013-2018. Penelitan ini melibatkan 264 neonatal yang terdiri dari 88 kelompok kasus dan 176 kelompok control. Kelompok kasus adalah bayi dengan diagnosa asfiksia yang dilakukan analisis terhadap faktor risiko fetal, sedangkan bayi yang tidak mengalami asfiksia dijadikan kelompok kontrol. Hasil analisis statistik uji Chi-Square dan Fisher Exact ditemukan bahwa kelahiran prematur (OR 2,07 CI 95% P 0,02), persalinan dengan tindakan (OR 3,61 CI 95% P 0,00), berat bayi (OR 2,85 CI 95% P 0,00), posisi janin (OR 2,37 CI 95% P 0,05), tali pusat ( QR 3,071 CI 95% P 0,01) berisiko terhadap insiden asfiksia perinatal. Air ketuban yang bercampur meconium (OR 1,51 CI 95% P 0,16) tidak memiliki risiko dengan Asfiksia perinatal. Kesimpulan: Risiko terhadap insiden asfiksia perinatal meliputi kelahiran prematur, persalinan dengan tindakan, berat bayi, posisi janin, dan tali pusat.Perinatal asphyxia refers to a lack of oxygen during labor, which has the potential to cause death and disability. WHO estimates 4 million children born with asphyxia each year, in which 1 million dies and 1 million survive with severe neurological sequelae. This study aims to analyze fetal and umbilical risk factors in neonatal asphyxia.This research is a quantitative retrospective case-control study, which was conducted at The Dr. Moewardi hospital, Surakarta. Data was taken from medical records from 2013-2018. The case group was patients diagnosed asphyxia, while those who did not experience asphyxia were treated as a control group. A total of 264 samples, consisting of 88 case group respondents and 176 control group respondents. Statistical analysis Chi- Square and Fisher Exact found that preterm birth (OR 2.07 CI 95% P 0.02), labor with instrument or complication (OR 3.61 CI 95% P 0.00), infant weight (OR 2.85 CI 95% P 0, 00), fetal position (OR 2.37 CI 95% P 0.05), umbilical cord (QR 3.071 CI 95% P 0.01) are at risk for the incidence of perinatal Asphyxia. The amniotic fluid mixed with meconium (OR 1.51 CI 95% P 0.16) has no risk with perinatal asphyxia.The risk factors of incidences of perinatal asphyxia were preterm birth, labor with instrument or complication, baby weight, fetal position and umbilical cord.

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Factors Associated with Newborn Asphyxia at Dr. Harjono Hospital, Ponorogo, East Java

Cited by 5 publications

References 1 publication

Perinatal asphyxia and its associated factors in Ethiopia: a systematic review and meta-analysis

Perinatal asphyxia and its associated factors in Ethiopia: a systematic review and meta-analysis

Faktor risiko yang berhubungan dengan kejadian asfiksia pada neonatus di RSIA Dedari Kupang, Nusa Tenggara Timur, Indonesia

Analisis Faktor Fetus dan Tali Pusat terhadap Risiko Asphyxia Perinatal di Surakarta

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