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Miftahul Khairoh
Program Studi S-1 Kebidanan, Fakultas Ilmu Kesehatan, Universitas Dr, Soetomo
Health Professions Nursing Public Health

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PENGARUH PREEKLAMPSIA, KETUBAN PECAH DINI, DAN SKOR APGAR MENIT PERTAMA TERHADAP LAMA PERAWATAN NEONATUS DI PUSKESMAS PASEAN PAMEKASAN Miftahul Khairoh; Anggraini Dyah Setiyarini
Jurnal Medicare Vol. 5 No. 2 (2026): APRIL 2026
Publisher : Rena Cipta Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62354/jurnalmedicare.v5i2.526

Abstract

Lama perawatan neonatus merupakan indikator penting dalam menilai kondisi kesehatan bayi baru lahir dan efektivitas pelayanan maternal-neonatal. Faktor maternal seperti preeklampsia dan ketuban pecah dini, serta kondisi awal bayi yang dinilai melalui skor APGAR menit pertama, berpotensi memengaruhi kebutuhan perawatan neonatus. Penelitian ini bertujuan untuk mengetahui pengaruh preeklampsia, ketuban pecah dini, dan skor APGAR menit pertama terhadap lama perawatan neonatus di Puskesmas Pasean Pamekasan. Metode penelitian ini menggunakan desain kuantitatif analitik dengan pendekatan cross-sectional. Sampel penelitian berjumlah 40 neonatus yang dipilih menggunakan teknik total sampling. Data diperoleh dari rekam medis ibu dan bayi, kemudian dianalisis secara univariat dan bivariat menggunakan uji Chi-Square dengan tingkat kemaknaan α = 0,05. Hasil penelitian menunjukkan bahwa 12 ibu (30,0%) mengalami preeklampsia, 14 ibu (35,0%) mengalami ketuban pecah dini, dan 15 neonatus (37,5%) memiliki skor APGAR menit pertama rendah. Sebanyak 16 neonatus (40,0%) menjalani perawatan lebih dari 3 hari. Hasil uji bivariat menunjukkan terdapat hubungan antara preeklampsia dengan lama perawatan neonatus (p = 0,006), ketuban pecah dini dengan lama perawatan neonatus (p = 0,035), serta skor APGAR menit pertama dengan lama perawatan neonatus (p = 0,001). Kesimpulan penelitian ini menunjukkan bahwa preeklampsia, ketuban pecah dini, dan skor APGAR menit pertama berpengaruh terhadap lama perawatan neonatus. Deteksi dini faktor risiko maternal dan penilaian kondisi bayi segera setelah lahir perlu dioptimalkan untuk mendukung penatalaksanaan neonatus yang lebih cepat dan tepat.
HUBUNGAN KEPATUHAN ANTENATAL CARE DENGAN KEJADIAN KOMPLIKASI OBSTETRI PADA IBU HAMIL RISIKO TINGGI DI PUSKESMAS PASEAN PAMEKASAN Miftahul Khairoh; Arkha Rosyaria Badrus
Jurnal Medicare Vol. 4 No. 4 (2025): OCTOBER 2025
Publisher : Rena Cipta Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62354/jurnalmedicare.v4i4.527

Abstract

Background: Antenatal Care (ANC) is a healthcare service aimed at monitoring maternal and fetal conditions during pregnancy and detecting risk factors and obstetric complications at an early stage. Compliance with ANC visits among high-risk pregnant women plays an important role in preventing complications that may endanger both the mother and fetus. Objective: This study aimed to analyze the relationship between Antenatal Care compliance and the incidence of obstetric complications among high-risk pregnant women. Methods: This study employed a quantitative analytical design with a cross-sectional approach. The sample consisted of 40 high-risk pregnant women selected using a total sampling technique. The independent variable was Antenatal Care compliance, while the dependent variable was the incidence of obstetric complications. Data were collected from medical records and observation sheets and analyzed using the Chi-Square test with a significance level of α = 0.05. Results: The results showed that most respondents were compliant with ANC visits, accounting for 24 respondents (60.0%), while 16 respondents (40.0%) were non-compliant. A total of 14 respondents (35.0%) experienced obstetric complications, while 26 respondents (65.0%) did not. Bivariate analysis revealed a significant relationship between ANC compliance and the incidence of obstetric complications among high-risk pregnant women (p = 0.018). Pregnant women who were non-compliant with ANC visits had a higher tendency to experience obstetric complications compared to those who were compliant. Conclusion: Antenatal Care compliance is associated with the incidence of obstetric complications among high-risk pregnant women. Improving ANC compliance through education, monitoring, and assistance by healthcare providers is essential to reduce the risk of pregnancy complications.
Co-Authors Anggraini Dyah Setiyarini Arkha Rosyaria Badrus