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Journal : Medula

HUBUNGAN DIABETES MELITUS GESTASIONAL TERHADAP KEJADIAN BERAT BADAN LAHIR RENDAH DI RSUD DR H ABDUL MOELOEK TAHUN 2023 Suhaili, Gadis Bunga; Rukmono, Prambudi; Nareswari, Shinta; Sari, Ratna Dewi Puspita
Medula Vol 14 No 11 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i11.1304

Abstract

A low birth weight (LBW) infant is defined as an infant born weighing less than 2500 grams regardless of gestational age. The main factors causing LBW are maternal factors, fetal factors, and placental factors. Risk factors for LBW associated with maternal factors include a history of complications during pregnancy, one of which is gestational diabetes mellitus. This study used a cross-sectional design with Pearson Chi-Square statistical test conducted at Dr. H. Abdul Moeloek General Hospital, Lampung Province in October - November 2024. The study sample was infants born at Dr. H. Abdul Moeloek Hospital in the period January - December 2023. The results of this study indicate that 16% of infants born were extremely low birth weight (ELBW), 20% of infants born were very low birth weight (VLBW), and 64% of infants born were low birth weight (LBW). The results of the chi-square analysis showed that there was a relationship between gestational diabetes mellitus (p = 0.042) and low birth weight (LBW).  
Hubungan Prosedur Invasif dan Lama Rawat Inap Terhadap Kejadian Sepsis Neonatorum Awitan Lambat di RSUD Dr. H. Abdul Moeloek Tahun 2023 Putri Arafah, Aisyah; Rukmono, Prambudi; Nareswari, Shinta; Saputra, Oktadoni
Medula Vol 14 No 8 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i8.1310

Abstract

Infant Mortality Rate (IMR) in Indonesia is still dominated by neonatal deaths, accounting for 55% of all infant deaths. Neonatal sepsis is the third leading cause of neonatal deaths after low birth weight (LBW) and asphyxia. Late-onset neonatal sepsis (LONS) is a systemic response to infection when the neonate is more than 72 hours old, as evidenced by a positive blood culture. Currently, late-onset neonatal sepsis remains the third leading cause of neonatal deaths. Late-onset neonatal sepsis usually occurs through the transmission of pathogens from the environment (nosocomial). The difficulty of early diagnosis in late-onset neonatal sepsis necessitates a diagnosis based on nosocomial infection factors, such as the use of invasive procedures and prolonged hospital stays. This research employed a descriptive analytic method with a cross-sectional approach. The sample consisted of all neonates diagnosed with neonatal sepsis and recorded in medical records with positive blood culture results in the Perinatology ward of RSUD Dr. H. Abdul Moeloek Bandar Lampung in 2023. Data were analyzed univariately and bivariately using the Chi-square test with Fisher's exact test as an alternative. The data suggests a statistically significant correlation between invasive procedures (p= 0.043) and length of hospital stay (p= 0.012) with the development of late-onset neonatal sepsis (LONS).