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All Journal Berkala Kedokteran Indonesian Journal of Obstetrics & Gynecology Science
Pudji Andayani, Pudji
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Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

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HUBUNGAN ANTARA MASA GESTASI DAN KEJADIAN SEPSIS NEONATORUM DI RSUD ULIN BANJARMASIN PERIODE JUNI 2014-JUNI 2015 Dini, Fitri Nur; Andayani, Pudji; Rosida, Lena
Berkala Kedokteran Vol 12, No 2 (2016)
Publisher : Fakultas Kedokteran Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jbk.v12i2.1865

Abstract

Abstract: Neonatal sepsis is a clinical syndrome characterized by symptoms of bacteremia and systemic signs and positive blood cultures showed that during the first month of life. Prematurity and postmaturity risk of morbidity and mortality are high on the gestation age for the occurrence of neonatal sepsis. This study aims to determine the relationship between gestational age and the incidence of neonatal sepsis in Ulin Hospital Banjarmasin. The design of this study using cross sectional study with retrospective approach. The way the sampling is the purposive sampling were obtained from medical records of patients, then performed statistical analysis using chi-square test with 95%. The number of samples that fulfilled the criteria inclusion in this study as many as 246 cases. The incidence of neonatal sepsis is more common in infants born at 37-42 weeks gestation as many as 25 cases (59.52%). The data not neonatal sepsis who were born with a gestational age <37 weeks or> 42 weeks gained as many as 20 cases (9.80%) and 37-42 weeks gestation obtained as many as 184 cases (90.20%). Chi-square test showed that there is a relationship between gestational age and the incidence of neonatal sepsis in Ulin Hospital Banjarmasin (p = 0.000) with an odds ratio (OR) 6.256. It is concluded that there is a relationship of gestation age and the incidence of neonatal sepsis (p <0.05) in hospitals Ulin Banjarmasin period June 2014-June 2015 with OR 6.256. Keywords: gestational age, sepsis, neonatal Abstrak: Sepsis neonatorum merupakan suatu sindrom klinis bakteremia yang ditandai dengan gejala dan tanda sistemik serta menunjukkan kultur darah positif yang terjadi pada bulan pertama kehidupan. Prematuritas dan posmaturitas memiliki risiko kesakitan dan kematian yang tinggi pada masa gestasi untuk terjadinya sepsis neonatorum. Penelitian ini bertujuan untuk mengetahui hubungan antara masa gestasi dan kejadian sepsis neonatorum di RSUD Ulin Banjarmasin. Rancangan penelitian ini menggunakan cross sectional study dengan pendekatan retrospektif. Cara pengambilan sampel yaitu dengan purposive sampling yang diperoleh dari data rekam medis pasien, kemudian dilakukan analisis statistik menggunakan uji chi-square dengan kepercayaan 95%. Jumlah sampel yang memenuhi kriteria inklusi dalam penelitian ini sebanyak 246 kasus. Kejadian sepsis neonatorum lebih banyak dijumpai pada bayi yang lahir dengan masa gestasi 37-42 minggu yaitu sebanyak 25 kasus (59,52%). Data neonatus tidak sepsis yang lahir dengan masa gestasi <37 minggu atau >42 minggu didapatkan sebanyak 20 kasus (9,80%) dan masa gestasi 37-42 minggu didapatkan sebanyak 184 kasus (90,20%). Uji chi square menunjukkan bahwa terdapat hubungan antara masa gestasi dan kejadian sepsis neonatorum di RSUD Ulin Banjarmasin (p=0,000) dengan odds ratio (OR) 6,256. Kesimpulan penelitian ini adalah terdapat hubungan masa gestasi dan kejadian sepsis neonatorum (p<0,05) di RSUD Ulin Banjarmasin periode Juni 2014-Juni 2015 dengan OR 6,256. Kata-kata kunci: masa gestasi, sepsis, neonatus
Hubungan antara Berat Badan Lahir dan Kejadian Asfiksia Neonatorum Fajarwati, Novia; Andayani, Pudji; Rosida, Lena
Berkala Kedokteran Vol 12, No 1 (2016): Februari 2016
Publisher : Fakultas Kedokteran Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jbk.v12i1.354

Abstract

Abstract:Neonatal asphyxia is a condition where the baby can not breathe spontaneously and regularly soon after birth or shortly after birth. Birth weight is a part of the factors that can cause neonatal asphyxia. Research conducted retrospective observational analytic approach to determine the relationship between birth weight and neonatal asphyxia which uses secondary data from medical records of patients. The study was conducted in August-October 2015 in the NICU and medical record room of RSUD Ulin Banjarmasin. The sampling technique used purposive sampling and obtained a sample of 334 cases. The statistical test used is chi-square test with 95% confidence level. The results showed that of 334 cases of birth weight data showed 17.4% risk birth weight and no-risk birth weight by 82,6%. Neonatal asphyxia 26.3% and 73.7% of no-neonatal asphyxia. Based on the statistical test showed p = 0.674 so that it can be concluded that there is no significant correlation between birth weight and neonatal asphyxia in RSUD Ulin Banjarmasin period June 2014-June 2015.Keywords: neonatal asphyxia, birth weight, risk factor Abstrak: Asfiksia neonatorum adalah suatu keadaan dimana bayi tidak dapat bernapas secara spontan dan teratur segera setelah lahir atau beberapa saat setelah lahir. Berat badan lahir merupakan bagian dari faktor neonatus yang dapat menyebabkan asfiksia neonatorum. Penelitian dilakukan secara observasional analitik dengan pendekatan retrospektif untuk mengetahui hubungan antara berat badan lahir dan kejadian asfiksia neonatorum yang menggunakan data sekunder dari rekam medis pasien. Penelitian dilakukan pada bulan Agustus-Oktober 2015  di ruang NICU dan ruang rekam medis RSUD Ulin Banjarmasin. Teknik pengambilan sampel menggunakan metode purposive sampling dan didapatkan sampel sebanyak 334 kasus. Uji statistik yang digunakan yaitu  uji chi-square dengan tingkat kepercayaan 95%. Hasil penelitian menunjukkan bahwa dari 334 kasus diperoleh data berat badan lahir berisiko sebesar 17,4% dan berat badan lahir tidak berisiko sebesar 82,6%. Kejadian asfiksia neonatorum sebesar 26,3% dan tidak asfiksia neonatorum sebesar 73,7%.  Berdasarkan hasil uji statistik didapatkan hasil p = 0,674 sehingga dapat disimpulkan bahwa tidak terdapat hubungan yang bermakna antara berat badan lahir dan kejadian asfiksia neonatorum di RSUD Ulin Banjarmasin periode Juni 2014-Juni 2015. Kata-kata kunci: asfiksia neonatorum, berat badan lahir, faktor risiko
Association Of Gestational Age And Birth Weight With Neonatal Sepsis In Ulin Hospital Banjarmasin Andayani, Pudji; Salim, Monica Anggriana; Halim, Pricilia Gunawan; Yunanto, Ari
Berkala Kedokteran Vol 19, No 2 (2023)
Publisher : Fakultas Kedokteran Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jbk.v19i2.17385

Abstract

Indonesia is ranked 7th in the country with the highest neonatal mortality rate in the world, respectively 60.000 neonatal deaths per year. Neonatal sepsis in one of the major causes of neonatal death. The aim of this study is to find the association of gestational age and birth weight with the incidence of neonatal sepsis in Ulin Hospital Banjarmasin, January-December 2021. This study is a retrospective study with a cross sectional approach at Neonatal Ward, Ulin Hospital Banjarmasin, South Borneo, January to December 2021. The total sample was 200 infants consisting of 100 healthy infants and 100 sepsis infants. The source of gestational age, birth weight, and diagnosis data were taken through patient medical records. The mean gestational age of healthy infant group was 38,45 weeks (all infants were at term) while in septic infant group was 33,59 weeks (70%preterm, 28%at-term, and 2%post-term). The average birth weight of healthy infant group was 3021.24 grams (all infants were normal birth weight) while in septic infant group was 2003,59 grams (25%normal birth weight, 40%low birth weight, 25%very low birth weight, and 10%extremely low birth weight). There were an association of gestational age and birth weight with neonatal sepsis, confidential rate was 95%. (p<0,000 and p<0,000). There were an association of gestational age and birth weight with neonatal sepsis in Ulin Hospital Banjarmasin, January-December 2021.
Hubungan Penggunaan Antiretroviral (ARV) dengan Luaran Neonatal pada Ibu Terinfeksi Human Immunodeficiency Virus (HIV) Ariyani, Noor Aida; Radam, M. Robyanoor Ahyadi; Tobing, Samuel L.; Aditya, Renny; Yunanto, Ari; Andayani, Pudji
Indonesian Journal of Obstetrics & Gynecology Science Volume 3 Nomor 1 Maret 2020
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1613.138 KB) | DOI: 10.24198/obgynia.v3i1.172

Abstract

Tujuan: Mengetahui hubungan penggunaan antiretroviral pada ibu terinfeksi HIV dengan luaran neonatal. Metode: Menggunakan metode analitik dengan pendekatan cross sectional. Pengambilan data dilakukan dari Poli Klinik VCT dan register VK RSUD Ulin Banjarmasin. Jumlah data dibagi berdasarkan penggunaan antiretroviral dan bukan pengguna antiretroviral di hubungkan dengan hasil luaran neonatal berupa berat badan lahir, prematur, IUGR, asfiksia dan kematian neonatal. Analisis menggunakan uji statistik chi square test bermakna bila p < 0.05 ,bila uji chi square tidak memenuhi kriteria maka dilakukan uji fisher.Hasil: Terdapat 73 kasus melahirkan terinfeksi HIV tahun 2015-2018. Ibu terinfeksi HIV yang menggunakan antiretroviral sebanyak 24 (33%) dan bukan menggunakan antiretroviral sebanyak 49 (67%). Dihubungan penggunaan antiretroviral dengan luaran neonatal berat badan lahir bayi, hasil uji square  <0.05 signifikan yaitu  p 0.019,  hasil luaran neonatal prematur (p = 0.022). Hubungan penggunaan antiretroviral terhadap hasil luaran berupa IUGR, asfiksia dan kematian neonatal didapatakan  p 0.166 ; 0.243 ; 0.649.Kesimpulan: Penggunaan antiretroviral pada ibu hamil terinfeksi HIV mengurangi kejadian bayi berat lahir rendah dan prematurRelationship between Antiretroviral Therapy (ARV) with Neonatal Outcome in Woman with HIV InfectionAbstractObjective: Assess the correlation of antiretroviral medication in HIV-infected pregnant women to the outcome of neonates. Method: Analytical method with a cross-sectional approach was used. Data were obtained from the VCT polyclinic and the register of the VK register of Ulin Banjarmasin Regional General Hospital (RSUD). The data are divided into antiretroviral user and non-antiretroviral users linked with the outcome of the neonate in birth weight, prematurity, IUGR, asphyxia, and neonatal death. Statistical analysis using the chi-square test will suggest a significant difference if the p-value is < 0.05. If the chi-square test can not be used, fisher test will be conducted.Result: There are 73 cases of HIV-infected births between 2015 and 2018. There are 24 (33%) of HIV-infected pregnant women on antiretrovirals compared to 49 (67%) non-users. There is a link between antiretroviral usage with the neonatal outcome of birth weight with a chi-square p-value of 0.019 (significant if p-value < 0.05). The outcome of prematurity is also significant, with a p-value of 0.022. The correlation of antiretroviral use to outcome in IUGR, asphyxia, and neonatal mortality are of p-value 0.166; 0.243, and 0.649, respectively.Conclusion: Antiretroviral use in HIV-infected pregnant women reduces the outcome of low birth weight and prematurity incidence in neonates.Key words: HIV, infected woman, outcome, antiretroviral, RSUD Ulin
Co-Authors Ariyani, Noor Aida ary yunanto Dini, Fitri Nur Halim, Pricilia Gunawan Lena Rosida Novia Fajarwati, Novia Radam, M. Robyanoor Ahyadi Renny Aditya Salim, Monica Anggriana Tobing, Samuel L.