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Journal : Academic Hospital Journal

The Effect of The ERACS Method on The Acceleration of Mobilization of Post Sectio Caesaria Patients at Academic Hospital Universitas Gadjah Mada In 2023 Krismayanti, Dewi; Haspitaningrum, Anjarsari; Risanto, Esti Utami
Academic Hospital Journal Vol 6, No 1 (2024)
Publisher : Rumah Sakit Akademik Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ahj.v6i1.94807

Abstract

Background: ERACS (Enhanced Recovery After Caesarian Surgery) is a fast programrecovery after a Caesarean section in the form of a series of care starting from preoperativepreparation, intraoperative and post-operative care until the patient is discharged. InIndonesia itself, the implementation of the ERACS protocol began to be implemented in2019. UGM Academic Hospital, the ERACS method is still a new service from the MaternalPerinatal Installation and will start running in November 2022. This research aims todetermine the difference in maternal mobilization time post Sectio Caesaria with the ERACSmethod and mobilization of mothers post non-eracs SC at UGM Academic Hospital in 2023.This research is a quantitative research using a quasi-experimental method with anonequivalent posttest control group design. The research was conducted at the UGMAcademic Hospital in April - September 2023. The sampling technique was accidentalsampling. The research results showed that the average mobilization of post-Sc patientsusing the ERACS method was 13.1 hours and the average mobilization of non-ERACS post-Scpatients was 33.7 hours. From the results of the analysis of 54 respondents using theIndependent Sample Test, it shows a value of 0.000. So H0 is rejected and Ha is accepted.Conclusion: there is an effect of giving the ERACS method by accelerating the mobilizationof women giving birth post sc.Keywords: Sectio Caesaria, Maternity, Mobilization, Rapid Mobilization, ERACS
Comparison of TCB And Picterus Joundice Bilirubin Examination In Newborns at RSA UGM in 2025 Krismayanti, Dewi; Aidayasari, Nurul
Academic Hospital Journal Vol 8, No 1 (2026)
Publisher : Rumah Sakit Akademik Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ahj.v8i1.114234

Abstract

                                                                                 Background: One of the health problems often experienced by infants is jaundice neonatorum, which is a condition where bilirubin levels are above 10 mg%. Based on a study performed in the infant room at RSA UGM in December 2024, the incidence of newborns who are treated with phototherapy is more than 50%. Transepidermal Bilirubinometry is a non-invasive bilirubin screening tool for infants with a gestational age of more than 36 weeks and born after 24 hours, born by working with optical spectroscopy, with bilirubin in the skin. The jaundice screening device is certified for clinical use. A photo was taken and analyzed to display bilirubin levels within a few seconds (Product licence by Ministry of Health Number 20101323603).Objective: This study aims to determine whether there are differences in the results of bilirubin examination using Transcutaneous Bilirubinometry and Petechiae Jaundice.Method: This research involved newborns who were full-term or more than 37 weeks of gestation, had a birth weight of more than 2500 grams, and were at least 24 hours old.Result:   This study was conducted at RSA UGM from April to July 2025. The sampling technique used was accidental sampling. Out of 42 participants, 23.8% had a gestational age of less than 38 weeks, 69% had a gestational age between 38 and 40 weeks, and 7.2 % had a gestational age of more than 40 weeks. From the data analysis of 42 newborns, the bilirubin levels using Transcutaneous Bilirubin had an average of 8.14 mg/dl. while the bilirubin levels using Picterus had an average of 7.90 mg/dl. Analysis using a paired sample T-test to compare the averages of two data groups showed a statistically significant difference. The results showed a significance value of 0.000 for the TCB Bilirubin and Picterus Jaundice test. The significance level for Picterus bilirubin is 0.000.  A P value < 0.05 indicates that the results do not show a significant difference in measuring bilirubin using Picterus Jaundice and Transcutaneous Bilirubin.Conclusion: Picterus Jaundice can be used as an alternative method in screening or examining bilirubin in newborns.