Search Repository Universitas Fort De Kock

Angka kematian neonatus dan bayi menjadi salah satu indikator keberhasilan derajat kesehatan masyarakat suatu negara. Salah satu penyebab kematian neonatal terbanyak pada tahun 2021 adalah asfiksia sebesar 27,8%. Asfiksia adalah kegawatdaruratan bayi baru lahir berupa depresi pernapasan yang berlanjut sehingga menimbulkan berbagai komplikasi. Beberapa faktor dapat meningkatkan risiko asfiksia baik dari faktor ibu maupun janin. Penelitian ini bertujuan untuk mengetahui Faktor- Faktor Yang Berhubungan Dengan Kejadian Asfiksia Neonatorum Di RSUD Sijunjung Tahun 2023. Jenis penelitian penelitian kuantitatif dengan metode survei analitik dengan pendekatan case control. Populasi penelitian adalah seluruh bayi asfiksia di RSUD Sijunjung. Sampel berjumlah 216 orang. Terdiri dari 108 kelompok kasus dan 108 kelompok kontrol. Teknik pengambilan sampel secara Purposive Sampling. Pengumpulan data menggunakan data sekunder dari rekam medik. Analisa data dengan univariat dan bivariat. Hasil penelitian univariat didapatkan 50% responden dengan asfiksia, 59,7% paritas tidak berisiko, 73,6% kehamilan tidak postterm, 86,1% tidak partus lama, 66,7% tidak KPD, 57,4% tidak induksi persalinan, dan 77,3% berat bayi lahir normal. Hasil uji statistik didapatkan bahwa ada hubungan yang bermakna antara kehamilan postterm (p=0,000, OR 5,714), partus lama (p=0,000, OR 39,278), KPD (p=0,000, OR 5,555), induksi persalinan (p=0,000, OR 8,8), berat bayi lahir rendah (p=0,000, OR 14,162) dan tidak terdapat hubungan yang bermakna paritas (p=0,52, OR 1,789) dengan kejadian asfiksia di RSUD Sijunjung. Kesimpulan penelitian adalah paritas tidak berhubungan dengan kejadian asfiksia dan hubungan paling dominan dengan kejadian asfiksia adalah partus lama. Bagi bidan agar meningkatkan kemampuan diri dalam penanganan asfiksia serta bagi ibu hamil untuk mningkatkan pemeriksaan ANC sehingga dapat mendeteksi faktor risiko asfiksia sejak dini.

Neonatal and infant mortality rates are an indicator of the success of a country's public health status. One of the most common causes of neonatal death in 2021 is asphyxia at 27.8%. Asphyxia is a newborn emergency in the form of respiratory depression that continues, causing various complications. Several factors can increase the risk of asphyxia from both maternal and fetal factors. This research aims to determine "Factors Associated with the Incident of Neonatal Asphyxia in Sijunjung Regional Hospital in 2023". This type of research is quantitative research using analytical survey methods with a case control approach. The research population was all asphyxiated babies at Sijunjung Regional Hospital. The sample consisted of 216 people. Consisting of 108 case groups and 108 control groups. The sampling technique is Purposive Sampling. Data collection uses secondary data from medical records. Data analysis using univariate and bivariate. The results of the univariate study showed that 50% of respondents had asphyxia, 59.7% of parity were not at risk, 73.6% of pregnancies were not postterm, 86.1% were not in prolonged labor, 66.7% were not in KPD, 57.4% were not induced labor, and 77.3% of babies' birth weight was normal. The results of statistical tests showed that there was a significant relationship between postterm pregnancy (p=0.000, OR 5.714), prolonged labor (p=0.000, OR 39.278), PROM (p=0.000, OR 5.555), labor induction (p=0.000, OR 8.8), low birth weight (p=0.000, OR 14.162) and there was no significant relationship between parity (p=0.52, OR 1.789) with the incidence of asphyxia at Sijunjung Regional Hospital. The research conclusion is that parity is not related to the incidence of asphyxia and the most dominant relationship with the incidence of asphyxia is prolonged labor. For midwives to improve their abilities in handling asphyxia and for pregnant women to increase ANC examinations so that they can detect risk factors for asphyxia early.