Perbandingan Nilai APGAR Bayi Pada Kelahiran Presentasi Bokong Secara Pervaginam dan Perabdominal di RSUD Kebumen Tahun 2007
DOI:
https://doi.org/10.18196/mmjkk.v9i1.1587Keywords:
Nilai APGAR, Pervaginam, Presbo, Sectio secaria, APGAR score, Breech PresentationAbstract
Infant morbidity and mortality was higher in breech presentation than cephalic presentation. It is because of prematurity, asphyxia or trauma more often happening in breech presentation. Maternal morbidity rate was increased, which is caused of postpartum bleeding. The higher major caused of breech presentation perinatal mortality is asphyxia, which is can be identified by APGAR score. The objectives of this study are to compare the APGAR score among delivery history with breech presentation in pervaginam and perabdominal delivery. This research is a non experimental study using cross sectional study design. The subjects are patient with breech presentation and infant which is taking care in RSUD Kebumen during 2007. There is a significant infant APGAR score differences between pervaginam and perabdominal breech presentation delivery history (p value=0,00, IK95%). Infant APGAR score with breech presentation history wich is delivery by perabdominal is better than wich is delivery by pervaginam.
Angka kematian bayi sangat dipengaruhi oleh kematian perinatal. Pada presentasi bokong morbiditas dan mortalitas bayi lebih besar bila dibandingkan dengan presentasi letak kepala. Hal ini disebabkan karena pada presentasi bokong lebih sering terjadi prematuritas, asfiksia, atau trauma. Angka morbiditas ibu juga meningkat yang disebabkan oleh perdarahan pasca persalinan. Penyebab kematian perinatal pada presbo yang tertinggi umumnya adalah karena asfiksia, yang bisa diidentifikasikan dengan nilai APGAR. Penelitian ini bertujuan untuk mengetahui perbedaan nilai APGAR pada persalinan dengan riwayat presbo secara pervaginam dengan perabdominal. Penelitian ini merupakan rancangan penelitian cross sectional dan data diambil secara retrospektif dibagian rekam medis. Subjek penelitian berasal dari pasien dengan presbo dan bayinya yang dirawat di RSUD Kebumen selama tahun. Ada perbedaan yang bermakna antara nilai Apgar pada bayi riwayat persalinan presentasi bokong pervaginam dengan perabdominal (nilai p=0,00, IK95%). Nliai Apgar bayi dengan riwayat presbo yang dilahirkan secara perabdominal lebih baik dibandingkan dengan yang dilahirkan secara pervaginam.
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