EFFECT OF MATERNAL DISEASE AND ANTEPARTUM BLOODING ON NEONATORUM ASPHYSIA

Abstract

Background: Asphyxia in newborns is a syndrome with symptoms of apnea. Complications of asphyxia can cause hypoxia and brain ischemia which results in brain edema, brain hemorrhage, seizures and coma and can lead to death. Factors associated with the occurrence of asphyxia neonatorum, namely maternal and premature infant, placenta previa, placental abruption and prolonged labor. The objective of the study was to determine the effect of maternal disease and antepartum bleeding on asphyxia in newborns at Prof. Dr. Margono Soekarjo Hospital Purwokerto. Method: This type of research uses an analytic observational method with a case control approach. The population in this study were all newborns at RSUD Prof. Dr. Margono Soekarjo Purwokerto on July-December 2020 as many as 749. The sample used was 150 with 75 samples for cases and 75 samples for control. The analytical method in this study uses Chi square. The results: The maternal disease (p = 0.003 95% CI: OR), placenta-previa (p = 0.002), placental abruption (p = 0.002), affected the incidence of asphyxia in newborns. Conclusion: The factors that influence the incidence of asphyxia in newborns are maternal disease (hypertension, heart and diabetes mellitus), antepartum bleeding (placenta previa, placental abruption).