Proporsi Asfiksia Neonatorum pada Kasus KPD dengan Non KPD di RSUD dr. Mohammad Soewandhi Surabaya

Abstract

Severe fetal or asphyxia intrauterin can be a result of cord compression and repetitive due to prolonged reduction prolapsus amniotic fluid or umbilical cord. Complications are most common in PROM before 37 weeks gestation is respiratory distress syndrome (asphyxia), which occurs in 10-40% of new born babies. Risk of infection, disability, and death was also increased in the PROM events. Preliminary study data at hospitals dr. Moh. Soewandhie Surabaya on 1-4 December 2009, showed that in December of 2008, from 16 cases diagnosed 3 cases of PROM asphyxia weight, 3 cases were asphyxia, and 10 cases of mild asphyxia (not asphyxia). According to the register showed that the baby is a case of neonatal asphyxia second largest after low birth weight (LBW) babies. This research methods, analytical case control study design. Inpartu mother population in maternity hospitals VK dr. Mohamad Soewandhie Surabaya in 2008 some 2101 cases. Sampling techniques proportional stratified random sampling. Large sample of 67 cases. Independent variable, premature rupture of membranes (PROM) and the dependent variable, neonates asphyxia. Instruments used data collection sheets. Sources of data from medical records. Analysis of data using non-parametric statistical approach Chi Square. The results of 33 cases of maternal inpartu that experience premature rupture of membranes (PROM), had 20.9% asphyxia and from were 34 cases of inpartu mothers who did not KPP, 20.9% experienced not asphyxia. Chi Square test results, X 2 arhitetic <X 2 table (1.802 <3.48) means that there is no difference in incidence neonates asphyxia in premature rupture cases (KPP) and no premature rupture of membranes (non – KPP). The conclusion of this study, less than 50% of inpartu mothers who experienced premature rupture of membranes (PROM), and more than 50% occurred asphyxia was, and there was no difference in incidence neonates asphyxia in premature rupture cases (KPP) and no premature rupture of membranes (non – KPP). Based on the data, premature rupture of membranes (PROM) is not a dominant factor causing neonates asphyxia because there are some other factors causing neonates asphyxia. Therefore, further studies should be done about the dominant factor causing neonates asphyxia.