ANANDA PRASTUTI, NIM011411223048
(2016)
PERBANDINGAN MORBIDITAS PERINATAL PADA
KETUBAN PECAH DINI ≥ 18 JAM DENGAN < 18 JAM
DI RSUD DR. M. SOEWANDHIE SURABAYA.
Skripsi thesis, Universitas Airlangga.
Abstract
Background : Premature rupture of membrane (PROM) was one of the maternal
risk factor that affect 23% of perinatal mortality in Indonesia. Prelimenary study
showed that the incident of PROM in dr. M. Soewandhie hospital of Surabaya has
became 10 most-cases. Twenty-five percent’s mother with PROM gave birth
during >12 hours and 41% of them was gave birth during 24 hours. Prom that
happened for 18-24 hours increased the incidence of neonatal bacterial
contamination and bacterial colonization.
Objectives : To analyze comparison of perinatal morbidity between PROM ≥ 18
hours and PROM < 18 hours in dr M. Soewandhie hospital of Surabaya.
Methods: This study was an analytic observational using comparative study. The
population of this study were all newborn baby in dr. M. Soewandhie hospital of
Surabaya from September 2015 to March 2016 which was 310 baby. This study
involved 98 baby as sample that selected by total sampling (≥18 hours) and quota
sampling (<18 hours).
Result: Chi Square showed that PROM ≥ 18 hours increased the risk of first 24
hours abnormal temperature 1,9 times higher (p=0,031, RR=1,909) and
abnormal amount of leukocytes 5 times higher (p=0,014, RR=5,000) than PROM
< 18 hours. Fisher showed that PROM ≥ 18 hours hasn’t increased the risk of
neonatal asphyxia (p=0,436). The result also showed that PROM ≥ 18 hours
hasn’t increased the risk of 24 hours abnormal heart rate and respiration.
Conclusion: PROM ≥ 18 hours increased perinatal morbidity include first 24
hours of abnormal neonatal’s temperature and the abnormal amount of
leukocytes.
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