Karakteristik Pasien Bersalin dengan HIV Positif dan Tingkat Keberhasilan Pemberian ARV Profilaksis pada Bayi Baru Lahir

Syntia Ambelina, Roza Sri Yanti

Abstract


Tujuan:Mengetahui karakteristik pasien bersalin dengan HIV positif dan tingkat keberhasilan pemberian anti retro viral (ARV) profilaksis pada bayi baru lahir di RSUP M. Djamil Padang.

Metode:Penelitian ini merupakan studi deskriptif menggunakan desain cross sectional study dengan sampel seluruh pasien dengan HIV positif yang bersalin di bagian kebidanan RSUP M. Djamil Padang periode 1 Januari 2017 - 31 Desember 2018. 

Hasil:Selama periode penelitian didapatkan 1068 pasien bersalin di RSUP M. Djamil Padang. Didapatkan dua puluh sampel dengan HIV positif, dimana 5 sampel (25%) merupakan pasien yang berasal dari rujukan Puskesmas di Kota Padang, dan sisanya dari rujukan berbagai rumah sakit kabupaten di Sumatera Barat. Mayoritas sampel berusia 20-35 tahun (85%), pendidikan SMA (40%), menikah satu kali (60%), multigravida 2-4 (80%), dan terminasi kehamilan pada usia kehamilan 37-42 minggu (100%). 85% sampel  merupakan pasien dengan status HIV yang telah dikenal dan mendapat terapi ARV sebelumnya. 5% sampel bersalin secara spontan dan 95% sampel bersalin secara seksio sesarea. Seluruh bayi baru lahir dari ibu dengan HIV positif mendapatkan ARV profilaksis pada empat jam pertama pasca persalinan.

Kesimpulan:Prevalensi persalinan dengan HIV positif di RSUP M. Djamil Padang adalah 1,87%, dan keberhasilan pemberian ARV profilaksis pada bayi baru lahir adalah 100%. 

 

Abstract
Objective: To determine the characteristics of HIV positive maternity patients and the achievement of prophylactic anti retro viral (ARV) provision in newborns at M. Djamil Hospital Padang.
Method: This is a descriptive study using a cross sectional study design. The study was conducted in department of M. Djamil Hospital Padang period January 1st, 2017−December 31st, 2018 through the search of medical records of HIV positive obstetric patients. This research sample is all HIV positive patients who deliver within period January 1st, 2017-December 31st, 2018.
Results: There were 1068 patients gave birth during the study period. Twenty samples were found to be HIV positive, of which 5 samples (25%) patients came from referrals of primary health care in Padang, and the remainder were referrals from various district hospitals in West Sumatra. The majority of the sample were 20−35 years of age (85%), high school education (40%), married once (60%), multigravida 2−4 (80%), and termination of pregnancy at 37-42 weeks of gestation (100%). 85% of the samples were patients with known HIV status and were previously treated with ARVs. 5% of spontaneous maternity samples and 95% of samples delivered by cesarean section. All newborns from HIV-positive mothers get prophylactic ARVs in the first four hours postpartum.
Conclusion: The prevalence of HIV positive labor in M. Djamil Hospital Padang is 1.87%, and the achievement of prophylactic ARV administration at newborns is 100%.


Keywords


HIV positif, ARV, ibu hamil, bayi baru lahir

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References


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DOI: http://dx.doi.org/10.24198/obgynia.v2n2.120

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