Perbedaan Karakteristik, Jenis Persalinan, Luaran Ibu dan Bayi Antara Preterm Dini dan Lanjut

Mirza Sulanda Panji Putra,(1*) Johannes C Mose,(2) Zulfayanti Zulfayanti,(3) Edwin Armawan,(4)

(1) Department of Obstetrics and Gynecology Faculty of Medicine Universitas Padjadjaran/Dr. Hasan Sadikin General Hospital Bandung
(2) Department of Obstetrics and Gynecology Faculty of Medicine Universitas Padjadjaran/Dr. Hasan Sadikin General Hospital Bandung
(3) Department of Obstetrics and Gynecology Faculty of Medicine Universitas Padjadjaran/Dr. Hasan Sadikin General Hospital Bandung
(4) Department of Obstetrics and Gynecology Faculty of Medicine Universitas Padjadjaran/Dr. Hasan Sadikin General Hospital Bandung
(*) Corresponding Author


Tujuan: Kelahiran preterm dibagi menjadi dini dan lanjut. Kelahiran preterm memiliki angka, mortalitas dan morbiditas yang cukup tinggi. Data mengenai preterm dini dan lanjut di RSHS masih minim sehingga penelitian ini perlu untuk dilakukan.
Metode: Penelitian ini merupakan penelitian analitik komparatif secara cross-sectional untuk menganalisis apakah terdapat perbedaan signifikan mengenai karakteristik ibu (riwayat paritas, pendidikan, pekerjaan, riwayat menikah) dengan persalinan preterm dini dan lanjut. Data berjumlah 125 pasien diambil melalui rekam medis dari Januari 2018 sampai Desember 2019.
Hasil: Preterm lanjut ditemukan lebih banyak pada kelompok paritas 1 (60,6%), kelompok pendidikan SMP (40,8%), kelompok pekerjaan ibu rumah tangga (66,7%), dan kelompok status pernikahan menikah (43,9%). Preterm dini ditemukan lebih banyak pada kelompok paritas 3 (53,7%), kelompok pendidikan SD (73,7%), kelompok pekerjaan ibu rumah tanga (58,2%), dan status pernikahan menikah (56,1%). Pada kelompok karakteristik tidak terdapat perbedaan bermakna antara preterm dini dan lanjut. Terdapat perbedaan bermakna antara preterm dini dan lanjut untuk variabel luaran ibu (P = 0,028) dan luaran bayi (P = 0,001).
Kesimpulan: Terdapat perbedaan yang bermakna pada preterm dini dan lanjut untuk variabel luaran ibu (jenis persalinan) dan variabel luaran bayi (ruang rawat bayi).

Differences Between Characteristics, Types of Delivery, Mother and Baby Outcome Between Early and Late Preterm

Objective: Preterm birth divided into early and late. Preterm birth has a fairly high incidence, mortality and morbidity rate. Risk factors of preterm birth are multifactorial. Data related to preterm at RSHS is very minimal so this research needs to be done.
Method: This study is a comparative analytic study with cross-sectional approach to analyze the significant differences in characteristics of mothers (parity history, education, occupation, marriage history) preterm labor. Data from 125 patients is collected through medical records from January 2018 to December 2019.
Result: Late preterm was found more in parity 1 group (60.6%), junior high school group (40.8%), housewives (66.7%), and marital status group (43.9%). Early preterm was found more in parity 3 group (53.7%), elementary school group (73.7%), housewives (58.2%), and marital status (56.1%). In characteristic group there were no significant differences between early and late preterm. There were significant differences between early and late preterm variables for maternal outcomes (P = 0.028) and infant outcomes P = 0.001).
Conclusion: There are significant differences between early and late preterm for maternal outcome variables (type of delivery) and infant outcome (level 1 and level III ward).

Key word: Characteristics, type of delivery, outcome, preterm birth.


Karakteristik, jenis persalinan, luaran, kelahiran preterm

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