ADLN Perpustakaan Universitas Airlangga

RINGKASAN

Gawat janin atau asfiksia intrauterin dapat merupakan akibat dari kompresi
tali pusat yang berkepanjangan dan berulang akibat berkurangnya cairan amnion atau
prolapsus t ali pus at. Komplikasi yang paling s ering te rjadi pa da K PP s ebelum us ia
kehamilan 37 minggu adalah sindrom distress pernapasan (asfiksia), yang terjadi pada
10-40% bayi baru lahir. Risiko infeksi, kecacatan, dan kematian juga meningkat pada
kejadian KPP tersebut.
Data hasil studi pendahuluan di RSUD dr. Mohamad Soewandhie Surabaya
pada t anggal 1 -4 D esember 2009, m enunjukkan ba hwa pa da bul an D esember t ahun
2008, dari 16 ka sus KPP terdiagnosa 3 ka sus asfiksia berat, 3 ka sus asfiksia sedang,
dan 10 ka sus a sfiksia r ingan (tidak a sfiksia). M enurut r egister ba yi m enunjukkan
bahwa asfiksia merupakan kasus neonatus terbanyak kedua setelah BBLR.
Metode pe nelitian i ni, a nalitik yang be rdesain case control study.
Populasinya i bu i npartu di V K be rsalin R SUD d r. M ohamad S oewandhie S urabaya
tahun 2008 s ejumlah 2101 ka sus. P engambilan sampel de ngan t eknik proportional
stratified ramdom sampling. B esar s ampel 67 k asus. V ariable i ndependent, ke tuban
pecah prematur (KPP) dan variable dependent, asfiksia neonatorum. Instrumen yang
digunakan l embar p engumpul da ta. S umber da ta da ri r ekam m edis. Analisis da ta
menggunakan pendekatan statistic non parametric Chi Square.
Hasil pe nelitian dari 33 ka sus i bu i npartu m engalami ke tuban pe cah
prematur (KPP), 20,9% mengalami asfiksia dan dari 34 ka sus ibu inpartu yang tidak
KPP, 20,9% tidak mengalami asfiksia. Hasil uji Chi Square, X2 hitung < X2 tabel (1,802 <
3,48) be rarti tidak ada pe rbedaan kejadian asfiksia ne onatorum pa da ka sus ketuban
pecah prematur (KPP) dengan bukan ketuban pecah premature (non – KPP).
Kesimpulan pe nelitian i ni, kur ang da ri 50 % i bu i npartu yang m engalami
ketuban pecah prematur (KPP), dan lebih dari 50% terjadi asfiksia sedang, serta tidak
ada perbedaan kejadian asfiksia n eonatorum pada k asus ketuban pe cah pr ematur
(KPP) de ngan bukan ketuban pe cah pr emature ( non – KPP). Berdasarkan data,
ketuban pe cah pr ematur ( KPP) buka n m erupakan f aktor dom inan pe nyebab a sfiksia
neonatorum ka rena a da be berapa f aktor l ain pe nyebab a sfiksia ne onatorum. O leh
karena itu perlu dilakukan penelitian lanjut mengenai faktor yang dominan penyebab
asfiksia neonatorum.

Kata kunci: Ketuban Pecah Prematur (KPP), Asfiksia Neonatorum

Skripsi PERBEDAAN KEJADIAN ASFIKSIA.. ZULFA RUFAIDA

 ADLN Perpustakaan Universitas Airlangga

ABSTRACT
The Difference Incidence Neonates Asphyxia in Premature Rupture of
Membrans Cases (PROM) and No Premature Rupture of Membranes (Non –
PROM) at RSUD dr. Mohamad Soewandhie Surabaya in 2008

By: Zulfa Rufaida

Severe fetal or asphyxia intrauterin can be a result of cord compression and

repetitive due t o pr olonged r eduction pr olapsus a mniotic f luid or um bilical c ord.
Complications are most common in PROM before 37 w eeks gestation is respiratory
distress s yndrome (asphyxia), w hich oc curs i n 10-40% of new born b abies. R isk of
infection, disability, and death was also increased in the PROM events.
Preliminary s tudy d ata a t hos pitals dr . Moh. Soewandhie Surabaya on 1 -4
December 2009, s howed 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). A ccording t o t he r egister s howed t hat t he ba by i s a c ase of ne onatal
asphyxia second largest after low birth weight (LBW) babies.
This research methods, analytical case control study design. Inpartu mother
population i n maternity hospitals V K dr . M ohamad S oewandhie S urabaya i n 2008
some 2101 c ases. S ampling t echniques pr oportional s tratified random s ampling.
Large s ample of 67 cases. Independent va riable, pr emature r upture o f membranes
(PROM) a nd t he de pendent va riable, ne onates a sphyxia. Instruments us ed da ta
collection sheets. Sources of data from medical records. Analysis of data using non-
parametric statistical approach Chi Square.
The r esults of 33 cases of m aternal i npartu that experience pr emature
rupture of m embranes (PROM), had 20.9% asphyxia and from w ere 3 4 cases of
inpartu mothers who did not KPP, 20.9% experienced not asphyxia. Chi Square test
results, X 2 arhitetic <X2 table (1.802 <3.48) means that there is no difference in incidence
neonates as phyxia in pr emature rupture cases (KPP) a nd no pr emature r upture o f
membranes (non – KPP).
The c onclusion of t his s tudy, l ess t han 50% of i npartu m others w ho
experienced premature rupture of membranes (PROM), and more than 50% occurred
asphyxia was, and t here w as no di fference i n i ncidence neonates as phyxia 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 as phyxia because t here are s ome ot her factors caus ing neonates
asphyxia. Therefore, further studies should be done about the dominant factor causing
neonates asphyxia.

Key words: Premature Rupture of Membrane (PROM), Neonates Asphyxia

Skripsi PERBEDAAN KEJADIAN ASFIKSIA.. ZULFA RUFAIDA