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NONI FRISTA AL-AZHARI

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Abstrak (Bhs. Indonesia)

Latar Belakang. American Academy of Pediatrics dan American College of Obstetricians and Gynecologists (2007) merekomendasikan bahwa rumah sakit harus memiliki standar response time (decision to incision interval) pada tindakan emergency cesarean delivery ≤ 30 menit. Asfiksia neonatorum pada bayi baru lahir menjadi penyebab kematian 19% dari 5 juta kematian bayi baru lahir setiap tahun. Tujuan. Untuk mengetahui hubungan antara response time emergency cesarean delivery atas indikasi takikardi dan bradikardi dengan keluaran neonatal. Metode. Rancangan penelitian ini adalah penelitian analitik observasional dengan pendekatan cohort retrospektif. Teknik pengambilan sampel dengan menggunakan total sampling dari 1 Juli 2011 – 30 Juni 2013. Penelitian ini dilakukan terhadap 275 pasien yang memenuhi kriteria inklusi yang datang ke rumah sakit. Takikardi dan bradikardi didiagnosis menggunakan auskultasi Leanneck/ Doppler. Sumber penelitian adalah rekam medis. Hasil. (1) Terdapat 2359 kasus emergency cesarean delivery dari 3110 kasus persalinan sesarea di RSUD Prof. dr. Margono Soekarjo Purwokerto. Emergency cesarean delivery yang dilaksanakan atas indikasi takikardi dan bradikardi adalah sebanyak 362 (15,34%) kasus. (2) Mortalitas neonatal sebesar 8 neonatus (2,2%) (3) Tidak terdapat hubungan yang bermakna antara response time emergency cesarean delivery atas indikasi takikardi dan bradikardi dengan keluaran neonatal pada kelompok pola DJJ takikardi dan bradikardi (p> 0,05). (4) Tidak terdapat hubungan yang bermakna antara response time emergency cesarean delivery atas indikasi pola DJJ takikardi dengan keluaran neonatal (p> 0,05). (5) Tidak terdapat hubungan yang bermakna antara response time emergency cesarean delivery atas indikasi pola DJJ bradikardi < 110 denyut per menit dengan keluaran neonatal (p> 0,05). Kesimpulan. Tidak terdapat hubungan antara response time emergency cesarean delivery atas indikasi takikardi dan bradikardi dengan keluaran neonatal di RSUD Prof. dr. Margono Soekarjo Purwokerto periode 1 Juli 2011- 30 Juni 2013.

Abtrak (Bhs. Inggris)

Background. American Academy of Pediatrics and the American College of Obstetricians and Gynecologists (2007) recommend that hospital should have a response time standard (decision to incision intervals) on emergency cesarean delivery ≤ 30 minutes. Neonatal asphyxia in newborns cause of death of 19% of 5 million newborn deaths each year. Purpose. To determine the association between response time of emergency cesarean delivery indication of FHR patterns tachycardia and bradycardia with neonatal outcomes. Method. This research design was an observational analytic research using cohort retrospektive approach. Sampling technique uses a total sampling of 1st July 2011 – 30th June 2013. The research was conducted on 275 patients who met study inclusion criteria at maternity unit. FHR patterns tachycardia and bradycardia was diagnosed by auscultation of Leanneck/ Doppler. The research source was medical records. Results. (1) There were 2359 cases of emergency cesarean delivery out of 3110 cases of cesarean delivery in regional general hospital of Prof. dr. Margono Soekarjo Purwokerto. Emergency cesarean delivery which was applied on indication FHR patterns tachycardia and bradycardia were 362 (15.34 %) cases. (2) Neonatal mortality was 8 neonates (2.2%). (3) There were no significant association between the response time of emergency cesarean delivery indication of FHR patterns tachycardia and bradycardia with neonatal outcomes group (p > 0.05). (4) There were no significant association between the response time of emergency cesarean delivery indication of FHR patterns tachycardia with neonatal outcomes (p > 0.05). (5) There were no significant association between the response time of emergency cesarean delivery indication of FHR patterns bradycardia < 110 beats per minute with neonatal outcomes on (p > 0.05). Conclusion. There were no significant association between the response time of emergency cesarean delivery indication of FHR patterns tachycardia and bradycardia with neonatal outcomes in Prof. dr. Margono Soekarjo hospitals period 1st July 2011 – 30th June 2013.

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