Skripsi

Prevalensi Bayi Preterm dan Manifestasi Patologisnya Berdasarkan Usia Gestasi di Central Medical Unit RSCM Periode Juli-Desember Tahun 2009. = Prevalence of Preterm Babies and Pathological Manifestation Based on Gestational Age In Central Medical Unit RSCM Period July-December 2009.

Persalinan preterm adalah salah satu faktor risiko yang signifikan terhadap morbiditas dan mortalitas pada banyak penyakit neonatus. Manifestasi patologis berupa penyakit dan kelainan dapat muncul akibat belum matangnya fungsi organ secara keseluruhan pada bayi dengan persalinan preterm. Dengan tujuan mengetahui prevalensi bayi preterm dan manifestasi patologisnya berdasarkan usia gestasi, penelitian ini menggunakan desain penelitian studi potong lintang yang bersifat deskriptif. Adapun penelitian ini menggunakan total sampling. Sumber data pada penelitian ini adalah data rekam medis bayi yang dirawat di CMU divisi Perinatologi Anak RSCM.. Dari keseluruhan data yang diolah, didapatkan bahwa prevalensi bayi preterm yang dirawat di CMU divisi Perinatologi Anak RSCM adalah sebesar 49,3% dengan lima manifestasi patologis terbanyak yang terdiri dari sepsis, respiratory distress, hyaline membrane disease, dan apnea of prematurity. Rincian kelima manifestasi patologis tersebut berdasarkan usia gestasinya adalah sebagai berikut: prevalensi sepsis, hiperbilirubinemia dan respiratory distress merata pada berbagai usia gestasi; prevalensi hyaline membrane disease terkonsentrasi pada usia gestasi di bawah 33 minggu; dan angka prevalensi apnea of prematurity adalah berbanding terbalik dengan usia gestasi.
Kata kunci : Preterm, manifestasi patologis, usia gestasi, CMU RSCM.



Preterm labor is a significant risk factor for mortality and morbidity in many neonatal diseases. Pathological manifestations in the form of abnormalities and diseases may present due to immaturity of organ functions as a whole in preterm babies. Aiming in finding out the prevalence of preterm babies and pathological manifestation based on gestational age, this research used a descriptive design as a cross sectional study. This research use total sampling method. The source of the data in this research is medical records of the babies taken care of in CMU, Pediatric Perinatology Division, Cipto Mangunkusumo Hospital. From all analyzed data, it was found that the prevalence of preterm babies managed in CMU, Pediatric Perinatology Division, Cipto Mangunkusumo Hospital was 49.3% with five most frequent pathological manifestation consisted of sepsis, respiratory distress, hyaline membrane disease, and apnea of prematurity. The detailed prevalence of these five pathological manifestations based on gestational age were as follows: the prevalence of sepsis, hyperbilirubinemia, and respiratory distress were equally-distributed among various gestational ages; the prevalence of hyaline membrane disease was concentrated in gestational age below 33 weeks; and the prevalence of apnea of prematurity was found higher in young gestational age, giving it an inverted proportion.
Keywords : Preterm, pathological manifestation, gestational age, CMU RSCM.