Skripsi

Hubungan Kadar Hemoglobin dan Status Nutrisi Bayi Sangat Prematur (≤32 Minggu) yang Akan Rawat Jalan di RSUPN Dr. Cipto Mangunkusumo = The Relationship Between Hemoglobin Levels and Nutritional Status of Very Preterm Infants (≤32 weeks) Who Will Receive Outpatient Care at Dr. Cipto Mangunkusumo National General Hospital.

Latar Belakang Bayi sangat prematur ( ≤ 32 Minggu) memiliki risiko tinggi untuk mengalami komplikasi, seperti anemia dan malnutrisi. Di Indonesia, prevalensi kelahiran prematur cukup tinggi, dengan nutrisi ibu sebagai salah satu faktor risiko. Penelitian sebelumnya menunjukkan bahwa bayi sangat prematur memiliki risiko lebih besar mengalami malnutrisi dan anemia dibandingkan bayi cukup bulan. Namun, penelitian terkait hubungan antara kadar hemoglobin dan status nutrisi pada bayi sangat prematur di Indonesia masih terbatas. Metode Sebuah studi potong lintang dilakukan dengan melibatkan 92 bayi sangat prematur yang lahir dan dirawat di RSUPN Dr. Cipto Mangunkusumo. Kadar hemoglobin diukur dengan pemeriksaan laboratorium dan status nutrisi dievaluasi dengan kurva pertumbuhan fenton. Analisis statistik menggunakan uji chi-square dilakukan untuk menentukan hubungan antar variabel. Hasil Penelitian ini menemukan tidak adanya hubungan yang signifikan antara kadar hemoglobin dan status nutrisi (EUGR) pada bayi sangat prematur. EUGR berdasarkan berat badan (P = 0.482, OR 0.613 (CI 0.163 – 2.305)), panjang badan (P = 0.3, OR 0.476 (CI 0.132 - 1.714)), dan lingkar kepala (P = 0.072, OR 0.213 (CI 0.045 - 1.021)). Kesimpulan Tidak terdapat hubungan yang signifikan antara kadar hemoglobin dan kejadian EUGR pada bayi sangat prematur saat akan rawat jalan. Kadar hemoglobin bukan menjadi satusatunya penyebab terjadinya gangguan pertumbuhan (EUGR).
Kata Kunci: Anemia, bayi sangat prematur, EUGR, rawat jalan, status nutrisi


Introduction Very preterm infants ( ≤ 32 weeks) are at high risk of developing complications such as anemia and malnutrition. In Indonesia, the prevalence of preterm births is relatively high, with maternal nutrition being one of the risk factors. Previous studies have shown that very preterm infants are at greater risk of experiencing malnutrition and anemia compared to full-term infants. However, research on the relationship between hemoglobin levels and nutritional status in very preterm infants in Indonesia remains limited. Method A cross-sectional study was conducted involving 92 very preterm infants born and treated at Dr. Cipto Mangunkusumo National General Hospital. Hemoglobin levels were measured through laboratory tests, and nutritional status was evaluated using the Fenton growth curve. Statistical analysis using the chi-square test was performed to determine the relationship between variables. Results This study found no significant relationship between hemoglobin levels and nutritional status (EUGR) in very preterm infants. EUGR based on weight (P = 0.482, OR 0.613, CI 0.163 – 2.305), length (P = 0.3, OR 0.476, CI 0.132 – 1.714), and head circumference (P = 0.072, OR 0.213, CI 0.045 – 1.021). Conclusion There was no significant relationship between hemoglobin levels and the occurrence of EUGR in very preterm infants at the time of outpatient follow-up. Hemoglobin levels are not the sole cause of growth disorders (EUGR).
Keywords: Anemia, EUGR, nutritional status, outpatient care, very preterm infant