Skripsi

Karakteristik Kehamilan dan Persalinan Peserta Vaksinasi COVID-19 yang Hamil Pascavaksinasi = Pregnancy and Birth Characteristics in Women Vaccinated for COVID- 19 Prior to Conception.

Latar Belakang Infeksi SARS-CoV-2 pada kehamilan dapat berdampak buruk, baik terhadap kesehatan ibu, maupun terhadap kesehatan janin/neonatal. Salah satu cara untuk mencegahnya adalah dengan vaksinasi COVID-19. Vaksinasi COVID-19 terbukti aman dan memberikan efek protektif ketika diberikan di masa kehamilan. Akan tetapi, efeknya terhadap kehamilan pascavaksinasi belum diketahui. Oleh sebab itu, peneliti ingin mengeksplorasi luaran vaksinasi COVID-19 pada wanita yang hamil pascavaksinasi. Metode Studi ini merupakan studi observasional dengan metode potong lintang yang menggunakan data rekam medis pasien di RSUP Persahabatan sebagai sampel penelitian. Analisis dilakukan secara deskriptif kuantitatif. Hasil Dari 25 subjek, 1 subjek (4%) terinfeksi SARS-CoV-2, 8 subjek (32%) mengeluhkan gejala mengarah ke COVID-19, 3 subjek (12%) memiliki riwayat hipertensi dalam kehamilan, 5 subjek (20%) mengeluhkan gejala gastrointestinal, 5 subjek (20%) mengeluhkan nyeri abdomen, dan 2 subjek (8%) mengeluhkan gejala sistem reproduksi. Dilihat dari luaran kehamilannya, 4 subjek (16%) melahirkan bayi dengan berat badan rendah, 4 subjek (16%) melahirkan bayi preterm, 2 subjek (8%) mengalami abortus, dan 2 subjek (8%) mengalami kematian neonatal. Kesimpulan Kehamilan yang dilaporkan didominasi oleh kehamilan multigravida. Tidak ada subjek yang dirawat selama kehamilannya. Mayoritas subjek tidak terinfeksi SARS-CoV-2 selama kehamilan. Berdasarkan luaran kehamilannya, mayoritas subjek melahirkan bayi dengan berat badan cukup, cukup bulan, dan lahir hidup.
Kata Kunci: COVID-19, kesehatan maternal, luaran kehamilan, partus, vaksin


Introduction SARS-CoV-2 infection during pregnancy can have negative impacts on both maternal and fetal/neonatal health. One way to prevent this is through COVID-19 vaccination. COVID-19 vaccination has been shown to be safe and protective when given during pregnancy. However, its effects on post-vaccination pregnancy are unknown. Therefore, researcher want to explore the outcomes of COVID-19 vaccination in women who are pregnant after vaccination. Method This study is an observational study with a cross-sectional method using patients medical records at Persahabatan Hospital as the study sample. A descriptive quantitative analysis was conducted. Results Out of 25 subjects, 1 subject (4%) was infected with SARS-CoV-2, 8 subjects (32%) complained of symptoms suggestive of COVID-19, 3 subjects (12%) had a history of hypertension in pregnancy, 5 subjects (20%) complained of gastrointestinal symptoms, 5 subjects (20%) complained of abdominal pain, and 2 subjects (8%) complained of reproductive system symptoms. In terms of pregnancy outcomes, 4 subjects (16%) gave birth to low birth weight babies, 4 subjects (16%) gave birth to preterm babies, 2 subjects (8%) had abortions, and 2 subjects (8%) had neonatal deaths. Conclusion The reported pregnancies were predominantly multigravida pregnancies. None of the subjects were hospitalized during their pregnancies. The majority of subjects were not infected with SARS-CoV-2 during their pregnancies. Based on pregnancy outcomes, the majority of subjects delivered babies with adequate birth weight, full term, and live births.
Keywords: COVID-19, delivery, maternal health, pregnancy outcomes, vaccines