Perbandingan waktu pemotongan tali pusat terhadap kadar HB neonatus di PMB E dan K di Kota Palangka Raya

Lucin, Yeni and Yuniarti, Yuniarti (2021) Perbandingan waktu pemotongan tali pusat terhadap kadar HB neonatus di PMB E dan K di Kota Palangka Raya. Laporan Penelitian. Poltekkes Kemenkes Palangka Raya, Palangka Raya. (Unpublished)

Text Naskah Publikasi penelitian yeni & yuniarti 2021.pdf Download (206kB)

Abstract

Latar Belakang:World Health Organization mengeluarkan pedoman untuk penundaan penjepitan tali pusat lebih dari 1 menit direkomendasikan untuk meningkatkan kesehatan dan nutrisi bayi, anemia juga menjadi salah satu penyebab kematian bayi di Indonesia, terutama anemia defisiensi besi penjepitan tali pusat tertunda berhubungan dengan volume darah dan penyimpanan zat besi 2 kali lebih besar untuk neonatus. Kontroversi mengenai batas waktu penjepitan dan pemotongan tali pusat masih beragam. Ada yang menyatakan setelah 1 menit, 3-4 menit, atau setelah pulsasi berhenti. Dan tidak menjepit dan memotong tali pusat membiarkan putus secara alami.
Tujuan : Membuktikan perbandingan waktu penjepitan dan pemotongan tali pusat segera dan tunda terhadap Kadar Haemoglobin pada neonatus
Metode: menggunakan Quasy Eksperiment dengan rancangan Postest Only Control Group Design. Teknik sampling menggunakan Random. Sampel berjumlah 32 bayi yang lahir di PMB R dan A
Hasil : Rata rata lama waktu jepit potong tali pusat tunda adalah 4,5 menit dengan kadar HB 21,83 dl dan Rata rata lama waktu jepit potong tali pusat segera adalah kurang dari 1 menit dengan kadar HB 16,72 dl . Hasil Uji korelasi Spearman terdapat perbedaan yang signifikan antara waktu kelompok jepit potong tunda rata 4,5 mt menit setelah bayi lahir dibandingkan jepit potong segera dibawah 1 menit dengan kadar HB nilai (pvalue =0,006) secara klinis tingkat hubungan (koefisien korelasi) didapatkan hasil sebesar 0.5.Artinya pada kelompok perlakuan tingkat hubungan variable waktu penjepitan tali pusat dengan kadar HB adalah sedang. Sedangkan kelompok control dengan nilai koefesien korelasi sebesar 0.1 artinya hampir tidak ada korelasi.
Kesimpulan : terdapat perbedaan yang signifikan antara waktu kelompok jepit potong tunda rata rata 4,5 menit setelah bayi lahir dibandingkan jepit potong segera dibawah 1 menit dengan kadar HB bayi baru lahir nilai (pvalue =0,006)

Background: The World Health Organization issued guidelines for delaying umbilical cord clamping of more than 1 minute recommended to improve infant health and nutrition, anemia is also one of the causes of infant mortality in Indonesia, especially iron deficiency anemia delayed umbilical cord clamping is associated with blood volume and storage. iron is 2 times greater for neonates. Controversy regarding the time limit for clamping and cutting the umbilical cord is still mixed. Some say after 1 minute, 3-4 minutes, or after the pulsation stops. and not clamping and cutting the umbilical cord letting it break naturally.
Objective: To prove the comparison of the time of clamping and cutting the umbilical cord immediately and delayed to hemoglobin levels in neonates
Method: using Quasy Experiment with Posttest Only Control Group Design. The sampling technique used was random. The sample consisted of 32 babies born in PMB R and A
Results : The average length of delayed clamping of the umbilical cord is 4.5 minutes with a HB level of 21.83 dl and the average length of time to clip the cord immediately is less than 1 minute with a HB level of 16.72 dl. The results of the Spearman correlation test showed that there was a significant difference between the time delay clipping group was 4.5 mt minutes after the baby was born compared to clipping clips immediately below 1 minute with the HB level value (pvalue = 0.006). Clinically, the correlation coefficient (correlation coefficient) was 0.5. This means that in the treatment group the level of correlation between umbilical cord clamping time variables and HB levels is moderate. While the control group with a correlation coefficient value of 0.1 means that there is almost no correlation.
Conclusion: there is a significant difference between the time delay clipping group on average 4.5 minutes after the baby is born compared to clipping clips immediately below 1 minute with the newborn's HB level value (p-value = 0.006)

Actions (login required)

View Item