Efektivitas Perawatan Tali Pusat Topikal Asi Dan Perawatan Terbuka Terhadap Lama Pelepasan Tali Pusat Di Klinik Kartika Jaya Samarinda

Abstract

Data dari WHO menghitung insidensi secara global kejadian tetanus di dunia secara kasar berkisar antara 0,5 – 1 juta kasus. Tetanus Neonatorum (TN) terhitung sekitar 50% dari kematian akibat tetanus di negara – negara berkembang. Survei Demografi dan Kesehatan Indonesia (SDKI) kematian bayi pada Tahun 2020 dari seluruh kematian neonatus yang dilaporkan, 72,0% (20.266 kematian) terjadi pada usia 0-28 hari. Teknik perawatan tali pusat yang tidak benar akan menimbulkan infeksi tali pusat. Tujuan penelitian adalah untuk mengetahui efektivitaserawatan tali pusat topikal ASI dan perawatan terbuka terhadap lama pelepasan tali pusat di Klinik Kartika Jaya. Jenis penelitian yang digunakan pada penelitian ini adalah Quasy Experimental Design dengan rancangan Posttest Only Control Design. Populasi dalam penelitian ini adalah seluruh bayi baru lahir yang tercatat didalam buku register Klinik Kartika Jaya. Sampel diambil secara Purposive Sampling yaitu sebanyak 35 orang. Hasil penelitian ini menunjukkan bahwa perawatan topikal ASI lebih efektif dibandingkan dengan perawatan terbuka terhadap lama pelepasan tali pusat (p- value = 0.002) dengan nilai α = 0,05. Kata kunci: Pelepasan Tali Pusat, Perawatan Tali Pusat Terbuka, Perawatan Topical ASI Data from WHO calculates the global incidence of tetanus events ranging from 0.5 to 1 million cases. Tetanus Neonatorum (TN) accounts for about 50% of deaths due to tetanus in developing countries. Demographic and Health Survey of Indonesia (IDHS) infant mortality in 2020 of all reported neonatal deaths, 72.0% (20,266 deaths) occurred at the age of 0-28 days. Improper umbilical cord care techniques will lead to umbilical cord infection. Culture in the community that affects mothers' knowledge of caring for the umbilical cord causes mothers to be afraid or hesitant to take care of their baby's umbilical cord. Hence, mothers still behave incorrectly in caring for the baby's umbilical cord by sprinkling the umbilical cord with turmeric or leaves to allow the development of Clostridium spores that can cause infection. It can cause disease in neonates. To determine the effectiveness of topical breast milk umbilical cord care and open treatment on the length of umbilical cord detachment at Kartika Jaya Clinic. The type of research used in this research is Quasi-Experimental Design with Posttest Only Control Design. The population in this study were all newborns recorded in the register book of the Kartika Jaya Clinic. Samples were taken by purposive sampling of as many as 35 people. The results of this study indicate that topical breastfeeding treatment is more effective than open treatment on the length of umbilical cord detachment (p-value = 0.002) with a value of = 0.05. Keywords: Length of Umbilical Cord Detachment, Open Umbilical Cord Care, Topical Breast Milk Treatment