Faktor-Faktor Yang Berhubungan Dengan Risiko Kematian Bayi 0-28 Hari Di Kabupaten Bireuen

Abstract

AbstrakLatar Belakang : Secara global, sekitar 130 juta kelahiran terjadi setiap tahun. Diantaranya 303.000 kematian ibu, 2,6 juta bayi lahir mati dan 2,7 juta bayi meninggal dalam masa neonatal. Kematian neonatal atau yang umum disebut kematian bayi endogen adalah kematian bayi yang terjadi pada bulan pertama setelah dilahirkan, dan umumnya disebabkan oleh faktor - faktor yang dibawa anak sejak lahir, yang diperoleh dari orang tuanya pada saat konsepsi atau didapat selama kehamilan. Tujuan : Untuk mengetahui faktor – faktor yang berhubungan dengan risiko kematian bayi 0-28 hari di Kabupaten Bireuen. Metode : Jenis penelitian adalah studi analitik dengan pendekatan case control. Populasi adalah seluruh ibu yang melahirkan bayi hidup dan bayi mati usia 0-28 hari di Kabupaten Bireuen. Sampel dalam penelitian ini menggunakan Cluster Sampling yang berjumlah 30 kasus dan 30 kontrol. Data dianalisis secara univariat dan bivariat dengan menggunakan uji chi-Square pada taraf kepercayaan 95% (p < 0,05). Hasil : Variabel umur ibu tidak berhubungan dengan kematian bayi 0-28 hari dengan nilai p- value = 0,052 dan OR = 0,113. Variabel paritas tidak berhubungan dengan kematian bayi 0-28 hari dengan nilai p- value = 0,362 dan OR = 1,581. Variabel jarak kehamilan tidak berhubungan dengan kematian bayi 0-28 hari dengan nilai p- value = 0,273 dan OR = 1,553. Kesimpulan : Variabel umur ibu, paritas dan jarak kehamilan tidak berhubungan dengan kematian bayi 0-28 hari. Diharapkan kepada responden agar terus menambah informasi tentang faktor-faktor yang berisiko saat kehamilan dan persalinan untuk menghindari kematian bayi 0-28 hari.

Factors Related To Infant Mortality Rate

“…The results of this study are in line with research conducted by Apriany Batubara (2019) with statistical test results showing that there is no relationship between the interval between pregnancy and infant mortality with a p value of 0.273 where the p value is less than 0.05 (Batubara & Ramadhan, 2019) The relationship between the respondent's education level and infant mortality Based on the relationship test between pregnancy interval and infant mortality resulted in p value= 0.724 (p> 0.05) meaning Ho was accepted, indicating that there was no significant relationship between education level and infant mortality at Puskesmas Pejawaran…”

“…The results of this study are in line with research conducted by Iva Budiati ( 2016) with statistical test results showing that there is no relationship between parity and infant mortality with a value of p value 0.162 where the p value is less than 0.05 (Budiarti, 2016). This study is also in line with previous research which stated that the parity variable was not related to infant mortality with a p value of 0.362 (Batubara, 2019) . Based on the test of the relationship between pregnancy interval and infant mortality, p value= 0.486 (p> 0.05) means Ho is accepted which indicates that there is no significant relationship between the interval between pregnancy and infant mortality at the Puskesmas Pejawaran…”

The effectiveness of birth ball exercise on the progression of the first stage of labor

“…The implementation of birth ball exercises has a significant impact on the duration of labor during the first stage, with a significance level of 0.000. The practice of birth ball exercises eases the first stage of labor, resulting in a normal duration of labor (Batubara & Ifwana, 2021). Based on supporting references regarding the reduction in the length of labor through birth ball exercises, it was found that the length of labor in primigravida women was reduced to 3 hours and 39 minutes.…”

“…The use of birth ball exercises can also enhance the effectiveness of uterine contractions. Various positions, including sitting on the ball leaning forward, standing and leaning over the ball, kneeling and leaning on the ball, squatting while leaning on the ball, and sitting on the floor in a squatting position while leaning on or against the ball, can be adopted by mothers during labor to aid in their comfort and the progression of labor (Batubara & Ifwana, 2021).…”

“…These exercises also provide comfort to the knees and ankles, exert back pressure in the perineum area and thighs, and, through the force of gravity, encourage the baby's descent, ultimately expediting the labor process (Mutoharoh & Indrayani, 2019). The specific movements performed while using the birth ball, such as pelvic shaking to the right, left, and in circular motions, exert pressure on the baby's head against the cervix, promoting faster cervical dilation and shortening the duration of the first stage of labor (Batubara & Ifwana, 2021).…”