Perbedaan Kadar Hemoglobin dan Nilai Hematokrit Antara Bayi Lahir Persalinan Pervaginam Dengan Persalinan Sectio Caesarea

Dian, Eka Nursyam (2017) Perbedaan Kadar Hemoglobin dan Nilai Hematokrit Antara Bayi Lahir Persalinan Pervaginam Dengan Persalinan Sectio Caesarea. Masters thesis, Universitas Andalas.

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Abstract

Hemoglobin dan hematokrit telah lama digunakan sebagai indikator status besi seseorang dibanding pemeriksaan lainnya. Setiap faktor yang mempengaruhi proses terjadinya tranfusi plasenta akan mempengaruhi kadar Hb dan Ht bayi baru lahir, waktu penjepitan tali pusat, asfiksia intrauterin, pengaruh gravitasi / posisi bayi, kontraksi uterus, ibu dengan defisiensi asam folat, gangguan genetik, infeksi dan solusio plasenta. Faktor lain yang juga menyebabkan transfer plasenta berkurang adalah kontraksi uterus. Tujuan Penelitian ini adalah untuk mengetahui perbedaan Hb dan Ht antara bayi lahir pervaginam dengan bayi baru lahir dengan persalinan Sectio Caesaria. Penelitian ini merupakan Cross – Sectional Comparative. Alat yang digunakan pada penelitian ini berupa Hb meter (Mision), dan dilakukan observasi pada persalinan pervaginam dan sectio caesarea, kemudian dilakukan pengukuran kadar Hb dan nilai Ht pada bayi lahir secara pervaginam dan sectio caesarea, melalui vena tali pusat bayi. Data dianalisa menggunakan uji t-test, dan nilai ρ<0,05 dianggap bermakna secara statistik. Dari hasil penelitian di dapatkan rata-rata kadar Hb bayi lahir secara sectio caesarea adalah 13,0±2,4 sedangkan untuk rata-rata kadar Hb bayi lahir pervaginam 13,1±1,7 . Hasil statistik didapatkan ρ = 0,877 berarti tidak ada perbedaan yang signifikan antara kadar Hb bayi yang dilahirkan secara sectio caesarea dengan kadar Hb bayi yang dilahirkan secara pervaginam, rata-rata nilai Ht pada bayi lahir sectio caesarea adalah 39,0 ± 7,4 sedangkan untuk bayi lahir pervaginam rata-rata nilai Ht nya adalah 39,4 ± 5,1. Hasil uji statistik didapatkan nilai P=0,861 terlihat tidak ada perbedaan yang signifikan antara nilai Ht persalinan sectio caesarea dan persalinan pervaginam. Dari hasil penelitian dapat disimpulkan bahwa persalinan secara sectio caesareadan persalinan pervaginam tidak mempengaruhi perbedaan kadar Hemoglobin dan nilai Hematokrit. Kata Kunci : Hemoglobin, Hematrokrit, Persalinan Pervaginam, Sectio Caesarea The Difference of Umbilical Cord Hemoglobin and Hematocrit Between Newborn Babies With Vaginal Delivery and Sectio Caesarea ABSTRACT Hemoglobin and hematocrit has long been used as an indicator of iron status rather than any other examination. Any factor that affects the process of placental transfusion will affect the levels of Hb and Ht in newborn babies, the timing of cord clamping, intrauterine asphyxia, gravitational and the baby position influence, uterine contractions, mother with folic acid deficiency, genetic disorders, infectionsand placental solutio. Other factors that also caused the reduction of placental transfer was uterine contractions. The purpose of this study is to know the difference between Hb and Ht in newborn babies with vaginal delivery and Sectio Caesaria. This study wasCross – Sectional Comparative. The tools used in this study was Hb-meter (Mision) and the observation on vaginal delivery and sectio caesarea, the levels of Hb and Ht of that babies then measured through the umbilical cord. The data were analyzed using t-test and the ρ value < 0.05 was considered statistically significant. The results of this study showed the average levels of Hb in babies born with sectio caesarea was 13.0 ± 2.4 and the average levels of Hb in babies born with vaginal delivery was 13.1 ± 1.7. Statistical results showed that ρ = 0.877 which means there was no significant difference between the levels of Hb in babies born with sectio caesarea and vaginal delivery. The average levels of Ht in babies born with sectio caesarea was 7.4 ± 39.0 while the average levels of Ht in babies born with vaginal delivery was 39.4 ± 5.1. Statistical results showed that P = 0,861 which means there was no significant difference between the levels of Ht in babies born with sectio caesarea and vaginal delivery From the results it can be concluded that sectio caesareaand vaginal delivery does not affect thedifferencelevels of Hemoglobin and Hematocrit. Key Words: Hemoglobin, Hematrocrit, Vaginal Delivery, Sectio Caesarea

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