Hubungan hipotensi pasien bedah sesar yang dianestesi secara spinal terhadap skor Apgar menit ke-1 bayi baru lahir

Dharen, Sri (2021) Hubungan hipotensi pasien bedah sesar yang dianestesi secara spinal terhadap skor Apgar menit ke-1 bayi baru lahir. Bachelor thesis, Universitas Pelita Harapan.

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Abstract

Latar Belakang: Hipotensi merupakan salah satu komplikasi pada bedah sesar dengan anestesi spinal yang dapat menurunkan perfusi darah ke jaringan tubuh serta plasenta sehingga dapat menyebabkan asidosis dan hipoksemia pada fetus yang dapat menyebabkan skor Apgar yang rendah. Skor Apgar yang rendah memerlukan pemeriksaan skor Apgar setiap 5 menit sampai menit ke 20. Skor Apgar yang rendah dapat memiliki risiko untuk terjadi palsi serebral. Tujuan: Mengetahui hubungan hipotensi pasien bedah sesar yang dianestesi secara spinal terhadap skor Apgar menit ke-1 bayi baru lahir. Metode Penelitian: Penelitian ini menggunakan desain studi cross sectional dengan studi analitik komparatif kategorik tidak berpasangan terhadap subjek pasien bedah sesar dengan anestesi spinal. Data yang dibutuhkan diambil dari rekam medis Rumah Sakit Umum Siloam Karawaci pada bulan Maret s/d April 2021. Data yang terkumpul ditabulasi dalam tabel 2x2 dan diolah menggunakan program SPSS 25.0 dengan metode Chi-square. Hasil: Dari 101 sampel, angka kejadian hipotensi pasien bedah sesar dengan anestesi spinal sebesar 30,7%. Median skor Apgar menit ke-1 bayi baru lahir pada pasien bedah sesar dengan anestesi spinal sebesar 9. Hasil hubungan hipotensi bedah sesar dengan anestesi spinal terhadap skor Apgar menit ke-1 bayi baru lahir ditemukan OR sebesar 0,897 (p= 1,000 dan 95% CI= 0,164 – 4,894). Kesimpulan: Tidak terdapat hubungan yang signifikan antara hipotensi pasien bedah sesar yang dianestesi secara spinal terhadap skor Apgar menit ke-1 bayi baru lahir. Kata kunci: Hipotensi, Bedah Sesar, Anestesi Spinal, Skor Apgar, Bayi Baru Lahir/ Background: Hypotension is one of the complications of spinal anaesthesia in caesarean section that can reduce blood perfusion to the tissue and placenta causing fetal hypoxia and acidosis and resulting low Apgar score. Low Apgar score needs evaluation every 5 minutes until 20 minutes because may indicate cerebral palsy. Aim: To know if there is a relationship between hypotension caesarean section patient by spinal anaesthesia and first minute newborn’s Apgar score. Methods: This study used a cross-sectional study design with unpaired categorical comparative analytical study on the subjects of caesarean section patients with spinal anaesthesia. The data needed is taken from the medical records of the Siloam Karawaci General Hospital from March to April 2021. The data collected was tabulated and processed using the SPSS 25.0 Result: From 101 samples, the incidence of hypotension in caesarean section patients with spinal anesthesia was 30,7%. The median Apgar score in the 1st minute of newborns in caesarean section with spinal anesthesia is 9. The result of relationship between hypotension caesarean section patient by spinal anaesthesia and first minute newborn’s Apgar score found the odds ratio is 0,897 (p-value= 1,000 and 95% confidence interval= 0,164 – 4.894). Conclusion: No significant relationship found between hypotension caesarean section patient by spinal anaesthesia and first minute newborn’s Apgar score. Keywords: Hypotension, Caesarean Section, Spinal Anaesthesia, Apgar Score, Newborn

Item Type: Thesis (Bachelor)
Creators:
CreatorsNIMEmail
Dharen, SriNIM01071180136sridharen1241@gmail.com
Contributors:
ContributionContributorsNIDN/NIDKEmail
Thesis advisorGunawan, Patricia YulitaNIDN0314078802patricia.gunawan@uph.edu
Uncontrolled Keywords: hipotensi; bedah sesar; anestesi spinal; skor Apgar; bayi baru lahir
Subjects: R Medicine > R Medicine (General)
Divisions: University Subject > Current > Faculty/School - UPH Karawaci > Faculty of Medicine > Medicine
Current > Faculty/School - UPH Karawaci > Faculty of Medicine > Medicine
Depositing User: Sri Dharen
Date Deposited: 06 Sep 2021 01:55
Last Modified: 22 Nov 2021 04:17
URI: http://repository.uph.edu/id/eprint/42246

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