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"Tujuan Millennium Development Goals keempat adalah menurunkan angka kematian bayi baru lahir. Ibu yang tidak percaya diri menghambat pertumbuhan dan perkembangan bayi tersebut. Penelitian fenomenologi pada Sembilan partisipan ini bertujuan memperoleh gambaran tentang pengalaman ibu merawat bayi prematur di rumah. Pengumpulan data menggunakan indepth interview. Hasil analisa tematik didapatkan tujuh tema yaitu kondisi stres ibu terhadap penampilan bayi, kekhususan merawat bayi, dukungan terhadap ibu, kesulitan yang dialami ketika merawat bayi, kebahagiaan merawat bayi, kebutuhan ibu merawat bayi, dan harapan ibu dengan bayi prematur. Disarankan ibu mendapat dukungan sosial selama merawat bayi prematur dirumah dan penelitian lebih lanjut terkait dengan stres dan koping pada ibu dengan bayi prematur.

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The fourth goal of Millennium Development Goals is to reduce mortality of newborns. Mothers who do not feel confident in caring the babies will hamper the growth and development of the babies. This study is phenomenological on the nine participants. This study aims to gain an overview of the experience of mothers in caring premature babies at home. Data were collected using indepth interviews. The results of thematic analysis got seven themes, namely the mother's stress on the appearance of the baby, specificity for babies care, support to mothers, the difficulties experienced when caring for babies, the joy of caring for babies, premature baby care needs, and expectations of mothers to the premature baby. Recommended for mothers to have social support in caring for a premature baby at home. The further researches related to stress and coping in mothers with premature babies are needed."

"Perpisahan akibat perawatan yang dilakukan pada bayi prematur berpengaruh terhadap proses bonding attachment. Penelitian kualitatif dengan pendekatan fenomenologi deskriptif pada tujuh partisipan ini menggunakan teknik Purpossive Sampling yang bertujuan untuk mengeksplorasi secara mendalam pengalaman orang tua menerima perilaku caring perawat dalam memfasilitasi bonding attachment bayi prematur di Ruang NICU. Pengumpulan data dilakukan dengan wawancara mendalam dan dianalisis dengan metode Colaizzi. Hasil analisis data didapatkan tujuh tema yaitu proses peningkatan pengetahuan, mampu melakukan perawatan terhadap bayinya, respon ibu terhadap tindakan perawatan yang diberikan, termotivasi dalam melakukan perawatan bayi prematur, terpenuhinya kebutuhan bayi selama dilakukan perawatan, keterlibatan dalam asuhan keperawatan dan kepuasan terhadap perawatan. Penelitian ini diharapkan dapat meningkatkan asuhan keperawatan dan bonding attachment pada bayi prematur.

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Separation between parents and premature babies in intensive care unit affects in bonding attachment process. This study was a qualitative research design with descriptive phenomenology approach took 7 participants used Purpossive Sampling Technique. This study aims to explored mother's experience received nursing caring in facilitated bonding attachment of premature babies. Data were collected with indepht interview and analized with Colaizzi method.

The results of data analysis got seven themes: knowledge improving process; capable to cared their babies; mother's respons with nursing care; motivated to cared their premature babies, the premature babies needed was fullfiled well; participated in nursing care; and nursing care satisfaction. The result is expected to be input in improving nursing care and bonding attachment in premature babies."

"Pelibatan ibu dalam perawatan bayi prematur merupakan salah satu komponen konsep family centered care. Penelitian ini bertujuan untuk mengidentifikasi pengaruh pelibatan ibu terhadap interaksi ibu-bayi dan kepercayaan diri ibu dalam merawat bayi prematur. Desain penelitian yang digunakan adalah kuasi eksperimen one-group pretest-posttest design. Penelitian ini melibatkan 16 orang ibu-bayi yang dipilih dengan teknik konsekutif di ruang Perinatologi RSUP Fatmawati Jakarta selama bulan Mei-Juni 2013. Hasil analisis statistik menunjukkan bahwa skala interaksi ibu-bayi dan kepercayaan diri ibu meningkat secara signifikan (p=0,0005). Hasil penelitian ini merekomendasikan upaya peningkatan pelibatan ibu dalam perawatan bayi prematur di ruang Perinatologi.

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Mothers involvement in premature infant care is a component of the family centered care. The purpose of this study was to identify the impact of mothers involvement on mother-infant interactions and maternal confidence in premature infant care. This study used a quasy experimental with one-group pretest-posttest design. Sixteen partisipants were choosed using consecutive sampling technique in Neonatal Unit Level I-II RSUP Fatmawati Jakarta during May-June 2013. The result of statistic analysis showed that mother-infant interactions scale and maternal confidence increase significantly (p=0,0005). This study recommends the improvement of mothers involvement in premature infant care in neonatal unit."

"Kompleksitas perawatan bayi yang intensif menyebabkan ada perawatan rutin yang terlewatkan sehingga dapat memperpanjang lama perawatan, risiko rawat ulang, meningkatkan komplikasi bayi, dan menurunkan kepuasan orang tua. Penelitian cross-sectional ini bertujuan untuk mengidentifikasi hubungan antara pelaksanaan perawatan bayi prematur dengan kepuasan orang tua. Teknik consecutive sampling dilakukan untuk memilih 59 perawat dan 59 orang tua bayi prematur. Analisis menggunakan uji Pearson. Hasil penelitian menunjukkan bahwa rata-rata pelaksanaan perawatan bayi prematur sebesar 161,93 dan rata-rata kepuasan orang tua sebesar 280,07. Terdapat hubungan antara pelaksanaan perawatan bayi prematur dengan kepuasan orang tua (pvalue<0,001, r= 0,77). Bagi pelayanan keperawatan dapat menjadi evaluasi terhadap kinerja perawat untuk meningkatkan kualitas perawatan bayi prematur dan kepuasan orang tua meningkat.

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Complexity of intensive care of premature babies causes some routine nursing cares are overlooked which may lead to extension of length of stay, risk of rehospitalization, additional disease complications, and decrease of parents satisfaction. This cross-sectional study aimed to identify the relationship between the implementation of a premature babies care with parents satisfaction. Consecutive sampling technique was conducted to select 59 nurses and 59 parents of premature babies as research respondents. The data was analyzed with Pearson test. The results showed that the average of premature babies care score was 161.93 and the average of parents satisfaction score was 280.07. There was a significant relationship between the implementation of premature babies care with parents satisfaction (p value <0.001, r = 0.77). Nursing care should be evaluated to improve the performance of nurses and the quality of care of premature babies and parents satisfaction."

"Kelahiran bayi prematur dan perawatan di ruang rawat intensif neonatus merupakan peristiwa yang menyebabkan sumber stres pada orang tua khususnya ibu. Penelitian ini bertujuan untuk mendapatkan pemahaman yang mendalam mengenai pengalaman ibu selama perawatan masa awal kehidupan bayi prematur di ruang rawat intensif neonatus RSUP Dr. Soeradji Tirtonegoro Klaten. Desain penelitian kualitatif dengan pendekatan fenomenologi ini pada delapan partisipan. Analisis data menggunakan metode Colaizzi dan menghasilkan tujuh tema penelitian, yaitu: reaksi ibu, proses berduka, dampak perawatan bayi prematur, koping diri ibu, upaya ibu untuk meningkatkan hubungan kelekatan (bonding attachment), dukungan terhadap ibu, dan harapan selama perawatan bayi prematur.

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The birth and treatment of premature infants in the neonatal intensive care unit is the event that makes it the source of stress to parents especially the mother. This study aims to gain a deeper understanding of the experience of mother during the early life of premature infants in the neonatal intensive care unit of Dr. Soeradji Tirtonegoro Central Hospital, Klaten. This qualitative research design with phenomenology approach took eight participants. The data analysis uses Colaizzi method and produced seven research themes, namely: the mothers reaction, the grieving process, the impact of premature infant care, mother's self 'coping efforts, the mothers' attempts to improve the close and attached relationship (bonding attachment), the support for the mother, and expectations for the care of premature infants."

"Pelibatan ibu dalam perawatan bayi prematur merupakan salah satu komponen konsep family centered care. Penelitian ini bertujuan untuk menguji pengaruh pelibatan ibu terhadap interaksi ibu dan bayi dan kepercayaan diri ibu dalam merawat bayi prematur. Desain penelitian yang digunakan adalah kuasi eksperimen one-group pretest-posttest. Penelitian ini melibatkan 16 orang ibu dan bayinya yang dipilih dengan teknik konsekutif di ruang Perinatologi di sebuah RSUP di Jakarta, selama sebulan. Instrumen yang digunakan untuk menilai interaksi ibu-bayi adalah terjemahan Modified Observation of Communication Interaction dan kepercayaan diri ibu diukur menggunakan Maternal Confidence Questionaire yang juga diterjemahkan. Hasil analisis statistik menunjukkan bahwa skala interaksi ibu-bayi dan kepercayaan diri ibu meningkat secara signifikan (p= 0,0005). Hasil penelitian ini merekomendasikan upaya peningkatan pelibatan ibu dalam perawatan bayi prematur di ruang Perinatologi.

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Enhancement of Mother-Infant Interaction and Maternal Confidence: The Impact of Mother Involvement in Infant Care in the Neonatology Unit. Mothers? involvement in premature infant care is one of components of the family centered care. The purpose of this study was to examine the impact of mothers? involvement on mother-infant interactions and maternal confidence in premature infant care. This study used a quasy experimental with one-group pretest-posttest design. Sixteen participants were selected using consecutive sampling technique in Neonatal Unit Level I-II in General Hospital in Jakarta during one month. Modified Observation of Communication Interaction was translated in to Indonesian and used to observe mother-infant interaction and maternal confidence measured by translated Maternal Confidence Questionaire. The result of statistic analysis showed that mother-infant interactions scale and maternal confidence increase significantly (p= 0.0005). This study recommends the improvement of mothers? involvement in premature infant care in neonatal unit."

"ABSTRAK Latar Belakang. Kemajuan dalam penanganan bayi prematur menyebabkan angka kesintasan meningkat. Akibatnya, angka kesakitan bayi prematur jugameningkat, salah satunya adalah osteopenia of prematurity (OOP). Pemeriksaankadar kalsium, fosfat, dan fosfatase alkali serum saat usia kronologis 4 minggudigunakan sebagai indikator awal sebelum osteopenia tampak secara klinis.Diagnosis sedini mungkin dan pengendalian faktor risiko perlu dilakukansehingga komplikasi dapat dicegah.Tujuan. Mengetahui prevalens dan faktor risiko terjadinya OOP.Desain Penelitian. Penelitian dengan desain potong lintang ini dilaksanakanpada bayi prematur dengan usia gestasi ≤32 minggu di Divisi Perinatalogi RS Dr.Cipto Mangunkusumo. Subyek diperiksa kadar kalsium serum, fosfat inorganikserum, dan fosfatase alkali serum. Pada subyek dilakukan pencatatan faktor risikoOOP untuk menilai hubungan antar variabel dan dilakukan analisis bivariatdengan uji chi square. Hasil Penelitian. Terdapat 80 subyek yang memenuhi kriteria penelitian.Delapan dari 80 subyek (10%) ditemukan menderita OOP. Faktor risiko yangdianalisis dalam penelitian ini ditemukan tidak memiliki hubungan bermaknadengan kejadian OOP, yakni lama penggunaan nutrisi parenteral total (p=0,457),lama penggunaan metilsantin (p=1,000), berat lahir (p=0,459), preeklampsiaberat pada ibu (p=0,344), korioamnionitis pada ibu (p=0,261), dan pemberiannutrisi enteral (p=0,797).Simpulan. Prevalens OOP di RS Dr. Cipto Mangunkusumo adalah 10%. Faktorlama penggunaan nutrisi parenteral total, penggunaan metilsantin, berat lahir,preeklampsia berat pada ibu, korioamnionitis, dan pemberian nutrisi enteral tidak memiliki hubungan bermakna dengan kejadian OOP.ABSTRACT Background. Advances in management of premature infants had increased the survival rate of these infants. However there is also increase of morbidity such as osteopenia of prematurity (OOP). Laboratory examination of serum calcium,phosphate, and alkaline phosphatase at the chronological age of 4 weeks is usedas early indicator before osteopenia become clinically appearant. Early diagnosisand risk control are needed to prevent complication. Objective. To evaluate the prevalence and risk factors of OOP.Methods. A cross sectional study was done in premature infants <32 weeks ofgestational age in Perinatalogy Division of Cipto Mangunkusumo Hospital.Laboratory examination of serum calcium, phosphate, and alkalinephosphatasewere conducted toward these subjects. Risk factors of OOP were alsoevaluated. Bivariat analysis was analysed by chi square test.Results. There are 80 subjects who meet the study criteria. Eight of 80 subjects(10%) was diagnosed as OOP. No risk factors have significant relationship withOOP incidence, which include duration of total parenteral nutrition (p=0,457),duration of methylxanthine usage (p=1,000), birth weight (p=0,459), severepreecalampsia in the mother (p=0,344), chorioamnionitis in the mother(p=0,261), and enteral nutrition (p=0,797).Conclusion. Prevalence of OOP in Cipto Mangunkusumo Hospital is 10%. Thereare no significant relationship between OOP incidence and duration of totalparenteral nutrition, methylxanthine usage, birth weight, severe preeclampsia in the mother, chorioamnionitis, and enteral nutrition.;Background. Advances in management of premature infants had increased the survival rate of these infants. However there is also increase of morbidity such as osteopenia of prematurity (OOP). Laboratory examination of serum calcium,phosphate, and alkaline phosphatase at the chronological age of 4 weeks is usedas early indicator before osteopenia become clinically appearant. Early diagnosisand risk control are needed to prevent complication. Objective. To evaluate the prevalence and risk factors of OOP.Methods. A cross sectional study was done in premature infants <32 weeks ofgestational age in Perinatalogy Division of Cipto Mangunkusumo Hospital.Laboratory examination of serum calcium, phosphate, and alkalinephosphatasewere conducted toward these subjects. Risk factors of OOP were alsoevaluated. Bivariat analysis was analysed by chi square test.Results. There are 80 subjects who meet the study criteria. Eight of 80 subjects(10%) was diagnosed as OOP. No risk factors have significant relationship withOOP incidence, which include duration of total parenteral nutrition (p=0,457),duration of methylxanthine usage (p=1,000), birth weight (p=0,459), severepreecalampsia in the mother (p=0,344), chorioamnionitis in the mother(p=0,261), and enteral nutrition (p=0,797).Conclusion. Prevalence of OOP in Cipto Mangunkusumo Hospital is 10%. Thereare no significant relationship between OOP incidence and duration of totalparenteral nutrition, methylxanthine usage, birth weight, severe preeclampsia in the mother, chorioamnionitis, and enteral nutrition."

"Latar Belakang :Insidensi terjadinya ketuban pecah dini (KPD) pada kehamilan preterm adalah 3-10,% dari semua persalinan. Lama terjadinya ketuban pecah dini berpengaruh pada kejadian infeksi maternal dan sepsis pada bayi. Sepsis, termasuk sepsis neonatal awitan dini (SNAD), masih menjadi penyebab utama kematian bayi prematur. Vitamin D berperan meningkatkan imunitas tubuh terutama saat menghadapi infeksi. Tujuan penelitian ini ingin mengetahui hubungan antara lama KPD, leukosit maternal, kadar vitamin D maternal dan tali pusat dengan luaran sepsis awitan dini pada bayi prematur.Metode : Desain penelitian kohort retrospektif dengan menggunakan rekam medis dan data penelitian sebelumnya. Mencatat lama ketuban pecah dini, kadar leukosit maternal, kadar vitamin D maternal dan tali pusat dankejadian sepsis pada bayi yang dilahirkan usia 28-34 minggudi Rumah Sakit Umum Pusat Nasional dr. Cipto Mangunkusumo dan Rumah Sakit Umum Pusat Persahabatan, Jakarta. Subjek penelitian diambil secaraConsecutivesampling.Hasil : Selama periode penelitian didapatkan 72 subjek bayi yang dilahirkan dari ibu dengan KPD, 22 bayi (31%) diantaranya mengalami SNAD, sedangkan 50 bayi lainnya tidak mengalami SAD. Tidak terdapat hubungan antara lama KPD, jumlah leukosit maternal dengan kejadian SNAD tetapi didapatkan hubungan yang bermakna antara kadar vitamin D maternal dan tali pusat dengan kejadian SNAD.

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Background:The incidence of premature rupture of membranes (PROM) in preterm pregnancy is 3-10,% of all deliveries. The duration of premature rupture of the membranes affects the incidence of maternal infection and sepsis in infants. Sepsis, including early onset neonatal sepsis (EONS), is still the main cause of premature infant mortality. Vitamin D acts to increase the body s immunity, especially when facing infection. The purpose of this study was to determine the relationship between the length of the ROM, maternal leukocytes level, maternal and umbilical cord vitamin D levels with early onset sepsis in premature infants.

Method:Design of a retrospective cohort study using medical records and previous research data. Note the duration of premature rupture of the membranes, maternal leukocyte levels, maternal vitamin D levels and umbilical cord and the incidence of sepsis in infants born 28-34 weeks at the National Center General Hospital Dr. Cipto Mangunkusumo and Center General Hospital Pesahabatan, Jakarta. The research subjects were taken by consecutive sampling.

Results: During the study period 72 subjects were born from mothers with ROM, 22 infants (31%) among them experienced EONS, while 50 other infants did not experience EONS. There was no relationship between the duration of ROM, the number of maternal leukocytes with the incidence of EONS, but a significant relationship was found between maternal vitamin D levels and umbilical cord with EONS events."

"Bayi prematur merupakan bayi yang lahir sebelum usia kehamilan 37 minggu (WHO, 2021). Bayi yang lahir prematur juga memiliki risiko yang tinggi terkait masalah kesehatan (Hockenberry & Wilson, 2015). Bayi prematur memiliki risiko yang lebih tinggi untuk mengalami masalah kesehatan. Hal ini dikarenakan belum matangnya janin ketika dilahirkan. Organ-organ yang berperan sebagai oromotor pada bayi prematur belum berkembang secara sempurna, sehingga sebagian besar bayi prematur mengalami gangguan fungsi menghisap dan mekanisme menelan. Salah satu intervensi yang dapat dilakukan untuk mengatasi masalah ini adalah dengan melakukan stimulasi oromotor secara rutin. Tujuan dilakukan penulisan ini adalah untuk mengetahui pengaruh pemberian stimulasi oromotor dengan peningkatan refleks hisap bayi premature. Pemberian stimulasi oromotr dinilai memberikan pengaruh yang positif dalam peningkatan refleks hisap bayi premature. Metode yang digunakan dalam penulisan ini adalah case report. Case report ini sebagai dasar untuk melakukan penelitian lebih lanjut pada pasien dengan masalah yang sama

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Premature babies are babies born before 37 weeks of gestation (WHO, 2021). Babies born prematurely also have a high risk of health problems (Hockenberry & Wilson, 2015). Premature babies have a higher risk of developing health problems. This is because the fetus is immature when it is born. The organs that act as oromotor in premature babies are not fully developed, so that most premature babies have impaired sucking and swallowing functions. One of the interventions that can be done to overcome this problem is to carry out regular oromotor stimulation. The purpose of this paper is to determine the effect of giving oromotor stimulation with an increase in the suction reflex of premature babies. Giving oromotr stimulation is considered to have a positive effect in increasing the suction reflex of premature babies. The method used in this paper is a case report. This case report serves as the basis for conducting further research on patients with the same problem."

"Kelahiran prematur atau bayi yang lahir sebelum usia kehamilan 37 minggu merupakan masalah kesehatan global yang memiliki risiko tinggi terhadap morbiditas dan mortalitas bayi. Bayi prematur yang lahir kurang dari usia kehamilan 34 minggu memiliki pola menghisap-menelan-bernafas yang tidak terkoordinasi dengan sempurna. Koordinasi dan keterampilan menghisap merupakan faktor penting dalam mencapai pemberian oral yang aman dan sukses pada bayi prematur. Intervensi stimulasi oral dapat diterapkan untuk mendukung perkembangan refleks menghisap dan menelan serta mengurangi lama waktu transisi dari pemberian minum melalui enteral ke oral. Karya ilmiah ini memberikan gambaran mengenai proses asuhan keperawatan pada bayi prematur dan efektifitas penerapan Oromotor Stimulation (OMS) selama 8 hari perawatan. Pemberian stimulasi dilakukan 15-30 menit sebelum pemberian minum dengan durasi selama 15 menit. Hasil evaluasi menunjukkan Oromotor Stimulation (OMS) efektif dalam meningkatkan berat badan dan kesiapan minum secara oral. Setelah diberikan intervensi, berat badan bayi meningkat dengan rata-rata kenaikan 24,2 gram/hari. Hasil evaluasi objektif menggunakan instrumen Premature Oral Feeding Readiness Assessment Scale (POFRAS) menunjukkan peningkatan skor dari 23 menjadi 34 yang berarti bayi memiliki kesiapan minum per- oral yang baik.

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Premature birth or infants born before 37 weeks of gestation is a global health problem that has a high risk of infant morbidity and mortality. Premature infants born less than 34 weeks of gestation have a pattern of sucking-swallowing-breathing that is not perfectly coordinated. Coordination and sucking skills are important factors in achieving safe and successful oral administration of preterm infants. Oral stimulation interventions can be used to support the development of sucking and swallowing reflexes and to reduce the transition time from enteral to oral feeding. This scientific work provides an overview of the process of nursing care for premature infants and the effectiveness of Oromotor Stimulation (OMS) for 8 days. Stimulation is given 15-30 minutes before feeding with a duration of 15 minutes. Evaluation results show that Oromotor Stimulation (OMS) is effective in increasing body weight and readiness to oral feeding. After being given the intervention, the baby's weight increased with an average increase of 24.2 grams/day. The results of an objective evaluation using the Premature Oral Feeding Readiness Assessment Scale (POFRAS) instrument showed an increase in score from 23 to 34 which means that the infant has good oral feeding readiness."