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Abstrak :
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. ......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.

Abstrak :
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. ......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.

Abstrak :
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. ...... 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.

Abstrak :
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. ......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.

Abstrak :
BBLR didefinisikan sebagai bayi dengan berat lahir kurang dari 2500 gram. BBLR memiliki risiko lebih tinggi untuk mendapatkan masalah kesehatan dan meninggal pada masa neonatal. Kejadian BBLR mencapai 15 persen dari seluruh kelahiran bayi, dan lebih dari 95 persen terjadi di negara-negara berkembang. Secara keseluruhan, hampir 70 persen kejadian BBLR terjadi di Asia. Menurut Riskesdas 2010 dan 2013, BBLR di Jawa Timur mengalami peningkatan dan merupakan provinsi yang kejadian BBLRnya lebih tinggi dari angka nasional. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan kejadian BBLR di Jawa Timur tahun 2012. Metode penelitian yang digunakan adalah cross sectional dengan analisis data sekunder Survei Demografi Kesehatan Indonesia 2012. Sampel penelitian adalah ibu umur 15-49 tahun yang dalam 5 tahun terakhir melahirkan bayi yang memiliki catatan berat lahir. Analisis statistik bivariat menggunakan uji chi-square. Hasil penelitian menunjukkan 8,6% bayi lahir dengan berat kurang dari 2500 gram (BBLR). Hasil analisis bivariat menunjukkan hubungan bermakna antara tingkat pendidikan ibu (OR: 2,34 CI 95%: 1,22 ? 4,48,) dengan nilai p sebesar 0,01, dan paritas ibu yang memiliki nilai p sebesar 0,04 (OR: 2,29 CI 95%: 1,07 - 4,91) dengan kejadian BBLR. Disarankan agar dilakukan penyuluhan mengenai hal-hal yang perlu diperhatikan saat hamil, seperti nutrisi dan pentingnya kunjungan ANC. Selain itu, diharapkan adanya anjuran menggunakan kontrasepsi jangka panjang pada ibu yang telah melahirkan sedikitnya 4 kali. ...... LBW defined as babies who weight less than 2500 grams at birth. LBW babies have a higher risk to face a health problems and higher risk to die at neonatal stage. For every babies born, 15 per cent of them were LBW, and the 95 per cent of it can be found in developing countries. Overall, 70 per cent incidence of LBW were found in Asia. According to 2010 and 2013 Basic Health Research, LBW incidence in East Java were increasing, and one of the province which have a higher incidence from national incidence. The aim of this study is to know what factors associated with LBW incidence in East Java in 2012. This study use cross sectional as a method and use the data from DHS Indonesia 2012 for analysing. The sample of this study are women among 15 - 49 of age who gave birth in a span of 5 years before the survey and have birth weght data of the baby. Chisquare test was used for bivariate analysis. Result of this study shows that 8,6 per cent babies born with LBW. Bivariate analysis shows that level of educationof mothers (OR: 2,34 CI 95%: 1,22 - 4,48,) with p value 0,01 and mothers parity with p value 0,04 (OR: 2,29 CI 95%: 1,07 - 4,91) have a significant relationship with the incindence of LBW. Women with low level of education need to be counselled to knows the important things at pregnancy, such as nutrition intake and ANC visits. For mothers with high parity, it should be advised to use a long term contraception.

Abstrak :
ABSTRAK
Latar Belakang. Kemajuan dalam penanganan bayi prematur menyebabkan angka kesintasan meningkat. Akibatnya, angka kesakitan bayi prematur juga meningkat, salah satunya adalah osteopenia of prematurity (OOP). Pemeriksaan kadar kalsium, fosfat, dan fosfatase alkali serum saat usia kronologis 4 minggu digunakan sebagai indikator awal sebelum osteopenia tampak secara klinis. Diagnosis sedini mungkin dan pengendalian faktor risiko perlu dilakukan sehingga komplikasi dapat dicegah. Tujuan. Mengetahui prevalens dan faktor risiko terjadinya OOP. Desain Penelitian. Penelitian dengan desain potong lintang ini dilaksanakan pada bayi prematur dengan usia gestasi ≤32 minggu di Divisi Perinatalogi RS Dr. Cipto Mangunkusumo. Subyek diperiksa kadar kalsium serum, fosfat inorganik serum, dan fosfatase alkali serum. Pada subyek dilakukan pencatatan faktor risiko OOP untuk menilai hubungan antar variabel dan dilakukan analisis bivariat dengan uji chi square. Hasil Penelitian. Terdapat 80 subyek yang memenuhi kriteria penelitian. Delapan dari 80 subyek (10%) ditemukan menderita OOP. Faktor risiko yang dianalisis dalam penelitian ini ditemukan tidak memiliki hubungan bermakna dengan kejadian OOP, yakni lama penggunaan nutrisi parenteral total (p=0,457), lama penggunaan metilsantin (p=1,000), berat lahir (p=0,459), preeklampsia berat pada ibu (p=0,344), korioamnionitis pada ibu (p=0,261), dan pemberian nutrisi enteral (p=0,797). Simpulan. Prevalens OOP di RS Dr. Cipto Mangunkusumo adalah 10%. Faktor lama 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 used as early indicator before osteopenia become clinically appearant. Early diagnosis and 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 of gestational age in Perinatalogy Division of Cipto Mangunkusumo Hospital. Laboratory examination of serum calcium, phosphate, and alkaline phosphatasewere conducted toward these subjects. Risk factors of OOP were also evaluated. 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 with OOP incidence, which include duration of total parenteral nutrition (p=0,457), duration of methylxanthine usage (p=1,000), birth weight (p=0,459), severe preecalampsia 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%. There are no significant relationship between OOP incidence and duration of total parenteral 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 used as early indicator before osteopenia become clinically appearant. Early diagnosis and 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 of gestational age in Perinatalogy Division of Cipto Mangunkusumo Hospital. Laboratory examination of serum calcium, phosphate, and alkaline phosphatasewere conducted toward these subjects. Risk factors of OOP were also evaluated. 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 with OOP incidence, which include duration of total parenteral nutrition (p=0,457), duration of methylxanthine usage (p=1,000), birth weight (p=0,459), severe preecalampsia 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%. There are no significant relationship between OOP incidence and duration of total parenteral nutrition, methylxanthine usage, birth weight, severe preeclampsia in the mother, chorioamnionitis, and enteral nutrition.

Abstrak :
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. ...... 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.

Abstrak :
Latar belakang: Bayi moderate to late preterm menempati 80% populasi kelompok usia bayi prematur. Banyaknya komplikasi dan komorbiditas yang dapat terjadi pada bayi prematur menuntut adanya pemantauan perkembangan yang konsisten, praktis, efisien, dan sedini mungkin. Hal tersebut ditujukan untuk mencegah, mendeteksi, dan memberikan penanganan awal yang optimal. Instrumen uji tapis yang baik harus memiliki validitas, reliabilitas, sensitivitas dan spesifitas yang baik, serta lengkap meliputi semua aspek ranah perkembangan. Tujuan: Membandingkan sensitivitas dan spesifisitas uji tapis ASQ-3 dan Denver II terhadap baku emas Bayley-III dalam deteksi gangguan perkembangan pada bayi prematur usia koreksi 6–12 bulan. Metode: Penelitian potong lintang pada bayi prematur usia koreksi 6-12 bulan di Klinik Tumbuh Kembang RSCM pada bulan Oktober-Desember 2023. Kuesioner ASQ-3 diisi oleh orang tua dengan panduan petugas. Pemeriksaan Denver II dan Bayley III dinilai oleh dokter residen anak dan psikolog klinis anak yang terlatih pemeriksaan Bayley III. Hasil pemeriksaan dianalisis statistik dengan SPSS 25. Hasil: Enam puluh dua subjek penelitian diperiksa dan didapatkan sensitivitas ASQ-3 dan Denver II dibandingkan dengan Bayley-III pada bayi prematur usia koreksi 6-12 bulan masing- masing adalah 89,66% dan 79,31% sedangkan spesifisitasnya sebesar 93,94% dan 87,88%. Selain itu, ASQ-3 memiliki nilai PPV, NPV, PLR, NLR dan akurasi yang lebih tinggi dibandingkan dengan Denver II. Kesimpulan: Uji tapis ASQ-3 memiliki sensitivitas dan spesifisitas yang lebih baik dibandingkan dengan Denver II untuk deteksi gangguan perkembangan pada bayi prematur usia koreksi 6-12 bulan. Kuesioner ASQ-3 dapat digunakan untuk uji tapis gangguan perkembangan bayi prematur yang efektif dan mudah digunakan. ......Background: Moderate to late preterm baby occupies 80% age group of preterm babies. The complications and comorbidities occur in preterm require consistent, practical, and efficient early developmental monitoring to aim optimal initial intervention. The developmental screening test instrument must have good validity, reliability, sensitivity and specificity, and covering all aspect developmental domain. Objective: This study aims to investigate the sensitivity and specificity of two brief developmental screening, the Ages and Stages Questionnaires, 3rd Edition, Indonesian-version (ASQ-3) with the Denver Developmental Screening test II (Denver II). Method: A cross-sectional design conducted in corrected aged 6 to 12 months preterm infants from Growth and Developmental Social Paediatric Clinic in Cipto Mangunkusumo Hospital in October to December 2023. The ASQ-3 questionnaires was filled in by parents with guidance from health workers. Denver II and Bayley III was assessed by paediatric resident and trained paediatric clinical psychologist. Results: A total of 62 preterm infant was recruited. Sensitivity of ASQ-3 and Denver II compared to Bayley-III were 89,66% and 79,31%, respectively with specificity 93,94% and 87,88%, respectively. Furthermore, ASQ-3 showed higher PPV, NPV, PLR, NLR, and accuracy compared to Denver II. Conclusion: The ASQ-3 questionnaires had significantly higher sensitivity and specificity compared to Denver II for developmental delay screening. This tool was appropriate for consistent screening due to its effectiveness and simplicity.

Abstrak :
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 :
Bayi prematur sangat rentan mengalami gangguan integritas kulit berupa luka tekan terutama pada telinga. Tujuan penelitian ini adalah untuk mengetahui efektivitas penggunaan bantal kacang untuk pencegahan luka tekan grade I pada telinga bayi prematur. Desain penelitian ini menggunakan “quasi experiment posttest only with control group”, yang melibatkan 30 bayi prematur di ruang perinatologi. Hasilnya menunjukkan tidak ada perbedaan yang bermakna proporsi kejadian luka tekan grade I pada telinga bayi prematur pada kelompok intervensi dan kelompok kontrol (p value=0,65, α=0,05). Rekomendasi dari penelitian ini adalahperawatan dengan bantal tetap bermanfaat namun perlu dilakukan optimalisasi alih baring. ......Preterm baby was very vulnerable to get skin integrity breakdown as pressure ulcer particularly on the ear. The purposed of this study was to identify the effectiveness using peanut pillow to prevent pressure ulcer on ears of preterm baby. The design of this study was “experiment posttest only with control group”, involving 30 preterm baby in the neonatology unit. The result showed there was no significant differences proportion of pressure ulcer in the intervention group and control group (p value=0,65, α=0,05). This study recommended that using peanut pillow give the advantages but it is needed to optimize changing position.