Setyorini Irianti
Department Of Obstetric And Gynecology, Faculty Of Medicine, Universitas Padjadjaran/Dr. Hasan Sadikin General Hospital, Bandung

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Perbandingan Angka Kejadian Bayi Lahir Kecil Masa Kehamilan pada Periode Pre-pandemi dengan Selama Pandemi COVID-19 Arshandi Faisal Shiddiq; Setyorini Irianti; Dodi Suardi; Fidkya Allish
Jurnal Integrasi Kesehatan dan Sains Vol 4, No 2 (2022): Jurnal Integrasi Kesehatan dan Sains
Publisher : Universitas Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29313/jiks.v4i2.9685

Abstract

AbstrakPandemi COVID-19 diduga telah mengakibatkan terjadinya penurunan kondisi kesehatan termasuk indikator bayi kecil masa kehamilan (KMK) akibat gangguan nutrisi ibu hamil selama pandemi tersebut. Sehingga, penelitian ini bertujuan membandingkan angka kejadian bayi kecil masa kehamilan pada periode pre-pandemi dengan periode pandemi COVID-19 di Rumah Sakit dr. Hasan Sadikin Bandung. Penelitian ini menggunakan metode studi analitik observasional dengan rancangan potong lintang menggunakan data sekunder dari rekam medik selama periode Maret 2018–Februari 2020 (pre-pandemi) dan periode Maret 2020–Juni 2021 (pandemi). Karakteristik subjek meliputi usia ibu, kadar hemoglobin, usia kehamilan, komorbid, berat badan lahir bayi, status bayi hidup atau stillbirth dan APGAR 1 dan 5 menit. Analisis menggunakan uji chi-square. Nilai p<0,05 dianggap bermakna secara statistik. Didapatkan angka kejadian bayi kecil masa kehamilan antara periode pre-pandemi dan periode pandemi sebanyak 454/5.899 (7,7%) dan 196/2.523 (7,8%) dengan p=0,990. Berdasarkan variabel didapatkan perbedaan bermakna nilai APGAR 1 menit dengan hasil APGAR 0-3 (12,6% vs 17,9%), APGAR 4-5 (9,7% vs 11,2%) dan APGAR 6 (26,7% vs 33,7%) dengan p=0,012, dan angka kejadian bayi kecil masa kehamilan stillbirth (0,4% vs 0,8%, p=0,015 dibanding dengan seluruh kelahiran, dan p=0,022 dibanding dengan seluruh kelahiran kecil masa kehamilan). Angka kejadian bayi kecil masa kehamilan antara kedua periode tidak berbeda. Terdapat peningkatan kejadian bayi kecil masa kehamilan stillbirth pada periode pandemi COVID-19 sebanyak 2 kali lipat dan terdapat peningkatan kasus asfiksia berdasarkan nilai APGAR 1 menit.The Comparison of Small for Gestational Age (SGA) Incidence between the Period of Before and During the COVID-19 PandemicAbstractThe COVID-19 pandemic is suspected to bring a decline in health conditions including indicators for small infants during pregnancy (KMK) due to nutritional disorders of pregnant women during the pandemic. Hence, this research aims to compare the incidence of small for gestational age in the pre-pandemic and the COVID-19 pandemic period at dr. Hasan Sadikin Bandung. This research uses an observational analytical study method with a cross-sectional design using secondary data from the medical records during the period March 2018–February 2020 (pre-pandemi) and the period March 2020–June 2021 (pandemic). Subject characteristics included maternal age, hemoglobin level, gestational age, comorbidities, infant birth weight, status of live or stillbirth infants and APGAR 1 and 5 minutes. Analysis using the chi-square. P value <0.05 was considered statistically significant. The incidence of small for gestational age between the two periods 454/5,899 (7.7%) and 196/2,523 (7.8%) with p=0.990. There were significant differences in the 1 minute APGAR value variable with the results of APGAR 0-3 (12.6% vs 17.9%), APGAR 4-5 (9.7% vs 11.2%) and APGAR 6 (26.7% vs 33.7%) with p=0.012, and the incidence of stillbirth small for gestational age (0.4% vs. 0.8%, p=0.015 when compared to all births, and p = 0.022 when compared to all small for gestational age). The incidence between the two periods was not significantly different. There was an increase in the incidence of stillbirth small for gestational age during the COVID-19 pandemic period by 2 times and there was an increase in asphyxia cases based on the 1 minute APGAR.
Knowledge Level of Midwives before and after an Online Training Participation Windi Nurdiawan; Setyorini Irianti; Dyah Ayu Puspita; Alfonsus Zeus; Billy Nusa Anggara; Vebri Anita Sinaga; Wulan Ardhana Iswari; Will Hans; Eduward Yacub Prasangka; Fadhilah Zulfa
Global Medical & Health Communication (GMHC) Vol 10, No 3 (2022)
Publisher : Universitas Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29313/gmhc.v10i3.9602

Abstract

Fetal growth restriction is a prevalent pregnancy issue linked to numerous unfavorable postnatal outcomes. Suboptimal uterine-placental perfusion and inadequate fetal feeding are the vital pathophysiologic causes. Midwives play a crucial role in informing pregnant women about vitamin D inadequacy. This paper aims to determine the difference between midwives' prior and post-webinar knowledge levels. It was a cross-sectional study of individuals who participated in a webinar on November 21, 2021. Subjects were selected using a total population sampling approach from all midwives who participated in the webinar and completed pre-and post-tests. The difference between knowledge levels was evaluated using the difference between the pre-test and post-test scores in the general category. There was an increase in the number of participants who successfully answered the five-question component, a decrease in the number of participants who correctly answered the two-question section, and no change in the number of subjects who correctly answered question number one. The average score on the post-test was higher (67.28) than the pre-test (63.10), while the median score was the same at both time points. After attending a webinar, there was an increase in the proportion of subjects with a high level of knowledge (11.4% to 24%) and a drop in the proportion of subjects with a poor level of knowledge (32.3% to 27.1%). In conclusion, there was an improvement in the knowledge level of midwives before and after the webinar participation.