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Guslihan D Tjipta

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Author-ID : 3461168

Health Professions Medicine & Pharmacology

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Pattern of newborn babies delivered by cesarean section Guslihan D Tjipta; Riza I Nasution; Dachrul Aldy; Zakaria Siregar
Paediatrica Indonesiana Vol 43 No 1 (2003): January 2003
Publisher : Indonesian Pediatric Society

Background The birth rate in Indonesia is still high and abnormallabor constitutes 15% of all deliveries which needs cesarean sec-tion as a solution for complicated cases.Objectives To find the general physical condition of babies bornafter cesarean section as well as the characteristics of motherswho underwent cesarean section.Methods A retrospective study on newborn babies delivered bycesarean section conducted in Subdivision of Neonatology, Medi-cal School, University of North Sumatera-Pirngadi Hospital Medan,in period of 2 years (1991-1992).Results There were 8762 babies born during the study period,1484 babies (16.93%) delivered by cesarean section due to pla-centa previa (26.2%), prolonged labor (15.8%), cephalopelvic dis-proportion (10.3%), neglected labor (9.9%), eclampsia/preeclamp-sia (8.1%), fetal distress (7.5%), previous section (6.6%), breechpresentation (5.7%), solutio placenta (4.0%), and others (5.9%). Itwas shown that mothers undergoing caesarean section was mainly20-30 years old (66.4%), multigravida (47.8%), term gestationalage (79.4%), and minimal antenatal care (61.3%). There were 1224(82.5%) babies with birth weight >2500 grams and 894 (60.2%)suffered from asphyxia.Conclusions The evidence of asphyxia by cesarean section andlow birth weight group was significantly different from those nor-mally delivered (p<0.001). The mortality rate was 11.5% due tostill birth 29.2%, RDS 18.3%, sepsis 15.5%, pneumonia 12.3%,and gastroenteritis 11.5%

Comparison of absolute neutrophil count between premature and term infants Ahmad Faisal; Guslihan D Tjipta; Bidasari Lubis; Dachrul Aldy
Paediatrica Indonesiana Vol 44 No 5 (2004): September 2004
Publisher : Indonesian Pediatric Society

Background Neutrophils are very important in the body defenseagainst bacterial infection. Absolute neutrophil count (ANC) couldbe used for the recognition of early-onset bacterial sepsis inneonates.Objective The aim of this study was to compare the value of ANCbetween premature and term infants, to assess the prevalence ofearly-onset neutropenia in premature infants and its relationshipwith prematurity, and to find out the correlation between gesta-tional age and ANC.Methods A cross-sectional study was conducted during Februaryto May 2003. Subjects were newborn infants with gestational ageof less than 37 weeks who were born in Adam Malik and PirngadiHospitals, Medan. Newborn infants with severe asphyxia (5-minuteApgar score of less than 4), fever, seizure, and maternalhypertension were excluded. Complete blood count was done bymeans of automatic cell counter (Micros (R) , Germany). Term healthyinfants were used as control subjects.Results ANC differed significantly between both groups (p=0.0001).The prevalence of early-onset neutropenia in premature infantswas 9% (95%CI 0.065;0.21). Prematurity was related with theincidence of neutropenia with a prevalence ratio of 1.1. Therewas a weak positive correlation between gestational age andANC with an r-value of 0.49 (p=0.0001).Conclusions ANC in premature infants differs from that in terminfants. The prevalence of early-onset neutropenia in prematureinfants was 9% (95%CI 0.065;0.21). Prematurity is related with theincidence of early-onset neutropenia in newborn infants. There isa correlation between gestational age and ANC

Efficacy of 10% povidone iodine versus 70% alcohol in umbilical cord care of newborn infants Rasyidah Rasyidah; Yulizar Yulizar; Lily Emsyah; Guslihan D Tjipta; Dachrul Aldy
Paediatrica Indonesiana Vol 45 No 5 (2005): September 2005
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi45.5.2005.198-202

Objective To compare the effectiveness of 10% povidone iodineto that of 70% alcohol in umbilical cord care of newborn infants.Methods This open label clinical trial was conducted in PirngadiHospital, Medan from July to September 2003. Newborn infantswho fulfilled inclusion criteria were randomly allocated to umbili-cal cord care using 10% povidone iodine or 70% alcohol. Themain outcome measures were omphalitis prevalence, microor-ganism colonization, and time to umbilical cord separation. Cultureof the umbilical cord swab was taken in the first 48-72 hoursafter birth. The umbilical cord was observed daily during hospital-ization and every other day after discharge until cord separation.Statistical analysis was done using chi-square test and indepen-dent t-test.Results There were 54 infants in the povidone iodine group and52 infants in the alcohol group. Omphalitis was absent in bothgroups. Fourteen percent of subjects in the povidone iodine groupshowed no microorganism growth, compared to 7% in the alco-hol group. Staphylococcus aureus colonization was found in10% of subjects in the povidone iodine group and 23% of sub-jects in the alcohol group. The prevalence of Escherichia colicolonization was 41% and 47% in the povidone iodine and alco-hol groups, respectively. There was no statistically significantdifference between both groups in bacterial colonization (P=0.135).Mean time to umbilical cord separation was 6.44 days in thepovidone iodine group and 6.13 days in the alcohol group(P=0.431).Conclusion These results suggest that 10% povidone iodineand 70% alcohol are equally effective in umbilical cord care ofnewborn infants

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