Karakteristik Klinis Maternal dengan COVID – 19 dan Luaran Persalinannya di RSU Budi Kemuliaan (Preliminary Research)
Clinical Characteristics of Maternal with COVID – 19 and Delivery Outcomes at RSU Budi Kemuliaan (Preliminary Research)
DOI:
https://doi.org/10.35473/ijm.v6i2.2367Abstract
Pregnant women are more at risk for transmission of infectious diseases such as COVID - 19 both physically and psychologically. This risk puts pregnant women at maternal risk that can occur such as prematurity, hypertension, preeclampsia, and miscarriage. The purpose of this study was to determine the clinical characteristics of maternal with Covid - 19 at RSU Budi Kemuliaan (Preliminary Research). This study used a quantitative descriptive method with a cross-sectional design and used secondary data to determine general characteristics, financing, referral, obstetric status, gestational age, comorbidities, pregnancy complications, signs, symptoms, history of potential Covid-19 contact, laboratory, thorax photos, pregnancy outcomes, delivery methods, APGAR values, birth weight, labor complications, length of stay. Data collection for this study was from May 2020 to May 2021. The population of this study were all pregnant women with COVID - 19 both suspected, probable, and confirmed cases at Budi Kemuliaan Hospital. The sample of this study amounted to 201 respondents according to the inclusion criteria. This research took place at Budi Kemuliaan General Hospital. The results of this study show the characteristics of pregnant women as follows: 81.6% of confirmed covid-19 cases, 82.6% of mothers with low risk age, 60.7% with Kemenkes financing, 86.6% went home with doctor's approval, 82.6% of mothers with 3rd trimester pregnancy, 92.5% of mothers did not have comorbidities, 65.2% of mothers did not have a doctor's approval.
Abstrak
Wanita hamil lebih beresiko dalam penularan penyakit menular seperti COVID - 19 baik secara fisilogis maupun psikologis. Resiko tersebut menempatkan wanita hamil pada resiko maternal yang dapat terjadi seperti prematur, hipertensi, preeklamsi, dan keguguran. Tujuan penelitian ini adalah untuk mengetahui karakteristik klinis maternal dengan Covid – 19 di RSU Budi Kemuliaan (Preliminary Research) Metode Penelitian ini menggunakan metode deskriptif kuantitaf dengan desain cross Sectional dan menggunakan data sekunder untuk mengetahui karakteristik umum, pembiayaan, rujukan, status obstetri, usia kehamilan, komorbiditas, komplikai kehamilan, tanda, gejala, riwayat potensi kontak Covid-19, laboratorium, foto thorax, luaran kehamilan, metode persalinan, nilai APGAR, berat bayi lahir, komplikasi persalinan, lama rawat. Pengambilan data untuk penelitian ini yaitu pada bulan Mei 2020 s/d Mei 2021. Populasi penelitian ini adalah semua ibu hamil dengan COVID - 19 baik kasus suspek, probable, dan konfirmasi di RS Budi Kemuliaan. Sample penelitian ini berjumlah 201 responden sesuai dengan kriteria inklusi. Tempat penelitian ini di Rumah Sakit Umum Budi Kemuliaan Hasil Penelitian ini menunjukkan karakteristik ibu hamil sebagai berikut : 81,6% kasus konfirmasi covid-19, 82,6% ibu dengan usia resiko rendah, 60,7% dengan pembiayaan Kemenkes, terdapat 86,6% pulang atas persetujuan dokter, 82,6% ibu dengan kehamilan trimester 3, terdapat 92,5% ibu tidak memiliki komorbid, 65,2% ibu tidak mengalami komplikasi kehamilan, jumlah hari perawatan terbanyak adalah selama 3 hari yaitu 42,3%, mayoritas kadar haemoglobin dan trombosit ibu hamil yang mengalami covid berada dalam batas normal yaitu 57,7% dan 86,6%. kadar leukosit mayoritas pada keadaan leukositosis (52,2%). Ibu hamil yang mengalami covid 59,7% ibu dapat meneruskan kehamilannya hingga persalinan, 51,2% bersalin secara sectio caesaria. Bayi baru lahir dari ibu yang mengalami COVID – 19, 62,2% dalam kategori normal dan 51,7,2% berat bayi dalam kategori normal
Downloads
References
A. Rialdi Prananda and Agung Ikhssani (2021) ‘Infeksi Covid-19 (Sars-Cov-2) Pada Kehamilaan’, Jurnal Kesehatan Tambusai, 2(2), pp. 1–9.
Amorita, N.A. and Syahriarti, I. (2021) ‘Karakteristik Ibu Hamil dengan Covid-19 dan Luaran Persalinannya di Rumah Sakit Kasih Ibu Surakarta’, Jurnal Kesehatan Reproduksi, 8(1), p. 31. Available at: https://doi.org/10.22146/jkr.63936.
Azab, A.E. et al. (2020) ‘Haematological Changes during Pregnancy: Insight into Anaemia, Leukocytosis, and Thrombocytopenia’, East African Scholars Journal of Medical Sciences, 3(5), pp. 185–192. Available at: https://doi.org/10.36349/EASMS.2020.v03i05.050.
Bangsawan, C.C. (2022) ‘COVID-19 dan Dampak yang Ditimbulkan pada Kehamilan’, Jurnal Kesmas Jambi, 6(1), pp. 15–22. Available at: https://doi.org/10.22437/jkmj.v6i1.17171.
Chen, L. et al. (2020) ‘Clinical Characteristics of Pregnant Women with Covid-19 in Wuhan, China.’, The New England journal of medicine. United States, p. e100. Available at: https://doi.org/10.1056/NEJMc2009226.
Dashraath, P. et al. (2020) ‘Coronavirus disease 2019 (COVID-19) pandemic and pregnancy.’, American journal of obstetrics and gynecology, 222(6), pp. 521–531. Available at: https://doi.org/10.1016/j.ajog.2020.03.021.
Daswati, D. and Nisa, E. (2022) ‘Luaran persalinan yang terkonfirmasi covid-19 di RSUD Labuang Baji Makassar’, Jurnal Riset Kebidanan Indonesia, 6(1), pp. 51–57. Available at: https://doi.org/10.32536/jrki.v6i1.216.
Ding, X. et al. (2020) ‘Dynamic profile and clinical implications of hematological parameters in hospitalized patients with coronavirus disease 2019.’, Clinical chemistry and laboratory medicine, 58(8), pp. 1365–1371. Available at: https://doi.org/10.1515/cclm-2020-0411.
Kemenkes RI (2020) Pedoman pelayanan antenatal, persalinan, nifas, dan bayi baru lahir di Era Adaptasi Baru.
Kementerian Kesehatan RI (2020) ‘Pedoman Pencegahan dan Pengendalian Coronavirus Disease (COVID-19) Revisi ke-5’, Jakarta: Kementerian Kesehatan Indonesia, 5(2), pp. 1–214.
Knight, M. et al. (2020) ‘Characteristics and outcomes of pregnant women admitted to hospital with confirmed SARS-CoV-2 infection in UK: National population based cohort study’, The BMJ, 369. Available at: https://doi.org/10.1136/bmj.m2107.
Kurniawan, R. and Melaniani, S. (2019) ‘Hubungan Paritas, Penolong Persalinan dan Jarak Kehamilan dengan Angka Kematian Bayi di Jawa Timur’, Jurnal Biometrika dan Kependudukan, 7(2), p. 113. Available at: https://doi.org/10.20473/jbk.v7i2.2018.113-121.
Liu, H. et al. (2020) ‘Clinical and CT imaging features of the COVID-19 pneumonia: Focus on pregnant women and children.’, The Journal of infection, 80(5), pp. e7–e13. Available at: https://doi.org/10.1016/j.jinf.2020.03.007.
López, M. et al. (2020) ‘Coronavirus Disease 2019 in Pregnancy: A Clinical Management Protocol and Considerations for Practice.’, Fetal diagnosis and therapy, 47(7), pp. 519–528. Available at: https://doi.org/10.1159/000508487.
Luluk, W.Y. (2020) ‘Karakteristik Gejala Klinis Kehamilan dengan Coronavirus Disease (COVID-19) Pendahuluan’, Jurnal Ilmiah Kesehatan Sandi Husada, 12(2), pp. 726–734. Available at: https://doi.org/10.35816/jiskh.v10i2.397.
Luo, Y. and Yin, K. (2020) ‘Management of pregnant women infected with COVID-19.’, The Lancet. Infectious diseases, 20(5), pp. 513–514. Available at: https://doi.org/10.1016/S1473-3099(20)30191-2.
Martinelli, I. et al. (2020) ‘Pulmonary embolism in a young pregnant woman with COVID-19.’, Thrombosis research. United States, pp. 36–37. Available at: https://doi.org/10.1016/j.thromres.2020.04.022.
Mose, J.C. et al. (2019) ‘Infeksi Covid-19 dalam Kehamilan’, pp. 90–92.
Mugiati ; Rahmayati, E. (2021) ‘Analisis Pelaksanaan Pelayanan Antenatal pada Masa Pandemi Covid-19’, Jurnal Kesehatan, 12(1), pp. 147–155.
Nokhostin, F., Saffarieh, E. and Sharami, S.R.Y. (2020) ‘Investigating the effect of Covid-19 on pregnant women’, Journal of Critical Reviews, 7(7), pp. 1141–1145. Available at: https://doi.org/10.31838/jcr.07.07.209.
Parag Goyal, J.J.C. (2020) ‘C or r e sp ondence Clinical Characteristics of Covid-19 in China’, Clinical Characteristics of Covid-19 in China, 100(1), pp. 1–3.
Polónia-Valente, R. et al. (2020) ‘Vaginal delivery in a woman infected with SARS-CoV-2 - The first case reported in Portugal.’, European journal of obstetrics, gynecology, and reproductive biology. Ireland, pp. 253–254. Available at: https://doi.org/10.1016/j.ejogrb.2020.05.007.
Qalaba, J. and Wardana, G.A. (2021) ‘Karakteristik pasien kebidanan dengan infeksi COVID-19 di Ruang Praja RSUD Wangaya Bali periode Mei - Desember 2020’, Intisari Sains Medis, 12(1), pp. 323–328. Available at: https://doi.org/10.15562/ism.v12i1.984.
Qomar, U.L., Na’mah, L.U. and Yelvin, B.K.D.V.W. (2021) ‘Hubungan Paritas, Umur Dan Usia Kehamilan Dengan Jarak Kunjungan Antenatal Care Trimester Iii Di Masa Pandemi Covid 19 Di Pmb Brida Kitty Dinarum Vwy’, Jurnal Ilmiah Kesehatan Keperawatan, 16(2), pp. 133–136. Available at: https://doi.org/10.26753/jikk.v16i2.512.
Rohmah, M.K. and Nurdianto, A.R. (2020) ‘Corona Virus Disease 2019 (Covid-19) Pada Wanita Hamil Dan Bayi’, Journal of Clinical Medicine, Vol. 7(1A), pp. 329–336.
Ryan, G.A. et al. (2020) ‘Clinical update on COVID-19 in pregnancy: A review article.’, The journal of obstetrics and gynaecology research, 46(8), pp. 1235–1245. Available at: https://doi.org/10.1111/jog.14321.
Wisdayanti, S. and Sulistyowati, S. (2021) ‘Profil Laboratorium Ibu Hamil dengan COVID-19 di Rumah Sakit UNS’, SMedJour, 4(2), pp. 83–87. Available at: https://doi.org/10.13057/smj.v4i2.
Downloads
Published
How to Cite
Issue
Section
License
Copyright notice:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
