Peranan Bidan Desa dalam menangani dan merujuk kasus bayi baru lahir asfiksia di Kabupaten Cirebon

Authors

  • Helwiah Umniyati

https://doi.org/10.33476/jky.v15i3.1072

Keywords:

Asphyxia, neonatal death, midwives, resuscitation

Abstract

Each year 3 million newborns die during the first seven days of life, accounting for 75% of all neonatal deaths. At least 1 million babies die during their first 24 hours of life. Three major causes of neonatal death are infections (pneumonia, diarrhea, and tetanus) 36%, preterm birth 28% and asphyxia 23%. Causes of death vary between the early and late neonatal periods, with deaths caused by preterm birth, asphyxia and congenital defects occur predominantly during the frst week of life and infection is the major cause of neonatal deaths thereafter. In Indonesia based on 2001 Household Health Survey (SKRT 2001) neonatal death caused by asphyxia was 27% which was the second cause of neonatal death after low birth weight. The objective of this study was to learn the role of midwives in handling and referring birth asphyxia in Cirebon District by using qualitative method. The result showed that many people living in villages in Cirebon district did not understand the causes of asphyxia. They thought that babies could not cry because of bad spirit or devil. The midewives were capable of handling the asphyxia babies according to their knowledges obtained from training about asphyxia management. Sometimes however, the midwives encountered some constrains in practice such as low birth weight babies (only 1,4 Kg) and oversize concave cover for resuscitation. Other limiting factors occurred when the midwives would like to refer the babies to the hospital. The families might refuse with some reasons such as, no trust in the medical staff, shortage of money or difficulty in finding transportation.  Lack of incubator in the hospital was also another obstacle.

References

Alisjahbana A, Soeroto-Hamzah E, Peeters R, Meheus A 1990. Perinatal Mortality and Morbidity in Rural West Java, Indonesia Part II: The result of Longitudinal Survey on Pregnant Women, Pediatrict Indonesia, vol 30, no 7-8, Jul-Aug, p 179-190.

Beck D, Ganges F, Goldman S, Long P 2004. Care of the Newborn, Reference Manual, Save the Children Federation.

Darmstadt GL 2002. Current Program Issues, Journal of Perinatology No 22, p S5-S9

Departemen Kesehatan RI 2001. Rencana Strategis Nasional Making Pregnancy Safer (MPS) di Indonesia 2001-2010

Departemen Kesehatan RI 2004. Manajemen Asfiksia Bayi Baru Lahir untuk Bidan, Buku acuan, Proyek upaya Kelangsungan Hidup Bayi Baru Lahir di Kabupaten Cirebon

Djaja S, Soemantri S 2003. Penyakit penyebab kematian bayi baru lahir (neonatal) dan sistem pelayanan kesehatan yang berkaitan di Indonesia, SKRT 2001, Bulletin penelitian Kesehatan Badan Penelitian dan Pengembangan Kesehatan, Departemen Kesehatan RI, vol 3, No 3, p 155-165

Kumar V 2002. Improving Neonatal Health in South East Asia Region: Resuscitation of Newborn in the Community and Maternity Facilities, Report of a Regional Consultation, New Delhi, India.

Lawn JE, Cousens S, Bhutta ZA, et al 2004. Why are 4 million newborn babies dying each year? Lancet 364: 399-401

Moleong LJ 2002. Metode penelitian Kualitatif, PT Remaja Rosdakarya, Bandung

Morse JM, Field PA 1995. Qualitative Research Methods for Health Professionals, Second Edition, Sage Publications; 80-81

Moss W, Darmstadt GL, Marsh DR, Black RE and Santosham M 2002. Research Priorities for the Reduction of Perinatal and Neonatal Morbidity and Mortality in Developing Country Communities Journal of Perinatology 22, 6, P 484-495

McDemott J, Achadi E, Zahri A 1999. Survey Profil Bidan di Desa (BdD) Seri Laporan Mother Care Indonesia No 05

McDemott J 1999. Register Bidan di Desa, Seri Laporan Mother Care Indonesia No 07

Ronsmans C, Achadi E, Zahri A 1999. Peningkatan Pemanfaatan Penolong Persalinan Terlatih, Seri Laporan Mother Care Indonesia No 12

The World Bank Group 2006 Disease Control Priorities Project online pada http://www.ncbi.nlm.nih

Troedsson H, Martines J 2002. Introduction to the meeting, Journal of Perinatology 22, S5-S9

WHO 1997. Strengthening Nursing and Midwifery, A Global Study

WHO, Managing newborn problems: A guide for doctors, nurses and midwives. Department of Reproductive Health and Research (RHR), World Health Organization

Zupan J 2002. Burden and Determinants of Perinatal and Neonatal Mortality, Perinatal and Neonatal Health Interventions Research, Journal of Perinatology No22, p S5-S9

Zupan J, Aahman E 2005. Perinatal Mortality for the Year 2000 Estimates Developed by WHO, Geneva, World Health Organization.

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Published

2019-11-27

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Section

Research Articles