abstrak perbandingan karakteristik ibu dan luaran perinatal

v

ABSTRAK

PERBANDINGAN KARAKTERISTIK IBU DAN LUARAN PERINATAL

PADA PRESENTASI SUNGSANG ANTARA PERSALINAN

PERVAGINAM DAN PERSALINAN PERABDOMINAM DI RSUD

CIBABAT PERIODE JANUARI 2015-DESEMBER 2016

Nabila Mazaya Putri, 2017

Pembimbing I : Rimonta F. Gunanegara, dr., SpOG., M.Pd.Ked.

Pembimbing II : Dani, dr., M.Kes.

Presentasi sungsang merupakan letak memanjang dengan bokong sebagai

bagian terendah. Penyebab terjadinya presentasi sungsang tidak diketahui, tetapi

terdapat beberapa faktor risiko selain prematuritas, yaitu abnormal struktur uterus,

polihidramnion, plasenta previa, multiparitas, mioma uteri, kehamilan multiple,

anomali janin (anensefali, hidrosefalus), dan riwayat presentasi bokong

sebelumnya. Tujuan penelitian ini untuk mengetahui perbandingan karakteristik

dan luaran antara metode pervaginam dengan perabdominam di RSUD Cibabat

Kota Cimahi periode Januari 2015-Desember 2016. Metode penelitian ini

menggunakan metode studi analitik observasional yang diambil secara

retrospektif dibagian data rekam medik pasien sungsang. Analisis data

menggunakan Chi-square (α=0,05). Hasil penelitian menunjukkan bahwa tidak

terdapat adanya perbedaan yang signifikan pada usia ibu, riwayat paritas, berat

badan lahir bayi dan ada atau tidaknya komplikasi pada bayi sungsang secara

statistik. Kesimpulannya adalah tidak terdapat adanya perbedaan yang signifikan

antara karakteristik ibu dan luaran bayi dengan jenis persalinan pada presentasi

sungsang.

Kata kunci: letak sungsang, persalinan, pervaginam, perabdominam, RSUD

Cibabat Cimahi.

Universitas Kristen Maranatha

vi

ABSTRACT

THE COMPARATION OF CHARACTERISTICS AND PERINATAL

OUTCOME IN BREECH PRESENTATION BETWEEN VAGINAL AND

CESAREAN DELIVERY AT CIBABAT GENERAL HOSPITAL IN CIMAHI

PERIOD JANUARY 2015-DECEMBER 2016

Nabila Mazaya Putri, 2017

1st Tutor : Rimonta Febby Gunanegara, dr., Sp.OG., M.Pd.Ked.

2nd

Tutor : Dani, dr., M.Kes.

Breech presentation is a situation in which buttock comes as the lowest part.

The cause of breech presentation is unknown, but there are some risk factors

besides prematurity such as structural abnormality of the uterus, polyhydramnion,

placenta previa, multiparity, uterine myoma, multiple pregnancy, fetal anomalies

(anencephaly, hydrocephalus), and previous history of breech presentation. This

study aimed to determine the comparison of characterictics and perinatal

outcome between vaginal delivery and sectio caesaria toward breech presentation

in Cibabat General Hospital in Cimahi City period January 2015-December

2016. This research used an observational analytic method. Retrieving data were

retrospectively from data obtained from medical record of breech presentation

patient. Data acquired were analyzed using Chi Square test (α=0,05). It shows

that there were no significant difference in maternal age, parity history and birth

weight and with or without complications in breech infants statistically. The

conclusion is there were no significant difference between maternal

characteristics and outcomes with birth-type breech births.

Keywords: breech presentation, vaginal delivery, sectio caesarea, Cibabat

Hospital


ix

DAFTAR ISI

LEMBAR PERSETUJUAN.................................................................................. i

SURAT PERNYATAAN ....................................................................................... i

ABSTRAK .............................................................................................................. i

ABSTRACT ............................................................................................................. i

KATA PENGANTAR ............................................................................................ i

DAFTAR ISI ........................................................................................................... i

DAFTAR TABEL .................................................................................................. i

DAFTAR LAMPIRAN .......................................................................................... i

DAFTAR GAMBAR .............................................................................................. i

BAB I PENDAHULUAN ...................................................................................... 1

1.1 Latar Belakang .............................................................................................. 1

1.2 Identifikasi Masalah ...................................................................................... 1

1.3 Maksud dan Tujuan Penelitian ...................................................................... 1

1.4 Manfaat Karya Tulis Ilmiah .......................................................................... 1

1.4.1 Manfaat Praktis ....................................................................................... 1

1.4.2 Manfaat Akademis .................................................................................. 1

1.5 Kerangka Pemikiran ...................................................................................... 1

1.6 Hipotesis Penelitian ....................................................................................... 1

BAB II TINJAUAN PUSTAKA ........................................................................... 1

2.1 Presentasi Sungsang ...................................................................................... 1

2.1.1 Definisi.................................................................................................... 1

2.1.2 Insidensi dan Epidemiologi .................................................................... 1

2.1.3 Klasifikasi ............................................................................................... 1

2.1.4 Etiologi.................................................................................................... 1

2.1.5 Patofisiologi ............................................................................................ 1

2.1.6 Diagnosis ................................................................................................ 1

2.1.7 Pemeriksaan Penunjang .......................................................................... 1

2.2 Persalinan Sungsang ...................................................................................... 1

2.2.1 Persalinan Sungsang Pervaginam ........................................................... 1

2.2.2 Persalinan Sungsang Perabdominam ...................................................... 1


x

2.3 Luaran Perinatal ............................................................................................ 1

2.4 Resusitasi Neonatus ....................................................................................... 1

2.4.1 Hubungan Cara Persalinan Letak Sungsang dengan Kejadian Asfiksia

Neonatorum ..................................................................................................... 1

2.5 Profil Rumah Sakit ........................................................................................ 1

BAB III ALAT DAN METODE PENELITIAN ................................................ 1

3.1 Alat Penelitian dan Bahan Penelitian ............................................................ 1

3.2 Rancangan Penelitian .................................................................................... 1

3.2.1 Desain Penelitian .................................................................................... 1

3.2.2 Variabel Penelitian .................................................................................. 1

3.2.3 Definisi Operasional ............................................................................... 1

3.3 Instrumen Penelitian ...................................................................................... 1

3.5 Kriteria Sampel Penelitian ............................................................................. 1

3.5.1 Kriteria Inklusi ........................................................................................ 1

3.5.2 Kriteria Eksklusi ..................................................................................... 1

3.6 Prosedur Kerja ............................................................................................... 1

3.8 Lokasi dan Waktu Penelitian ......................................................................... 1

3.9 Hipotesis Statistik dan Kriteria Uji ............................................................... 1

3.10 Etika Penelitian ............................................................................................ 1

BAB IV HASIL DAN PEMBAHASAN .............................................................. 1

4.1 Hasil Penelitian .............................................................................................. 1

4.2 Hasil Analisis Data ........................................................................................ 1

BAB V SIMPULAN DAN SARAN ...................................................................... 1

5.1 Simpulan ........................................................................................................ 1

5.2 Saran .............................................................................................................. 1

DAFTAR PUSTAKA ............................................................................................ 1

LAMPIRAN ........................................................................................................... 1

RIWAYAT HIDUP ............................................................................................... 1


xi

DAFTAR TABEL

Tabel 2.1 Sistem Penilaian APGAR ..................................................................... 16

Tabel 4.1 Presentasi Sungsang Berdasarkan Usia Ibu Terhadap Jenis Persalinan di

RSUD Cibabat Kota Cimahi Tahun 2015-2016 ................................................... 25

Tabel 4.2 Presentasi Sungsang Berdasarkan Riwayat Paritas Ibu Terhadap Jenis

Persalinan di RSUD Cibabat Kota Cimahi Tahun 2015-2016 ............................. 26

Tabel 4.3 Presentasi Sungsang Berdasarkan Komplikasi Terhadap Jenis


Tabel 4.3.1 Distribusi Frekuensi Presentasi Sungsang Berdasarkan Komplikasi

Terhadap Jenis Persalinan di RSUD Cibabat Kota Cimahi Tahun 2015-2016 .... 27

Tabel 4.4 Presentasi Sungsang Berdasarkan Nilai APGAR Terhadap Jenis


Tabel 4.5 Presentasi Sungsang Berdasarkan Berat Badan Lahir Bayi Terhadap

Jenis Persalinan di RSUD Cibabat Kota Cimahi Tahun 2015-2016 .................... 28


xii

DAFTAR LAMPIRAN

Lampiran 1 Aspek Etik Penelitian ....................................................................... 36

Lampiran 2 Surat Ijin Penelitian .......................................................................... 37

Lampiran 3 Surat Ijin KASBANGPOL ............................................................... 38

Lampiran 4 Data Rekam Medis ........................................................................... 39

Lampiran 5 Uji Chi-square .................................................................................. 42


xiii

DAFTAR GAMBAR

Gambar 1.1 Kerangka Pemikiran ........................................................................... 5

Gambar 2.1 Algoritma Resusitasi Neonatus ........................................................ 17


abstrak perbandingan karakteristik ibu dan luaran perinatal

Documents