Risk factors for the incident of respiratory distress syndrome in neonates at the Regional General Hospital of Buleleng District, 2020

Kadek Ayu Suarmini, Putu Sukma Megaputri, Ni Komang Susiana, Luh Ayu Purnami

Abstract


Background : The main causes of death in neonates are complications of pregnancy and childbirth, such as asphyxia, sepsis and low birth weight complications. Respiratory Distress Syndrome (RDS) is a condition related to the respiratory system of neonates. The large number of RDS cases is one of the highest causes of death in neonates.

Objectives: The aim of this study is to determine the risk factors for the incidence of RDS at Buleleng District Hospital, especially in premature neonates in 2020.

Methods: This research method uses a retrospective cohort study. Where the data was taken using secondary data in the NICCU room at Buleleng Regional Hospital. The independent variables included are the characteristics of the neonate including gestational age, history of hypertension experienced by the mother during pregnancy, birth weight, history of premature rupture of membranes, history of asphyxia experienced during the birth process. The dependent variable in this study was the incidence of RDS in neonates. The sample included in this research was 64 mothers who gave birth at the Buleleng District Hospital in 2020. This research used univariate analysis to assess the frequency distribution of each variable, then continued using bivariate analysis to determine the variables that were included in the multivariate analysis. Multivariate analysis was carried out computerized using logistic regression

Results: The results of this study found that there were 2 risk factors that directly increased the incidence of RDS in neonates including premature gestational age with a value of p 0.01 (19.8, 95% CI 1.8-133.7, low birth weight ( 2.9, 95% CI 1.9-8.4).

Conclusions: The conclusion is that there are 2 risk factors that are associated and increase the incidence of RDS in neonates, namely premature gestational age and low birth weight.


Keywords


respiratory distress syndrome; risk_factors; neonates

References


SDKI. Survei Demografi Kesehatan Indonesia (SDKI). Jakarta; 2017.

Kementrian Kesehatan RI. Laporan Akuntabilitas Kinerja Instansi Pemerintah (LAKIP) Direktorat Gizi dan Kesehatan Ibu dan Anak Tahun Anggaran 2022. 2022;1–35.

Somantri I. Asuhan Keperawatan Gangguan Klien dengan Gangguan Sistem Pernafasan (Edisi 2). Jakarta: Salemba Medika; 2009.

Efriza, UM P, YH G. Gambaran Faktor Risiko Respiratory Distress Syndrome Pada Neonatus Di Rsup Dr M. Djamil Padang. Health Jurnal Inovasi Riset Ilmu Kesehata. 2022;1(2):73–80. doi : https://doi.org/10.51878/healthy.v1i2.1064

Bayu KM, Wayan WNA. Hubungan antara Diabetes Melitus Gestasional dan Berat Badan Lahir dengan Kejadian Respiratory Distress Syndrome (RDS) pada Neonatus di RSUD Abdul Wahab Sjahranie Samarinda. Borneo Studies Research [Internet]. 2020;1(3):2020. Available from: https://journals.umkt.ac.id/index.php/bsr/article/view/944

Wahyuni S, Wiwin NW. Hubungan Usia Ibu dan Asfiksia Neonatorum dengan Kejadian Respiratory Distress Syndrome (RDS) pada Neonatus Di Rsud Abdul Wahab Sjahranie Samarinda. Borneo Studies Research. 2020;1(3):1824–33.

Oktavianty A, Asthiningsih NWW. Hubungan Usia Gestasi , Paritas dan Kehamilan Ganda dengan Kejadian Respiratory Distress Sindrome ( RDS ) pada Neonatus di RSUD Abdul Wahab Sjahranie. Borneo Studies Research [Internet]. 2020;1(3):1791–8. Available from: https://journals.umkt.ac.id/index.php/bsr/article/view/936

Gomella T, Cunningham M, Eyal F. Neonatology. 25th ed. United State of America: McGraw-Hill Education Companies; 2013. 834–839 p.

Hockenberry, Marilyne J, Wilson D. Essentials of Pediatric Nursing. Amerika: Elsevier; 2013.

Agrina MF, Toyibah A, Jupriyono. Tingkat Kejadian Respiratory Distress Syndrome (RDS) Antara BBLR Preterm Dan BBLR Dismatur. Jurnal Informasi Kesehatan Indonesia. 2016;3(2):125–31.

Rogayah. Faktor-Faktor yang Berhubungan dengan Kejadian Respiratory Distress Sindrome pada Neonatus di Rumah Sakit Umum Daerah Palembang Bari Periode 2013-2014. Palembang; 2016.

Abdel Baseer KA, Mohamed M, Abd-Elmawgood EA. Risk factors of respiratory diseases among neonates in neonatal intensive care unit of Qena University Hospital, Egypt. National Library of Medicine. 2020;86(1):1–9. doi : https://doi.org/10.5334/aogh.2739

Niesłuchowska-Hoxha A, Cnota W, Czuba B. A Retrospective Study on the Risk of Respira- tory Distress Syndrome in Singleton Pregnancies with Preterm Premature Rupture of Membranes between 24+0 and 36+6 Weeks, Using Regres- sion Analysis for Various Factors. BioMed Researh Internasional. 2018;Oktober. doi : https://doi.org/10.1155/2018/7162478

Odom M, Snyder J, Mendlson C. Odom MJ, Snyder JM, Mendlson CR. Adenosine 3’, 5’ monophosphate analogs and beta-adrenergic agonist induce the synthesis of the major surfactant apoprotein in human fetal lung in vitro. Endocrinology. 2022;121:1155–63. doi : https://doi.org/10.1210/endo-121-3-1155

Sukarta NKY, Wati DK, Cempaka PMVP, Witarini KA, Setyorini A, Mayangsari M. Prevalensi dan Karakteristik Bayi dengan Sindrom Gawat Napas di Unit Perawatan Intensif Neonatus RSUP Sanglah Tahun 2020. Jurnal Medika Udayana. 2023;12(8):2–5. doi : https://doi.org/10.24843/MU.2023.V12.i08.P10

Eliza E, Nuryani D., Rosmiyati R. Determinan Persalinan Prematur di RSUD Dr. Abdul Moeloek. Jurnal Kesehatan. 2017;8(2). doi : https://doi.org/10.26630/jk.v8i2.491

Iktriasih. Hubungan Usia Gestasi Dan Berat Badan Lahir Dengan Kejadian Respiratory Distress Syndrome Pada Neonatus di RSUD Ra Basoeni Kabupaten Mojokerto. Mojokerto. Repository STIKES Majapahit. 2022.

Laksono B. Asuhan Keperawatan Pada By Ny R dengan Diagnosa Medis BBLR + RDS di NICU Sentral RSPAL Dr. Ramelan Surabaya. Surabaya. Repository STIKES Hang Tuah Surabaya. 2022.

Alfarwati TW, Alamri AA, Alshahrani MA, Al-Wassia H. Incidence, Risk factors and Outcome of Respiratory Distress Syndrome in Term Infants at Academic Centre, Jeddah, Saudi Arabia. Med Arch (Sarajevo, Bosnia Herzegovina). 2019;73(3):183–6.

Queensland Clinical Guidelines. Respiratory Distress and CPAP. Queensland; 2020.




DOI: http://dx.doi.org/10.21927/jnki.2024.12(1).%25p

Refbacks

  • There are currently no refbacks.


Jurnal Ners dan Kebidanan Indonesia (JNKI) indexed by:

      

Lisensi Creative Commons

  View My Stats