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ANALISIS LUARAN MATERNAL DAN PERINATAL PADA IBU HAMIL TERINFEKSI COVID-19 Studi Kasus di RSUP Dr. Kariadi Kota Semarang Periode Tahun 2021

NINGSIH, Sri Wahyuni and Suhartono, Suhartono and Laksono, Budi (2023) ANALISIS LUARAN MATERNAL DAN PERINATAL PADA IBU HAMIL TERINFEKSI COVID-19 Studi Kasus di RSUP Dr. Kariadi Kota Semarang Periode Tahun 2021. Masters thesis, UNIVERSITAS DIPONEGORO.

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Abstract

Latar belakang. Ibu hamil merupakan kelompok yang paling rentan terinfeksi COVID-19. Wanita yang sedang hamil mengalami perubahan pada tubuh dan imunitasnya sehingga dapat berisiko terhadap infeksi COVID-19. Kehamilan dengan infeksi COVID-19 dapat menyebabkan morbiditas dan mortalitas maternal serta perinatal. Namun belum dilakukan analisis lebih lanjut mengenai hubungan infeksi COVID-19 dengan luaran maternal dan perinatal pada ibu hamil.
Tujuan. Menganalisis luaran maternal dan perinatal pada ibu hamil terinfeksi COVID-19 dan tanpa COVID-19 di RSUP Dr. Kariadi Kota Semarang. Metode. Penelitian ini menggunakan studi kohort retrospektif dan pengambilan sampelnya menggunakan metode consequtive sampling. Populasi kasus dalam penelitian ini adalah Ibu hamil yang terinfeksi COVID-19 sedangkan populasi kontrolnya adalah ibu hamil tidak terinfeksi COVID-19 yang memiliki rekam medik pada periode Januari-Desember 2021. Sampel terdiri dari 100 ibu hamil terinfeksi COVID-19 dan 100 ibu hamil tanpa COVID-19. Analisis data menggunakan Uji Chi Square, kemudian dilanjutkan dengan Multivariate Regresi Logistik.
Hasil. Dari hasil analisis statistik, didapatkan bahwa infeksi COVID-19 memiliki hubungan signifikan dengan kejadian luaran maternal adalah Sectio Caesaria (p=0,001; RR=2,00, 95% CI 1,411 – 2,836), ARDS (p=0,005; RR=6,50, 95% CI 1,506-28,064) admisi ICU (p=0,005; RR=6,50, 95% CI 1,506-28,064) dan Mortalitas Maternal (p=0,003; RR=12,00, 95% CI 1,590–90,557). Sedangkan luaran perinatal tidak ada yang berhubungan dengan infeksi COVID-19.
Kesimpulan. COVID-19 berisiko terhadap luaran maternal dan perinatal pada ibu hamil sehingga dibutuhkan pemeriksaan kesehatan ibu hamil secara rutin dan peningkatkan protokol kesehatan untuk mencegah terjadinya penularan.
Kata kunci: COVID-19, Ibu Hamil, Luaran Maternal, Luaran Perinatal

Background. Pregnant women are the group most vulnerable to being infected with COVID-19. Women who are pregnant experience changes in their body and immunity so they may be at risk of COVID-19 infection. Pregnancy with COVID-19 infection can cause maternal and perinatal morbidity and mortality. However, further analysis has not been carried out regarding the relationship between COVID-19 infection and maternal and perinatal outcomes in pregnant women.
Objective. Analyzing maternal and perinatal outcomes in pregnant women infected with COVID-19 and without COVID-19 at RSUP Dr. Kariadi Semarang City. Method. This research uses a retrospective cohort study and the sample collection uses the consecutive sampling method. The case population in this study is pregnant women infected with COVID-19, while the control population is pregnant women not infected with COVID-19 who have medical records for the period January-December 2021. The sample consists of 100 pregnant women infected with COVID-19 and 100 pregnant women without COVID-19. Data analysis used the Chi Square Test, then continued with Multivariate Logistic Regression.
Results. From the results of statistical analysis, it was found that COVID-19 infection had a significant relationship with the incidence of maternal outcomes, namely Sectio Caesaria (p=0.001; RR=2.00, 95% CI 1.411 – 2.836), ARDS (p=0.005; RR=6, 50, 95% CI 1.506-28.064) ICU admission (p=0.005; RR=6.50, 95% CI 1.506-28.064) and Maternal Mortality (p=0.003; RR=12.00, 95% CI 1.590–90.557) . Meanwhile, there were no perinatal outcomes related to COVID-19 infection.
Conclusion. COVID-19 poses a risk to maternal and perinatal outcomes in pregnant women, so routine health checks for pregnant women and increased health protocols are needed to prevent transmission.
Keywords: COVID-19, Pregnant Women, Maternal Outcome, Perinatal Outcome

Item Type: Thesis (Masters)
Uncontrolled Keywords: COVID-19, Ibu Hamil, Luaran Maternal, Luaran Perinatal
Subjects: Public Health
Divisions: Postgraduate Program > Master Program in Epidemiology
Depositing User: ekana listianawati
Date Deposited: 21 Nov 2023 02:19
Last Modified: 21 Nov 2023 02:19
URI: https://eprints2.undip.ac.id/id/eprint/18147

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