Analisis Faktor-Faktor yang Berhubungan dengan Kejadian Asfiksia Neonatorum di Rumah Sakit Umum Daerah Sukadana Lampung Timur Tahun 2025

  • Ummi Isnayati S Universitas Aisyah Pringsewu, Lampung
  • Feri Kameliawati Universitas Aisyah Pringsewu
  • Rini Palupi Universitas Aisyah Pringsewu
  • Ani Kristianingsih Universitas Aisyah Pringsewu
Keywords: Birth weight, Gestational age, History of delivery, Maternal age, Maternal body weight, Neonatal asphyxia, Parity

Abstract

Neonatal asphyxia is one of the leading causes of neonatal mortality worldwide, including in Indonesia. Based on WHO data in 2023, asphyxia accounted for approximately 23% of all global neonatal deaths. This study aimed to identify factors associated with the incidence of neonatal asphyxia at the Sukadana General Hospital, East Lampung, including maternal age, maternal body weight, parity, gestational age, history of delivery, and birth weight. This research employed a quantitative method with a cross-sectional design. The research population consisted of all infants born at Sukadana General Hospital during 2024, totaling 220 infants, all of whom were included as samples using a total sampling technique. Data were collected from medical records and analyzed using the Chi-Square (χ²) test to determine the correlation between independent and dependent variables. The results showed significant correlation between maternal body weight (p = 0.001), gestational age (p = 0.001), history of delivery (p = 0.001), and birth weight (p = 0.001) with the genesis of neonatal asphyxia. Infants with low birth weight, preterm gestational age, mothers with abnormal body weight, and a history of complicated delivery had a higher risk of experiencing asphyxia. In contrast, maternal age (p = 0.198) and parity (p = 0.171) did not show a significant correlation with the genesis of neonatal asphyxia. It is expected that healthcare workers can improve the quality of antenatal care (ANC), conduct early screening of risk factors, and strengthen neonatal resuscitation skills to reduce the incidence of neonatal asphyxia.

References

Adugna, D. G., & Worku, M. G. (2022). Maternal and neonatal factors associated with low birth weight among neonates delivered at the University of Gondar comprehensive specialized hospital, Northwest Ethiopia. Frontiers in Pediatrics, 10(August), 1–9. https://doi.org/10.3389/fped.2022.899922
Amallia, S., Wulandari, F., Bebasari, E., Rizka, F., Ratmawati, L. A., Sulistyorini, D., & Postpartum, P. (2020). Faktor-faktor yang berhubungan dengan kejadian asfiksia neonatorum. Jurnal Ilmiah Bidan, 3(2), 28-38. Jurnal Penelitian Dan Kajian Ilmiah Kesehatan Politeknik Medica Farma Husada Mataram, 6(2), 26–31. www.lppm-mfh.com
Bayih, A;, W., Tezera, T. G., Alemu, A. Y., & Belay, Desalegn M; Hailemeskel, Hiwot S; Ayalew, M. Y. (2021). Prevalence and determinants of asphyxia neonatorum among live births at Debre Tabor General Hospital, North Central Ethiopia: A cross-sectional study. African Health Sciences, 21(1), 385–396. https://doi.org/10.4314/ahs.v21i1.49
Darmstadt, G. L. ., Kinney, M. V. ., Chopra, M. ., Cousens, S. ., Kak, L. ., Paul, V. K. ., & Lawn, J. E. (2020). Global perinatal and neonatal mortality: A review and update. Seminars in Perinatology, 44(6), 151321.
Dinas Kesehatan Provinsi Lampung. (2024). Profil Kesehatan Provinsi Lampung Tahun 2023.
Fikadu, Belachew, T. ., & T.; Admassu, B. (2020). Maternal overweight and obesity and neonatal outcomes in Ethiopia: A prospective cohort study. PLOS ONE, 15(3), e0230901.
Helmi, M. (2020). Pedoman Resusitasi Neonatal.Bandung: Refika Aditama.
IDAI, I. D. A. I. (2022). Pedoman nasional tata laksana asfiksia neonatorum. https://www.idai.or.id/professional-resources/pedoman-konsensus/pedoman-nasional-pelayanan-kedokteran-tata-laksana-asfiksia
Kemenkes RI. (2020). Pedoman Pelayanan Neonatal Esensial Stabil di Fasilitas Kesehatan Dasar. Jakarta : Kemenkes RI.
Kemenkes RI. (2022). Profil Kesehatan Indonesia Tahun 2022. Kementerian Kesehatan Republik Indonesia. https://www.kemenkes.go.id/downloads/resources/download/pusdatin/profil-kesehatan-indonesia/Profil-Kesehatan-2021.pdf
kepmenkes RI. (2019). Keputusan Menteri Kesehatan Republik Indonesia Nomor HK.01.07/MENKES/214/2019 tentang Pedoman Nasional Pelayanan Kedokteran Tata Laksana Asfiksia.
Kurnia, B., Suryawan, I. W. B., & Sucipta, A. A. M. (2020). Faktor yang mempengaruhi kejadian asfiksia neonatorum di RSUD Wangaya Kota Denpasar. Intisari Sains Medis, 11(1), 378–381. https://doi.org/10.15562/ism.v11i1.548
Kurniawati, D.; Utami, S. ., & Dewi, R. K. (2021). Hubungan Status Gizi Ibu Hamil dengan Kejadian Asfiksia Neonatorum. Jurnal Kebidanan Malahayati, 7(1), 34–41.
Li, Z., J.; Wang, Q., & Zhang, Y. (2021). Associations between low birth weight and perinatal asphyxia: A hospital-based study. Journal of Neonatal Medicine, 45(3), 245–251.
Lydia Lestari, D. (2024). Asfiksia Neonatorum. Scientific Journal, 3(1), 08–15. https://doi.org/10.56260/sciena.v3i1.124
Melani, S. C., Astuti, D. P., & Jayanti, K. (2025). Berat badan lahir dan hubungannya dengan kejadian asfiksia pada bayi baru lahir di rs puspa husada kabupaten bekasi jawa barat. 30–37.
Notoatmodjo, S. (2018). Metodologi Penelitian.Jakarta: Rineka Cipta.
Notoatmodjo, S. (2019). Metodologi Penelitian. Jakarta : Rineka Cipta.
Portiarabella, P., Wardhana, A. W., & Pratiningrum, M. (2021a). Faktor-faktor yang Mempengaruhi Asfiksia Neonatorum: Suatu Kajian Literatur. Jurnal Sains Dan Kesehatan, 3(3), 538–543. ”https://doi.org/10.25026/jsk.v3i3.413”
Portiarabella, P., Wardhana, A. W., & Pratiningrum, M. (2021b). Faktor-faktor yang Mempengaruhi Asfiksia Neonatorum. Jurnal Sains Dan Kesehatan, 3(3), 538–543. https://doi.org/10.25026/jsk.v3i3.413
Rahman, A. ., Sari, L. ., & Putra, B. (2022). Kerangka Konsep dalam Penelitian Pendidikan. Jurnal Penelitian Pendidikan, 10(3), 45–57.
Reflisiani, D., & Wijayanti, R. U. (2023). Hubungan Berat Bayi Lahir Rendah (BBLR) Dengan Kejadian Asfiksia Di Wilayah Kerja Puskesmas Cileungsi Kabupaten Bogor. JMHSA: Journal of Midwifery and Health …, February, 2012–2016. https://jmhsa.id/index.php/jmhsa/article/view/32
Sampurna, M. T. A. (2023). Buku Ajar Kegawatdaruratan Neonatal. Airlangga University Press.
Santoso. (2021). Metodologi Penelitian Kuantitatif.Jakarta : Prenadamedia Group.
Sari, E. K., Sinaga, K., Surbakti, I. S., & Sinaga, A. (2025). Faktor-Faktor yang Mempengaruhi Kejadian Asfiksia Neonatorum di RSUD DR Tengku Mansyur Kota Tanjung Balai Tahun 2023. 3, 21–35.
Sinaga, H. (2019). Asuhan Neonatus, Bayi, Balita, dan Anak Pra Sekolah.Jakarta :EGC.
Sugiyono. (2020). Metode Penelitian Kuantitatif, Kualitatif, dan R&D.Bandung : Alfabeta.
WHO. (2020). Standards for improving quality of care for small and sick newborns in health facilities. https://www.who.int/publications/i/item/9789240010765
WHO. (2023). Newborn mortality. https://www.who.int/news-room/fact-sheets/detail/newborns-reducing-mortality
WHO. (2024). Perinatal asphyxia. https://www.who.int/teams/maternal-newborn-child-adolescent-health-and-ageing/newborn-health/perinatal-asphyxia
Published
2026-05-30
Abstract viewed = 2 times
PDF downloaded = 1 times