The Relation Of Delivery Type With The Incident Of Hyperbilirubinemia On Newborn Infant
Authors: Handayani Maryamah Eka Prapti , Kurniati Citra Hadi 
Published: April 2024

Latar Belakang: Salah satu faktor maternal yang menyebabkan hiperbilirubinemia yaitu jenis persalinan. Persalinan merupakan proses pengeluaran janin yang dapat hidup di luar kandungan melalui jalan lahir atau perut. Jenis persalinan terdiri dari persalinan patologis dan persalinan normal. Beberapa hari kehidupan di usia 0-28 hari yang mengalami perubahan besar dari dalam rahim ke luar rahim disebut bayi baru lahir. Peningkatan kadar bilirubin pada bayi baru lahir >5 mg/dl akan menyebabkan hiperbilirubinemia.Tujuan: Mengetahui hubungan jenis persalinan dengan kejadian hiperbilirubinemia pada bayi baru lahir di RSIA Bunda Arif Purwokerto.Metode: Penelitian ini merupakan penelitian survei analitik dengan pendekatan retrospektif. Teknik pengambilan sampel purposive sampling dengan jumlah sampel 89 bayi baru lahir dengan hiperbilirubinemia. Instrumen penelitian menggunakan lembar cheklist. Analisis data menggunakan uji korelasi lambda dan uji chi square.Hasil: Hasil penelitian menunjukkan jenis persalinan pada bayi baru lahir di RSIA Bunda Arif Purwokerto sebanyak 52,8% mengalami persalinan patologis. Kejadian hiperbilirubinemia pada bayi baru lahir di RSIA Bunda Arif Purwokerto sebanyak 36% mengalami hiperbilirubinemia dalam kategori derajat V. Ada hubungan persalinan patologis terhadap kejadian hiperbilirubinemia pada bayi baru lahir di RSIA Bunda Arif Purwokerto dengan kekuatan sedang nilai p-value sebesar 0.0001 (p-value < α) dan lambda (λ) 0.576.Kesimpulan: Jenis persalinan memiliki hubungan yang sedang dengan kejadian hiperbilirubinemia pada bayi baru lahir. Kata Kunci: Jenis Persalinan, Hiperbilirubinemia, Bayi Baru Lahir ABSTRACT Background: One of the maternal factors that cause hyperbilirubinemia is the type of delivery. Labor is the process of expelling a fetus that can live outside the womb through the birth canal or stomach. The type of delivery consisted of pathological delivery and normal delivery. A few days of life at the age of 0-28 days that undergo major changes from inside the womb to outside the womb are called newborns. Increased bilirubin levels in newborns > 5 mg/dl will cause hyperbilirubinemia.Objective: To determine the relationship between type of delivery and the incidence of hyperbilirubinemia in newborns at RSIA Bunda Arif Purwokerto. Methods: This study is an analytic survey study with a retrospective approach. The sampling technique was purposive sampling with a total of 89 newborns with hyperbilirubinemia. The research instrument used a checklist sheet. Data analysis using lambda correlation test and chi square test. Results: The results showed that 52.8% of newborns at RSIA Bunda Arif Purwokerto experienced pathological delivery. The incidence of hyperbilirubinemia in newborns at RSIA Bunda Arif Purwokerto was 36% experiencing hyperbilirubinemia in the grade V category. There is a relationship between pathological delivery and the incidence of hyperbilirubinemia in newborns at RSIA Bunda Arif Purwokerto with a moderate strength p-value of 0.0001 (p-value < ) and lambda (λ) 0.576. Conclusion: Type of delivery has a moderate relationship with the incidence of hyperbilirubinemia in newborns. Keywords: Type of Delivery, Hyperbilirubinemia, Newborn