Pengaruh Asfiksia terhadap Ukuran Kepala Anak Usia 6 Bulan - 2 Tahun di Rumah Sakit Umum Provinsi Nusa Tenggara Barat

https://doi.org/10.22146/jkr.37941

Melati Inayati Albayani(1*), Djauhar Ismail(2), Mei Neni Sitaresmi(3)

(1) STIKES Yarsi Mataram
(2) Departemen Ilmu Kesehatan Anak, FK-KMK, UGM
(3) Departemen Ilmu Kesehatan Anak, FK-KMK, UGM
(*) Corresponding Author

Abstract


Background: In developing countries is estimated at about 120 million babies born asphyxiated at birth. Among these who can survive 20% to 30% had mental disorder, cerebral palsy or developmental abnormality due to the small size of head circumference (microcephaly).

Objective: To determine the effect of asphyxia on the head circumference size of children age 6 months - 2 years.

Method: A matched case-control study design was conducted from May – June 2014. The population of the study was all children age 6 months - 2 years who visited the Growth development clinic of General Hospital of West Nusa Tenggara Province. The cases were children who have microcephaly and the controls were children with normocephaly. From sample size which was calculated by hypothesis testing two populations proportions are obtained a sample of 72 respondents with 36 cases and 36 controls. Bivariate analysis used chi-square (χ2) McNemar and multivariable analysis with logistic regression (conditional logistic regression) with a significance level of p <0.05 and 95% confidence intervals.

Result and Discussion: Microcephaly was present in 83 % of the children with asphyxia, compared with 36 % of the controls. The children with asphyxia tent to have microcephaly compared to children without asphyxia (OR = 5,00; 95% CI: 1,36-18,32). Results of multivariable analysis showed that there was a statistically significant effect between asphyxia with head circumference size by controlling the low birth weight variable (OR = 5,00; 95% CI: 1,36-18,32).

Conclusion: History of asphyxia increases the risk of microcephaly compared with non-asphyxia in children aged 6 months - 2 years.


Keywords: asphyxia, head circumference, children aged 6 months-2 years


Keywords


asphyxia; head circumference; children aged 6 months-2 years; asfiksia; lingkar kepala; anak usia 6 bulan – 2 tahun

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References

Judarwanto W. 2010. Kesulitan makan pada anak. [cited 2013 3 September]; Available from: http:// dranak.blogspot.com/2007/02/kesulitan-makanpada-anak.htm. Kementerian Kesehatan RI. 2012. Pedoman Pelaksanaan Stimulasi, Deteksi dan Intervensi Dini Tumbuh Kembang Anak Ditingkat Pelayanan Kesehatan Dasar. Jakarta: Kementerian Kesehatan RI.

Cheong H, Yoon D-H, Kim L, Park B, Choi Y, Chung E, et al. 2006. Growth hormone-releasing hormone (GHRH) polymorphisms associated with carcass traits of meat in Korean cattle. BMC genetics. 2006;7(1):35.

Nellhaus G. 1968. Head circumference from birth to eighteen years Practical composite international and interracial graphs. Pediatrics. 1968;41(1):10614.

WHO.2006. Birth asphyxia: A major killer of newborns. Mother New Bor News. 2006;1(2):1-9.

Paltsano RJ, Harris SR, Valvano J, Zubrow A. 2001. Neonatal asphyxia. Inf Young Child. 2001;13(3):1324.

Yu V, HE M. 1997. Beberapa masalah perawatan intensif neonatus. Jakarta: Balai Penerbit FK UI; 1997. 187-2005 p.

Aday LA, Cornelius LJ. 2006. Designing and Conducting Health Surveys: A Comprehensive Guide. San Francisco: Jossey-Bass.

Gordis L. 2004. Epidemiology. 3rd. Philadelphia, PA: WB Saunders.

Schlesselman JJ. 1982. Case-Control Studies: Design, Conduct, Analysis. USA: Oxford University Press.

Lemeshow S, Junior DWH, Klar J, Lwanga SK. 1997. Besar Sampel dalam Penelitian Kesehatan. Yogyakarta: Gadjah Mada University Press.

Dahlan MS. 2009. Statistik untuk kedokteran dan kesehatan: Penerbit Salemba.

Kleinbaum DG, Klein M. 2002. Logistic Regression. A Self-Learning Text. 2002.

Springer-Verlag. Lee JH, Sung IY, Yoo JY. 2008. Therapeutic effects of strengthening exercise on gait function of cerebral palsy. Disability & Rehabilitation. 2008;30(19):143944.

van Bel F, Dorrepaal CA, Benders MJ, Zeeuwe PE, van de Bor M, Bergen HM. 1993. Changes in cerebral hemodynamics and oxygenation in the first 24 hours after birth asphyxia. Pediatrics. 1993;92(3):365-72.

Soetjiningsih. 2012. Tumbuh Kembang Balita. Jakarta: EGC.

Constable RT, Ment LR, Vohr BR, Kesler SR, Fulbright RK, Lacadie C, et al. 2008. Prematurely born children demonstrate white matter microstructural differences at 12 years of age, relative to term control subjects: an investigation of group and gender effects. Pediatrics. 2008;121(2):306-16.

WHO. 1999. A Criticall Link Interventions for physical growth and psychological development: A review. Geneva, Switzerland: Department of Child and Adolescent Health and Development WHO.



DOI: https://doi.org/10.22146/jkr.37941

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