Aspek Kehamilan Dan Persalinan Pada Kematian Neonatal Akibat Asfiksia Lahir Sebelum Dan Setelah Intervensi Manajemen Asfiksia Di Kabupaten Cirebon

Abstract

Birth asphyxia is one of the mayor causes of neonatal death in Indonesia. Management resuscitation training for village midwives in Cirebon district has successfully decreased the neonatal mortality rate caused by asphyxia. The purpose of this study is to get information about the relation between neonatal death caused by asphyxia and post asphyxia management training intervention for village midwives in Cirebon district. Total sample number was 215 death cases for baseline survey and 264 death cases for evaluation survey. Verbal autopsy method has been applied with the same population that is mothers who had neonatal death history before and after the training for the village midwives about the asphyxia newborn baby management intervention. Villages were chosen by using stratified random sampling. Data analysis using bivariate, to find out the relation between independent variable (newborn death babies cause by asphyxia) and dependent variable (mother's characteristic, pregnant history, ANC, delivery process, birth attendant, various preventions done by birth attendant to make the newborn babies healthy). Bivariate analysis result showed that the factors related to the decrease of neonatal death caused by asphyxia in relation with intervention of post asphyxia training management was preventive efforts by birth attendant to make the newborn babies healthy. The effort made were make clearing the airway, drying the baby, rubbing the baby's backbones, swaddling the baby, putting the baby on the mother breast, warming the baby, except for the baby put into the incubator and given oxygen. Those prevention efforts that had been done by professional birth attendant should be maintained to decrease the neonatal death caused by asphyxia