HUBUNGAN KADAR HEMOGLOBIN PADA PERDARAHAN ANTEPARTUM DENGAN SKOR APGAR

Abstract

Background : Antepartum hemorrhage was one of the main causes of maternal death that frequently happened in Indonesia. Along with antepartum hemorrhage, there could be found a decreasing in maternal hemoglobin level. This decreasing of hemoglobin level was expected to affect the labor results, one of them could be observed from the apgar score. Aim : To determine the association between hemoglobin level in antepartum hemorrhage and the apgar score. Methods : This research is an analytic observational study with a cross-sectional design. The data was taken from medical record of pregnant mother patients with antepartum hemorrhage who gave birth in Dr. Kariadi General Hospital. The data consist of maternal hemoglobin level, mother’s age, residential address, wife’s education level, husband’s education level, gestational age, parity, cause of hemorrhage, antenatal care, fetal presentation, poor obstetric history, mode of delivery, state of the newborns, birth weight, and the apgar score. The data were analyzed using Chi Square test and Fisher’s Exact Test. Results : Hemoglobin level and first minute apgar score did not have significant association (p = 0,09; PR = 2,06; 95 % CI = 0,88 – 4,8). Hemoglobin level and fifth minute apgar score did not have significant association (p = 0,49; PR = 1,37; 95 % CI = 0,56 – 3,36). Hemoglobin level and tenth minute apgar score did not have significant association (p = 0,28; PR = 1,82; 95 % CI = 0,61 – 5,42). Conclusion : There was no significant association between hemoglobin level in antepartum hemorrhage and apgar score. Key words : Hemoglobin level, antepartum hemorrhage, apgar score