FAKTOR RISIKO PENYAKIT MEMBRAN HIALIN PADA BAYI BERAT LAHIR RENDAH

Abstract

Background. The morbidity and mortality of low birth weight babies (LBW) are still high caused by respiratory disorder, hyaline membrane disease (HMD). Early diagnosis and detection of risk factors are important to prevent HMD in LBW babies. Aim. To determine risk of premature rupture of membrane, gestational age, preeclampsia, birth weight, and without giving antenatal steroid (ANS) as the incidence of HMD in LBW babies. Methods. This study was a retrospective observasional study with case control design conducted in Dr. Kariadi Hospital using medical records since January 2012-December 2014 with LBW babies. Subjects were choosen with purposive sampling divided into 2 groups, case group (44 LBW babies with HMD) and control group (44 LBW babies without HMD) diagnosed with HMD by chest x-ray. This study used bivariate analysis with Chi-square test and multivariate analysis with logistic regression analysis. Results. In bivariat analysis showed risk factors of HMD’s incidence in LBW babies were gestational age (p=0,015; OR= 4,19; 95% CI= 1,24-14,13) and birth weight (p=0,019; OR= 3,12; 95% CI= 1,18-8,25). In multivariate analysis, birth weight (p=0,019; OR= 3,36; 95% CI= 1,22-9,23) was risk factors. Conclusion. Birth weight (very low birth weight) factor was risk factors of HMD’s incidence in LBW babies. Keywords : Hyaline membrane disease, Low birth weight baby, Risk factors