ABSTRAK
Latar Belakang: Bayi hipoglikemia di RSUD Pandan Arang mencapai 12,6% dan tujuan penelitian ini untuk mempelajari dan memahami asuhan kebidanan bayi baru lahir dengan hipoglikemia di ruang Perinatologi RSUD Pandan Arang.
Metode: Observasional deskriptif dengan pendekatan studi kasus. Subjek penelitian bayi Ny P dengan hipoglikemia. Pengambilan data melalui wawancara, observasi dan studi dokumen. Analisis data secara deskriptif berdasar 7 langkah Varney dan SOAP.
Hasil: Bayi Ny P datang dengan keadaan lemah, suhu 36,4OC, reflek lemah, GDS 30mg/dl, lahir spontan induksi a/i KPD 24jam dan asfiksia ringan. Bayi diberikan bolus D10% 7,5cc, OGT, cefixime 2x15mg/oral. Hari kedua GDS 60mg/dl dan ikterus neonatorum fisiologi, diterapi infus D1/4 10tpm, ceftazidime 2x150mg/IV dan fototerapi 1x24jam. Hari ketiga cefixime 2x12,5mg/oral. Kondisi akhir bayi membaik, ditandai vital sign normal, reflek baik, tidak ada tanda hipoglikemia dan tidak terjadi komplikasi.
Kesimpulan: Bayi Ny P umur 21 jam dengan hipoglikemia mendapat bolus D10% 7,5cc, OGT, Cefixime 2x15mg/oral mengalami perbaikan KU dan GDS stabil. Tidak terdapat kesenjangan antara teori dan praktik.
Kata kunci: Asuhan Kebidanan, Bayi, Hipoglikemia
ABSTRACT
Background: The infants with hypoglycaemia at Pandan Arang Local General Hospital of Boyolali reached 12.6%. The Objective of research is to study and understand the midwifery care of the newborn with hypoglycaemia at the aforementioned hospital.
Method: This research used the observational descriptive research method with the case study approach. Its subject was the infant of Mrs. P with hypoglycaemia. The data were collected through in-depth interview, direct observation, and content analysis and descriptively analyzed by using Varney’s Seven Steps.
Result: The infant had a limp condition, a body temperature of 36.4OC, weak reflexes, random blood sugar level of 30mg/dl, spontaneous birth with induction due to premature rupture of membranes within 24 hours, and a mild asphyxia. The infant was given Bolus D10% of 7.5cc, OGT, and cefixime 2x15mg/oral. In the second day, the random blood sugar level was 60mg/dl, and the infant had the physiological icterus neonatorum. In the third day, the infant was given infusion of D1/4 10tpm, ceftazidime 2 x 150mg/IV, and phototherapy for 1 x 24 hours. In the third day, the infant was given cefixime 2 x 12.5 mg/oral. The general conditions were finally good, indicated by normal vital signs, good reflexes, absence of hypoglycaemic signs, and absence of complication.
Conclusion: The infant was given bolus D10% of 7.5cc, OGT, and cefixime 2x15mg/oral and had better a general condition. The random blood sugar level was stable. No gap was found.
Keywords: Midwifery care, Baby, Hypoglycaemia
