ABSTRAK
Latar Belakang: Penyebab utama kematian bayi baru lahir di RSUD Karanganyar tahun 2014 yaitu bayi dengan berat badan lahir rendah sebesar 68%.
Tujuan: Untuk mempelajari dan memahami asuhan kebidanan pada kasus bayi baru lahir dengan berat badan lahir rendah di RSUD Karanganyar secara komprehensif.
Metode: Observasional deskriptif dengan pendekatan studi kasus. Subjek penelitian bayi Ny.T umur 1 hari dengan berat badan lahir rendah. Tempat: RSUD Karanganyar. Teknik pengambilan data melalui wawancara, observasi dan studi dokumentasi. Analisis data dilakukan secara deskriptif berdasar tujuh langkah Varney dan follow up dengan SOAP.
Hasil: Bayi Ny. T berat badan 1.800 gram, reflek lemah dan belum bisa menyusu dengan baik. Bayi diberi cairan parenteral, injeksi antibiotik, perawatan dalam inkubator dan pemenuhan nutrisi. Setelah pemberian asuhan selama 7 hari kondisi bayi baik, reflek kuat, terjadi peningkatan intake cairan dan penurunan berat badan fisiologi dari 1.800 gram menjadi 1.700 gram.
Kesimpulan: Bayi Ny. T keadaan umum baik, reflek menghisap dan menelan kuat, serta intake cairan meningkat. Terdapat kesenjangan pemberian PASI dalam pelaksanaan asuhan.
Kata kunci: Asuhan Kebidanan Bayi Baru Lahir, Berat Badan Lahir Rendah
ABSTRACT
Background: The main cause of infant mortality at the Local General Hospital of Karanganyar in 2014 was lower birth weight with the percentage of 68%.
Objective: To study and understand the midwifery care on the newborn with lower birth weight comprehensively.
Method: This research used the observational descriptive research method with the case study approach. Its subject was the infant of Mrs. T aged one day with lower birth weight at the aforementioned hospital. The data were collected through in-depth interview, direct observation, and content analysis and descriptively analyzed by using Varney’s Seven Steps and SOAP.
Result: The weight was 1,800 gram, the reflexes were weak, the infant could not suckle well, and the client lacked nutrition fulfillment. The infant was given parenteral fluid therapy, antibiotic, incubator treatment and the nutrition fulfillment. Following the seven-day treatment, the general conditions and the reflexes were good. The infant had an increased fluid intake and experienced physiological weight decrease from 1,800 gram to 1,700 gram.
Conclusion: The general conditions and reflexes of the infant were good. The infant suckled and swallowed strongly, and the fluid intake increased. A gap was the inappropriate breast milk substitute administration.
Keywords: Midwifery Care, Infant, Lower Birth Weight