ABSTRACT
Background. The percentage of babies and toddlers with bronchitis incidences in at the Local General Hospital of Surakarta was 10.73%. Objective. The objective of this research is to study and understand the midwifery care of ill baby on Baby A aged 11 months with acute bronchitis at the Local General Hospital of Surakarta comprehensively.
Method. This research used the observational descriptive research with the case study approach. The subject of the research was an eleven month baby A with acute bronchitis. The research location was at the Local General Hospital of Surakarta. The data were gathered through interview, direct observation, and document study of medical record. The data were analyzed descriptively based on the seven measures claimed by Varney and SOAP.
Result. Eleven month baby A was admitted to the hospital with the symptoms of cough with phlegm, loss of appetite, weakness, fever, and colds. The breath rate was 34 times/minute, the temperature was 37.9°C. Hipersonor sound on percussion was heard and rhonchi were wet during the auscultation. The drugs that were administered were in the form of infusion, antibiotic, antipyretic, ß2-agonic bronchodilator, and multivitamin. A the end of the regime, the baby's condition got better and could go back to the normal activity.
Conclusion. Eleven month baby A with acute bronchitis who got antibiotic and symptomatic therapies, underwent improved general condition. Supporting examination in the forms of radiology and spirometry examinations were not carried out.
Keywords : midwifery care, baby, acute bronchitis.
ABSTRAK
Latar belakang. Angka kejadian bayi dan balita sakit bronkitis di RSUD Surakarta 10,73%. Tujuan. Untuk mempelajari dan memahami asuhan kebidanan pada bayi sakit pada Bayi A umur 11 bulan dengan bronkitis akut di RSUD Surakarta secara komprehensif.
Metode. Observasional deskriptif dengan pendekatan studi kasus. Subjek penelitian Bayi A umur 11 bulan dengan bronkitis akut. Tempat : RSUD Surakarta. Pengambilan data melalui wawancara, observasi langsung dan studi dokumentasi rekam medik. Analisis data dilakukan secara deskriptif berdasar tujuh langkah Varney dan SOAP.
Hasil. Bayi A umur 11 bulan datang dengan batuk berdahak, nafsu makan menurun, lemas, demam dan pilek. Pernapasan 34 kali/menit, suhu 37,9°C, terdengar bunyi hipersonor pada perkusi dan ronkhi basah saat auskultasi. Obat yang diberikan berupa infus, antibiotik, antipiretik, bronkodilator ß2-agonis, dan multivitamin. Pada akhir pengobatan kondisi bayi membaik dan dapat beraktivitas seperti biasanya.
Kesimpulan. Bayi A umur 11 bulan dengan bronkitis akut mendapatkan terapi antibiotik dan simtomatik, mengalami perbaikan keadaan umum. Tidak dilakukan pemeriksaan penunjang berupa pemeriksaan radiologi dan spirometri.
Kata Kunci : Asuhan kebidanan, bayi, bronkitis akut.