Perbedaan Lama Pelepasan Tali Pusat Antara Perawatan Terbuka Dan Tertutup Pada Bayi Baru Lahir Di Bidan Praktik Mandiri Soraya Kecamatan Kemuning Palembang Tahun 2012
Keywords:
Lama Pelepasan Tali Pusat, Perawatan Terbuka, Perawatan TertutupAbstract
Perawatan tali pusat adalah melakukan pengobatan dan pengikatan tali pusat yang menyebabkan tali pemisahan fisik dengan bayi, dan kemudian tali pusat dirawat dalam keadaan bersih dan terhindar dari infeksi tali pusat. Perawatan tali pusat yang baik dan benar akan menimbulkan dampak positif yaitu tali pusat akan “puput” (lepas) pada hari ke-5 sampai hari ke-7 tanpa ada komplikasi, sedangkan dampak negatif dari perawatan tali pusat yang tidak benar adalah bayi akan mengalami pernyakit Tetanus neonatorum dan dapat mengakibatkan kematian. Berdasarkan protap pemerintah cara perawatan tali pusat tidak membungkus punting tali pusat atau perut bayi atau mengoleskan cairan atau bahan apapun ke punting tali pusat. Tujuan penelitian ini untuk mengetahui perbedaan lama pelepasan talipusat antara perawatan terbuka dengan yang tertutup pada bayi baru lahir di BPM Soraya Kecamatan Kemuning Palembang tahun 2012. Dengan menggunakan metode penelitian quasi eksperimen, alat ukur yang dipakai adalah lembar observasi perawatan tali pusat dan lembar observasi, sampel dibagi dalam 2 kelompok yaitu kelompok dengan perawatan tali pusat terbuka sebanyak 20 responden dan kelompok perawatan tertutup sebanyak 20 responden. Penelitian dilakukan di BPM Soraya dari bulan September sampai dengan Nopember 2012. Analisis data menggunakan analisa univariat disajikan dengan distribusi frekuensi, dan analisis bivariat untuk mengetahui perbedaan lama pelepasan tali pusat dengan menggunakan uji T test independen. Hasil penelitian didapat diperoleh nilai rata – rata lama pelepasan tali pusat pada kelompok yang dirawat secara terbuka adalah 5,6 hari, sedangkan untuk kelompok yang dirawat tertutup didapat nilai rata – rata lama pelepasan talipusatnya adalah 6,5 hari dengan standar deviasi 2,188 hari. Hasil uji statistik dengan menggunkan uji T independent didapatkan nilai p = 0,114 berarti nilai p > dari alpha (0,05) yang artinya tidak ada perbedaan yang signifikan rata – rata lama pelepasan tali pusat antara yang dirawat secara terbuka dan tertutup. Disarankan kepada praktisi pelayanan kebidanan agar dalam memberikan pelayanan perawatan tali pusat agar menggunakan metode terbuka sesuai dengan yang dianjurkan dalam asuhan persalinan normal.
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