How Can Maternal Age and Amount of Parity Affect the High Degree of Perineum Laceration and Neonatal Asphyxia in Vacuum Extraction Labor?

Background: Complications that often occur in vacuum extraction are third and fourth degree lacerations and neonatal asphyxia. In addition, asphyxia is the third leading cause of infant mortality in the world. Apart from being influenced by the existing vacuum extraction factors, the incidence of ne...

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Main Authors: Ahmad Faiz Tobari, Tun Paksi Sareharto, Vannya Dewi Puspitasari, Nurul Setiyorini
Format: Article
Language:English
Published: Faculty of Medicine, Universitas Diponegoro 2021-05-01
Series:Jurnal Kedokteran Diponegoro
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Online Access:https://ejournal3.undip.ac.id/index.php/medico/article/view/29556
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author Ahmad Faiz Tobari
Tun Paksi Sareharto
Vannya Dewi Puspitasari
Nurul Setiyorini
author_facet Ahmad Faiz Tobari
Tun Paksi Sareharto
Vannya Dewi Puspitasari
Nurul Setiyorini
author_sort Ahmad Faiz Tobari
collection DOAJ
description Background: Complications that often occur in vacuum extraction are third and fourth degree lacerations and neonatal asphyxia. In addition, asphyxia is the third leading cause of infant mortality in the world. Apart from being influenced by the existing vacuum extraction factors, the incidence of neonatal asphyxia and perineum laceration is also influenced by several maternal factors including maternal age and maternal parity. Objective: To prove the relationship between maternal age and parity number with perineum laceration and neonatal asphyxia after vacuum extraction at Dr. Kariadi General Hospital Medical Centre Methods: This study was an analytic observational study with a cross-sectional approach. The minimum sample required in this study is 26 patient data. The data used were data from the medical records of vacuum extraction patients at dr. Kariadi General Hospital Medical Centre Semarang which fit the inclusion and exclusion criteria by means of consecutive sampling. Then the data that has been collected is analyzed to find the relationship between variables. Results: Mothers who gave birth with the aid of vacuum extraction who suffered the most from third and fourth degree lacerations (31%) and neonatal asphyxia (15%) were women who were at risk (27%) and had the amount of parity at risk (23%). Chi-square test showed that there was a significant relationship between maternal age with perineum lacerations (p = 0.014), maternal age with neonatal asphyxia (p = 0.047), total parity with perineum lacerations (0.004), total parity with neonatal asphyxia (p = 0.028). Conclusion: There is a relationship between maternal age and parity with perineum lacerations and neonatal asphyxia after vacuum extraction in Dr. Kariadi General Hospital Medical Centre Semarang. The incidence of grade 3 and 4 perineum lacerations and neonatal asphyxia was most prevalent in women at risk age more than 35 years and at risk parity, namely primiparous The most influential risk factors for the occurrence of grade 3 and 4 perineum lacerations and neonatal asphyxia are primiparity.
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spelling doaj-art-5c7a6ea6bfb744518ca301bc89eb26842025-08-20T03:26:29ZengFaculty of Medicine, Universitas DiponegoroJurnal Kedokteran Diponegoro2540-88442021-05-0110321421810.14710/dmj.v10i3.2955626179How Can Maternal Age and Amount of Parity Affect the High Degree of Perineum Laceration and Neonatal Asphyxia in Vacuum Extraction Labor?Ahmad Faiz Tobari0Tun Paksi Sareharto1Vannya Dewi Puspitasari2Nurul Setiyorini3Undergraduate Program, Faculty of Medicine, Diponegoro University, Semarang, Indonesia, IndonesiaDepartment of Pediatric Health Sciences, Faculty of Medicine, Diponegoro University, Semarang, Indonesia, IndonesiaDepartment of Obstetric and Gynecology, Faculty of Medicine, Diponegoro University, Semarang, Indonesia, IndonesiaDepartment of Obstetric and Gynecology, Faculty of Medicine, Diponegoro University, Semarang, Indonesia, IndonesiaBackground: Complications that often occur in vacuum extraction are third and fourth degree lacerations and neonatal asphyxia. In addition, asphyxia is the third leading cause of infant mortality in the world. Apart from being influenced by the existing vacuum extraction factors, the incidence of neonatal asphyxia and perineum laceration is also influenced by several maternal factors including maternal age and maternal parity. Objective: To prove the relationship between maternal age and parity number with perineum laceration and neonatal asphyxia after vacuum extraction at Dr. Kariadi General Hospital Medical Centre Methods: This study was an analytic observational study with a cross-sectional approach. The minimum sample required in this study is 26 patient data. The data used were data from the medical records of vacuum extraction patients at dr. Kariadi General Hospital Medical Centre Semarang which fit the inclusion and exclusion criteria by means of consecutive sampling. Then the data that has been collected is analyzed to find the relationship between variables. Results: Mothers who gave birth with the aid of vacuum extraction who suffered the most from third and fourth degree lacerations (31%) and neonatal asphyxia (15%) were women who were at risk (27%) and had the amount of parity at risk (23%). Chi-square test showed that there was a significant relationship between maternal age with perineum lacerations (p = 0.014), maternal age with neonatal asphyxia (p = 0.047), total parity with perineum lacerations (0.004), total parity with neonatal asphyxia (p = 0.028). Conclusion: There is a relationship between maternal age and parity with perineum lacerations and neonatal asphyxia after vacuum extraction in Dr. Kariadi General Hospital Medical Centre Semarang. The incidence of grade 3 and 4 perineum lacerations and neonatal asphyxia was most prevalent in women at risk age more than 35 years and at risk parity, namely primiparous The most influential risk factors for the occurrence of grade 3 and 4 perineum lacerations and neonatal asphyxia are primiparity.https://ejournal3.undip.ac.id/index.php/medico/article/view/29556maternal age, parity, asphyxia, perineum laceration, vacuum extraction
spellingShingle Ahmad Faiz Tobari
Tun Paksi Sareharto
Vannya Dewi Puspitasari
Nurul Setiyorini
How Can Maternal Age and Amount of Parity Affect the High Degree of Perineum Laceration and Neonatal Asphyxia in Vacuum Extraction Labor?
Jurnal Kedokteran Diponegoro
maternal age, parity, asphyxia, perineum laceration, vacuum extraction
title How Can Maternal Age and Amount of Parity Affect the High Degree of Perineum Laceration and Neonatal Asphyxia in Vacuum Extraction Labor?
title_full How Can Maternal Age and Amount of Parity Affect the High Degree of Perineum Laceration and Neonatal Asphyxia in Vacuum Extraction Labor?
title_fullStr How Can Maternal Age and Amount of Parity Affect the High Degree of Perineum Laceration and Neonatal Asphyxia in Vacuum Extraction Labor?
title_full_unstemmed How Can Maternal Age and Amount of Parity Affect the High Degree of Perineum Laceration and Neonatal Asphyxia in Vacuum Extraction Labor?
title_short How Can Maternal Age and Amount of Parity Affect the High Degree of Perineum Laceration and Neonatal Asphyxia in Vacuum Extraction Labor?
title_sort how can maternal age and amount of parity affect the high degree of perineum laceration and neonatal asphyxia in vacuum extraction labor
topic maternal age, parity, asphyxia, perineum laceration, vacuum extraction
url https://ejournal3.undip.ac.id/index.php/medico/article/view/29556
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