CASE REPORT ON BY MRS. D AGE 0 DAYS WITH MODERATE ASPHYXIA AT ROEMANI MUHAMMADIYAH HOSPITAL SEMARANG

Rika Maria, Maria Ulfah Kurnia Dewi, Lia Mulyanti, Nuke Devi Indrawati

Abstract


Asphyxia neonatorum is a condition that occurs when a baby does not get enough oxygen during the birth process.
Asphyxia neonatorum is a condition in which the baby cannot breathe spontaneously and regularly, so it can
reduce O2 and increasing CO2 which has bad consequences infurther life. Many theories state that the neonatal
mortality rate reflects the level of health development of a country and the quality of life of the community. One
of the causes of infant mortality is asphyxia by 22.7%. In one research journal, Asphyxia is caused by fetal hypoxia
in the uterus. Fetal hypoxia occurs due to disruption of the exchange and transportation of oxygen from mother to
fetus so that oxygen supply to the fetus decreases and carbon dioxide levels increase so that asphyxia in neonates
can cause organ system dysfunction. Based on the results of the assessment that has been done, the complaint Infants
born spontaneously, term babies, weak KU, moaning, unable to breathe spontaneously, inactive movements, red
body and blue extremities, the baby is hypothermic with a temperature of 35.20C. Based on the results of the previous
history, the mother gave birth with a history of Premature rupture of membranes. The diagnosis in this case was
Moderate Asphyxia with initial treatment of live saving and initial management (warm up, adjust position, inhale
mucus, dry and tactile stimulation, adjust position, perform assessment), perform Positive Pressure Ventilation and
administer 02. After treatment Moderate Asphyxia Management at Roemani Semarang Hospital was continued with
home visits on July 20, 2022 for newborns for monitoring and providing counseling.

Keywords: Asphyxia, Neonate

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