o
Sellin
o
Selasa
ZYXWVUTSRQPONMLKJIHGFEDCBA
o
Rabu
o
Kamis
o
Jumat
•
Minggu
2
G)
4 5 6 7 8 910
11
14
15
18
19
20
21
22
23
24
25
26
27
28
29
30
31
17
OJan
OPeb
o
Mar
OApr
OMei
OJun
OJul
OAgs
OSep
•
Old
ONov
ODes
Angka Kematian Bayi Akibat
Kelahiran Prematur Masih Tinggi
DIPAn
U K U R , ( G M ) ,-I n d o n e s i a m a s i h m e n e m p a t i 1 'a 1 1 -k i n g t e r a t a s d i a n t a r a n e g a r a - n e g a r a 1 \ S E A N u n t u k a n g k a k e m a t i a n i b u d a n a n a k s a a t m e l a h i r k a n . K e r n a t i -a n i b u r n a s i h d i d o m i n a s i e k l a m a s i , p e r d a r a h a n , i n f e k s i , a b o r t u s , d a n p e r s a l i r u m l a m a , S e m e n t a r a p a d a k e -m a t i a n b a y i d i d o m i n a s i k e l a h i r a n p r e m a t u r , y a k n i s e b a n y a k . r o s s ,
" P a d a h a l , s a a t i n i y a n g d i j a d i k a n s t a n d a r , u n t u k t i n g k a t k e s e h a t a n d i s u a t u n e g a r a a t a u d a e r a h a d a l a h a n g -k a -k e m a t i a n i b u d a n b a v i . S e r n a k i n t i n g g i a n g k a - a n g k a t e r s e b u t d is u a t u n e g a r a , m a k a s e m a k i n r e n d a h d e r a -j a t k e s e h a t a n n e g a r a t e r s e b u t , " u n g -k a p G u r u B e s a r O b s t e t r i d a n G i n e -k o l o g i F a k u l t a s K e d o k t e r a n U n p a d , P r o f . D r . J u s u f S u l a e r n a n E f f e n d i , d r . , S p , O . G . ( K . ) , d a l a r n o r a s i i l m i a h
untuk
p e n e r i m a a n j a b a r a n g u r u b e -s a r , d i G r h a S a n u s i H a r d j a d i n a t a ( A u l aUnpad),
J l n , D i p a t i U k u r B a n -d u n g , b a r u - b a r u i n i .D e n g a n j u d u l " U p a y a M e n u r u n k -a n T i n g k -a t K e j a d i a n K e l a h i r a n P r e -m a t u r d a n M e n i n g k a t k a n K u a l i t a s
H i d u p B a y i P r e r n a t u r d i I n d o n e s i a M e l a l u i U p a y a T e r i n t e g r a s i d i T i n g -k a t P e l a y a n a n K e s e h a t a n P r e m i e r , S e k u n d e r , d a n T e r s i e r " , J u s u f m e -n g a t a k a -n , d i n e g a r a - n e g a r a m a j u k e -j a d i a n p e r s a l i n a n p r e m a t u r b e r k i s a r
10-20%,
U n t u k n e g a r a b e r k e r n b a n g t e r -m a s u k d i I n d o n e s i a , a n g k a k e j a d i a n p e r s a l i n a n p r e m a t u r d a n a n g k a k e -r n a t i a n b a y i p r e r n a t u r m a s i h c u k u p t i n g g i . S e l a i n m e n y e b a b k a n k e m a t i -a n , a p a b l l a b a y i t e r u s h i d u p t e t a p a k a n d i d e r a d e n g a n b e r b a g a i r n o r -b i d i t a s , s e p e r t i k e l a i n a n c l a n i n f e k s i . " M e s k i s u d a h d i l a k u k a n b e r b a g a i u p a y a p e n c e g a h a n d e n g a n b e r b a g a i c a r a , t e t a p i a n g k a p e r s a l i n a n p r e - · m a t u r r e l a t i f t i d a k b e r u b a h c l a l a m w a k t u
40
t a h u n t e r a k h i r , " t u t u r n y a , U p a y a y a n g s u d a h d i l a k u k a nterse-b u t m e l a l u i t i g a c a r a . T e r d i r i d a d p e n c e g a h a n p r i m e r , y a k n i p e n c e g a -h a n m e l a l u i p e n d e k a t a n p a d a f a k t o r r i s i k o u n t u k t e r j a d i n y a p e r s a l i n a n p r e r n a t u r . F a k t o r y a n g s e r i n g m e -n i m b u l k s -n r i s i k o k e j a d i a n p e r s a l i n -a n p r e r n -a t u r a d a l a h r n e r o k o k , m e
-n g o -n s u m s i o b a t - o b a t a n d a n a l k o h I , s e r t a f a k t o r n u t r i s i ,
C a r a k e d u a a d a l a h p e n c e g a h a n s e k u n d e r y a i t u p a d a t a h a p g e j a l a k l i -n i s b e l u m t a m p a k n y a t a , t e t a p i p r o s e s s e c a r a p a t o l o g i s s u d a h b e r i a l a n .
Upa-y a p e n c e g a h a n p a d a t a h a p i n i d a a t m e n g h a m b a t a t a u m e n g h e n t i k a n p r o s e s p a t o l o g i s s u p a y a t i d a k h e r -k e m b a n g ," T c r a k h i r p e n c e g a h a n t e r s i e r y a
i
u p a y a p e n c e g a h a n p e r s a l i n a n p r e -m a t u r p a d a s a a t g e j a l a s e c a r a k l i n i s s u d a h n y a t a d i d a p a t k a n , ' u c a p n y a .P a d a t a h a p i n i j u g a d i t u j u k a n u n -t u k m e m p e r p a n j a n g m a s a k e h a m i . l a n d e n g a n m a k s u d m e m b e r i k a n
k e
-s e m p a t a n
u n t u k m e m p e r b a i k i
k u a l i -t a s j a n i n d a n m e r n p e r s i a p k a n p e r s a -l i n a n y a n g m e m a d a i . N a I \ 1 U l l k e n d a l a l a i n n y a a d a l a h m a s a l a h b i a y a .S e b a b , u n t u k m e n a n g a n i e t a m e l a k u k a n p e r a w a t a n b a y i p r e m a t u r r n a s i h t i n g g i . D i A r n e r i k a S e r i k a t s a j a r a t a - r a t a p e r a w a t a n b a y i p r e m a t i . m e m e r l u k a n b i a y a s e k i t a s 7 5 . 0 0 0
d o l a r A S a t a u s e t a r a d e n g a n R p 6 7 5 j u t a . ( B . 1 0 7 ) * *
