ANALISIS KARAKTERISTIK PROFIL LABORATORIUM IBU HAMIL TERINFEKSI COVID-19 DENGAN KEJADIAN KOMORBID DAN LUARAN PERSALINANNYA DI RSUD WALED PERIODE MARET 2020 - DESEMBER 2021

Abstract

Latar Belakang 13,7% ibu hamil lebih rentan terkena infeksi COVID-19 dan dikhawatirkan terjadi komplikasi
yang tidak menguntungkan seperti kelahiran preterm, kelahiran dengan sectio caesarea hingga kematian perinatal.
Nilai laboratorium dapat dijadikan suatu acuan untuk menilai prognosis pasien. Tujuan Mengetahui
karakteristik profil laboratorium ibu hamil terinfeksi COVID-19 dan luaran persalinannya di RSUD Waled
Metode Penelitian ini merupakan penelitian deskriptif analitik dengan studi retrospektif. Data yang digunakan
didapatkan dari rekam medis. Sampel adalah 20 pasien ibu hamil terinfeksi COVID-19 yang melahirkan di RSUD
Waled pada periode Maret 2020 hingga Desember 2021. Hasil Dari 20 pasien ibu hamil terinfeksi
COVID-19, 70% penurunan kadar hemoglobin, 50% penurunan kadar hematokrit, 70% leukositosis, 85% kadar
trombosit dalam batas normal, 55% neutrositosis, 80% kadar eritrosit normal, 95% limfositopenia, 100% monosit
normal, 65% CRP meningkat, 100% d-dimer meningkat, 65% PT dalam batas normal dan 95% aPTT dalam batas
normal. Terdapat 9 pasien dengan kejadian komorbid. Diantaranya berupa preeklamsia berat, hepatitis b,
hemoroid derajat IV, peripartum cardiomyopathy dan congestive heart failure. Pada uji statistik didapatkan pvalue >0,05 dengan demikian tidak terdapat perbedaan yang signifikan pada profil laboratorium ibu hamil
terinfeksi COVID-19 dengan dan tanpa kejadian komorbid. Terdapat 55% menggunakan metode persalinan
secara pervaginam. 3 dari 20 bayi yang dilahirkan mengalami IUFD. 70% bayi lahir dengan berat badan lahir
normal dan 75% bayi mengalami asfiksia ringan. Kesimpulan Tidak terdapat perbedaan profil laboratorium
antara ibu hamil terinfeksi COVID-19 yang disertai komorbid maupun tanpa komorbid.
Kata Kunci: Ibu hamil, COVID-19, laboratorium, persalinan.
ABSTRACT
Background 13.7% of pregnant women are more susceptible to COVID-19 infection and it is feared that there
will be unfavorable complications such as preterm birth, birth by cesarean section to perinatal death. Laboratory
values can be used as a reference to assess the patient's prognosis. Objective To determine the characteristics of
the laboratory profile of pregnant women infected with COVID-19 and their delivery outcomes at the Waled
Hospital Methods This research is a descriptive analytic study with a retrospective study. The data used were
obtained from medical records. The sample was 20 pregnant women infected with COVID-19 who gave birth at
the Waled Hospital in the period March 2020 to December 2021 Results From 20 pregnant women infected with
COVID-19, 70% decreased hemoglobin levels, 50% decreased hematocrit levels, 70% leukocytosis, 85% platelet
levels within normal limits, 55% neutrocytosis, 80% normal erythrocyte levels, 95% lymphocytopenia, 100 %
monocytes were normal, 65% CRP was increased, 100% d-dimer was increased, 65% PT was within normal
limits and 95% aPTT was within normal limits. There were 9 patients with comorbid events. Among them are
severe preeclampsia, hepatitis b, grade IV hemorrhoids, peripartum cardiomyopathy and congestive heart failure.
In the statistical test, the p-value was > 0.05, thus there was no significant difference in the laboratory profile of
pregnant women infected with COVID-19 with and without comorbid events. There are 55% using the vaginal
delivery method. 3 out of 20 babies born have IUFD. Conclusion There is no difference in the laboratory profile
between pregnant women infected with COVID-19 with or without comorbidities.
Keywords: Pregnant women, COVID-19, laboratory, childbirth.