Hubungan Derajat Prematuritas terhadap Hasil Pemeriksaan Skrining Pendengaran Emisi Otoakustik pada Bayi Baru Lahir di RSUP H. Adam Malik Medan

Abstract

Aim: To find out the relationship between the degree of prematurity as a risk factor for hearing impairment on otoacoustic emission screening in newborns at Haji Adam Malik General Hospital, Medan. Method: This research is an analytical study that describes the results of otoacoustic emissions screening in premature infants with a cross-sectional design. Subjects were selected by means of non-probability sampling with consecutive sampling, and a sample of 30 premature babies was obtained in the perinatology room of Haji Adam Malik General Hospital, Medan. Data recording is carried out; gender, gestational age, birth weight, APGAR score, risk factors count, otoscopic examination and otoacoustic emission examination. The results of the study were analyzed statistically using the chi square method with a p value <0.05. Results: We found premature infants mostly boys (56.7%), with moderate to late premature degree were 15 infants (50%), low birth weight were 24 infants (80%), and asphyxia were 19 infants (63.3%). From otoacoustic emissions examination, the results were mostly bilateral refer (56.7%), there was no relationship between the degree of prematurity, sex, and birth weight with the results of otoacoustic emissions (p > 0.05). A significant relationship was found between asphyxia neonatorum and risk factors count for hearing impairment on the results of otoacoustic emissions in premature infants (p> 0.05). Conclusion: There was no relationship between the degree of prematurity and hearing loss in newborns based on otoacoustic emission examinations, but the results of refer were most common in infants under 33 weeks gestation in this study, so it can be concluded that they have a higher risk of hearing impairment.