Nursing care for babies with meconium aspiration syndrome (mas) at panembahan senopati hospital, bantul

Authors

  • Rossiana Dewi Universitas Aisyiyah Yogyakarta
  • Istinengtiyas Tirta Suminar Universitas Aisyiyah Yogyakarta

Keywords:

Meconium aspiration syndrome, ineffective airway clearance, NICU, newborn, nursing

Abstract

Neonates who inhale amniotic fluid containing meconium may develop meconium aspiration syndrome (MAS), a respiratory distress disorder that can result in inflammation, airway obstruction, and impaired lung function. MAS frequently results in inadequate airway clearing, which leads to nursing issues. Ineffective airway clearing is a common nursing concern associated with MAS. Objective: To be able to administer nursing care for patients with Meconium Aspiration Syndrome with a nursing diagnosis of Ineffective Airway Clearance in the NICU of Panembahan Senopati Bantul Hospital. Method: This is a cross-sectional observational case study of a male newborn with MAS who was treated in the NICU at Panembahan Senopati Bantul Hospital. Results: The evaluation revealed that the patient suffered tachypnea, chest retraction, rhonchi breath sounds, and mucous vomiting. Laboratory and physical tests confirmed the MAS diagnosis. Nursing interventions included airway management, breathing pattern monitoring, additional breat h sounds, sputum, and suction. The three 24-hour evaluations revealed that the issue of inefficient airway clearance had not been completely addressed, as evidenced by the patient's continued tachypnea and chest retraction. Conclusion: In order to prevent complications, nursing care for newborns with MAS must include early detection, rapid and coordinated intervention, and continuous evaluation. Breathing patterns, sputum, and oxygen saturation must all be closely monitored to support the recovery of the infant's respiratory function.

References

Abilowo, Ashar, and Astri Yulia Sari Lubis. 2022. “Tindakan Keperawatan Dalam Mengatasi Bersihan Jalan Napas Tidak Efektif Pada Pasien Tuberkulosis Paru Di Puskesmas Renggiang Belitung Timur.” MAHESA : Malahayati Health Student Journal 2(2):332–49. doi: 10.33024/mahesa.v2i2.6529.

Adolph, Ralph. 2023. “Transient Tachypnea Of The Newborn (TTN).” 1–23.

Anindita, Ahimsa Yoga et al. 2022. “Profil Sindrom Aspirasi Mekonium Pada Bayi Baru Lahir Di RSUD Dr. Soetrasno Rembang.” Smart Medical Journal 1(2):42. doi: 10.13057/smj.v1i2.28692.

Brauer, George. 2022. “GANGGUAN OKSIGENASI PADA PASIEN TB PARU DENGAN BERSIHAN JALAN NAPAS TIDAK EFEKTIF.” The American Mathematical Monthly 65(4):290. doi: 10.2307/2310262.

Ekowati, Ken et al. 2022. “Studi Kasus Bersihan Jalan Napas Tidak Efektif Pada Pasien Pneumonia Di Rsud Ajibarang Case Study of in Effective Airway Cleaning on Pneumonia Patients in Ajibarang Hospital.” Studi Kasus Bersihan Jalan Napas Tidak Efektif Pada Pasien Pneumonia Di RSUD Ajibarang 10(1):1–10.

Hasnia, Aufa Dina et al. 2023. “Pengetahuan Manajemen Jalan Napas Perawat Di RSUD Tgk Chik Ditiro Sigli (Knowledge of Nurse ’ s Airway Management at Tgk Chik Ditiro Sigli Hospital).” JIM FKep 7(2):133–39.

Isabella, Ester et al. 2022. “STUDI KASUS : PENGARUH TINDAKAN SUCTION TERHADAP

PERUBAHAN SATURASI OKSIGEN PADA PASIEN YANG TERPASANG VENTILATOR MEKANIK DI RUANG ICU Ester Isabella Gracetydhea Cintami Metungku , Diah Pujiastuti * Satu Organ Mempengaruhi Organ Lainnya Sehingga Pasien Me.” Akademika STIKES Bethesda Yakkum Yogyakarta 293–300.

Luo, Siwei et al. 2023. “The Risk Factors of Meconium Aspiration Syndrome in Newborns: A Meta-Analysis and Systematic Review.” Pediatric Medicine 6(January):0–3. doi: 10.21037/pm-23-5.

Medicine, Pediatric. 2023. “7149-PB4-7643-R2.Pdf.” (16):22–25.

Rini, Ratna Wahyu et al. 2021. “Hubungan Usia Kehamilan Dengan Kejadian Meconium Aspirasi Syndrom.” Jurnal Kebidanan 11(1):11–23. doi: 10.35874/jib.v11i1.851.

Sankaran, Deepika et al. 2024. “Meconium Aspiration Syndrome, Hypoxic-Ischemic Encephalopathy and Therapeutic Hypothermia—A Recipe for Severe Pulmonary Hypertension?” Children 11(6). doi: 10.3390/children11060673.

Tantu, Temesgen et al. 2023. “The Incidence and Determinants of the Meconium-Aspiration Syndrome among Mothers with Meconium-Stained Amniotic Fluid after Emergency Cesarean Section: A Prospective Cross Sectional Study in a Specialized Hospital, South Ethiopia.” Frontiers in Pediatrics 11(March):1–8. doi: 10.3389/fped.2023.1149398.

Tim Pokja SDKI DPP PPNI. 2017. Standar Diagnosis Keperawatan Indonesia. Definisi Dan Indikator Diagnostik. DPP PPNI , 2017.

Tukang, Fransiskus Muda et al. 2023. “Penerapan Intervensi Berdasarkan Evidence Based Nursing: Breathing Exercise (PLB, Deep Breathing, Diaphragm Breathing) Terhadap Sesak Pada Pasien Pneumonia.” Jurnal Keperawatan Sumba (JKS) 2(1):1–10. doi: 10.31965/jks.v2i1.1286.

Utama, Berlina, and Noor Triana. 2023. “Pengaruh Fisioterapi Dada Pada Anak Dengan Masalah Bersihan Jalan Nafas Tidak Efektif Pada Kasus Pneumonia.” Jurnal Penelitian Perawat Profesional 6(3):903–10.

Wijaya, Ananta Baru. 2022. “ASUHAN KEPERAWATAN NEONATUS SINDROM ASPIRASI.Pdf.”


Downloads

Published

2025-12-24

Issue

Section

Articles