DATA KEMATIAN NEONATUS DI RUANG NICU

BULAN : JANUARI 2918

No. Tgl
No. Nama Alamat Tgl Masuk Tgl Meninggal Rujukan UK BB Cara Lahir Sebab Kematian
DMK Lahir

Bangun Reksa No 36 Datang Spontan

1 700389 By Ny Nurul Asri 2/1/2018 2/1/2018 9/1/2018 28-29 1570 Sepsis Of New Born
Batu Ampar Sendiri Letsu

JL A.Yani No 63 Mekar Datang

2 700667 By Ny Rusmaniah 5/1/2018 5/1/2018 13/1/18 36-37 3000 SC RSKD Sepsis Of New Born
Sari Sendiri

Datang
3 700836 By Ny Oktaviana 8/1/2018 Telaga Sari RT 45 8/1/2018 14/1/18 31-32 1700 Spontan Sepsis Of New Born
Sendiri

Graha Indah Blok D III Datang

4 700795 By Ny Sriatun 7/1/2018 7/1/2018 8/1/2018 Aterm 3050 SC RSIB Sepsis Of New Born
No 15 Sendiri

Spontan,
Datang
5 701256 By NY Lia Apriliana 11/1/2018 Wonosari RT 1 11/`1/18 12/1/2018 39-40 3200 Partus Asfiksia
Sendiri Lama

Datang
6 701409 By Ahmad Hafizi 13/1/2018 Muara Komam RT 12 22/1/17 14/1/2018 Aterm 3000 Spontan Sepsis Of new Born
Sendiri

Datang
7 701298 By Ny Melida 12/1/2018 JL Manunggal RT 53 12/1/2018 15/1/2018 37-38 2200 SC a/I PEB Asfiksia
Sendiri
 Datang
8 701418 By Ny Sri hidayati 14/1/2018 Perintis RT 2 14/1/2018 14 / 1/18 34-35 2170 Spontan RDS
Sendiri

RSUD Gn
9 702420 By Ny Qosyha A 21/1/2018 Gn Tembak,Teritip 24/1/2018 24/1/2018 28 705 Spontan Sepsis
Malang
 Diagnosa Ket.

Other Low Birth Weight

Infant,N Preterm BBLR Ket Jernih
SMK,RDS,Susp
CHD,Cholestasis

Asfiksia Berat,N KPD 12

Posterm,BBLC Jam,Ket
SMK,Sepsis,Susp Hijau
CHD,AKI

Other Low Birth Weight

Infant,RDS,Anemia,Cont Ket Jernih
act Or Exposed to
Hepatitis B Viral

Resfiratory Failure Of
New Born,Hernia
Inguinalis Lateralis Ket Jernih
Dextra

N Aterm,BBLC,MAS KPD

Pneumonia Resfiratory
Failure Of New Born, Ket ?
Anemia,

Ket
N Preterm BBLR Kering,
SMK,RDS Lilitan 2x
kencang
Severe Birth Asfiksia,
Bilateral KPD 17
CTEV,Mikrocepal, Jam
Mikrothia,Anemia,

N Preterm BBLR
SMK,RDS,Anemia, Ket ?
Ompalitis
 DATA KEMATIAN NEONATUS DI RUANG NICU
BULAN : FEBRUARI 2018

No. Tgl
No. Nama Alamat Tgl Masuk Tgl Meninggal Rujukan UK BB Cara Lahir Sebab Kematian
DMK Lahir
Babulu JL Sidomulyo RT
1 703269 By Ny Ratna S 3/2/2018 4/2/2018 4/2/2018 RSUD PPU 27 1200 Spontan Asfiksia
13

Datang
2 703501 By Ny Merry 6/2/2018 Martadinata No 3 6/2/2018 6/2/2018 36 2200 SC Hidrop Fetalis
Sendiri

Bacterial Sepsis
Balikpapan Regency RSUD SC di Of New Born
3 704466 By Ny Stephani K 14/2/2018 19/2/18 23/3/18 2160
Non 52 Siloam Siloam Due To S.
Epidermidis

SC a/I
PT HER11Blok T4/30 Datang Aspirasi
4 703857 By Ny Antha Nur 11/2/2018 11/2/2018 23/2/18 Aterm 3900 Kala II
Sepinggan Sendiri Pneumonia
lama

RSUD SC di Respiratory
5 704946 By Abdul Malik 22/2/2018 Amburawang Laut 23/2/2018 2/3/2018 25-26 1370
Samboja Samboja Failure

Resfiratory
6 704953 By Ny Titik W 23/2/2018 PPU,Sumber Sari 23/2/2018 23/2/18 RSUD PPU 32-33 1800 Spontan Failure

Datang SC a/I
7 705256 By Ny Novia H 27/2/2018 JL Milono No 73 27/2/2018 17/3/18 1025 RDS
Sendiri Gemelli
 Diagnosa Ket.

N Preterm BBLSR Ket Jernih

New Born Affected By SC

Delivery, Severe Birth
Asphyxia,Preterm Ket ?
Infant,Other Low Birth
Weight Infant

ffected By Anti
Phospolipid,New Born
ACholestasis Due To Ibu
Sepsis,Stenosis Pengguna
Duodenum,Atresia Ani, Koagulopati
Fistula Recto Vaginal,GIT ,
Bleeding Due To
Coagulopati

Sepsis Ket ?

Susp CHD,Neonatal
Jaundice, Sup Perdarahan Ket ?
Intra Kranial

N Preterm BBLR SMK Ket ?

Other Low Birth Weight Ket Sisa

Infant,Bacterial Jernih, KPD
Sepsis,Neonatal 2 hari
Jaundice,Anemia
 DATA KEMATIAN NEONATUS DI RUANG NICU
BULAN : MARET 2018

No. Tgl
No. Nama Alamat Tgl Masuk Tgl Meninggal Rujukan UK BB Cara Lahir Sebab Kematian
DMK Lahir

Sepsis Of New
1 705709 By Ny Juhairiah 1/3/2018 Kebun Sayur 3/3/2018 4/3/2018 BPS Aterm 2800 Spontan Born

RSUD
2 708179 By Ny Dita F 18/2/18 Tanah Grogot 4/3/2018 5/3/2018 Aterm 2700 SC a/i Letsu PJB Sianotik
T.Grogot

Datang Sepsis
3 708459 By Ny Devi 6/3/2018 Kp Damai JL Sudirman 6/3/2018 6/3/2018 34 1600 Spontan
Sendiri Neonatorum

RSUD SC a/I
4 750922 By Ny Lami M 1/3/2018 JL Dondang,Samboja 13/3/18 15/3/18 Samboja Aterm 2460 Sepsis
Hidrocephalus

Datang
5 751198 By Ny Wa Jiwa 15/3/18 Samboja 18/3/18 3/4/2018 Aterm 2258 Spontan Early Onset Sepsis
Sendiri

Datang
6 751409 By Ny St Rahmah 8/3/2018 PPU Jenebora 18/3/18 19/3/18 40 1870 SC a/I PEB Sepsis
Sendiri

Datang Asfeksia
7 751418 By Ny Aminah 19/3/18 Semoi II RT 5 PPU 19/3/18 20/3/18 29-30 885 Spontan
Sendiri Neonatorum Berat

Klinik
Masjid Ar Raudah Spontan Lilitan
8 751709 By NY Musdalia 21/3/18 21/3/18 26/3/18 Medika Aterm 3150 HIE
Damai Bahagia TP
Utama
 JL Rekreasi RT 36 Datang
9 752062 By Ny Fitri 25/3/18 25/3/18 28/3/18 38-39 680 Spontan Respiratory Failure
Manggar Baru Sendiri

Datang SC a/I PEB Help Respiratory Failure

10 752395 By Ny Yulina A 28/3/18 Gn Guntur Sumber Rejo 28/3/18 28/3/18 26-27 750
Sendiri Sindrom

Markoni GG swadaya Datang Spontan,Extrak Respiratory Failure

11 752598 By Ny Munira 31/3/18 31/3/18 31/3/18 25-26 960
RT 14 Damai Sendiri si kaki,letli
 Diagnosa Ket.

GIT Bleeding,Anemia Due to

Bleeding,Atresia
Ani,Neonatal Ket Jernih
Jaundice,Other Neonatal
Hypoglikemia

Ket Jernih

Npreterm
BBLASR,KB,SMK,Hiperglike Ket Jernih
mi,GIT Bleeding

N Aterm,AKI,Insufiensi
Liver,Neonatal Ket Jernih
Jaundice,Hidrocephalus

N Aterm BBLR
SMK,PDA,ASD,Stenosis Ket Jernih
Duodenum,Cholestasis,

Ket
N Aterm BBLR IUGR Mekoneal

Extreme Low Birth

Weight,Prematur, GIT
Bleeding, DIC,New Born Ket Jernih
Affected By Spontan
Delivery

Asfiksia Berat Acidosis

Metabolik berat,Resfiratory Ket Jernih
Failure,Early Onset
Sepsis,Stres Ulcer
 Sepsis Of New
Born,Extreme Low Birth Ket Jernih
Weight Infant,Moderate
Birth Asphyxia

Very Low Birth

Weight,Asfiksia Berat,RDS Ket Jernih

Very Low Birth

Weight,Asfiksia Berat,RDS Ket Jernih
 DATA KEMATIAN NEONATUS DI RUANG NICU
BULAN : APRIL 2018

No. Tgl
No. Nama Alamat Tgl Masuk Tgl Meninggal Rujukan UK BB Cara Lahir Sebab Kematian
DMK Lahir
Datang SC a/I KPD 2
1 752954 By Ny Risma L I 4/4/2018 Kr Rejo RT 16 No 4 4/4/2018 9/4/2018 30-31 1960 Respiratory Failure
Sendiri hr,Gemelli
Datang SC a/I KPD 2
2 752956 By Ny Risma L II 4/4/2018 Kr Rejo RT 16 No 4 4/4/2018 9/4/2018 30-31 1680 Respiratory Failure
Sendiri hr,Gemelli

Datang
3 753235 By Ny Holidah 7/4/2018 JL A Yani No 11 7/4/2018 24/4/18 42 2400 Spontan Neonatal Pnemonia
Sendiri

Datang
4 753661 By Ny Tri Fajar 12/4/2018 Sepinggan Baru 12/4/2018 13/4/18 Aterm 2775 Spontan Respitory Failure
Sendiri

5 753937 By Ny Kurnia 15/4/18 GN IV RT 42 16/4/18 20/4/18 RSSI Aterm 2570 SC RSSI Pnemonia Neonatal

JL 21 Januari No 31 RT Datang SC a/I

6 753837 By Ny Lusi 14/4/18 14/4/18 21/4/18 Aterm 2740 Neonatal Pnemonia
1 Sendiri Cholestectomy

Datang
7 754128 By Ny Yuniawati II 17/4/18 PPU Sukomulyo 17/4/18 21/4/18 32-33 1670 Spontan Respitory Failure
Sendiri

Datang
8 754124 By Ny Yuniawati II 17/4/18 PPU Sukomulyo 18/4/18 23/4/18 32-33 1580 Spontan RDS
Sendiri
9 754464 By Ny Yovita 21/4/18 JL Gn Rejo No 2 21/4/18 22/4/18 RSBB 40-41 3700 SC RSBB Asphyxia Berat

Datang SC a/I Solutio

10 754629 By Ny Agustin I 23/4/18 JL Indrakila No I RT3 23/4/18 30/4/18 32-33 2250 Early Onset Sepsis
Sendiri Placenta

Datang SC a/I Solutio

11 754630 By Ny Agustin II 23/4/18 JL Indrakila No I RT3 23/4/18 1/5/2018 32-33 2150 Early Onset Sepsis
Sendiri Placenta

Datang
12 754874 By Ny Suwati 24/4/18 JL Seotomo 24/4/18 27/4/18 33-34 1930 SC Sepsis
Sendiri

JL Padat Karya No 3 RT
13 754779 By Ny Misnawati 24/4/18 24/4/18 28/4/18 BPM Aterm Spontan 3000 Neonatal Pnemonia
40

JL Indrakila GG Datang
14 755286 By Ny Sri Wahayu 30/4/18 30/4/18 6/5/2018 28 1130 Spontan 1130 Asphyxia
Merdeka Sendiri

Perum Graha Indah RS SC a/I Fetal

15 755193 By NY Sisilia 30/4/18 30/4/18 30/5/18 Hermina 39-40 1966 RDS
Blok D 2 No 5 RT 3 Distress
 Diagnosa Ket.

Npreterm,BBLR,Pnemonia Sisa Ket

Neonatal Jernih
Npreterm,BBLR,Pnemonia Sisa Ket
Neonatal,Anemia Jernih

N Post Term Ket

BBLRSMK,Sepsis,CHD Kuning
(TR)Cholestasis,Prolaps Recti

N Aterm SMK ,RDS,Dougle

outlet right
ventrikel,CHD,CTEV,Multiple Ket Hijau
Kongenital Anomali

N Aterm BBLC SMK SC Susp

MAS,Syok Sepsis, Ket Hijau
CHD(MR,TR,ASD)

N Aterm BBLC SMK Asphyxia

Berat,ASD,Neonatal
Joundice,Anemia, DIC,Sepsis Ket Jernih
Neonatorum

N Preterm SMK,RDS Of New

Born,Fetus Or New Born
Affected By Twin
Pregnacy,Sepsis Of New Ket Jernih
Born,Trombositopeni,Coagulo
pati

N Preterm SMK,RDS Of New

Born,Fetus Or New Born
Affected By Twin
Pregnacy,Sepsis Of New Ket Jernih
Born,Trombositopeni,Coagulo
pati
 N Aterm SMK ,Early Onset Ket Jernih
Sepsis,DIC

N Pretrm SMK BBLR,Low

Birth Weight,PDA,Sepsis
Neonatorum,Neonatal Ket Jernih
Pneumonia,New Born Baby
With Multiple Pregnancy,

N Pretrm SMK BBLR,Low

Birth Weight,PDA,Sepsis
Neonatorum,Neonatal
Pneumonia,New Born Baby Ket Jernih
With Multiple
Pregnancy,Neonatal
Jondice,GIT Bleeding

N Preterm BBLR
SMK,Respiratory Failure,Susp Ket Jernih
PIK,Edema Femur,GIT
Bleeding

N Posterm BBLC
SMK,Asphyxia ,RDS,Early Ket Jernih
Onset Sepsis,Anemia
N Preterm Ket Jernih
SMK,BBLSR,KB,Anemia

N Posterm KMK,BBLR,RSD Ket KPD 4

Susp CHD,Infeksi CMV Tokso jam,warn
Ferris a keruh
 DATA KEMATIAN NEONATUS DI RUANG NICU
BULAN : MEI

No. Tgl
No. Nama Alamat Tgl Masuk Tgl Meninggal Rujukan UK BB Cara Lahir Sebab Kematian
DMK Lahir
JL Propinsi RT 7
1 755316 By Ny Rusniah 30/4/18 1/5/2018 3/5/2018 RS PPU 26-27 700 Spontan Respiratory Failure
Penajam
Perum Wika Cluster Datang
2 756021 By Ny Dian I 10/5/2018 11/5/2018 20/5/18 29-30 1350 Spontan Early Sepsis Onset
Mahagam I Blok ME Sendiri
By Ny RS
3 756245 13/5/18 JL Sidomulyo No 20 13/5/18 14/5/18 26-27 810 Spontan Respiratory Failure
Aswariyani Hermina

JL Wolter Mangonsidi Datang

4 756436 By Ny Endang 15/5/18 15/5/18 15/5/18 Aterm 3050 SC CHD
Baru Ulu RT 48 No 9 Sendiri

JL Sepinggan Baru No 3 Datang SC a/I

5 756618 By Ny Devie A 16/5/18 16/5/18 28/5/18 33 1300 Sepsis Of New Born
RT 97 Sepinggan Sendiri Eklampsi

JL Andi Rahayu No 59 Datang

6 757001 By Athorid D 22/5/18 22/5/18 26/5/18 32 1045 Spontan Asphyxia berat
Muara Rapak Sendiri

By Ny JL Mulawarman RT 22 Datang Intra Cerebral

7 757378 27/5/18 27/5/18 29/5/18 Aterm 2410 Spontan
Rahmawati Sepinggan Sendiri Haemorrhage
 Diagnosa Ket.

N Preterm SMK,Extremely Low Ket Jernih

Birth Weight,RDS
N Preterm BBLSR,RDS,Neonatal Ket Jernih
Joundice

N Preterm BBLSR Asphyxia Berat Ket Jernih

N Aterm SMK,Susp Critikal

Cyanotik CHD,Severe Birth
Asphyxia,Fetus Or New Born Ket Hijau
Affected By SC
Delivery,Mekoneum Amnion Fluid

N Preterm BBLR SMK,RDS

Delivery,Fetus Or New Born
Affected By SC Delivery,Neonatal Ket Jernih
Jaundice,Severe Birth
Asphyxia,Respiratory Failure,

N Preterm SMK BBLSR,GIT

Bleeding,Anemia Gravis,Neonatal Ket Jernih
Jaundice,Pnemonia,GIT
Bleeding,DIC,Thrombositopeni

N Aterm KMK,Asphyxia
Berat,Brain Swelling,HIE
Severe,Respiratory And Cardiac Ket Jernih
Arrest,
 DATA KEMATIAN NEONATUS DI RUANG NICU
BULAN : JUNI 2018

No. Tgl Tgl

No. Nama Alamat Tgl Masuk Rujukan UK BB Cara Lahir Sebab Kematian
DMK Lahir Meninggal
JL Woltermangonsidi RS SC a/i
1 757763 By Ny Dahlia 2/6/2018 2/6/2018 8/6/2018 Bontang Aterm 2980 RDS
No 3 RT 28 Letsu

2/6/2018 Perum Penajam Indah 2/6/2018 8/6/2018

2 757780 By Ny Fatimah RS PPU 40-41 3250 Spontan Sepsis
Lestari No 37

3 757713 By Ny Purwanti 1/6/2018 Gn Samarinda III RT 33 1/6/2018 11/6/2018 Datang 38-39 2000 Spontan Sepsis
Sendiri

SC a/I
4 758324 By Ny Hasnah 10/6/2018 JL May Jend Sutoyo No 10/6/2018 10/6/2018 Datang 30-31 1020 HAP,PP RDS
39 Sendiri Totalis
RSUD
5 758349 By Uwais 6/6/2018 PPU JL Sesulu RT 2 11/6/2018 11/6/2018 Bontang Aterm 3700 Spontan PIK

Muara Jawa JL Handil Bacterial Sepsis

6 758515 By Ny Sumiati 13/6/18 13/6/18 Aterm 3005 Spontan
RT 15 Kukar Of New Born

7 759170 By Ny Masniah 17/6/18 PPU Labangka 22/6/18 23/6/18 RS PPU 35-36 2100 Spontan DIC

SC a/I
JL Tepo Perum Karang Placenta
8 759261 By Ny Tenti T 22/6/18 22/6/18 26/6/18 RST 34-35 2000 Asphyxia Berat
Joang Previa
Totalis,
9 759874 By Ny Aris Susanti 24/6/18 Labangka Barat 29/6/18 1/7/2018 RS PPU 39 2600 Spontan Sepsis
 Diagnosa Ket.

N Aterm BBLC SMK,RDS Ket Jernih

N Aterm BBLC Ket Hijau

SMK,RD,Cholestasis

N Aterm KMK
BBLR,Gastroschizis,Low Birth KetJernih
Weight,Small For Gestation Age

N Preterm SMK BBLSR,Other Ket Jernih

Low Birth Weight Infant

N Aterm BBLC Ket Jernih

SMK,PIK,Hiperbilirubin

N Aterm SMK BBLC,CHD

Cyanotik,Respitatory Failure Of Ket
New Born,Prematur Ruptur Of Mekoneal
Membran,Respiratory And
Cardiac Arrest

N Preterm SMK BBLR,Atresiani

Letak Tinggi, Low Birth Weight
Small For Gestation Age
Sepsis,Massive Pulmonary
Hemorrhage

N Preterm BBLR SMK,Respiratory Sisa Ket

Failure Keruh
 N A term BBLC
SMK,Hiperbillirubin,Omphalitis Ket Jernih
 DATA KEMATIAN NEONATUS DI RUANG NICU
BULAN : JULI 2018

No. Tgl
No. Nama Alamat Tgl Masuk Tgl Meninggal Rujukan UK BB Cara Lahir Sebab Kematian
DMK Lahir

JL Marsma Iswahyudi Datang

1 760273 By Ny Mulianti 4/7/2018 4/7/2018 6/7/2018 25-26 865 Spontan Asphyxia Berat
Sungai Nangka Sendiri

JL Mulawaraman RT
2 760814 By M Naufal 11/7/2018 9/7/2018 13/7/18 BPS Aterm 3800 Spontan PIK
2,Manggar
Sepsis ec
Klinik
3 761369 By Ny Agnes C 15/7/2018 JL Mulawarman 15/7/2018 23/7/2018 34-35 1300 Spontan Letsu Klebsiella
Asih Pneumonia

JL Soe.Hatta Km 25 RT 1
4 761351 By Ny Farida A 14/7/2018 Kel Sei Merdeka 14/72018 14/7/2018 Aterm 3475 Spontan Asphyxia Berat
Samboja

JL Karang Jati Dalam No Pnemonia

5 761184 By Ny Irma A 13/7/2018 13/7/2018 14/7/2018 Aterm 3870 Spontan
17 RT 16 Kongenital

JL Gajah Mada No 47
6 761710 By Ny Hermince 16/72018 17/7/2018 19/7/2018 RSBB Aterm 3850 Spontan Asphyxia Berat
RT 26 Klandasan Ilir

JL Cipinang Kedende
7 761867 By Ny Wa Ode 18/7/2018 18/7/2018 29/7/2018 2220 SC a/I PEB DIC
JATIM

8 762058 By Ny Amesia 19/7/2018 JL Propinsi RT 5 19/7/2018 29/7/2018 PPU Aterm 3400 Spontan Asphyxia Berat

JL Mulawarman RT 18
9 761701 By Ny Ina A 16/7/2018 Lamaru 16/7/2018 20/7/2018 35 2145 RDS
 SC a/I HAP PP Early Onset
10 762719 By Ny Ute W 29/7/2018 JL Mulawarman 29/7/2018 1/8/2018 37 3190 Totalis Sepsis
JL Soe HattaRT 47 No
11 762683 By Ny Ngatini 28/7/2018 31/7/2018 10/8/2018 RSSIB 37-38 2560 Spontan Sepsis
42 Muara Rapak
 Diagnosa Ket.

N Preterm BBLSR SMK,Vey

Low Birth Weight,Anemia
Gravis,DIC,Thrombositopeni Ket Jernih
a Berat

N Aterm BBLC SMK Infeksi Ket Keruh

Bacterial,PIK

N.Preterm,BBLSR,RDS,Pneu Ket
monia,PDA,Hiperbillirubin, Jernih

N.Aterm SMK,MAS,Massive Ket

Pulmonary Hemorrhage Mekoneal

N Preterm BBLR,Asphyxia Ket Jernih

KPD 20
Berat Jam

N Aterm BBLC SMK, Ket

MAS,Sepsis Mekoneal

LBW Prematur,Asphyxia
Berat,Sepsis,PDA,ASD,Anemi Ket Keruh
a,Trombositopenia,Neonatal
Joundice,

N Aterm BBLC SMK, Ket

MAS,Sepsis Mekoneal

N Preterm BBLR SMK,RDS Ket Jernih

 N AtermBBLC SMK,Hidrop Ket Jernih
Fetal,Asphyxia Berat
N Aterm BBLC SMK, Atresian Ket Keruh
ANI,CTEV
 DATA KEMATIAN NEONATUS DI RUANG NICU
BULAN : AGUSTUS 2018

No. Tgl Sebab

No. Nama Alamat Tgl Masuk Tgl Meninggal Rujukan UK BB Cara Lahir
DMK Lahir Kematian
Resfiratory
1 763349 By Ny Siti K 6/8/2018 JL Martadinata No 49 6/8/2018 10/8/2018 30 1100 SC a/I PEB Failure
JL P Antasari Gn Kawi RT 6
2 762973 By Ny Noor Saidah 30/7/2018 1/8/2018 3/8/2018 Aterm 3050 Spontan Sepsis
No 4

3 763542 By Ny Rita I 8/8/2018 JL Tanjung Ilir RT 2 8/8/2018 18/8/2018 26-27 640 Spontan RDS

4 763543 By Ny Rita II 8/8/2018 JL Tanjung Ilir RT 2 8/8/2018 19/8/2018 26-27 815 Spontan RDS

JL Puskesmas PJHI Resfiratory

5 763776 By Ny Rahmawati 12/8/2018 12/8/2018 16/8/2018 Klinik Asih 39-40 1900 Spontan
Batakan RT 22 Failure
JL Sudirman RT 11 No 23
6 763912 By Ny Siti Z 14/8/2018 14/8/2018 16/8/2018 PKM Sepinggan 30-31 1200 Spontan RDS

JL Martadinata No 49 RT
7 763349 By Ny Siti K 6/8/2018 6/8/2018 10/8/2018 30 1100 SC a/I PEB Sepsis
17

8 764001 By Ny Musdalifah 15/8/2018 JL Mulawarman Manggar 15/8/2018 17/8/2018 RS Bhayangkara 34-35 1960 Spontan Sepsis

Tetanus
9 764293 By Ny Sadillah 19/8/2018 JL Riko 19/8/2018 22/8/2018 RSUD PPU 39-40 4000 Spontan Neonatorum

Respiratory
10 764548 By Ny Siti H 23/8/2018 JL Marsma Iswahyudi 23/8/2018 1/9/2018 34-35 2400 Spontan Failure

SC A/I Gagal
Induksi KPD 3 Respiratory
11 764582 By NY Julia D 23/8/2018 JL DI Panjaitan No 2 23/8/2018 27/8/2018 35-36 2620 hr,kelainan Failure
Kongenetal

Balikpapan Regency JL
12 764697 By Ny Anneke 25/8/2018 25/8/2018 27/8/2018 RSBB 39-40 2800 Spontan Sepsis
Besakih RT 41 Sepinggan
13 767296 By Ny Falisha 28/8/2018 Sangata 30/9/2018 16/10/2018 RS Bontang 34 2075 SC RS Bontang Sepsis

JL Sudirman GG Mulia No SC a/I Poli Respiratory

14 765152 By Ny Shanti R 21/8/2018 21/8/2018 7/9/2018 31-32 1950
17 Hidramnion Failure
 Diagnosa Ket.

N Pterm BBLR KB SMK,RDS Ket Jernih

Neonatal Joundice Kremer Ket Jernih

5,Convulsi ec Kern Ikterus
N Preterm KB SMK,Extremely Low
Birth Weight Gemelli 1,Severe Ket Jernih
Asphyxia

N Preterm KB SMK,Extremely Low

Birth Weight Gemelli II,Severe Ket Jernih
Asphyxia
N Aterm KMKBBLR,Multiple Ket Hijau
Kongenital

Npreterm BBLSR KMK,GIT Bleeding Ket Jernih

N Preterm BBLSR,Neonatal Ket Jernih

Joundice,GIT Bleeding
N Preterm BBLR Ket Jernih
SMK,RDS,Gastroschizis

N Aterm,Sepsis Ket Keruh

N Preterm BBLR SMK,Severe

Asphyxia,Sepsis,GIT Bleeding,PIK Ket Jernih

N Preterm BBLR LBW,Hipoplasia

Paru,Osteogenesis Imperpecta dd Ket -
Achandoplasia,Sepsis

N Aterm BBLC SMK,Atresiani Ket Jernih

 Ket
N Preterm,Atrofi Jernih,Poli
Brain,Ventrikulomegali,Multiple
Anomali Kongenital,Anemia, DIC hidramnio
n

N Preterm BBLR SMK,Anus Ket Hitam

Anterior,Asphyxia
 DATA KEMATIAN NEONATUS DI RUANG NICU
BULAN : SEPTEMBER 2018

No. Tgl Sebab

No. Nama Alamat Tgl Masuk Tgl Meninggal Rujukan UK BB Cara Lahir
DMK Lahir Kematian

RS
1 765777 By Ny Yuli 1/9/2018 Muara Jawa Ulu No 3 8/9/2018 8/9/2018 41-42 2610 Spontan Sepsis
Samboja

765276 By Ny Rubyana 2/9/2018 Bente Tualan RT 2 2/9/2018 16/10/2018 35-36 2600 Spontan HIE

Respiratory
2 765780 By Ny Erika 8/9/2018 JL Sudirman Baru Ulu 8/9/2018 8/9/2018 24 650 Spontan Failure

Respiratory
3 766332 By Ny Nurul Asma 16/9/2018 Kutai Linggang 16/9/2018 16/9/2018 37-38 3060 SC a/I LetLi Failure

4 766300 By Ny Ratna F 14/9/2018 JL Markoni Atas No 13 14/9/2018 14/10/2018 41-42 2286 SC di RS Hermina

JL Batu Ratna Indah

5 766383 By Ny Hanik M 18/8/2018 17/9/2018 18/9/2018 35-36 2856 Spontan
Karang Joang

6 766774 By Ny Suprihatin 22/9/2018 JL Sidorejo PPU 22/9/2018 23/9/2018 39-40 2800 Spontan Asphyxia

JL R.Agung tunggal RT 2 Spontan Letsu

7 766973 By Ny Dhini 25/9/2018 25/9/2018 6/10/2018 38-39 2680 HIE
Damai Baru Ekstraksi Partial
 Diagnosa Ket.

N Aterm BBLC SMK,Acute Ket KPD 8

Kidney Injury ,Anemia,Susp Jam
Obstruksi Illeus,Omphalitis

N
Preterm,BBLR,SMK,RDS,Pneu Ket Jernih
monia

N Severe Preterm
,BBLASR,SMK,RDS,Extremelly Ket Jernih
Low Birth Weight

N Aterm BBLC
SMK,ASD,VSD,PDA,Multiple Sisa Ket
Kongenital Anomali,Kongenital Jernih
Hidrochapus,Sepsis Of New
Born

N Aterm BBLC KMK,Multilpe Ket Jernih

Kongenital Anomali,RDS

N Aterm SMK
BBLC,Hidrochepalus,Dextrocar Ket Jernih
di

N Aterm BBLC SMK Asphyxia Ket Hijau

Berat,Obs Saluran Cerna

N Aterm SMK BBLC Asphyxia

Berat,Pnemonia,Sepsis,Anemi Ket Hijau
a
 DATA KEMATIAN NEONATUS DI RUANG NICU
BULAN : OKTOBER 2018

No. Tgl
No Nama Alamat Tgl Masuk Tgl Meninggal Rujukan UK BB Cara Lahir
DMK Lahir

JL Karang Joang No 60
1 767477 By Ny Dita 2/10/2018 2/10/2018 7/10/2018 35 1580 SC a/I IUGR
RT 11

Sepinggan Jln Tunggal SC a/I

2 767642 By Ny Mendang 4/10/2018 4/10/2018 25/10/2018 1860
Ika KPD,Oligrohidramnion

Brojol di Rumah TP
dipotong
3 767719 By Ny Fatimah 4/10/2018 JL Swadaya 5/10/2018 22/10/2018 32 1400 Bidan( Pulpak dari RS
Gn Malang)

SC a/I Hydrothorax
Sepinggan RT 26 No
4 767943 By Ny Nita 8/10/2018 8/10/2018 8/10/2018 35-36 3530 Massive,Poli
500 A Hidramnion

JL Meriam RT 12 GN
5 768261 By Ny Riniyati 12/10/2018 12/10/2018 12/10/2018 33-34 2800 SC a/I Hidrops Fetalis
Steleng PPU

By Ny Nur Azizah PKM

6 768355 14/10/2018 PPU 14/10/2018 16/10/2018 29-30 1140 Spontan
II Sepaku

PKM
7 768354 By Ny Nur Azizah I 14/10/2018 PPU 14/10/2018 22/10/2018 29-30 1260 Spontan
Sepaku
 RS Hermina
8 768163 By Ny Hasna 10/10/2018 Manggar 10/10/2018 13/10/2018 (15 hari 24-25 726 Brojol di mobil
rawat)

JL Prapatan No 19 RT
9 768637 By Ny Risnawati 17/10/2018 17/10/2018 31/10/2018 RST 3150 Spontan
25

10 768674 By Ny Nurjannah 18/10/2018 Pandan Barat Margasari 18/10/2018 22/10/2018 1430 SC a/I Ibu PEB

By Ny Incing JL RE Martadinata No
11 769030 24/10/2018 24/10/2018 7/11/2018 1975 Spontan
Pratiwi 49 RT 27

SC a/I Atresia
12 768747 By Ny Gustin 19/10/2018 Giri Purwa RT 10 PPU 19/10/2018 1/11/2018 37-38 3400 Duodenum
Spontan di tolong
13 769331 By Ny Tuti D 28/10/2018 JL Propinsi PPU 29/10/2018 4/11/2018 RS PPU 34-35 1450 dukun,TP dipotong
bidan

14 769009 By Ny Sutini 22/10/2018 Nipah - Nipah PPU 22/10/2018 31/10/2018 RS PPU 39-40 2200 Spontan

15 769594 By Ny Puji R 31/10/2018 JL Podho moro 31/10/2018 2/11/2018 32-33 1280 RDS

Tanjung Harapan
16 769267 By Ny Rifkyansa 8/10/2018 28/10/2018 7/11/2018 RS Paser 2800 Spontan
Labuang Kello

26/10/2018 JL Projakal Graha Indah 26/10/2018

17 769205 By Ny Nurlaelah 1/11/2018 33-34 2000 SC a/I Letak Kaki
RT 48
 Sebab Kematian Diagnosa Ket.

N Preterm KMK
BBLR,Tracheo Esophageal
Sepsis Fistula Type C/D Gross Ket Hijau
Classifiantion,Neonatal
Pnemonia,Hiperbilirubin

N Preterm,RDS,LBW
Sepsis Of New Born Infant,Illeus,Neonatal Ket Jernih
Joundice,PDA,Anemia

N Preterm BBLR,Neonatal
Neonatal Pneumonia Infeksi,Neonatal Ket Jernih
Joundice,NEC

N Aterm BBLC
Asphyxia Berat BMK,Hydrothorax,Hydrops Ket Jernih
Fetalis

N Aterm BBLC
Hidrops Fetalis BMK,Hydrothorax,Hydrops
Fetalis,BBLC,KMK

N
Preterm,BBLSR,VLBW,Sepsis
Asphyxia Berat ,Neonatal
Joundice,DIC,Gemelli II

N
Preterm,BBLSR,VLBW,Sepsis Ket Jernih
Asphyxia Berat ,Neonatal
Joundice,DIC,Gemelli 1
Respiratory Failure N Preterm BBLASR, RDS Ket Jernih

N Aterm SMK Asphyxia

Berat,Mekoneal Ket
PIK,DIC Aspirasi,Sepsis,Neonatal Mekoneal
seizure

Severe Asphyxia,LBW
RDS Infant,Sepsis,Neonatal Ket Jernih
Joundice

RDS,LBW Infant,Tricuspid
Sepsis Of New Born Regurgitaion,Pulmonal Ket Hijau
Hipertensi

Sepsis Sepsis,DIC,Cholestasis Ket Jernih

RDS, Laxidity
Sepsis ligament,Neonatal Ket Jernih
Joundice,LBW Infan
Illeus Obstruksi letak
Bacterial Sepsis Ket Jernih
rendah,

Moderate Asphyxia RDS,Moderate,Sepsis,

N Aterm SMK, Down

Bacterial Sepsis Sindrome,Anemia,Palmopla Ket Jernih
ntar Keratosos Diaper Rash

PIK (Intra LBW Infant,Asphyxia

Cerebral,Intra Neonatus,Ventriculomegalli Ket Jernih
Ventrikel )
 DATA KEMATIAN NEONATUS DI RUANG NICU
BULAN : NOVEMBER 2018

No. Tgl Sebab

No. Nama Alamat Tgl Masuk Tgl Rujukan UK BB Cara Lahir Diagnosa Ket.
DMK Lahir Meninggal Kematian

SC a/I
5/11/2018 JL Dr Sutomo RT 14 No 27/11/20 31- Asphyxia
1 769929 By Ny Nely S 5/11/2018 1000 Help N Preterm BBLSR Ket Jernih
47 18 32 Berat
Sindrom

SC di PPU
a/I
19/11/20 RSUD 35- 1800 Letsu,PEB Asphyxia N Preterm BBLR,Atresia Ket Jernih
2 770146 By Ny Rianda 7/11/2018 Babulu Darat 6/11/2018 18 PPU 36 Berat Duodenum
,Polihidra
mnion

N Preterm
Kr Rejo Gg Romeo No 21/11/20 RS 34- Asphyxia BBLR,Hidrochapalus,Se
3 770287 By Ny Etik 9/11/2018 9/11/2018 1950 Spontan Ket Hijau
11 18 Hermina 35 Berat psis

12/11/2018 25/11/20 Asphyxia

4 770492 By Ny Ariyanti 12/11/2018 JL Mulawarman RT 3 32 1315 Spontan N Preterm BBLR Ket Jernih
18 Berat

10/11/2018 18/11/20 N Aterm BBLC ,Asphyxia Ket Jernih

5 770347 By Ny Wati 10/11/2018 JL Mekar Sari No 59 3300 Spontan Sepsis
18 Berat,DIC,Susp PDA,VSD

27/11/2018 JL Raden Sukma RT 16 28/11/2018 28/11/20 Asphyxia N Aterm BBLC ,Asphyxia Ket Hijau
6 771588 By Ny Monita 2900 Spontan
18 Berat Berat,MAS

N Preterm BBLR,Atresia
771596 By Ny Nurul Arfah 27/11/2018 JL MT Haryono Sungai 28/11/2018 16/12/20 31- Jejunum Post Shunting Ket Jernih
7 1595 Spontan Sepsis
Nangka 18 32 Duedenojejunostomi
GR 5

SC a/I
By Ny Isma Maya 29/11/2018 JL Karang 16
Jati No 5 RT 29/11/2018 29/11/20 Asphyxia Ket
8 771752 4300 Kala 2 Naterm SMK Asphyxia Mekoneal
18 Berat
lama
 DATA KEMATIAN NEONATUS DI RUANG NICU
BULAN : DESEMBER 2018

No. Tgl
No. Nama Alamat Tgl Masuk Rujukan
DMK Lahir Tgl Meninggal

4/12/2018 JL Penegak RT 9 No 73 Klinik Ida

1 772035 By Ny Selvia 4/12/2018 5/12/2018
Damai Bahagia Kartika

2 772492 By Ny Melly Eka 9/12/2018 JL Sudirman No 69 9/12/2018 12/12/2018

3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
EONATUS DI RUANG NICU
DESEMBER 2018

UK BB Cara Lahir Sebab Kematian Diagnosa Ket.

N Aterm BBLC Sup

Hidrocpalus,Labiognato
3100 Spontan Asphyxia Neonatorum palato Ket Hijau
schisis,Pneumonia dd
MAS dd CHD

SC a/I
35- 1730 NST Nlate Preterm BBLR
Non RDS Ket Jernih
36 SMK Asphyxia
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