Penerapan Penilaian Apgar Score sebagai Deteksi Dini Asfiksia Neonatorum pada Bayi Lahir Sectio Cesarea di RSUD Cimacan  Tahun 2026

Handika Dwi Maryati; Rindu

doi:10.55681/saintekes.v5i4.594

Authors

Handika Dwi Maryati Universitas Indonesia Maju
Rindu Universitas Indonesia Maju

DOI:

https://doi.org/10.55681/saintekes.v5i4.594

Keywords:

APGAR Score, Early Detection, Neonatal Asphyxia, Sectio Caesarea

Abstract

Neonatal asphyxia is a major complication of cesarean section (CS), potentially associated with anesthetic effects and reduced thoracic compression that facilitates fetal lung fluid clearance. Management of respiratory adaptation disorders depends heavily on rapid clinical assessment. The APGAR Score at the first and fifth minutes is a crucial tool for screening and early detection of neonatal asphyxia. This study aimed to determine the application of the APGAR Score for early detection of neonatal asphyxia in infants delivered by CS at Cimacan Regional Hospital. A descriptive quantitative observational study with a cross-sectional design was conducted using total sampling of 503 infants delivered by CS from January to December 2025. Data were collected through APGAR Score observations and medical records and analyzed using univariate analysis. Most mothers were aged 20–35 years (79.9%) and multiparous (59.4%), with premature rupture of membranes as the most common indication for CS (30.6%). Most infants were born at term (81.3%) with normal birth weight (75.7%). At the first minute, 73.0% had no asphyxia, 22.7% had mild-to-moderate asphyxia, and 4.4% had severe asphyxia. At the fifth minute, no asphyxia increased to 75.3%, while severe asphyxia decreased to 1.8%. Most infants were stable and roomed-in (73.2%). The findings indicate good early adaptation with improved APGAR Scores at five minute

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