Tetanus Neonatorum in the Bethesda Hospital Y ogyakarta

  • Marwoto Marwoto Department of Child Health, Universitas Gadjah Mada Medical School/Dr. Sardjito Hospital, Yogyakarta, Central Java
  • Achmad Surjono Department of Child Health, Universitas Gadjah Mada Medical School/Dr. Sardjito Hospital, Yogyakarta, Central Java
DOI: https://doi.org/10.14238/pi16.9-10.1976.337-44
Keywords: tetanus neonatorum; midwives; neonatal death

Abstract

Thirty cases of tetanus neonatorum admitted to the Bethesda Hospital Yogyakarta, from January through December 1974, were analyzed. Twenty seven cases (90%) were born at home attended by traditional midwives, 2 (6.7%) were delivered at home attended by midwives while 1 (3.3%) was born in the obstetric ward of the hospital. The fatality rate is high. The possible cause of neonatal tetanus in these cases might be the delivery at home by traditional midwives and the application of contaminated materials such as traditional medicines on the umbilical stump. Tetanus neonatorum is an important cause of neonatal death in rural areas. The cost of treatment of tetanus neonatorum is much higher than the cost of antenatal tetanus immunization, which is one of the practical effective and safe methods in preventing tetanus neonatorum.

References

1. CAROLYN, H.M.; MICHAEL, F.B.; MARGARET, P.; SCHOFIELD, F.D.; LENNAN, M.R. and KELLY, A. : lmmunization against neonatal tetanus in New Guinea. Bull. W.H.O. 43:439 (1970).
2. CHEN, S.T. : Tetanus neonatorum in West Malaysia. J. trop. med. Hyg. 77 : 204 (1974).
3. JELLIFFE, D.B. : Diseases of children in the subtropics and tropics. 2nd ed., p. 118 (Edward Arnold, London 1970).
4. LENNAN, M.R.; SCHOFIELD, F.D.; CAROLYN, H.M. and MICHAEL, F.B. : Immunization against neonatal tetanus in New Guinea. Bull. W.H.O. 32 : 683 (1965).
5. LIEM WIE TJOEN; SADIKIN DARMA· WAN; SOFJAN ISMAEL; IGNATIUSSUDIGBIA; RULINA SURADI and BULAN GINTING MUNTHE : The effectof diazepam on tetanus. Paediatr. Indones. 10 : 248 (1970).
6. MORLEY, D. : Paediatric priorities in the developing world. p. 80 (Butterworths, 1974).
7. RETNO TRENGGONOWATI; SADIKIN DARMAWAN and J.A. KASIM : The effect of nitrazepam (Mogadon) on tetanus as compared with diazepam. Paediatr. Indones. 11 : 201 (1971).
8. STANFIELD, J.P.; GALL, D. and BRACKEN, P.M. : Single dose of antenatal tetanus immunization. Lancet i : 215 (1973).
9. SUNARTO and DRADJAD BOEDIMAN : Valium in the treatment of tetanus neonatorum. Paediatr. Indones. 12 : 221 (1972).
10. SUTEDJO; HENDARTO HENDARMIN; SUTARJONO and S.K. HENDARTO : Tracheotomy as an additional treatment of neonatal tetanus. Paediatr. Indones. 6 : 183 (1966).
Published
2019-09-17
How to Cite
1.
Marwoto M, Surjono A. Tetanus Neonatorum in the Bethesda Hospital Y ogyakarta. PI [Internet]. 17Sep.2019 [cited 23Nov.2024];16(9-10):337-4. Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/2308
Issue
Vol 16 No 9-10 (1976): September - October 1976
Section
Infection & Tropical Pediatrics

Copyright (c) 2019 Marwoto Marwoto, Achmad Surjono

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Received 2019-09-17
Published 2019-09-17