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Determinan Persalinan Sectio Caesarea Di Rumah Sakit
…DETERMINAN PERSALINAN SECTIO CAESAREA DI RUMAH SAKIT UMUM DAERAH BALANGAN KABUPATEN BALANGAN TAHUN 2016
Sri Ana Megawati*, Anggrita Sari1, Nita Hestiyana 2 1Stikes Sari Mulia Banjarmasin
*Mahasiswa Program Studi DIV Bidan Pendidik. HP: 08115530556, Email : [email protected]
ABSTRAK
Latar Belakang : Persalinan dengan tindakan ancaman akan dilakukan dengan operasi atau sectio caesarea.
Angka kejadian sectio caesarea trus meningkat tahun 2015 sectio Caesar sebanyak 137 kasus dari 355 persalinan dan tahun 2016 191 kasus dari 473 persalinan. Berbagai indikasi 30 kasus karena CPD pada faktor ibu, 24 kasus karna kelainan letak faktor janin dan 14 kasus karna plasenta previa faktor plasenta. Indikasi sectio caesarea indikasi absolute dan relatif. Setiap keadaan yang membuat kelahiran lewat jalan lahir tidak mungkin terlaksana merupakan indikasi absolute. Pada indikasi relative, kelahiran lewat vagina bisa terlaksana tetapi keadaan adalah sedemikian rupa sehinga kelahiran lewat sectio caesarea akan lebih aman bagi ibu, anak ataupun keduanya
Tujuan Penelitian : Menganalisa Determinan Persalinan sectio caesarea Di Rumah Sakit Umum Daerah Balangan Tahun 2016.
Metode Penelitian : Metode penelitian ini menggunakan metode survey analitik dengan menggunakan rancangan cross sectional. Popolasinya adalah ibu bersalin di Rumah Sakit Umum Daerah Balangan pada tahun 2016 sebanyak 473 orang. Tehnik pengambilan sampel menggunakan total sampling dengan jumlah 473. Pengumpulan data melalui data sekunder dengan mengambil data dari rekam medik dan register ibu bersalin dan di analisis dengan uji Fisher Exact.
Hasil Penelitian: Dari hasil uji Fisher Exact di dapatkan bahwa nilai p value 0,000 dimana nilai α < 0,05 untuk Hubungan CPD, kelainan letak janin dan plasenta previa dengan Persalinan Sectio Caesarea.
Simpulan :Hasil penelitian ini adalah ada hubungan CPD, kelainan letak dan plasenta previa dengan persalinan sectio caesarea. Untuk itu disarankan perlunya dilakukan ANC terpadu untuk melakukan skrining komplikasi kehamilan dan persalinan.
Kata Kunci: CPD, kelainan letak, plasenta previa, dan persalinan sectio caesarea.
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Determinan Persalinan Sectio Caesarea Di Rumah Sakit…
DETERMINANTS OF SECTIO CAESAREA AT PUBLIC HOSPITAL IN BALANGAN DISTRIC IN 2016
Sri Ana Megawati*, Anggrita Sari1, Nita Hestiyana 2 1Stikes Sari Mulia Banjarmasin
*Mahasiswa Program Studi DIV Bidan Pendidik. HP: 08115530556, Email : [email protected]
ABSTRAK
Background: Delivery with threatening action would be performed by surgery or sectio cesarea. The incidence of sectio caesarea increased as much as 137 cases from 355 deliveries in 2015 and 191 cases from 473 deliveries in 2016. Various indications of 30 cases due to CPD in maternal factors, 24 cases due to abnormalities of fetal factors and 14 cases due to placenta previa placental factors. Indications of sectio cesarea are absolute and relative. Any circumstance making birth through the birth canal was impossible called an absolute indication. In relative indications, vaginal birth could be accomplished but relied on some circumstances making birth by sectio caesarea would be safer for mother, child or both
Research Objectives :This study aim to analyze the determinants of sectio caesarea at Public Hospital in Balangan Distric in 2016.
Research Method : Analytical survey method using cross sectional design was used as the research method.
The subjects of this study were the total number of maternity mothers at the public hospital in Balangan in 2016 as many as 473 people. Technique of taking the samples uset total sampling with total number of 473 participants. The researcher did not use sampling because the entire population served as the object of research or by sampling the total population or sample saturated. Collecting data through secondary data by taking data from medical records and registers that included maternity mothers and this study was analyzed by Fisher Exact.
Research Result : From result of the Fisher Exact test it was found that p value 0.000 where α < 0.05 for CPD relationship, fetal abnormality and placenta previa with sectio caesarea.
Conclusion : The results of this research were found a relation of CPD, fetal abnormality and placenta previa with sectio caesarea. Therefore, the need for integrated antenatal care (ANC) in order to perform screening or early detection of complications of pregnancy and childbirth was recommended.
Keywords: CPD, fetal abnormality, placenta previa, and sectio caesarea.
