Gambaran Seasonality dan Indikasi Persalinan Sesarea di RS Al – Islam Bandung Periode 1 Januari 2015 – 31 Desember 2017

Yulienphi Nesica Paquita, Hidayat Widjajanegara, Dadi S. Argadireja

Abstract


Abstract. Now labor through cesarean delivery is often an alternative choice of labor. Caesarean delivery or cesarean section is defined as the birth of the fetus through an incision in the abdominal wall (laparotomy) and uterine wall (hysterotomy). About 50% of countries have a caesarean birth rate more than 15%, while the World Health Organization (WHO) states that the rate of delivery is not more than 15%. There are two main causes, medical and non-medical factors. Medical consists of maternal and fetal factors, while non-medical consists of social factors. The pattern of responses to birth frequency has been well translated by many researchers with large variations from one country to another. Generally, the peak of labor occurs in August and September. However, there have been no specific studies regarding the seasonal delivery of cesarean. The purpose of this study was to study the seasonal picture and indications of labor at Al-Islam Bandung Hospital period 1 January 2015 - 31 December 2017. The method used in this study was descriptive with a total sampling sample. The results of the study showed that the incidence of cesarean delivery in three years was 859 (22,1%) people with the highest medical indications that were used for caesarean delivery, breech presentation, and CPD. Seasonal patterns in observations do not indicate special seasonality.

Keywords: caesarean section, indication, seasonality

Abstrak. Kini persalinan melalui operasi sesarea kerap menjadi alternatif pilihan persalinan. Persalinan sesarea atau bedah sesar didefinisikan sebagai kelahiran janin melalui sayatan di dinding perut (laparotomi) dan dinding rahim (histerotomi). Sekitar 50% negara memiliki tingkat persalinan sesarea >15%, sementara World Health Organization (WHO) menyatakan bahwa tingkat persalinan sesarea tidak boleh >15%.  Terdapat dua penyebab utama terjadinya persalinan sesarea yaitu faktor medis dan non medis. Medis terdiri dari faktor ibu dan janin, sementara non medis yaitu berupa faktor sosial. Pola musiman pada frekuensi kelahiran telah digambarkan dengan baik oleh banyak peneliti dengan variasi yang besar dari satu negara ke negara lain. Umumnya, puncak kelahiran terjadi pada bulan Agustus dan September. Namun, belum ada penelitian khusus terkait seasonality persalinan sesarea. Tujuan penelitian ini adalah untuk mengetahui gambaran seasonality dan indikasi persalinan sesarea di RS Al – Islam Bandung periode 1 Januari 2015 – 31 Desember 2017. Metode yang digunakan pada penelitian ini adalah deskriptif dengan sampel total sampling. Hasil penelitian menunjukkan bahwa angka kejadian persalinan sesarea dalam tiga tahun adalah 859 (22,1%) orang dengan indikasi medis terbanyak yaitu bekas persalinan searea, presentasi sungsang, dan CPD. Pola musiman dalam pengamatan tidak menunjukkan adanya seasonality khusus.

 

Kata kunci:  indikasi, persalinan sesarea, seasonality

 


Keywords


indikasi, persalinan sesarea, seasonality

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DOI: http://dx.doi.org/10.29313/kedokteran.v0i0.14636

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