Search Repository Universitas Fort De Kock

CPD (Chepalopelvic Disproportion) merupakan salah satu masalah kebidanan dan dapat menyebabkan komplikasi berbahaya dari ibu dan anak jika diagnosis terlambat. Data American College Of Nurse Midwives (ACNM), CPD ditemukan pada 1 dari 250 kehamilan. Kejadian SC karena CPD di RSI Ibnu Sina padang panjang sebanyak 237 dari 635 persalinan (37,3%). Tujuan penelitian untuk mengetahui hubungan faktor risiko kejadian seksio sesarea karena Chepalopelvic Disproportion (CPD) di RSI Ibnu Sina Padang Panjang Tahun 2017. Jenis Penelitian Survey Analitik dengan pendekatan case control. Penelitian dilakukan di RSI Ibnu Sina Padang Panjang tanggal 6 April- 22 April 2017 dengan populasi sebanyak 393 dan sampel berjumlah 74 orang kelompok kasus dan 148 orang kelompok kontrol dengan pengambilan sampel secara systematic random sampling. Pengolahan dan analisa data dilakukan secara komputerisasi. Hasil analisa univariat diketahui (33,3%) ibu bersalin dengan SC karena CPD,(18%) ibu memiliki usia berisiko,(30,2%) ibu yang memiliki paritas berisiko,(32%) berat badan bayi lahir berisiko. Hasil analisa bivariat diketahui faktor risiko yang berhubungan dengan SC karena CPD yaitu paritas ibu (p=0,026 dan OR=2,045) dan berat badan lahir bayi (p=0,001 dan OR =2,792). Tidak terdapat hubungan umur ibu dengan kejadian SC karena CPD (p=0,294). Dapat disimpulkan bahwa faktor risiko yang berhubungan dengan kejadian SC karena CPD adalah paritas dan berat badan lahir bayi. Diharapkan kepada petugas kesehatan agar dapat memberikan penyuluhan kepada ibu hamil tentang kejadian SC karena CPD, sehingga dalam kehamilannya ibu memeriksakan diri secara rutin agar risiko kehamilan dapat dideteksi dini.

CPD (Chepalopelvic Disproportion) is one of obstetric problems and can cause dangerous complications from mother and child if diagnosis is delayed. Based on data the American College Of Nurse Midwives (ACNM), CPD is found from 1 in 250 pregnancies. SC due to CPD incident at RSI Ibnu Sina padang panjang is 237 from 635 pregnant women delivered (37,3%). The purpose of this study was to investigate the association of risk factors for cesarean section due to Chepalopelvic Disproportion (CPD) at RSI Ibnu Sina Padang Panjang Year 2017. The survey is using analytics surveys with case control approach. The study was conducted in RSI Ibnu Sina Padang Panjang on April 6 to April 22, 2017 with the population is 393, the sample is 74 cases group and 148 control group with sampling by systematic random sampling. Processing and data analysis is computerized. Result of univariate analysis (33.3%) maternity with SC due to CPD, (18%) had maternal age at risk, (30.2%) had maternal parity at risk, 32% had infant birth weight at risk. The result of bivariate analysis of known risk factor related SC due to CPD are maternal parity (p = 0,026 and OR = 2,045) and infant birth weight (p = 0,001 and OR = 2,792). There was no correlation between maternal age and SC incidence due to CPD (p = 0.294). It was concluded that risk factors associated with incidence of SC due to CPD were parity and infant birth weight. It is expected that health workers should be able to provide counseling to pregnant women about the incidence of SC due to CPD, so that in pregnancy mothers checks themselves regularly so that the risk of pregnancy can be detected early.