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Angka kejadian seksio sesarea di Indonesia terus meningkat dari 7% tahun
2007 menjadi 17% pada tahun 2017. Di RSUD Arosuka tahun 2019 ibu bersalin
dengan tindakan seksio sesarea sebanyak 65% dari 435 ibu bersalin. Seksio
sesarea adalah pembedahan untuk melahirkan janin dengan membuka dinding
perut dan dinding uterus. Penelitian ini bertujuan untuk mengetahui determinan
persalinan seksio sesarea di RSUD Arosuka Tahun 2019. Jenis penelitian ini adalah deskriptif dengan desain case control. Populasi sebanyak 435 orang dan sampel 162 sampel yang diambil dengan teknik simple random sampling. Pengumpulan data menggunakan lembar isian pada bulan Desember 2019 sampai April 2020. Data dianalisa secara univariat dan bivariat menggunakan uji Chi-square. Analisa univariat dari 162 responden diketahui 50% seksio sesarea, 24,1% umur ibu beresiko, 51,2% paritas beresiko, 23,5% riwayat seksio sesarea, 27,2% partus tidak maju, 8.0% kelainan letak janin, 3,7% gemelli dan 6,2% post term. Analisis bivariat diketahui determinan yang berhubungan dengan persalinan seksio sesarea adalah riwayat seksio sesarea ( value = 0.000 dan OR = 31.600), partus tidak maju ( value = 0.000 dan OR = 6,087) dan yang tidak berhubungan dengan persalinan seksio sesarea adalah umur ibu ( value = 0.462 dan OR = 0.712), paritas ibu ( value = 0.116 dan OR = 1.728), kelainan letak janin ( value = 0.245 dan OR = 3.270), gemelli ( value = 0.210 dan OR = 5.263) dan post term ( value = 1.000 dan OR = 1.000). Dapat disimpulkan bahwa ada hubungan antara riwayat seksio sesarea dan partus tidak maju dengan kejadian seksio sesarea, dan diharapkan agar pihak rumah sakit melakukan upaya pengendalian dan pengawasan agar seksio sesarea
dilakukan pada kasus yang sesuai dengan kebutuhan medisnya.

The incidence of cesarean section in Indonesia continues to increase from 7% in
2007 to 17% in 2017. In Arosuka Regional Hospital in 2019, 65% of the 435
mother gave birth with cesarean section. Caesarean section is surgery ti deliver a fetus bu opening the abdominal wall and uterine wall. This study aimed to
determine Determinants of Caesarean Delivery in Arosuka Regional General
Hospital, Solok Regency in 2019. The type of this study was descriptive with case control design. It was conducted from December 2019 to April 2020.The population was 435 people. Then, by using simple random sampling technique, 162 samples were chosen. The data were collected through filling sheets. Then, it was analyzed by univariate and bivariate analysis by Chi-square test. Univariate analysis found that 50% did cesarean section, 24.1% of the
respondentswere at risk, 51.2% of them had parity risk, 23.5% of them had
cesarean section history, 27.2% of the respondents had not parturitionprogress,
8.0% of them had fetal abnormalities, 3.7 % gemelli and 6.2% post term. Then,
bivariate analysis revealed that the determinants related to cesarean section were history of cesarean section ( value = 0,000 and OR = 31,600), parturition was not advanced ( value = 0,000 and OR = 6,087). Then,the variables did not have correlation with cesarean section were maternal age (maternal age) value = 0.462 and OR = 0.712), maternal parity ( value = 0.116 and OR = 1,728), fetal abnormalities ( value = 0.245 and OR = 3,270), gemelli ( value = 0.210 and OR = 5,263) and post term ( value = 1,000 and OR = 1,000). It can be concluded that there is a relationship between the history of cesarean section and parturition toward cesarean section. Then, it is expected that the hospital to control and supervise based on medical needs.