Search Repository Universitas Fort De Kock

Sectio Caesarea dilakukan untuk mencegah kematian ibu dan janin karena komplikasi yang akan terjadi apabila ibu melahirkan secara pervaginam. Tujuan penelitian untuk mengetahui faktor yang berhubungan dengan sectio caesarea (status kedatangan, usia, paritas, ketuban pecah dini, riwayat bekas sectio caesarea, cephalopelvic disproportion, pre-ekslampsia, gagal induksi, letak lintang, letak sungsang dan gawat janin) di Rumah Sakit Umum Daerah Sijunjung Tahun 2021- 2022. Penelitian ini menggunakan metode Mix Methods dengan model penelitian Sequential Explanatory Design. Penelitian kuantitatif populasinya seluruh ibu bersalin tahun 2021-2022,sampel dengan teknik total sampling sebanyak 589 orang dan penelitian kualitatif menggunakan teknik purposive sampling. Analisis data menggunakan analisis uji Chi-Square untuk penelitian kuantitatif dan penelitian kualitatif menggunakan triangulasi. Hasil penelitian pada ketuban pecah dini (p value = 0,000 < 0,05, OR = 0,101), bekas sectio caesarea (p value = 0,000 < 0,05, OR = 16,727), chepalopelvic disproportion (p value = 0,000 < 0,05, OR = 23,148), gagal induksi p value = 0,000 < 0,05, OR = 0,653), letak lintang (p value = 0,007 < 0,05, OR = 6,538) dan gawat janin (p value = 0,014 < 0,05, OR = 4,522). Disimpulkan bahwa angka kejadian persalinan section caesarea sangat dipengaruhi oleh indikasi kesehatan yang dialami ibu seperti ketuban pecah dini, bekas sectio caesarea, chepalopelvic disproportion, letak lintang dan gawat janin berdasarkan dari hasil penelitian. Penelitian kualitatif dapat disimpulkan bahwa kejadian persalinan section caesarea sangat dipengaruhi oleh derajat kesehatan ibu sebelum melahirkan, oleh karena itu, diharapkan kepada ibu untuk meningkatkan kesadaran akan pentingnya pemeriksaan antenatal care sesuai dengan anjuran yang diberikan.

Caesarean section is performed to prevent maternal and fetal mortality due to complications that may arise during vaginal delivery. The aim of this study is to identify factors related to caesarean section (arrival status, age, parity, premature rupture of membranes, history of previous caesarean section, cephalopelvic disproportion, pre-eclampsia, induction failure, transverse lie, breech presentation, and fetal distress) at Sijunjung Regional General Hospital in the years 2021-2022. The research adopts a Mixed Methods approach with a Sequential Explanatory Design model. The quantitative study included all delivering mothers in 2021- 2022, with 589 participants selected using total sampling. The qualitative study involved purposive sampling. Data analysis employed the Chi-Square test for quantitative research and triangulation for qualitative research. The findings revealed significant associations with premature rupture of membranes (p value = 0.000 < 0.05, OR = 0.101), previous caesarean section (p value = 0.000 < 0.05, OR = 16.727), cephalopelvic disproportion (p value = 0.000 < 0.05, OR = 23.148), induction failure (p value = 0.000 < 0.05, OR = 0.653), transverse lie (p value = 0.007 < 0.05, OR = 6.538), and fetal distress (p value = 0.014 < 0.05, OR = 4.522). In conclusion, the incidence of caesarean section is significantly influenced by maternal health indicators such as premature rupture of membranes, previous caesarean section, cephalopelvic disproportion, transverse lie, and fetal distress, as indicated by the research results. Qualitatively, it is inferred that the occurrence of caesarean section is heavily influenced by the maternal health status before childbirth. Therefore, mothers are encouraged to enhance awareness of the importance of adhering to antenatal care recommendations.