Profile of Cesarean Sections Since the BPJS Era:

Mohd. Andalas; Cut R. Maharani; Raudhatul Jannah; Siti Harisah; Muhammad Haekal; Ichsan

doi:10.32771/inajog.v8i1.1028

Mohd. Andalas Faculty Of Medicine, University of Syiah Kuala dr. Zainoel Abidin Hospital, Banda Aceh
Cut R. Maharani Faculty Of Medicine, University of Syiah Kuala dr. Zainoel Abidin Hospital, Banda Aceh
Raudhatul Jannah Faculty Of Medicine, University of Syiah Kualadr. Zainoel Abidin Hospital, Banda Aceh
Siti Harisah Faculty Of Medicine, University of Syiah Kuala dr. Zainoel Abidin Hospital, Banda Aceh
Muhammad Haekal Faculty Of Medicine, University of Syiah Kuala
Ichsan Faculty Of Medicine, University of Syiah Kuala

DOI: https://doi.org/10.32771/inajog.v8i1.1028

Abstract

Objective: to find out the profile of caesarean section in dr. Zainoel Abidin Hospital since the BPJS era.

Methods: This study was a descriptive-observational with retrospective design. The data were obtained in March-April 2017. We collected 3656 data from medical record period January 1^st, 2014- December 31^st, 2016.

Results: The finding showed there were 1669 vaginal deliveries (45,65%) and 1987 caesarean sections (54,35%). The most frequent causes to caesarean sections were induction failure (49,77%), cephalopelvic disproportion (14,33%), pregnancy induced hypertension (11,21%), malpresentation (8,91), and antepartum haemorrhage (4,33%).

Conclusion: The incidence of caesarean sections in dr. Zainoel Abidin Hospital since the BPJS era was 54,35%, increased by 13,29% than the year of 2011-2013 (41,06%) with the most frequent cause is induction failure (49,77%).

Keywords: Antepartum haemorrhage, BPJS, Caesarean section, Induction failure, Pregnancy induced hypertension, Tertiary referral hospital.

Abstrak

Tujuan: Mengetahui profil persalinan seksio sesarea di RSUD dr. Zainoel Abidin Banda Aceh pada era BPJS.

Metode: Penelitian deskriptif-observasional dengan desain studi retrospektif. Pengambilan data dimulai dari bulan Maret-April 2017. Sebanyak 3656 data dikumpulkan dari rekam medik periode 1 Januari 2014- 31 Desember 2016.

Hasil: Terdapat 1669 kasus persalinan pervaginam (45,65%) dan 1987 kasus seksio sesarea (54,35%). Indikasi terbanyak yang menyertai seksio sesarea adalah gagal induksi (49,77%), cephalopelvic disproportion (14,33%), hipertensi dalam kehamilan (11,21%), malpresentasi (8,91%), dan perdarahan antepartum (4,33%).

Kesimpulan: Angka seksio sesarea di RSUD dr. Zainoel Abidin meningkat 13,29% sejak berlakunya BPJS (1 Januari 2014-31 Desember 2016) mencapai 54,35% dibandingkan tahun 2011-2013 (41,07%) dengan indikasi terbanyak gagal induksi (49,77%).

Kata kunci: Perdarahan Antepartum, BPJS, Seksio sesarea, Gagal Induksi, Hipertensi dalam kehamilan, RS Rujukan Tersier.