Profil Pasien Persalinan Sectio Caesarea dengan Indikasi Ketuban Pecah Dini di Rumah Sakit Jatisampurna Periode Januari 2019-Juli 2021

Rustianti, Rustianti (2022) Profil Pasien Persalinan Sectio Caesarea dengan Indikasi Ketuban Pecah Dini di Rumah Sakit Jatisampurna Periode Januari 2019-Juli 2021. S1 thesis, Universitas Kristen Indonesia.

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Abstract

Persalinan sectio caesarea terjadi peningkatan di Indonesia. Menurut SDKI 2017 sebesar 10% peningkatan sectio caesarea tahun 2007-2017. Salah satu indikasi medis sectio caesarea yaitu ketuban pecah dini (KPD). KPD dapat menyebabkan infeksi yang menjadi salah satu penyebab kematian ibu dan janin di Indonesia. Penduduk Indonesia terbanyak di Provinsi Jawa Barat sehingga dilakukan penelitian di salah satu kabupaten di Jawa Barat yaitu kabupaten Bekasi. Penelitian bertujuan mengetahui profil pasien persalinan sectio caesarea dengan indikasi ketuban pecah dini di Rumah Sakit Jatisampurna periode Januari 2019 sampai Juli 2021. Penelitian ini berjenis deskriptif retrospektif dengan pengambilan data sekunder. Data pada penelitian ini diambil dari rekam medis pasien di RS Jatisampurna periode Januari 2019 – Juli 2021. Pasien persalinan sectio caesarea dengan indikasi ketuban pecah dini pada penelitian ini sebanyak 162 orang dan di dapatkan sampel sebanyak 115 orang menggunakan perhitungan Rumus Slovin dengan persentase presesi sebesar 5%. Hasil penelitian berdasarkan 115 sampel data rekam medis pasien di Rumah Sakit Jatisampurna periode Januari 2019 – Juli 2021, 93 orang (80,9%) berusia 20-35 tahun, 22 orang (19,1%) berusia <20 & >35, 19 orang (16,5%) berpendidikan SD & SMP, 71 orang (61,7%) berpendidkan SMA, 25 orang (21,7%) berpendidikan perguruan tinggi, 75 orang (65,2%) perkerjaan IRT, satu orang (0,9%) PNS, 33 orang (28,7%) karyawan swasta, 6 orang (5,2%) perkerjaan lainnya, 115 orang (100%) tidak mengalami infeksi, 104 orang (90,4%) usia kehamilan ≥37 minggu, 11 orang (9,6%) usia kehamilan <37 minggu, 113 orang (98,3%) janin tunggal, dua orang (1,7%) janin gemeli, 60 orang (52,2%) nulipara, 31 orang (27%) primipara, dan 24 orang (20,9%) multipara. Pada penelitian ini di dapatkan profil pasien persalinan seksio caesarea dengan indikasi ketuban pecah dini terbanyak pada usia ibu hamil 20-35 tahun, pendidikan SMA, perkerjaan IRT, tidak mengalami infeksi, usia kehamilan ≥37 minggu, janin tunggal, dan riwayat paritas nulipara./ Sectio caesarea delivery is increasing in Indonesia. According to the 2017 IDHS, there was a 10% increase in sectio caesarea in 2007-2017. One of the medical indications for sectio caesarea is premature rupture of membranes (PROM). PROM can cause infection which is one of the causes of maternal and fetal death in Indonesia. The largest population of Indonesia is in the province of West Java, so the research was conducted in one of the districts in West Java, namely Bekasi Regency. Study aims to determine the profile of caesarean section with indications of premature rupture of membranes at Jatisampurna Hospital for the period January 2019 to July 2021. This study is a retrospective descriptive type with secondary data collection. The data in this study were taken from the medical records of patients at Jatisampurna Hospital for the period January 2019 – July 2021. Patients caesarean section with an indication of premature rupture of membranes in this study were 162 people and a sample of 115 people was obtained using the Slovin formula calculation with a precession percentage of 5%. The results of the study were based on 115 samples of patient medical record data at Jatisampurna Hospital for the period January 2019 – July 2021, 93 people (80.9%) aged 20-35 years, 22 people (19.1%) aged <20 & >35 , 19 people (16.5%) have elementary & junior high school education, 71 people (61.7%) have high school education, 25 people (21.7%) have college education, 75 people (65.2%) housewives, one person (0.9%) civil servants, 33 people (28.7%) private employees, 6 people (5.2%) other jobs, 115 people (100%) did not have infection, 104 people (90.4%) gestational age ≥37 weeks, 11 (9.6%) gestational age <37 weeks, 113 people (98.3%) singleton fetus, two people (1.7%) twin fetus, 60 people (52.2%) nulliparous, 31 people (27%) were primiparous, and 24 people (20.9%) were multiparous. In this study, the profile of patients delivery caesarean section with the most indications of premature rupture of membranes was found in pregnant women age 20-35 years, high school education, housewives, no infection, gestational age ≥37 weeks, single fetus, and history of parity nulliparity.

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