Faktor-Faktor Yang Mempengaruhi Terjadinya Persalinan Sectio Caesarea Di RS Arsani Sungailiat

Abstract

Sectio Caesarea is an artificial birth, where the fetus is expelled through an incision in the abdominal wall and uterine wall provided that the uterus is intact and the fetus weighs above 500 grams. In Indonesia, deliveries by Sectio Caesarea have increased every year, and have passed the standards set by WHO. Data from the Basic Health Research (Rikesdas) of the Republic of Indonesia, there was an increase in Sectio Caesarea procedures from 15.3% of 7,440 deliveries in 2013 to 17.6% of 78,736 deliveries in 2018 (Riskesdas, 2018). Most often occurs in the provinces of West Java, East Java and Central Java. The Bangka Belitung Islands Province is ranked 29th nationally regarding the birth and actions of Sectio Caesarea, where the number of Sectio Caesarea actions is 452 (Riskedas, 2018). This study aims to determine the factors that influence Sectio Caesarea delivery at Arsani Sungailiat Hospital. This type of research uses a quantitative descriptive research design with a cross sectional approach. Sampling was carried out using Probability Sampling with a sample size of 140 respondents. This research uses a research instrument in the form of a checklist. Data were analyzed using univariate analysis. The test result using SPSS from the medical indication category that had the most influence on Sectio Caesarea Delivery were History of Sectio Caesarea, namely 45 patients (32,1%). Of the predisposing factors, the most influential age was 20-35 years old in 41 patients (29,3%). Of the paritu factors, the most influential was multipara, 73 patiens (52%).