Indikasi Relatif Pada Persalinan Dengan Sectio Caesarea

Abstract

Background: Sectio Caesarea is performed with absolute or relative indications. On the relative indication,
vaginal delivery can be accomplished but delivery with cesarean section will be safer for the mother, baby or
both. In the last three years, the number of cesarean delivery in Dr. H. Moch. Ansari Saleh Banjarmasin has
increased.
Purpose: To analyze the relative indications associated with caesarean section delivery.
Method: The method of this research use analytical survey with case control approach. The Population of
this research are all parturient at Dr. H. Moch. Ansari Saleh Hospital Banjarmasin as many as 4776
parturient on 2015. Total number of sample cases are 515 sample with total sampling technique and sample
control 515 sample with systematic random sampling technique. Data was collected by documentation
maternal registration book technique. Data was analyzed with Chi Square test use (α=0,05).
Result: Based on the results, the history of caesarean section (p=0,000;OR=19,529), breech delivery
(p=0,000;OR=2,717), macrosomia (p=0,000;OR=24,028) are associated with caesarean section delivery.
However, severe preeclampsia (p=0,0260) is not associated with caesarean section delivery.
Conclusion: There is a significant association between the history of caesarean section, breech delivery
and macrosomia with caesarean section delivery. While severe preeclampsia is not association with
caesarean section delivery.
Keywords: The Relative Indications, Caesarean Section