Proporsi Seksio Sesarea dan Faktor yang Berhubungan dengan Seksio Sesarea di Jakarta

Abstract The incidence of caesarean sections (c-section) in Indonesia have been increased in government and private hospitals. To identify c-section proportion and associated factors in the government hospitals and one private hospital in Jakarta during the period January 1st to December 31 , 2011. The study design was cross -sectional. Data retrieved from the medical records of patients who gave birth in a hospital caesarean government and the private hospitals during the period 1 January to 31 December 2011. The data were analyzed with chi square test and logistic regression. The proportion of c-section 59.2 %. The proportion of c-section in the RS government 56.5 % and 62.7 % in private hospitals. The related factors c-section were baby indication is fetal distress (ORadj 11.95 ; 95 % CI 1.31 to 108.94 ), maternal indication is prelabor rupture of membranes (ORadj 4.18 ; 95 % CI 1.06 to 16 , 50 ) and hypertension (ORadj 7.13 ; 95 % CI 2.38 to 21.32). The proportion of c-section in a government hospital and a private hospital in Jakarta is quite high 59.2 %. Prelabor rupture of membranes, hypertension and fetal distress were determinant factor c-section in this hospital. Keywords : Caesarean section, baby indication, maternal indication Abstrak Angka kejadian persalinan seksio sesarea di Indonesia terus meningkat baik di rumah sakit pemerintah maupun swasta. Mendapatkan proporsi seksio sesarea dan berbagai faktor yang berhubungan dengan persalinan SS di satu RS pemerintah dan satu RS swasta di Jakarta selama periode 1 Januari-31 Desember 2011. Disain penelitian ini adalah cross sectional. Data diambil dari catatan medik pasien yang melahirkan sesarea di satu RS pemerintah dan satu RS swasta selama periode 1 Januari-31 Desember 2011. Data dianalisis dengan uji chi square dan regresi logistik. Proporsi persalinan SS sebesar 59,2%. Proporsi SS di RS pemerintah 56,5% dan di RS swasta 62,7%. Faktor yang berhubungan dengan persalinan SS adalah indikasi bayi yaitu gawat janin (ORadj 11,95; 95% CI 1,31-108,94), indikasi ibu yaitu Ketuban pecah dini (ORadj 4,18; 95%CI 1,06-16,50) dan Pre-eklamsi/eklamsi (ORadj 7,13; 95% CI 2,38-21,32). Proporsi persalinan SS di satu RS pemerintah dan satu RS swasta di Jakarta cukup tinggi 59,2%. Ketuban pecah dini, hipertensi dan gawat janin merupakan faktor yang berhubungan untuk terjadinya persalinan sesarea di rumah sakit tersebut Kata kunci : Seksio sesarea, indikasi bayi, indikasi ibu.