Proporsi Seksio Sesarea dan Faktor yang Berhubungan dengan Seksio Sesarea di Jakarta THE PROPORTION OF CAESAREAN SECTION AND ASSOCIATED FACTORS IN HOSPITAL OF JAKARTA

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.