Profile of Cesarean Sections since the BPJS Era

Abstract

Abstract Profile of Cesarean Sections since the BPJS Era Profil Seksio Sesarea pada Era BPJS Mohd. Andalas, Cut R Maharani, Raudhatul Jannah, Siti Harisah, Muhammad Haekal, Ichsan Department Of Obstetrics And Gynecology Faculty Of Medicine, University of Syiah Kuala dr. Zainoel Abidin Hospital, Banda Aceh Objective: To find out the profile of cesarean section in dr. Zainoel Abidin Hospital since the BPJS era. Methods: This study was a descriptive-observational with retrospective design. The data were obtained in March-April 2017. We collected 3656 data from medical record period January 1 st , 2014 - December 31 , 2016. Results: The finding showed there were 1,669 vaginal st deliveries (45.65%) and 1,987 cesarean sections (54.35%). The most frequent causes to cesarean sections were induction failure (49.77%), cephalopelvic disproportion (14.33%), pregnancy-induced hypertension (11.21%), malpresentation (8.91), and antepartum haemorrhage (4.33%). Conclusions: The incidence of cesarean sections in dr. Zainoel Abidin Hospital since the BPJS era was 54.35%, increased by 13.29% than the year of 2011-2013 (41.06%) with the most frequent cause is induction failure (49.77%). Keywords: Antepartum haemorrhage, BPJS, cesarean section, induction failure, pregnancy-induced hypertension, tertiary referral hospital. Abstrak Tujuan: Mengetahui profil persalinan seksio sesarea di RSUD dr. Zainoel Abidin Banda Aceh pada era BPJS. Metode: Penelitian deskriptif-observasional dengan desain studi retrospektif. Pengambilan data dimulai dari bulan Maret-April 2017. Sebanyak 3656 data dikumpulkan dari rekam medik periode 1 Januari 2014 - 31 Desember 2016. Hasil: Terdapat 1.669 kasus persalinan pervaginam (45,65%) dan 1.987 kasus seksio sesarea (54,35%). Indikasi terbanyak yang menyertai seksio sesarea adalah gagal induksi (49,77%), cephalopelvic disproportion (14,33%), hipertensi dalam kehamilan (11,21%), malpresentasi (8,91%), dan perdarahan antepartum (4,33%). Kesimpulan: Angka seksio sesarea di RSUD dr. Zainoel Abidin meningkat 13,29% sejak berlakunya BPJS (1 Januari 2014-31 Desember 2016) mencapai 54,35% dibandingkan tahun 2011-2013 (41,07%) dengan indikasi terbanyak gagal induksi (49,77%). Kata kunci: perdarahan antepartum, BPJS, seksio sesarea, gagal Induksi, hipertensi dalam kehamilan, RS rujukan tersier