Analisis Faktor yang Memengaruhi Seksio Sesarea Indikasi Non Medis di Rumah Sakit Umum Daerah Teungku Peukan Kabupaten Aceh Barat Daya Tahun 2013

ABSTRAK

Rumah Sakit Umum Daerah Teungku Peukan, persalinan seksio sesarea
mengalami peningkatan tiap tahunnya dibandingkan dengan persalinan normal.
Proporsi persalinan seksio sesarea, baik indikasi medis maupun indikasi non medis di
RSUD Teungku Peukan Kabupaten Aceh Barat Daya sebesar 18,15%. Penelitian ini
bertujuan untuk menganalisa faktor risiko yang memengaruhi penyebab dilakukan
persalinan seksio sesarea indikasi non medis di RSUD Teungku Peukan Aceh Barat
Daya tahun 2013.
Jenis penelitian adalah penelitian yang bersifat analitik dengan desain case
control. Jumlah sampel sebanyak 116 kasus dan 116 kontrol. Sampeldiambil
menggunakan teknik purposive sampling berdasarkan kriteria inklusi dan eksklusi
sampel. Analisis data dilakukan secara univariat, bivariat dengan uji chi-square dan
multivariat menggunakan uji regresi logistik pada taraf kepercayaan 95%.
Hasil menunjukkan terdapat ketakutan nyeri persalinan (OR = 2,91; 95% CI:
1,439 – 5,896), kosmetik seks (OR = 2,30; 95% CI: 1,15 – 4,60), dukungan suami
(OR = 11,03; 95% CI: 5,42 – 22,46), status ekonomi (OR = 4,71; 95% CI: 1,46 –
15,18), dan anjuran bidan/dokter (OR = 4,19; 95% CI: 2,06 – 8,52) terhadap ibu
seksio sesarea indikasi non medis. Variabel yang lebih berpengaruh terhadap seksio
sesarea indikasi non medis adalah dukungan suami.
Diharapkan RSUD Teungku Peukan agar melakukan pencatatan data rekam

medis status pasien dengan lengkap khususnya ibu-ibu yang seksio sesarea indikasi
non medis dan persalinan normal. Bagi suami agar menggali informasi bahaya
persalinan seksio sesarea agar tidak mudah memberikan dukungan kepada istri dalam
pengambilan keputusan persalinan seksio sesarea indikasi non medis.

Kata Kunci : Persalinan Seksio Sesarea, Indikasi Non Medis, Faktor Risiko

i
Universitas Sumatera Utara

ABSTRACT

Compared with normal deliveries, cesarean deliveries have increased every
year at Teungku Peukan District General Hospital. The proportion of cesarean
delivery at Teungku Peukan District General Hospital, Aceh Barat Daya District,
both with medical and non-medical indications was 18.15%. The purpose of this
study was to analyze the risk factor influencing the cause of doing the section
caesarean delivery with non-medical indication at Teungku Peukan District General
Hospital, Aceh Barat Daya District in 2013.
The samples for this analytical study with case control design was 116 for

case group and 116 for control group through purposive sampling technique based
on the inclusive and exclusive sample criteria. The data obtained were analyzed
through univariate analysis, bivariate analysis using Chi-square tests and
multivariate analysis using multiple logistic regression tests at level of confidence
95%.
The result of this study showed that the variables of fear of labor pain (OR =
2.91; 95% CI: 1.439 – 5.896), cosmetics sex (OR = 2.30; 95% CI: 1.15 – 4.60),
husband support (OR = 11.03; 95% CI: 5.42 – 22.46), economic status (OR = 4.71;
95% CI: 1.46 – 15.18), and midwife’s/doctor’s recommendation (OR = 4.19; 95%
CI: 2.06 – 8.52) had influence on the mothers experienced the Caesarean section
with non-medical indication. The variable with more influence on the Caesarean
section with non-medical indication was husband support.
The management of Teungku Peukan District General Hospital is expected to
record the data from the medical record on the status of patient completely especially
the medical record of the mothers experienced the Caesarean section with nonmedical indication and normal delivery. The husband should find the information on
the danger of Caesarean section in order not to be easy to give support to his wife in
taking the decision to have the Caesarean section with non-medical indication.

Keywords: Caesarean Section, Non-Medical Indication, Risk Factor

ii
Universitas Sumatera Utara