USK Conferences, The 1st Syiah Kuala International Conference on Medical and Health Sciences

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Rising Rates of Caesarean Section in Dr. Zainoel Abidin Hospital Banda Aceh Since the Promulgation of BPJS (Period January 1st 2014-December 31st 2016)
Mohd. Andalas, Raudhatul Jannah, Siti Harisah, Ichsan ., Muhammad Haekal

Last modified: 2017-07-13

Abstract


Caesarean section is an operative procedure whereby the fetusesare delivered through an incision on the abdominal and uterine walls where normal  deliveries are not possible through maternal and neonatal indication. The incidence of caesarean section in the world is rising year after years particularly in developing countries. The rising of caesarean section rate is seen in BPJS era started since January 1st, 2014, especially in dr. Zainoel Abidin Hospital which is a tertiary referral hospital in Province Aceh.  The purpose of this study was to find out the profile of caesarean section in dr. Zainoel Abidin Hospital since the promulgation of BPJS (period January 1st, 2014- December 31st, 2016). This was a descriptive-observational study with retrospective design and total sampling technique. The data were obtained in March-April 2017. Three thousands six hundreds and fifty six secondary data from medical record were enrolled in this study. The finding showed that there were one thousand six hundreds and sixty nine vaginal deliveries (45,65%) and one thousand nine hundreds and eighty seven (54,35%) caesarean sections. The most frequent causes to caesarean sections were premature rupture of membranes (32,06%), malpresentation (8,91%), and oligohydramnion (8,61%). The conclusion of this study were the incidence of caesarean sections in dr. Zainoel Abidin Hospital since the promulgation of BPJS (January 1st, 2014-December 31st, 2016) was 54,35%, this number is increased by 41,06% than the year of 2011-2013 with the most frequent cause is premature rupture of membranes (32,06%).


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