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All Journal Promotif: Jurnal Kesehatan Masyarakat Journal of Maternity Care and Reproductive Health
Fithriyah, Noor
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Health Professions Medicine & Pharmacology Public Health

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Journal : Journal of Maternity Care and Reproductive Health

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DETERMINAN OF CAESAREAN SECTION IN PRIMIGRAVIDAE: CASE CONTROL STUDY 2017-2019 Fithriyah, Noor; Widiasih, Restuning; Solehati, Tetti
Journal of Maternity Care and Reproductive Health Vol 5, No 4 (2022): Journal of Maternity Care and Reproductive Health
Publisher : Ikatan Perawat Maternitas Indonesia Provinsi Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36780/jmcrh.v5i4.262

Abstract

Caesarea Section (CS) delivery causes short and long term complications, as well as death that can occur during intraoperative, post-operative, or subsequent pregnancies. Many studies have been conducted on the causes of cesarean delivery, but research on the factors that cause cesarean delivery is still limited, especially in primigravidas. Primigravidas have a higher risk of experiencing CS related to the physical and psychological condition of the mother. This study aims to analyze the factors that cause cesarean delivery in primigravida. A retrospective case control study at Idaman Hospital was conducted in October – November 2020 with research ethics number 466/UN6.KEP/EC/2021. Data was collected from the medical records of 588 primigravidas divided into SC (n=294) and normal (294) deliveries between 2017-2019. Data were analyzed using chi square and logistic regression. The results of the analysis showed that there was a relationship between labor induction (p=0.000), prolonged labor (p=0.001), premature rupture of membranes (p=0.001), cephalopelvic disproportion (CPD) (p=0.000), and umbilical cord entanglement (p= 0.048) with faults in primigravida. The most correlated multivariate factor was CPD Exp (B) = 18.741. Vaginal delivery is still possible in some cases after proper assessment and under close supervision. CS delivery is carried out to help with the birth process which is experiencing complications. Knowing the causal factors associated with cesarean delivery is expected to provide health education information to mothers to carry out routine antenatal care. Early detection of factors causing cesarean delivery in primigravida, as preparation for childbirth. Keywords: Caesarean section, logistic models, medical records, primigravidae
Co-Authors Cecep Eli Kosasih Darmayanti Darmayanti Puspitasari, Neneng Ratnanengsih Rais, Yulia Restuning Widiasih Tetti Solehati