Nurul Inayah, Haliza (2024) HUBUNGAN ANTARA JENIS PERSALINAN DENGAN KEMATIAN IBU DAN KOMPLIKASI PASCASALIN DI RSUD DR. DRADJAT PRAWIRANEGARA. S1 thesis, Universitas Sultan Ageng Tirtayasa.
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Abstract
Background Indonesia's Health Profile in 2021 shows an increase in maternal mortality cases, with Banten Province occupying the 4th highest MMR position in Indonesia. Maternal deaths tend to occur after delivery due to postpartum complications. In general, there are 2 types of delivery, namely vaginal delivery and cesarean delivery. The choice of type of delivery can influence the risk of postpartum complications. The high rate of cesarean deliveries in Indonesia, including in Banten Province, indicates the need for further research to understand the impact on maternal health compared to natural births. This study aims to determine the relationship between type of delivery and maternal death and postpartum complications, with a focus on RSUD dr. Dradjat Prawiranegara as a representative of health facilities in Serang Regency. Method This study used observational analytical research with a retrospective cohort method on medical record data of mothers giving birth at RSUD dr. Dradjat Prawiranegara for the period January - December 2023. Sampling will be carried out using the Total Sampling method with a final sample size of 2177 samples and analyzed using the SPSS version 27 application. Results The results of the bivariate analysis showed that there was no significant relationship between the type of delivery and maternal mortality at Dr. Dradjat Prawiranegara Regional Hospital. Meanwhile, there was a relationship between the type of delivery and postpartum complications with a p value <0.001 (RR 4.3; 95% CI 2.7-6.8). The RR value = 4.3 was obtained, so the risk of postpartum complications in vaginal delivery was 4.1 times higher than in cesarean delivery. Conclusion There is no relationship between type of delivery and death. There is a relationship between type of delivery and postpartum complications. Vaginal delivery is 4.3 times more likely to experience postpartum complications than cesarean delivery.
| Item Type: | Thesis (S1) | |||||||||
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| Additional Information: | Latar Belakang Profil Kesehatan Indonesia tahun 2021 menunjukkan peningkatan kasus kematian ibu, dengan Provinsi Banten menempati posisi ke 4 AKI tertinggi di Indonesia. Kematian ibu cenderung terjadi setelah persalinan diakibatkan komplikasi pascasalin. Secara umum jenis persalinan terbagi menjadi 2, yaitu persalinan pervaginam dan persalinan caesar. Pemilihan jenis persalinan dapat memengaruhi risiko komplikasi pascasalin. Tingginya angka persalinan caesar di Indonesia, termasuk di Provinsi Banten, menunjukkan perlunya penelitian lebih lanjut untuk memahami dampaknya terhadap kesehatan ibu dibandingkan dengan persalinan secara alamiah. Penelitian ini bertujuan untuk mengetahu hubungan antara jenis persalinan dengan kematian ibu dan komplikasi pascasalin, dengan fokus pada RSUD dr. Dradjat Prawiranegara sebagai representasi fasilitas kesehatan di Kabupaten Serang. Metode Penelitian ini menggunakan penelitian analitik observasional dengan metode kohort retrospektif pada data rekam medis ibu bersalin di RSUD dr. Dradjat Prawiranegara periode Januari - Desember tahun 2023. Pengambilan sampel akan dilakukan dengan metode Total Sampling dengan jumlah sampel akhir sebanyak 2177 sampel dan dianalisis menggunakan aplikasi SPSS versi 27. Hasil Hasil analisis bivariat menunjukkan tidak terdapat hubungan antara jenis persalinan dengan kematian ibu di RSUD dr.Dradjat Prawiranegara. Sementara itu, didapatkan hubungan antara jenis persalinan dengan komplikasi pascasalin dengan nilai p <0,001 (RR 4,3; 95% CI 2,7-6,8). Didapatkan nilai RR = 4,3 dengan demikian risiko terjadinya komplikasi pascasalin pada persalinan pervaginam 4,1 kali lebih tinggi dibandingkan dengan persalinan caesar. Kesimpulan Tidak Terdapat hubungan antara jenis persalinan dengan kematian.Terdapat hubungan antara jenis persalinan dengan komplikasi pascasalin. Persalinan pervaginam memiliki kemungkinan 4,3 kali lebih besar mengalami komplikasi pascasalin dibandingkan persalinan caesar. | |||||||||
| Uncontrolled Keywords: | Maternal Mortality, Types of Childbirth, Postnatal Complications Kematian Ibu, Jenis Persalinan, Komplikasi Pascasalin | |||||||||
| Subjects: | R Medicine > RG Gynecology and obstetrics | |||||||||
| Divisions: | 07-Fakultas Kedokteran 07-Fakultas Kedokteran > 11201-Prodi Kedokteran |
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| Depositing User: | Ms Haliza Nurul Inayah | |||||||||
| Date Deposited: | 11 Jul 2024 15:57 | |||||||||
| Last Modified: | 11 Jul 2024 15:57 | |||||||||
| URI: | http://eprints.untirta.ac.id/id/eprint/37572 |
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