SKRIPSI HUBUNGAN FAKTOR INDIKASI MEDIS TERHADAP KEJADIAN SECTIO CAESAREA DI RUMAH SAKIT MUHAMMADIYAH PALEMBANG TAHUN 2025 NOVI CATARINA PO7124225333 KEMENTERIAN KESEHATAN REPUBLIK INDONESIA POLITEKNIK KESEHATAN PALEMBANG JURUSAN KEBIDANAN PROGRAM STUDI KEBIDANAN PROGRAM SARJANA TERAPAN TAHUN 2025

HUBUNGAN FAKTOR INDIKASI MEDIS TERHADAP KEJADIAN
SECTIO CAESAREA DI RUMAH SAKIT MUHAMMADIYAH PALEMBANG TAHUN 2025
Novi Catarina
Program Studi Sarjana Terapan Kebidanan Poltekkes Kemenkes Palembang Jl.
Jendral Sudirman KM 3 No. 1365 Palembang Email : catarinanovi600@gmail.com

ABSTRAK

Latar Belakang : Persalinan dengan sectio caesarea (sc) di Indonesia terus mengalami peningkatan. Berdasarkan Survei Kesehatan Indonesia (SKI) 2023, prevelensi persalinan sectio caesarea mencapai 25,9% meningkat dibandingkan tahun 2018 sebesar 17,6% dan diperkirakan terus bertambah hingga tahun 2030. Di Rumah Sakit Muhammadiyah Palembang, angka persalinan sectio caesarea juga menunjukkan tren peningkatan dari tahun 2022 hingga 2025. Kejadian sectio caesarea dipengaruhi oleh berbagai indikasi medis seperti riwayat sectio caesarea , ketuban pecah dini (KPD), preeklampsi dan CephaloPelvic Disproportion (CPD). Tujuan Penelitian: Mengetahui hubungan faktor indikasi medis terhadap kejadian sectio caesarea di Rumah Sakit Muhammadiyah Palembang Tahun 2025. Metode Penelitian: Penelitian ini menggunakan desain Analitik Observasional dengan pendekatan Cross Sectional. Pengambilan sampel dilakukan dengan metode Chi Square. Populasi penelitian adalah seluruh ibu bersalin yang dirawat di Rumah Sakit Muhammadiyah Palembang selama periode Januari-Desember 2025. Hasil Penelitian: Hasil penelitian menunjukkan bahwa, riwayat sectio caesarea (OR 12,283 95% CI 6,767-22,296), ketuban pecah dini (OR 0,052 95% CI 0,034-0,080),
preeklampsi (OR 2, 974 95% CI 1,765-5,011), dan CephaloPelvic Disproportion
(OR 8,972 95% CI 3,544-22,717). Seluruh variabel p value < 0,05 sehingga dinyatakan berhubungan signifikan dengan kejadian sectio caesarea. Kesimpulan: Ketuban pecah dini merupakan faktor yang paling dominan terhadap kejadian sectio caesarea. Peningkatkan upaya pencegahan dan deteksi dini faktor risiko diharapkan dapat menurunkan angka kejadian sectio caesarea serta meningkatkan kualitas pelayanan di rumah sakit.
Kata Kunci : kejadian sectio caesarea, riwayat sectio caesarea, ketuban pecah dini, preeklampsi, dan cephalopelvic disproportion.

THE RELATIONSHIP OF MEDICAL INDICATION FACTORS TO THE INCIDENCE OF SECTIO CAESAREA AT MUHAMMADIYAH HOSPITAL PALEMBANG IN 2025
Novi Catarina
Applied Bachelor of Midwifery Study Program, Health Polytechnic of the Ministry of Health Palembang
Jl. Jendral Sudirman KM 3 No. 1365 Palembang Email: catarinanovi600@gmail.com

ABSTRACT
Background: The rate of caesarean section (CS) deliveries in Indonesia has continued to increase. Based on the 2023 Indonesian Health Survey (SKI), the prevalence of caesarean section deliveries reached 25.9%, an increase from 17.6% in 2018, and is projected to continue rising until 2030. At Muhammadiyah Hospital Palembang, the number of caesarean section deliveries also showed an increasing trend from 2022 to 2025. The incidence of caesarean section is influenced by various medical indications, including previous caesarean section, premature rupture of membranes (PROM), preeclampsia, and cephalopelvic disproportion (CPD). Objective: To determine the association between medical indication factors and the incidence of caesarean section at Muhammadiyah Hospital Palembang in 2025. Methods: This study employed an observational analytic design with a cross-sectional approach. Data were analyzed using the Chi-square test. The study population consisted of all women who delivered at Muhammadiyah Hospital Palembang during the period of January to December 2025. Results: The results showed that previous caesarean section (OR = 12.283; 95% CI: 6.767–22.296), premature rupture of membranes (OR = 0.052; 95% CI: 0.034–0.080), preeclampsia (OR = 2.974; 95% CI: 1.765–5.011), and cephalopelvic disproportion (OR = 8.972; 95% CI: 3.544–22.717) were significantly associated with the incidence of caesarean section. All variables had a p-value < 0.05, indicating statistically significant associations. Conclusion: Premature rupture of membranes was the most dominant factor associated with the incidence of caesarean section. Strengthening preventive measures and early detection of risk factors is expected to reduce the incidence of caesarean section and improve the quality of hospital services.
Keywords: caesarean section, previous caesarean section, premature rupture of membranes, preeclampsia, cephalopelvic disproportion.