Determinan Keberhasilan Persalinan Pervaginam Pada Pasien KPD yang diberikan Induksi Persalinan di RS H.L MANAMBAI ABDULKADIR
DOI:
https://doi.org/10.32807/jmu.v8i1.227Abstract
Abstrak
Pendahuluan : Ketuban pecah di Indonesi memberikan kontribusi 5,6 % dalam komplikasi persalinan. Data di provinsi NTB komplikasi kehamilan tahun 2020 sebanyak 22.545 kasus, sedangkan di Sumbawa sebanyak 1.991 kasus. Pada tahun 2022 Terjadi kenaikan kasus Ketuban Pecah Dini (KPD) pada tahun 2022 dibandingkan 2021. jumlah KPD meningkat dari 78 kasus di tahun 2021 menjadi 150 kasus di tahun 2022. KPD diklasifikasikan sebagai kehamilan berisiko tinggi. KPD merupakan salah satu indikasi dilakukannya induksi persalinan. Tujuan: Mengetahui determinan Keberhasilan Persalinan Pervaginam Pada Pasien KPD yang diberikan Induksi Persalinan RS H.L Manambai Abdulkadir Metode Penelitian : Penelitian ini bersifat kuantitatif dengan desain deskriptif analitik, dengan pendekatan cross sectional. Hasil Penelitian : karateristik pasien KPD pada penelitian ini adalah paritas dan jarak persalinan. Dua karateristik tidak menunjukkan hasil yang signifikan terhadap keberhasilan persalinan normal Keberhasilan persalinan per vaginam mencapai 87,8% sisanya persalinan dengan Sectio Caesarea 12,2%. Induksi yang paling banyak digunakan yaitu induksi oxytosin drip 51,2%.Uji Fisher Exact menunjukkan hasil yang signifikan. Dimana hasil p-Value<0,01.Kesimpulan : Misoprostol merupakan induksi dengan keberhasilan persalinan per vaginam yang terbanyak. Serta terdapat Pengaruh Jenis Induksi Terhadap Keberhasilan Persalinan Per vaginam Pada Pasien Ketuban Pecah Dini
Kata Kunci : Determinan; Jenis Induksi Persalinan; Keberhasilan Persalinan;Ketuban Pecah Dini
Determinants of Successful Vaginal Delivery in Patients with PROM Undergoing Labor Induction at H.L. MANAMBAI ABDULKADIR HOSPITAL
Abstract
Background: Premature rupture of membranes in Indonesia contributes 5.6% to labor complications. Data in the province of West Nusa Tenggara (NTB) shows that pregnancy complications in 2020 were 22,545 cases, while in Sumbawa there were 1,991 cases. In 2022, there was an increase in cases of Premature Rupture of Membranes (PROM) in 2022 compared to 2021. The number of PROM increased from 78 cases in 2021 to 150 cases in 2022. PROM is classified as a high-risk pregnancy. PROM is one of the indications for labor induction. Objective: To determine the determinants of successful vaginal delivery in PROM patients who were given labor induction at H.L. Manambai Abdulkadir Hospital. Research Method: This study is quantitative with a descriptive analytical design, with a cross-sectional approach. Research Results: The characteristics of PROM patients in this study were parity and delivery interval. Two characteristics did not show significant results on the success of normal delivery. The success of vaginal delivery reached 87.8%, the rest were delivered by Caesarean Section 12.2%. The most commonly used induction was oxytocin drip induction 51.2%. The Fisher Exact test showed significant results. Where the p-Value <0.01. Conclusion: Misoprostol is the induction with the most successful vaginal delivery. And there is an Effect of Induction Type on the Success of Vaginal Delivery in Patients with Premature Rupture of Membranes.
Keywords: Determinants; Type of Labor Induction; Successful Labor; Premature Rupture of Membranes
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