Determinan Kegagalan Induksi Persalinan Pada Kehamilan Aterm: Studi Retrospektif Di RSUP Dr Sardjito Periode 2020-2022

https://doi.org/10.22146/jkr.99812

Noer Elvi Saidah Agustina Sucipto Putri(1*), Detty Siti Nurdiati(2), Diannisa Ikarumi Enisar Sangun(3)

(1) Departemen Obstetri dan Ginekologi Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan Universitas Gadjah Mada Yogyakarta
(2) Departemen Obstetri dan Ginekologi Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan Universitas Gadjah Mada Yogyakarta
(3) Departemen Obstetri dan Ginekologi Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan Universitas Gadjah Mada Yogyakarta
(*) Corresponding Author

Abstract


 

Latar Belakang: World Health Organization (WHO) tahun 2012 memaparkan 300.000 atau sekitar 60% ibu hamil menjalani persalinan melalui bedah sesar. Tingginya kegagalan induksi persalinan yang berujung pada peningkatan bedah sesar mendorong WHO untuk merekomendasikan Sistem Klasifikasi Robson. Penelitian ini bertujuan untuk menganalisis angka bedah sesar pada hamil cukup bulan yang direncanakan induksi di RSUP Dr. Sardjito Yogyakarta (2020-2022).

Tujuan: Menganalisis faktor-faktor yang mempengaruhi kegagalan induksi persalinan pada kehamilan cukup bulan di Rumah Sakit Umum Pusat Dr. Sardjito Yogyakarta periode Tahun 2020-2022.

Metode: Studi analisis yang digunakan dalam penelitian ini adalah studi observasional dengan desain cross sectional, dengan data sekunder catatan medis dan analisis Robson.

Hasil: Dari 269 subjek penelitian, didapatkan kegagalan induksi persalinan pada Grup 2 sebesar 38,8% dan Grup 4 sebesar 27,9%. Keberhasilan induksi persalinan dipengaruhi oleh indeks massa tubuh <30 kg/m² dan skor Bishop 2-9, sementara kegagalan induksi persalinan dipengaruhi oleh usia <20 dan >35 tahun, nulliparra, serta taksiran berat janin >3500 gram.

Kesimpulan: : IMT < 30 kg/m² dan skor Bishop 2-9 induksinya lebih berhasil, sementara faktor-faktor lain meningkatkan risiko kegagalan induksi persalinan. Dosis penggunaan obat misoprostol, rute pemberian misoprostol, dan waktu paruh misoprostol, tidak memberikan hasil yang bermakna dalam induksi persalinan.


Keywords


Induksi persalinan, RSUP Sardjito, Robson

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DOI: https://doi.org/10.22146/jkr.99812

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