Qonita Hanifah (2019) Hubungan Faktor Maternal Dan Fetal Dalam Persalinan Dengan Riwayat Cesarean Section (CS) Di RSUD Dr. M. Soewandhie Surabaya. Skripsi thesis, UNIVERSITAS AIRLANGGA.

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Abstract

Background: The increase number of deliveries by caesarean section (CS) are worldwide, in Indonesia based on the 2010 data of Riskesdas, the rate of CS deliveries was 15.3% from 20,591 mothers. CS without medical indications can have negativity in developing or developed countries. the planned cesarean had increased postpartum risks of cardiac arrest, wound hematoma, hysterectomy, major puerperal infection, anasthetic complications, venous thromboembolism, hemorrhage requiring hysterectomy, and stayed in hospital longer comapred to planned vaginal delivery. This study aims to analyse maternal factors, fetal factor and outcome of labor with repeat CS and vaginal birth after cesarean delivery (VBAC). Method: This cross-sectional study collected 72 medical records with keyword of BSC from January to April 2017. RSUD Dr. Soewandhie in Surabaya were chosen as study’s location. SPSS v22 was used to analyse with chi-square for bivariate. Result: Maternal age, interpregnancy interval, indication of past CS, BMI during pregnancy, and weight of infant did not correlate with method of delivery. Factors which correlated to method of delivery after CS were prior vaginal delivery (p=0,044), dilation of servix (p=0,000), and length of stay (p=0,000). Conclusion: There is a relationship between prior vaginal delivery, dilation of servix, and length of stay with method of delivery after CS. Mothers managed to have fewer complications with VBAC compared to CS like Apgar score more than 7 and length of stay were 2 days.

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