Profile of Pregnant Women who Underwent Cesarean Section and their Perinatal Outcome at a Tertiary Referral Hospital

Translated title of the contribution: Profil Ibu Hamil dengan Indikasi Operasi Caesar dan Luaran Perinatal di Rumah Sakit Rujukan Tersier

Junita Indarti, Sigit Purbadi, Ajeng Larasati, Hesti N. Rizqi, Kristian Alda, Adhitya Weladatika, Leonita Triwachyuni, Mohamad Azmi, Caesar Nurfiansyah

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: To investigate the effectiveness of referral system, in regard to pregnant women with indication of C-section, and to learn the patients’ profile and their baby’s perinatal outcome. Methods: The research uses a retrospective descriptive method utilizing patient medical records with history of C-section at RSCM from January 2016 to December 2019. The target population is all pregnant women who were referred and performed cesarean section to at the hospital. Result: The most indications of C-section were premature membrane ruptures (16.1%), fetal distress (14.5%) and previous C-section (14.1%). There were 1585 cases (41.9%) coming without referral, 779 cases (20.6%) were bookcase, and 806 (21.3%) non-bookcase without referral. The main reasons for referral were absence of NICU facilities (27.31%), premature membranes rupture (20.81%), and eclampsia/ preeclampsia/HELLP syndrome (15.40%). Most babies are born with normal weight (2500-3999 grams) as many as 45.1% and 54.9% are groups of babies with abnormal weight. Most babies have an APGAR score 5 minute of 7-10 (83.6%). As many as 47.8% rooming in and infants requiring perinatological care in both SCN and NICU are 52.1%. Conclusions: The study found that the effectiveness of RSCM tiered referral system still has much room for improvements. The study also found gap between number of referred cases and the cases eventually underwent for C-section with the same indication. The screening can be done better for an indication of the origin of the reference whether it is appropriate to do the reference or not.

Translated title of the contributionProfil Ibu Hamil dengan Indikasi Operasi Caesar dan Luaran Perinatal di Rumah Sakit Rujukan Tersier
Original languageIndonesian
Pages (from-to)174-179
Number of pages6
JournalIndonesian Journal of Obstetrics and Gynecology
Volume9
Issue number4
DOIs
Publication statusPublished - Oct 2021

Keywords

  • cesarean section
  • perinatal outcome
  • pregnant women
  • referral system

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