The Epidemiological Study of Caesarean Section Cases at Haji Regional General Hospital Makassar in 2024

Authors

  • Rana Ryanti Dewi Fortuna Universitas Strada Indonesia, Indonesia
  • Juniarto Alexsander Hinonaung Universitas Strada Indonesia, Indonesia
  • Agung Sahari Universitas Strada Indonesia, Indonesia
  • Refience Gratia Nalanda
  • Kurniawati Putri Al Saudi Universitas Strada Indonesia, Indonesia
  • Fitriani Universitas Strada Indonesia, Indonesia

DOI:

https://doi.org/10.32807/jkt.v7i2.610

Keywords:

Sectio Caesarea, Usia Ibu, Paritas, Indikasi SC, Deskriptif

Abstract

Cesarean section (CS) is a delivery method performed when vaginal delivery poses risks to the mother and fetus. Despite its benefit under certain conditions, the increase trend of CS without clear medical indications raises concerns from both clinical and epidemiological perspectives. The rate of CS deliveries in Indonesia has increased far exceeding the WHO’s ideal threshold of 10–15%. This study aimed to describe the characteristics of mothers undergoing CS at Haji Regional General Hospital Makassar in 2024 based on maternal age, parity, delivery history, gestational age, type of CS by timing, and medical indications. This study employed a descriptive quantitative design with a retrospective approach. Data were collected from medical records of 186 mothers who underwent CS during 2024. Univariate analysis was conducted using frequency and percentage distributions. The majority of mothers, aged 20–35 years (75.8%), had parity of 2 (34.4%), and had a history of previous CS (39.2%). Most pregnancies were at term (73.1%), and most CS procedures were elective (69.9%). The most common indications were previous CS (38.7%), oligohydramnios (7.5%), failed induction (6.5%), and preeclampsia (5.9%). The findings showed that younger mothers and primiparas were more likely to undergo CS due to cephalopelvic disproportion (CPD), fetal distress, and failed induction, while multiparas with a history of CS tended to have repeat procedures. High-parity mothers were more prone to severe complications such as uterine rupture and preeclampsia. These results highlight the importance of careful pregnancy monitoring and strict evaluation of CS indications to prevent unnecessary procedures.

References

Ananda, Dhea, Erma Puspita Sari, Intan Sari, And Arie Anggraini. 2025. “Faktor–Faktor Yang Berhubungan Dengan Tindakan Sectio Caesarea Pada Ibu Bersalin Di Rsud Kayu Agung Tahun 2023.” Indonesian Journal Of Health Science 5(3):471–81. Doi:10.54957/Ijhs.V5i3.1447.

Ayuningtyas, Dumilah, Ratih Oktarina, N. Nyoman, And D. Sutrisnawati. 2018. “Etika Kesehatan Pada Persalinan Melalui Sectio Caesarea Tanpa Indikasi Medis Bioethics In Childbirth Through Sectio Caesaria Without Medical Indication.” Jurnal Mkmi 14(1):9–16.

Etty, Christina Roos, Elsarika Damanik, And Ganda Juliana Nababan. 2023. “Faktor-Faktor Yang Berhubungan Terhadap Persalinan Dengan Kejadian Sectio Caesarea Di Rumah Sakit Umum Dr. Hadrianus Sinaga Pangururan.” Jurnal Health Reproductive 8(2):13–23.

Guise, J. M., M. S. Mcdonagh, J. Hashima, D. F. Kraemer, K. B. Eden, M. Berlin, P. Nygren, P. Osterweil, K. P. Krages, And M. Helfand. 2003. “Vaginal Birth After Cesarean (Vbac).” Evidence Report/Technology Assessment (Summary) (71):1–8. Doi:10.21070/Midwiferia.V7i2.1316.

Gustika Anggriani. 2022. “Hubungan Riwayat Kuretase Dan Operasi Sectio Caesarea Dengan Kejadian Plasenta Revia Di Rsud Kota Prabumulih.” Jurnal Smart Ankes 6(2):26–29. Doi:10.52120/Jsa.V6i2.88.

Hamzah, Arum Putri Ardiyan, And Juminten Saimin. 2025. “Analisis Faktor Yang Berhubungan Dengan Cara Persalinan Pada Ibu Hamil Usia Dini.” Lombok Medical Journal 4(1):38–44.

Ikhlasia, Marthia, And Siti Riska. 2017. “Hubungan Antara Komplikasi Kehamilan Dan Riwayat Persalinan Dengan Tindakan Sectio Caesarea.” Jurnal Jkft 2(2):1–7.

Islam, Md Akhtarul, Hasibul Hasan Shanto, Abdul Jabbar, And Md Hasan Howlader. 2022. “Caesarean Section In Indonesia: Analysis Of Trends And Socio. Demographic Correlates In Three Demographic And Health Surveys (2007-2017).” Dr. Sulaiman Al Habib Medical Journal 4(3):136–44.

Juliathi, Ni Luh Putu, Gusti Ayu Marhaeni, And Ni Made Dwi Mahayati. 2021. “Gambaran Persalinan Dengan Sectio Caesarea Di Instalasi Gawat Darurat Kebidanan Rumah Sakit Umum Pusat Sanglah Denpasar Tahun 2020.” Jurnal Ilmiah Kebidanan (The Journal Of Midwifery) 9(1):19–27.

Kumar, Pradeep, Shobhit Srivastava, Pratishtha Chaudhary, And T. Muhammad. 2023. “Factors Contributing To Socio-Economic Inequality In Utilization Of Caesarean Section Delivery Among Women In Indonesia: Evidence From Demographic And Health Survey.” Plos One 18(9):E0291485.

Kusumawardani, Ratih, And Ratna Wulandari. 2022. “Study Literature Review: Faktor-Faktor Yang Mempengaruhi Tindakan Sectio Caesarea: Literature Review: The Factors Affecting Sectio Caesarea Delivery.” Jurnal Ilmiah Pamenang 4(2):48–54.

Musyaffa, M. Abduh. 2023. “Perbedaan Lama Hari Rawat Pasien Sectio Caesarea Menggunakan Metode Enhanced Recovery After Caesarian Surgery (Eracs) Dengan Sectio Caesarea Konvensional Di Rumah Sakit Provinsi Lampung Tahun 2023.”

Nur Handayany, Ressy. 2022. “Faktor-Faktor Yang Berhubungan Dengan Kejadian Sectio Caesarea Pada Ibu Bersalin Di Rs Handayani Kotabumi Lampung Utara Tahun 2020.” Jurnal Maternitas Aisyah (Jaman Aisyah) 3(1):52–61. Doi:10.30604/Jaman.V3i1.408.

Nuryanto, Alviana Putri. 2024. “Gambaran Indikasi Persalinan Dengan Sectio Caesareadi Rskia Ummi Khasanah Tahun 2022 Dan 2023.” Jurnal Ilmu Kesehatan (Jika) 3(2):1–12.

Prasetya, Selma Christalia Hestining. 2024. “Duration Of Premature Rupture Of Membranes With Infant Apgar Score In Prom Patients At Banten Hospital In 2023.” Inomed: International Journal Of Occupational Medicine And Public Health 1(1).

Prihartini, Ade Rahayu, And Roni Iryadi. 2019. “Faktor-Faktor Yang Mempengaruhi Persalinan Dengan Tindakan Sectio Caesaria (Sc) Pada Ibu Bersalin.” Jurnal Kesehatan Pertiwi 1(1):13–20.

Purwanti, Rena. 2024. “Asuhan Berkesinambungan Pada Ny. I Usia 36 Tahun G2p1ab0ah1 Dengan Kehamilan Risiko Tinggi (Riwayat Sectio Caesarea, Anemia Ringan Dan Miopia) Di Puskesmas Tempel I, Sleman.”

Rahmawati, Rini. 2021. “Asuhan Keperawatan Pada Ny. E Dengan Post Sectio Caesarea Indikasi Preeklamsia Berat Diruang Baitunissa 2 Rumah Sakit Sultan Agung Semarang.”

Saputri, Ungin Agus, Warsi Maryati, And Nurhayati Nurhayati. 2023. “Prediksi Indikator Pelayanan Kebidanan Dengan Metode Single Exponential Smoothing Di Klinik Bersalin Annisa Boyolali Tahun 2023-2027.” Pp. 386–94 In Prosiding Seminar Informasi Kesehatan Nasional.

Sari, Fitri Arumdani Mei Kumala, Fery Agusman Motuho Mendrofa, And Gagah Satria Hendrawan. 2025. “Pemberian Edukasi Tindakan Operasi Untuk Menurunkan Kecemasan Pasien Pre Operasi Sectio Caesarea: The Effect Of Surgical Procedures Education In Reducing Pre-Operative Anxiety Of Cesarean Section Patients.” Jurnal Ilmiah Keperawatan (Scientific Journal Of Nursing) 11(2):222–30.

Serudji, Joserizal, Meilinda Agus, And Novia Rita Aninora. 2019. “Correlation Of Calcium Levels With The Strenght Of Uterus Contraction On The Active Phase Of First Stage Labor.” P. 174 In 1st Annual Conference Of Midwifery.

Sulastri, Sulastri, Arina Maliya, Ni’mah Mufidah, And Eka Nurhayati. 2019. “Kontribusi Jumlah Kehamilan (Gravida) Terhadap Komplikasi Selama Kehamilan Dan Persalinan.” Jurnal Ilmu Keperawatan Maternitas 2(1):9–16.

Susanti, Santi. 2021. “Gambaran Komplikasi Persalinan Pada Ibu Hamil Dengan Faktor Resiko Usia Terlalu Tua Di Puskesmas Cisayong Kabupaten Tasikmalaya.” Journal Of Midwifery And Public Health 2(2):91–96.

Ulfa, Zikni Rahmi Aulia, Delvi Ramadianti, And Liza Andriani. 2024. “Asuhan Kebidanan Pada Ny ‘F’ Dengan Sectio Caesarea (Sc) Hari Ke2 Di Ruang Rawatan Mawarrsud Dr. Adnaan Wd Kota Payakumbuh Tahun 2024.” Journal Of Andalas Medica 2(2):68–79.

Who. 2015. “Who Statement On Caesarean Section Rates.”

Wulandari, Ratna, And Nurwita Trisna Sumanti. 2022. “Analisis Faktor Peran Bidan, Sarana Prasarana Dan Pengetahuan Ibu Dalam Pelaksanaan Anc Terintegrasi Di Praktek Bidan Mandiri (Pbm) W Di Bojong Gede Tahun 2020.” J Kebidanan Dan Keperawatan Aisyiyah 18(1):1–9.

Downloads

Published

2025-10-10

How to Cite

Fortuna, R. R. D., Hinonaung, J. A., Sahari, A., Nalanda, R. G., Al Saudi, K. P., & Fitriani, F. (2025). The Epidemiological Study of Caesarean Section Cases at Haji Regional General Hospital Makassar in 2024. Jurnal Keperawatan Terpadu (Integrated Nursing Journal), 7(2), 52–65. https://doi.org/10.32807/jkt.v7i2.610

Issue

Vol. 7 No. 2 (2025): Oktober

Section

Articles

Citation Check

License

Creative Commons License

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Authors who publish with this journal agree to the following terms:

  • Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
  • Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
  • Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.