Analisis Faktor Ibu yang Pernah Bersalin Nomal Mengalami Risiko Bedah CCaesarea

Siti Maisyaroh Fitri Siregar
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Abstract

ABSTRACT               The objective of the research was to analyze the risk factors of  women with the history of normal childbirth had delivery by section caesarea.             The research used observational analytic method with case-control study design. The samples consisted of 42 cases and 42 controls, taken by using consecutive sampling technique. Dependent variable was childbirth with CS and independent variables were parity, accompanied illness, and reference. The gathered data were analyzed by using univatriate analysis, bivariate analysis with chi square test, and multivatriate analysis at α = 0.05.             The result of the research from multivariate analysis showed that the variables which had significant influence on childbirth with SC were parity (p = 0.006; OR = 5.801 95% CI = 1.642-19.110),accompanied illness (p = 0.03; OR = 6.382 95% CI = 1.198-33.992), and reference (p = 0.003; OR = 6.350 95% CI = 1.874-21.522). The variable which had the most dominant influence childbirth with CS was accompanied illness. p-value = 97% which indicated that childbirth women with the parity > 2 had accompanied illness and the reference to the hospital had the possibility to give birth with CS of 97%.             It is recommended to do family planning programme, and prevent the illness during pregnant, apply ANC according to the standard, and make sure that the childbirth is safe from Period I to Period III.   Keywords: Risk Factor, Caesarea, Case-Control
分析诺玛尔分娩的母亲是否有剖腹产的风险
摘要本研究旨在分析有正常分娩史的妇女剖宫产的危险因素。本研究采用观察分析方法,采用病例对照研究设计。采用连续抽样法抽取42例病例和42例对照。因变量为CS的分娩,自变量为胎次、伴随疾病和参考。收集的资料采用单因素分析、双因素卡方检验和多因素分析,α = 0.05。多因素分析结果显示,对SC分娩有显著影响的变量为胎次(p = 0.006;OR = 5.801 95% CI = 1.642-19.110),伴发疾病(p = 0.03;OR = 6.382 95% CI = 1.198-33.992),参考文献(p = 0.003;Or = 6.350 (95% ci = 1.874-21.522)。对CS分娩影响最大的变量是伴随疾病。p值= 97%,表明胎次> 2次分娩的妇女伴有疾病,参考医院分娩CS的可能性为97%。建议做好计划生育,预防怀孕期间的疾病,按标准应用ANC,确保第一至第三期安全分娩。关键词:危险因素,剖宫产,病例控制
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