Pengaruh �Response time� pada Seksio Sesarea Emergensi terhadap Luaran Kehamilan di RS Sardjito
| Main Authors: | , Reinhard Loho, , dr. H. Risanto Siswosudarmo, SpOG(K) |
|---|---|
| Format: | Thesis NonPeerReviewed |
| Terbitan: |
[Yogyakarta] : Universitas Gadjah Mada
, 2013
|
| Subjects: | |
| Online Access: |
https://repository.ugm.ac.id/118537/ http://etd.ugm.ac.id/index.php?mod=penelitian_detail&sub=PenelitianDetail&act=view&typ=html&buku_id=58512 |
Daftar Isi:
- Background: In preparation for emergency cesarean section will involve many decisions and move the various personnel from various disciplines with specific time limits in order to save mothers and neonate. Lack of harmony among team members will result in the need for longer time intervals, so that morbidity and increased maternal and neonate mortality. Objective: To determine the effect of "response time" of emergency cesarean section to the outcome of pregnancy in the Sarjito hospital. Methods: The study design is a retrospective cohort. Results: There were 150 cases of emergency Caesarean section in dr. Sardjito hospital during January 1, 2011 through December 31, 2011. The data retrieval is done by taking a retrospective cohort data from medical records of patients who entered the study subjects. There were 150 cases of emergency Caesarean section in 681 cases of Caesarean section during 2011. From table 4 it can be seen that the distribution of execution Caesarean section based on worked hours, 64 cases (42.7%) founded at work and 86 cases (57.3%) in the off hours. Based on gestational age � 37 weeks there were 116 cases (77.3%) and <37 weeks there were 34 cases (22.7%). As for the difference in time <60 minutes there were 22 cases (14.7%) and at � 60 minutes there were 128 cases (85.3%). Type of anesthesia used was 123 cases (82.6%) regional anesthesia (spinal/ epidural) and 27 cases (17.4%) GA. From all cases of emergency Caesarean section, 90.5% operator is a resident and the rest by a specialist. There were no significant differences in bivariate and multivariate analyzes to morbidity and mortality to maternal and neonatal. Conclusion: No significant difference was found morbidity and mortality outcomes for maternal and neonatal care in the "response time" <60 minutes and � 60 minutes at Sarjito Hospital.