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All Journal International Journal of Public Health Science (IJPHS) Indonesian Journal of Geography Jurnal Kebidanan snimed Majalah Kedokteran Bandung Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Jurnal Kesehatan Reproduksi Global Medical and Health Communication Gadjah Mada Journal of Psychology Paediatrica Indonesiana Jurnal Profesi Medika: Jurnal Kedokteran dan Kesehatan Belitung Nursing Journal Midwifery Journal: Jurnal Kebidanan UM. Mataram Jurnal Kesehatan Reproduksi Media Kesehatan Politeknik Kesehatan Makassar MAGNA MEDICA: Berkala Ilmiah Kedokteran dan Kesehatan Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Jurnal Kesehatan Madani Medika Journal of Community Empowerment for Health Jurnal Kebidanan Indonesia Jurnal Kesehatan Primer Berita Kedokteran Masyarakat Jurnal Psikologi Universitas Gadjah Mada Jurnal Kebidanan dan Keperawatan Aisyiyah Jurnal Manajemen Pelayanan Kesehatan (The Indonesian Journal of Health Service Management) Jurnal Kesehatan Tropis Indonesia Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal) Jurnal Kesehatan Primer
Ova Emilia
Department Of Obstetrics And Gynecology, Faculty Of Medicine, Public Health And Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
Humanities Biochemistry, Genetics & Molecular Biology Dentistry Earth & Planetary Sciences Education Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Other

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ANALYSIS OF THE CAESAREAN SECTION ACCORDING TO ROBSON CLASSIFICATION AT RSUD PANEMBAHAN SENOPATI BANTUL IN 2021–2022 Gumilar, Gulam; Emilia, Ova; E.S, Diannisa Ikarumi; Nurdiati, Detty
JURNAL KESEHATAN REPRODUKSI Vol 11, No 3 (2024)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.88597

Abstract

Background : The Robson 10-group classification system categorizes pregnant women into ten distinct groups based on specific obstetric characteristics. As caesarean section rates rise globally, this trend has become an important public health concern. Between 2012 and 2015, RSUD Panembahan Senopati Bantul, a regional government hospital in Indonesia, reported caesarean section rates exceeding 30%. The aim of this study is to identify which Robson groups contributed most to the significant increase in cesarean deliveries.Objective : This study aims to determine the rate of change in the trend of caesarean section rates that occurred at Bantul Regional General Hospital during the 2021–2022 period using the Robson Classification.Methods : This study used a descriptive analytic design. The study population included all pregnant women who gave birth at RSUD Panembahan Senopati in Bantul from 2021 to 2022. Data were obtained from secondary sources using Case Report Form (CRF) instruments and processed using Robson classification. Additional analyses were conducted to determine the cesarean section rate within each group and identify reasons for cesarean delivery.Results  : Of the 2,295 study participants, 906 (39.8%, 95% CI 38.27–41.33) were pregnant women who delivered by C-section during 2021–2022. The C-section rate declined by 1.53% overall over the two-year period (95% CI 1.08–2.12). However, several Robson groups showed rising C-section trends. According to the Robson classification, group 5 represented the largest proportion of the population (25.1%, 95% confidence interval [CI] 23.09–27.12) and accounted for the highest proportion of cesarean deliveries (9.9%), followed by group 4 (6.2%, 95% CI 3.22–8.27). Groups 2, 4, and 7 experienced rising C-section trends from 2021 to 2022, with Group 4 showing the greatest increase (8.5%), followed by Group 2 (4.4%, 95% CI 1.2–6.75). Further evaluation identified failed labor induction as the leading cause of the increased C-section rate (14.6%, 95% CI 12.02–17.9), while fetal compromise/distress also played a significant role (10.6%, 95% CI 8.79–12.5).Conclusion : From 2021 to 2022, the caesarean section rate at RSUD Panembahan Senopati Bantul decreased by 1.53% (95% CI 1.08–2.12), though certain groups still had elevated rates. Groups 2, 4, and 5 accounted for the majority of cesarean deliveries during this period. Targeted interventions, including routine evaluations and improved management, are needed to reduce the overall C-section rate further.
Co-Authors A.A. Ketut Agung Cahyawan W Abbas, Marwan Abdul Wahab Abdul Wahab Abdul Wahab Abu Bakar Adi Ariffianto Akifah Fatimah Albertina Bata, Verayanti Amiruddin Amiruddin Amitya Kumara Amitya Kumara Amitya Kumara Anis Widyasari Aria Kekalih Arif Tirtana Armaijn, Fadhilah Armis Armis Asep Novianto Astuti, Andari Wuri Augustine D. Sukarlan Ayub Irmadani Anwar B P Suryosubianto Bahari, Rafidah Bernadetta Esti Chrismawaty Budi Iman Santoso Daulian, Fika Denny Agustiningsih Detty Siti Nurdiati Devi Hartati Dewi Matindas Dharmayati B. Utoyo Diannisa I E Sangun Dicky Moch Rizal Dicky Moch Rizal Djaswadi Dasuki Djaswadi Dasuki Djaswadi Dasuki Djauhar Ismail Djauhar Ismail Donal Donal Donal Donal Dwi Andayani Dwi Cahyani Ratna Sari Dwi Juwartini Dwi Rahma Wati E.S, Diannisa Ikarumi Eddy Hartono Eddy Hartono Eddy Tiro Eddy Tiro Edi Patmini Edi Patmini Edi Patmini Siswanti Efrayim Suryadi Efrayim Suryadi Eti Poncorini Pamungkasari Eugenius Phyowai Ganap Eugenius Phyowai Ganap Eugenius Phyowai Ganap Evi Septiani Fadhilah Armaijn Fatwa Sari Tetradewi Febe, Ester Fielda Djuita Ganap, Eugenius Phyowai Gandes Retno Rahayu Guardian Yoki Sanjaya Gumilar, Gulam Hamid, Noor Aini Abdul Handayani, sri Hari Kusnanto Hari Kusnanto Harsono Mardiwiyoto Harsono Mardiwiyoto Hartono Hartono Hartono Hartono Helen Try Juni Asti Hepta Lidia Herlin Fitriani Kurniawati Heru Pradjatmo Hidayat, Asri Ibrahim, Juliani Ika Dewi Ana Ika Parmawati Iman, Santoso Budi Irwan Taufiqur Rachman Ismail Joko Sutresno Iwan Dwiprahasto Iwan Dwiprahasto Iwan Dwiprahasto Juli Sitorus Kartini, Farida Khusnul Khotimah khusnul khotimah Kirubashni Mohan Koheresto G. Liufeto Ksyatria, Yudhistya Ngudi Insan Leo Prawirodihardjo Lia Dewi, Vivian Nanny Lidia, Hepta Lili Ratnawati Lilie Fransiska Lilie Fransiska Lionita, Widya Magdalena Paunno Malik, Ummu Kalzum Malik, Ummu Kalzum Mappaware, Nasrudin Andi Maria Magdalena Purba, Maria Magdalena Martha Chaterince Silitonga Martinus Martinus Marwan Abbas Maryanto, Budi Mayae Hugo Mayae Hugo Mei Neni Sitaresmi Mia Kusmiati Michael Andreas Leman Moch. Anwar Mohammad Hakimi Mohammad Hakimi Mohammad Hakimi Mohammad Hakimi Mohammad Hakimi Mora Claramita Mubasysyir Hasanbasri Mubasysyir Hasanbasri Muhammad Hakimi Muhammad Nurhadi Rahman Mursyidah Khairiyah Murti Mandawati Nani Emma Nani Emma Nasrudin Andi Mappaware Ni Putu Widarini Novriana, Riska Nuraini, Laila Afiliasi Puji Nuraliah Nuraliah Nuraliah, Nuraliah Nurdiati, Detty Nuring Pangastuti Nuring Pangastuti Nuring Pangastuti, Nuring Nurlaila Marasabessy Nurlina Ina Nurlina Ina, Nurlina Nurrahma Wahyu Fitriyani Nurul Hikmah Petrana Petrana, Nurul Hikmah Phyowai Ganap, Eugenius Poedji Rochjati Poedji Rochjati Popy Irawati Popy Irawati Pratiwi, Cesa Septiana Pratiwi, Putu Irma Puspasari Puspasari Raharja, Supanji Rahmi Surayya Ramani, Subha Ratih Kumalasari Ratnawati, Lili Reni Dwi Setyaningsih Risanto Siswosudarmo Rizka Aries Putranti Rochmanita Sandya Afindaningrum Roy Jansen Sinaga Rukmono Siswishanto Sangun, Diannisa I E Sanip, Suhaila Sari, Sylvia Mustika Shinta Prawitasari Shofwal Widad Shulhana Mokhtar Silitonga, Martha Chaterince Sinaga, Roy Jansen Siswanto Agus Wilopo Sitorus, Juli Soehartati Soehartati Soerjo Hadijono Soerjo Hadijono Soerjo Hadijono Soerjo Hadijono Soerjo Hadijono Soetrisno Soetrisno Soetrisno Soetrisno Solly Aryza Sri Handayani Sri L. Menaldi Sri Linuwih Susetyo Wardhani, Sri Linuwih Susetyo Sukamdi Sukamdi Sumiyati Sumiyati SUMIYATI SUMIYATI Sunarko Sunarko Supanji Raharja Sutresno, Ismail Joko Titik Kuntari Tri Wibawa Trisasi Lestari Umar Dhani Umar Dhani, Umar Umar Malinta Umar Malinta Vella Dwi Yani Vella Dwi Yani Verayanti Albertina Bata Verayanti Albertina Bata Wahab, Abdul Wenny Artanty Nisman, Wenny Artanty Widyandana Widyandana Widyawati Widyawati Wiwin Lismidiati Yakayum Yanti Yanti Yati Soenarto Yayi S. Prabandari Yayi Suryo Prabandari Yayi Suryo Prabandari Yayi Suryo Prabandari Yekti Satriandari Yoyo Suhoyo Yudhistya Ngudi Insan Ksyatria Yuliana Yuliana Yundari, Yundari Zulfa, Siti Zakiah