Gambaran Kejadian Hipotensi Pasca Spinal Anestesi Pasien Sectio Caesarea di Rumah Sakit Emanuel Banjarnegara

Jaylening Wintri Dao
Amin Susanto
Wilis Sukmaningtyas

Journal of Educational Innovation and Public Health
Vol. 4 No. 3 (2026): Juli: Journal of Educational Innovation and Public Health

Hypotension is a common complication following spinal anesthesia in cesarean section patients due to sympathetic blockade, which causes vasodilation and a decrease in blood pressure. This study aimed to describe the incidence of post-spinal anesthesia hypotension among cesarean section patients at Emanuel Hospital Banjarnegara.This study employed a quantitative method with a descriptive observational design and a cross-sectional approach. The sample consisted of 63 respondents selected using an accidental sampling technique. Data were collected through blood pressure monitoring every 3 minutes for 30 minutes following spinal anesthesia.The results showed that most respondents were aged 20–35 years (85.7%), had a fasting duration of ≤8 hours (79.4%), were classified as ASA II (100%), received fluid preloading of ≤500 mL (77.8%), were not administered vasopressors (68.3%), and had the highest level of spinal block at the L3–L4 intervertebral space (81%). Based on these characteristics, hypotension occurred most frequently among patients aged 20–35 years, with a fasting duration of ≤8 hours, ASA II status, fluid preloading of ≤500 mL, no vasopressor administration, and spinal block at the L3–L4 level.The mean systolic blood pressure before anesthesia was 130.35 mmHg and decreased to its lowest value of 111.68 mmHg at the third minute, then remained relatively stable until the 30th minute within the range of 115–120 mmHg. The mean diastolic blood pressure decreased from 81.73 mmHg to 67.14 mmHg at the third minute and remained stable within the range of 66–70 mmHg until the 30th minute.Of the 63 respondents, 37 patients (58.7%) experienced hypotension, while 26 patients (41.3%) did not. These findings indicate that post-spinal anesthesia hypotension remains a common occurrence among cesarean section patients. Therefore, strict hemodynamic monitoring is required, particularly during the early minutes after spinal anesthesia, along with appropriate consideration of fluid administration and vasopressor use.