Pattern of newborn babies delivered by cesarean section
Keywords:
cesarean section, newborn baby, placenta praevia, multigravida
Abstract
Background The birth rate in Indonesia is still high and abnormallabor constitutes 15% of all deliveries which needs cesarean sec-
tion as a solution for complicated cases.
Objectives To find the general physical condition of babies born
after cesarean section as well as the characteristics of mothers
who underwent cesarean section.
Methods A retrospective study on newborn babies delivered by
cesarean section conducted in Subdivision of Neonatology, Medi-
cal School, University of North Sumatera-Pirngadi Hospital Medan,
in period of 2 years (1991-1992).
Results There were 8762 babies born during the study period,
1484 babies (16.93%) delivered by cesarean section due to pla-
centa previa (26.2%), prolonged labor (15.8%), cephalopelvic dis-
proportion (10.3%), neglected labor (9.9%), eclampsia/preeclamp-
sia (8.1%), fetal distress (7.5%), previous section (6.6%), breech
presentation (5.7%), solutio placenta (4.0%), and others (5.9%). It
was shown that mothers undergoing caesarean section was mainly
20-30 years old (66.4%), multigravida (47.8%), term gestational
age (79.4%), and minimal antenatal care (61.3%). There were 1224
(82.5%) babies with birth weight >2500 grams and 894 (60.2%)
suffered from asphyxia.
Conclusions The evidence of asphyxia by cesarean section and
low birth weight group was significantly different from those nor-
mally delivered (p<0.001). The mortality rate was 11.5% due to
still birth 29.2%, RDS 18.3%, sepsis 15.5%, pneumonia 12.3%,
and gastroenteritis 11.5%
References
1. Hutapea H. Sectio caesarea di RSU Banda Aceh. In:
Naskah Lengkap POGI III. Proceedings of the 3 rd Con-
gress of Indonesian Obstetrician and Gynecologist As-
sociation; 1976 Juni 7-11; Medan, Indonesia. Medan;
1976. p. 564-9.
2. Achyat DM. Sectio caesarea di Bagian Obstetri-
Ginekologi RS Gadjah Mada Yogyakarta. In: Naskah
Lengkap KOGI IV. Proceedings of the 4 th Congress of
Indonesian Obstetrician and Gynecologist; 1979 Juni 10-
15; Yogyakarta, Indonesia. Yogyakarta; 1979. p. 151-4.
3. Masroer S, Soeyono B. Sectio cessarea di RS Dr. Kariadi
Semarang. In: Naskah Lengkap KOGI IV. Proceedings
of the 4 th Congress of Indonesian Obstetrician and Gy-
necologist; 1979 Juni 10-15; Yogyakarta, Indonesia.
Yogyakarta; 1979. p. 144-50.
4. Sastrawinata S. Upaya bidang obstetri dalam penurunan
angka kematian perinatal. In: Naskah lengkap Kongres
Nasional Perinasia I. Proceedings of the 1 st National
Congress on Perinatology; 1983 Mei 25-26; Yogyakarta,
Indonesia. Yogyakarta; 1983. p. 15-26.
5. Suyoso S, Soewarto S, Reksopranodjo P. Kematian peri-
natal pada seksio sesarea di RS Saiful Anwar Malang
1978-1979. Proceedings of the 1 st Annual Scientific
Meeting of Indonesian Obstetrician and Gynecologist
Association; Jakarta, Indonesia
6. Babson SC, Benson RC. Management of high risk preg-
nancy and intensive care neonate. 2 nd ed. St Louis:
Mosby Company; 1971. p. 149-64.
7. Butler J, Abrams Barbara, Parker J, Robert JM, Laros
RK. Supportive nurse-midwife care is associated with
reduced incidence of caesarean section. Am J Obstet
Gynecol 1993;168:1407-13.
8. Issoedibyo S, Suryono A, Pranoto I. Evaluasi bayi lahir
dengan seksio sesarea di RSUD Dr. Sardjito. In: Naskah
Lengkap Kongres Nasional Perinasia II. Proceedings
of the 2 nd National Congress on Perinatology; 1986
Maret 27-29; Surabaya, Indonesia. Surabaya; 1986. p.
246-52.
9. Iyasu S, Saftlas AK, Rowley DL, Koonin LM, Lawson
HW, Atrash HK. The epidemiology of placenta praevia
in the United States 1979-1987. Am J Obstet Gynecol
1993;168:1424-9.
10. Cunningham FG, Mc Donald PC, Gant NF. Caesar-
ean section and caesarean hysterectomy. In: Williams
Obstetrics. 18 th ed. London: Prentice-Hall Interna-
tional Inc; 1989. p. 441-59.
11. Glasgow AL, Overall Jr JC. Fetus and neonatal infant.
In: Behrman RE, Vaughan VC, editors. Nelson Text-
book of Pediatric. 12 th ed. Philadelphia: Igaku Shoin/
Saunders; 1983. p. 322-416.
12. Soejoenoes A. Usaha menurunkan kematian perina-
tal di bagian obstetri dan ginekologi di rumah sakit
rujukan. Proceedings of the 3 rd Congress on
Perinatology; 1982; Bandung, Indonesia. Bandung;
1982. p. 116-32.
13. Soefoewan MS, Pranoto I. Kematian perinatal dan
pengenalan gawat janin. Proceedings of the 3 rd Work-
shop and Annual Scientific Meeting of Sardjito Hos-
pital; 1985; Yogyakarta, Indonesia.
14. Widhanarto B, Santosa E, Suryuono A. Trauma lahir
di RSUD Dr. Sardjito. In: Naskah lengkap Kongres
Nasional Perinasia II. Proceedings of the 2 nd Congress
on Perinatology; 1986 Maret 27-29; Surabaya, Indo-
nesia. Surabaya; 1986. p. 223-30.
Naskah Lengkap POGI III. Proceedings of the 3 rd Con-
gress of Indonesian Obstetrician and Gynecologist As-
sociation; 1976 Juni 7-11; Medan, Indonesia. Medan;
1976. p. 564-9.
2. Achyat DM. Sectio caesarea di Bagian Obstetri-
Ginekologi RS Gadjah Mada Yogyakarta. In: Naskah
Lengkap KOGI IV. Proceedings of the 4 th Congress of
Indonesian Obstetrician and Gynecologist; 1979 Juni 10-
15; Yogyakarta, Indonesia. Yogyakarta; 1979. p. 151-4.
3. Masroer S, Soeyono B. Sectio cessarea di RS Dr. Kariadi
Semarang. In: Naskah Lengkap KOGI IV. Proceedings
of the 4 th Congress of Indonesian Obstetrician and Gy-
necologist; 1979 Juni 10-15; Yogyakarta, Indonesia.
Yogyakarta; 1979. p. 144-50.
4. Sastrawinata S. Upaya bidang obstetri dalam penurunan
angka kematian perinatal. In: Naskah lengkap Kongres
Nasional Perinasia I. Proceedings of the 1 st National
Congress on Perinatology; 1983 Mei 25-26; Yogyakarta,
Indonesia. Yogyakarta; 1983. p. 15-26.
5. Suyoso S, Soewarto S, Reksopranodjo P. Kematian peri-
natal pada seksio sesarea di RS Saiful Anwar Malang
1978-1979. Proceedings of the 1 st Annual Scientific
Meeting of Indonesian Obstetrician and Gynecologist
Association; Jakarta, Indonesia
6. Babson SC, Benson RC. Management of high risk preg-
nancy and intensive care neonate. 2 nd ed. St Louis:
Mosby Company; 1971. p. 149-64.
7. Butler J, Abrams Barbara, Parker J, Robert JM, Laros
RK. Supportive nurse-midwife care is associated with
reduced incidence of caesarean section. Am J Obstet
Gynecol 1993;168:1407-13.
8. Issoedibyo S, Suryono A, Pranoto I. Evaluasi bayi lahir
dengan seksio sesarea di RSUD Dr. Sardjito. In: Naskah
Lengkap Kongres Nasional Perinasia II. Proceedings
of the 2 nd National Congress on Perinatology; 1986
Maret 27-29; Surabaya, Indonesia. Surabaya; 1986. p.
246-52.
9. Iyasu S, Saftlas AK, Rowley DL, Koonin LM, Lawson
HW, Atrash HK. The epidemiology of placenta praevia
in the United States 1979-1987. Am J Obstet Gynecol
1993;168:1424-9.
10. Cunningham FG, Mc Donald PC, Gant NF. Caesar-
ean section and caesarean hysterectomy. In: Williams
Obstetrics. 18 th ed. London: Prentice-Hall Interna-
tional Inc; 1989. p. 441-59.
11. Glasgow AL, Overall Jr JC. Fetus and neonatal infant.
In: Behrman RE, Vaughan VC, editors. Nelson Text-
book of Pediatric. 12 th ed. Philadelphia: Igaku Shoin/
Saunders; 1983. p. 322-416.
12. Soejoenoes A. Usaha menurunkan kematian perina-
tal di bagian obstetri dan ginekologi di rumah sakit
rujukan. Proceedings of the 3 rd Congress on
Perinatology; 1982; Bandung, Indonesia. Bandung;
1982. p. 116-32.
13. Soefoewan MS, Pranoto I. Kematian perinatal dan
pengenalan gawat janin. Proceedings of the 3 rd Work-
shop and Annual Scientific Meeting of Sardjito Hos-
pital; 1985; Yogyakarta, Indonesia.
14. Widhanarto B, Santosa E, Suryuono A. Trauma lahir
di RSUD Dr. Sardjito. In: Naskah lengkap Kongres
Nasional Perinasia II. Proceedings of the 2 nd Congress
on Perinatology; 1986 Maret 27-29; Surabaya, Indo-
nesia. Surabaya; 1986. p. 223-30.
Published
2016-09-24
How to Cite
1.
Tjipta G, Nasution R, Aldy D, Siregar Z. Pattern of newborn babies delivered by cesarean section. PI [Internet]. 24Sep.2016 [cited 14Nov.2024];43(1):20-. Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/653
Section
Articles
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.
Received 2016-09-22
Accepted 2016-09-22
Published 2016-09-24
Accepted 2016-09-22
Published 2016-09-24
