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%
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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 22Nov.2024];43(1):20-. Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/653
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Received 2016-09-22
Accepted 2016-09-22
Published 2016-09-24
Accepted 2016-09-22
Published 2016-09-24
