Etika Kesehatan pada Persalinan Melalui Sectio Caesarea Tanpa Indikasi Medis
Abstract
The rate sectio caesarea in Indonesia is quite high. World Health Organization states that the number sectiocaesarea maximum of about 10 to 15%. Therefore, it is necessary to study the decision-making action sectiocaesarea based on the principles of bioethics. This study used a qualitative approach with descriptive and analyticanalysis, conducted in 2014 in hospitals and maternity clinics in Jakarta. Data collection through interviews oninterviewees such as functional medical workers, midwives and hospital managers. Results showed the trend ofsectio caesarea very high reaching 70%. Sectio caesarea is almost entirely due to medical indications. Trend sectiocaesarea very high does not necessarily indicate that there are things that are contrary to the ethics of health care.Many factors beyond medical indications, both in the mother and baby, which causes sectio caesarea been, amongothers: the maternal psychological, medical equipment that is not ready for normal delivery, the right of patients tochoose medical treatment to do, weak regulation in controlling hospital offers a package sectio caesarea, as wellas regulation is deemed damaging medical services system is already working well so as to encourage moral hazardof the doctors to let their demand for childbirth through sectio caesarea without adequate medical indications.
References
1. Chu K, Cortier H, Maldonado F, Mashant T, Ford N, Trelles M. Cesarean section rates and indications in sub-Saharan Africa: a multi-country study from Medecins sans Frontieres. PLOS one. 2012;7(9 e44484):1-6.
2. Sur S, Mackenzie I. Does discussion of possible scar rupture influence preferred mode of delivery after a caesarean section? Journal of obstetrics and gynaecology. 2005;25(4):338-41.
3. Dobson R. Caesarean section rate in England and Wales hits 21. BMJ: British Medical Journal. 2001;323(7319):951.
4. Wagner VV, Young D. Choosing a Caesarean Birth - A Forum to Discuss the Issues. Atlantic Centre of Excellence for Women's
Health; June 16th 2002; Canada 2002.
5. Juditha I, Cynthia I. Tips praktis bagi wanita hamil. Jakarta: Forum Kita; 2009.
6. Kasdu D. Operasi Caesar: Masalah dan solusinya. Jakarta: Puspa Swara; 2003.
7. Elizabeth. Menyambut kehadiran buah hati. Jakarta: Openup Publishing; 2005.
8. Salfariani I, Nasution SS. Faktor Pemilihan Persalinan Sectio Caesarea Tanpa Indikasi Medis Di RSU Bunda Thamrin Medan. Jurnal Keperawatan. 2012;1(1):7-12.
9. Mochtar R. Sinopsis Obstetri Jilid II. Jakarta: EGC; 2002.
10. Beauchamp TL, Childress JF. Principles of Biomedical Ethics. New York: Oxford University Press; 2001.
11. Suryati T. (Analisis lanjut data Riskesdas 2010) persentase operasi caesaria di Indonesia melebihi standard maksimal, apakah sesuai indikasi medis. Buletin Penelitian Sistem Kesehatan. 2013;15(4):331-8.
12. Andayasari L, Muljati S, Sihombing M, Arlinda D, Opitasari C, Mogsa DF, et al. Proporsi Seksio Sesarea dan Faktor yang berhubungan dengan Seksio Sesaria di Jakarta. Buletin Penelitian Kesehatan. 2015;43(2):105-16.
13. Mulyawati I, Azam M, Ningrum DNA. Faktor Tindakan Persalinan Operasi Sectio Caesarea. Jurnal Kesehatan Masyarakat. 2011;7(1):14-21.
14. Mukherjee S. Rising cesarean section rate. J Obstet Gynecol India. 2006;56(4):298-300.
15. Shannon TA. Pengantar Bioetika (diterjemahkan oleh K. Bertens). Jakarta: Gramedia Pustaka Utama; 1995.
16. POGI. Tindakan Caesar atas Permintaan Sendiri. Jakarta: Himpunan Kedokteran Feto Maternal POGI; 2011.
17. Wahyudi S. Tanggung Jawab Rumah Sakit Terhadap Kerugian Akibat Kelalaian Tenaga Kesehatan dan Implikasinya. Jurnal Dinamika Hukum. 2011;11(3):505-21.
2. Sur S, Mackenzie I. Does discussion of possible scar rupture influence preferred mode of delivery after a caesarean section? Journal of obstetrics and gynaecology. 2005;25(4):338-41.
3. Dobson R. Caesarean section rate in England and Wales hits 21. BMJ: British Medical Journal. 2001;323(7319):951.
4. Wagner VV, Young D. Choosing a Caesarean Birth - A Forum to Discuss the Issues. Atlantic Centre of Excellence for Women's
Health; June 16th 2002; Canada 2002.
5. Juditha I, Cynthia I. Tips praktis bagi wanita hamil. Jakarta: Forum Kita; 2009.
6. Kasdu D. Operasi Caesar: Masalah dan solusinya. Jakarta: Puspa Swara; 2003.
7. Elizabeth. Menyambut kehadiran buah hati. Jakarta: Openup Publishing; 2005.
8. Salfariani I, Nasution SS. Faktor Pemilihan Persalinan Sectio Caesarea Tanpa Indikasi Medis Di RSU Bunda Thamrin Medan. Jurnal Keperawatan. 2012;1(1):7-12.
9. Mochtar R. Sinopsis Obstetri Jilid II. Jakarta: EGC; 2002.
10. Beauchamp TL, Childress JF. Principles of Biomedical Ethics. New York: Oxford University Press; 2001.
11. Suryati T. (Analisis lanjut data Riskesdas 2010) persentase operasi caesaria di Indonesia melebihi standard maksimal, apakah sesuai indikasi medis. Buletin Penelitian Sistem Kesehatan. 2013;15(4):331-8.
12. Andayasari L, Muljati S, Sihombing M, Arlinda D, Opitasari C, Mogsa DF, et al. Proporsi Seksio Sesarea dan Faktor yang berhubungan dengan Seksio Sesaria di Jakarta. Buletin Penelitian Kesehatan. 2015;43(2):105-16.
13. Mulyawati I, Azam M, Ningrum DNA. Faktor Tindakan Persalinan Operasi Sectio Caesarea. Jurnal Kesehatan Masyarakat. 2011;7(1):14-21.
14. Mukherjee S. Rising cesarean section rate. J Obstet Gynecol India. 2006;56(4):298-300.
15. Shannon TA. Pengantar Bioetika (diterjemahkan oleh K. Bertens). Jakarta: Gramedia Pustaka Utama; 1995.
16. POGI. Tindakan Caesar atas Permintaan Sendiri. Jakarta: Himpunan Kedokteran Feto Maternal POGI; 2011.
17. Wahyudi S. Tanggung Jawab Rumah Sakit Terhadap Kerugian Akibat Kelalaian Tenaga Kesehatan dan Implikasinya. Jurnal Dinamika Hukum. 2011;11(3):505-21.
Authors
ayuningtyas, dumilah, Oktarina, R., Misnaniarti, M., & Dwi Sutrisnawati, N. N. (2018). Etika Kesehatan pada Persalinan Melalui Sectio Caesarea Tanpa Indikasi Medis. Media Kesehatan Masyarakat Indonesia, 14(1), 9-16. https://doi.org/10.30597/mkmi.v14i1.2110
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