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 sectio
caesarea maximum of about 10 to 15%. Therefore, it is necessary to study the decision-making action sectio
caesarea based on the principles of bioethics. This study used a qualitative approach with descriptive and analytic
analysis, conducted in 2014 in hospitals and maternity clinics in Jakarta. Data collection through interviews on
interviewees such as functional medical workers, midwives and hospital managers. Results showed the trend of
sectio caesarea very high reaching 70%. Sectio caesarea is almost entirely due to medical indications. Trend sectio
caesarea 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, among
others: the maternal psychological, medical equipment that is not ready for normal delivery, the right of patients to
choose medical treatment to do, weak regulation in controlling hospital offers a package sectio caesarea, as well
as regulation is deemed damaging medical services system is already working well so as to encourage moral hazard
of the doctors to let their demand for childbirth through sectio caesarea without adequate medical indications.
References
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.
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.
Dobson R. Caesarean section rate in England and Wales hits 21. BMJ: British Medical Journal. 2001;323(7319):951.
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.
Juditha I, Cynthia I. Tips praktis bagi wanita hamil. Jakarta: Forum Kita; 2009.
Kasdu D. Operasi Caesar: Masalah dan solusinya. Jakarta: Puspa Swara; 2003.
Elizabeth. Menyambut kehadiran buah hati. Jakarta: Openup Publishing; 2005.
Salfariani I, Nasution SS. Faktor Pemilihan Persalinan Sectio Caesarea Tanpa Indikasi Medis Di RSU Bunda Thamrin Medan. Jurnal Keperawatan. 2012;1(1):7-12.
Mochtar R. Sinopsis Obstetri Jilid II. Jakarta: EGC; 2002.
Beauchamp TL, Childress JF. Principles of Biomedical Ethics. New York: Oxford University Press; 2001.
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.
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.
Mulyawati I, Azam M, Ningrum DNA. Faktor Tindakan Persalinan Operasi Sectio Caesarea. Jurnal Kesehatan Masyarakat. 2011;7(1):14-21.
Mukherjee S. Rising cesarean section rate. J Obstet Gynecol India. 2006;56(4):298-300.
Shannon TA. Pengantar Bioetika (diterjemahkan oleh K. Bertens). Jakarta: Gramedia Pustaka Utama; 1995.
POGI. Tindakan Caesar atas Permintaan Sendiri. Jakarta: Himpunan Kedokteran Feto Maternal POGI; 2011.
Wahyudi S. Tanggung Jawab Rumah Sakit Terhadap Kerugian Akibat Kelalaian Tenaga Kesehatan dan Implikasinya. Jurnal Dinamika Hukum. 2011;11(3):505-21.
Authors
Copyright (c) 2018 Media Kesehatan Masyarakat Indonesia
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Atribusi-NonKomersial-BerbagiSerupa 4.0 Internasional License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
Copyright encompasses rights to reproduce and deliver the article in all form and media, including reprints, photographs, microfilms and any other similar reproductions, as well as translations. The reproduction of any part of this journal, its storage in databases and its transmission by any form or media, such as electronic, electrostatic and mechanical copies, photocopies, recordings, magnetic media, etc.
All articles published Open Access are free for everyone to read and download. Under the CC-BY-NC-SA license, authors retain ownership of the copyright for their article, but authors grant others permission to use the content of publications in Media Kesehatan Masyarakat Indonesia Universitas Hasanuddin in whole or in part provided that the original work is properly cited. Users (redistributors) of Media Kesehatan Masyarakat Indonesia Universitas Hasanuddin are required to cite the original source, including the author's names, Media Kesehatan Masyarakat Indonesia Universitas Hasanuddin as the initial source of publication, year of publication, and volume number.
Media Kesehatan Masyarakat Indonesia Universitas Hasanuddin is licensed under Creative Commons Atribusi-NonKomersial-BerbagiSerupa 4.0 Internasional.
