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

Jaylening Wintri Dao; Amin Susanto; Wilis Sukmaningtyas

doi:10.55606/innovation.v4i3.9611

Authors

Jaylening Wintri Dao Universitas Harapan Bangsa
Amin Susanto Universitas Harapan Bangsa
Wilis Sukmaningtyas Universitas Harapan Bangsa

DOI:

https://doi.org/10.55606/innovation.v4i3.9611

Keywords:

Blood Pressure, Cesarean Section, Hospital, Hypotension, Spinal Anesthesia

Abstract

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.

Downloads

Download data is not yet available.

References

Aliyafih, M., Sintara, S., Merisdawati, Jamil, M., & Rodli, M. (2023). Hubungan status american society of anesthesiologist terhadap waktu pencapaian bromage score 2 di ruang pemulihan pasien sectio caesarea dengan SAB. Jurnal Kesehatan Hesti Wira Sakti, 11, 243–247. https://doi.org/10.47794/jkhws

Annisa, F., Zahra, A., Novitasari, D., & Bangsa, U. H. (2025). Hubungan Antara Teknik Anestesi pada Pasien Sectio Caesarea dengan Kejadian Hipotensi Pasca Anestesi di RSUD dr . Soedirman Kebumen. Jurnal Riset Rumpun Ilmu Kedokteran, 4(3), 112–124. https://doi.org/https://doi.org/10.55606/jurrike.v4i3.6756

Armayanti, L. Y., Nataningrat, A. A. I., & Sumiari Tangkas, N. M. K. (2024). Hubungan Mobilisasi Dini Terhadap Penyembuhan Luka Sectio Caesarea (SC) Di Ruang Nifas Rumah Sakit Umum Daerah Klungkung. Jurnal Riset Kesehatan Nasional, 8(1), 69–74. https://doi.org/10.37294/jrkn.v8i1.562

Aulia, I., Wibowo, T. H., & Suryani, R. L. (2026). Gambaran Penanganan Hipotensi Pasca Spinal Anestesi Pada Pasien Sectio Caesarea di RSUD ciamis. Bunda Edu-Midwifery Journal (BEMJ), 9, 866–873.

Dwi, M., Liya, W., Suryani, R. L., & Maryoto, M. (2022). Hubungan Indeks Massa Tubuh dengan Kejadian Hipotensi Pasca Penyuntikan Anestesi Spinal pada Pasien Operasi Sectio Caesarea di RSUD Bula Kabupaten Seram Bagian Timur Propinsi Maluku. Seminar Nasional Peneltian Dan Pengabdian Kepada Masyarakat, 453–459. https://doi.org/https://doi.org/10.35960/snppkm.v2i1.1116

Hafiduddin, M., Febianita, & Nabhani. (2023). Hubungan Antara Preloading cairan Kristaloid dengan status tekanan darah intra anestesi spinal. Jurnal Ners Prodi Sarjana Keperawatan, 7(26), 1437–1443. https://doi.org/https://doi.org/10.31004/jn.v7i2.17153

Haryani, E. N., Bahari, F., Ruron, L. L., & Radiena, I. (2025). Penggunaan Vasopressor terhadap insiden hipotensi pada pasien fraktur femur yang menjalani anestesi regional : studi kasus. Jurnal Inovasi Kesehatan Adaptif, 7, 108–110. https://jurnalhost.com/index.php/jika/article/view/1436/1425

Indradata, F., Purnomo, H. D., Thamrin, M. H., Santoso, S. B., & Tri, A. (2018). Perbandingan Efektivitas Anestesi Spinal dengan Bupivacain 12 , 5 Mg dan Bupivacain 5 Mg yang ditambah Fentanyl 50 Mcg pada Seksio Sesarea Comparison of The Effectiveness Spinal Anesthesia with Bupivacaine 12 , 5 Mg and Bupivacaine 5 Mg added Fentanyl 50. Jurnal Anestesi Obstetri Indonesia, 4(1), 11–17. https://doi.org/https://doi.org/10.47507/obstetri.v4i1.55

Indriani, T., Arifiyanto, D., & Mustikawati, N. (2022). Gambaran Tanda Tanda Vital Pada Pasien Sectio Caesarea Dengan Anastesi Spinal Muhammadiyah Pekajangan Pekalongan Gambaran Tanda Tanda Vital Pada Pasien Sectio Caesarea Dengan Anastesi Spinal Muhammadiyah Pekajangan Pekalongan. University Research Colloqium 2022 Universitas Muhammadiyah Gombong, 558–564. https://doi.org/https://www.repository.urecol.org/index.php/proceeding/article/view/2107

Komarijah, N., & Waroh, Y. K. (2023). Determinan Kejadian Persalinan Sectio Caesarea ( Sc ) Di Rsud Syamrabu Bangkalan. Seminar Nasional Hasil Riset Dan Pengabdian, 5, 2513–2522. https://doi.org/https://snhrp.unipasby.ac.id/prosiding/index.php/snhrp/article/view/833

Layardi, A. S., & Purba, R. H. (2025). Strategi Pencegahan Hipotensi Spinal Pada Pasien Sectio Caesarea : Pendekatan Farmakologis dan Non- farmakologis. Jurnal Kesehatan Masyarakat, 9, 4038–4047. https://doi.org/https://doi.org/10.31004/prepotif.v9i2.46991

Lova, A. N., Suryani, R. L., & Burhan, A. (2024). Hubungan Lama Puasa dengan Kejadian Hipotensi Pada Pasien Intra Anestesi Spinal. Jurnal Penelitian Perawat Profesional, 6(5), 2625–2632. https://doi.org/http://jurnal.globalhealthsciencegroup.com/index.php/JPPP

Nurhayati, F. N., Prasetyo, B., & Miftahussurur, M. (2023). Analysis of Caesarean Section Rates and Source of Payment Using the Robson Classification System. Journal Of Maternal and Child Health, 08(1), 1–11. https://doi.org/https://doi.org/10.26911/thejmch.2023.08.01.01

Nurjanah, D., Susanto, A., & Apriliyani, I. (2023). Gambaran Hemodinamik Pasien Sectio Caesarea Dengan Spinal Anestesi Di RSI Banjarnegara. Ejurnalmahalayati, 10(12), 3569–3577. http://ejurnalmalahayati.ac.id/index.php/kesehatan

Pattinaja, V. A., Hassan, U., & Malik, A. (2025). Hubungan Ketinggian Blok Spinal Anestesi Dengan Kejadian Hipotensi di Ruang Instalasi Bedah Sentral. Journal of Anesthesiology Tiara Bunda, 4, 6–12. https://doi.org/https://doi.org/xx.xxxxx/jptb.v1i1.1

Punisada, R., Halimi, R. A., & Bisri, D. Y. (2021). Efek Profilaksis Norepinefrin Kontinu pada Anestesi Spinal Pasien Seksio Sesarea terhadap Hemodinamik dan Kontraksi Uterus Effects of Continuous Norepinephrine Prophylaxis in Spinal Anesthesia Cesarean Section Patients on Hemodynamics and Uterine Contract. Jurnal Anestesi Obstetri Indonesia, 4(2), 79–92. https://doi.org/https://doi.org/10.47507/obstetri.v4i2.71

Puspitasari, N. K., Handayani, R. N., & Firdaus, E. K. (2023). Gambaran Kejadian Hipotensi Pada pasien sectio caesarea dengan spinal anestesi di Rumah sakit Emanuel Banjarnegara. Jurnal Ilmu Kedokteran Dan Kesehatan, 10(12), 3488–3495. https://doi.org/http://ejurnalmalahayati.ac.id/index.php/kesehatan

Ramdan, T., Siwi, A. S., & Ulfah, M. (2022). Gambaran Hemodinamik Pasien Intra Operasi Sectio Caesarea dengan Spinal Anestesi di Rumah Sakit Umum Daerah Pasar Rebo Jakarta Timur. Seminar Nasional Penelitian Dan Pengabdian Kepada Masyarakat, 528–536. https://doi.org/https://doi.org/10.35960/snppkm.v2i1.1100

Sari, N. K., & Sutiyono, D. (2012). Perbedaan Tekanan darah Pasca Anestesi Spinal dengan Pemberian Preload dan tanpa Pemberian preload 20cc/kgBB Ringer Laktat. Jurnal Media Medika Muda, 35.

Siagian, L., Anggraeni, M., & Pangestu, G. K. (2023). Hubungan Antara Letak Janin, Preeklampsia, Ketuban Pecah Dini Dengan Kejadian Sectio Caesaria Di Rs Yadika Kebayoran Lama Tahun 2021. SENTRI: Jurnal Riset Ilmiah, 2(4), 1107–1119. https://doi.org/10.55681/sentri.v2i4.707

Subhan, M., & Suryani, R. L. (2022). Gambaran Kejadian Hipotensi p ada Pasien Saat Intra Operasi Pembedahan Seksio Sesarea d engan Anestesi Spinal d i RSUD Tenriawaru Bone. Seminar Nasional Penelitian Dan Pengabdian Kepada Masyarakat, 465–469. https://doi.org/https://doi.org/10.35960/snppkm.v2i1.1125

Survei Kesehatan Indonesia. (2023). Survei Kesehatan Indonesia (SKI). https://doi.org/https://www.badankebijakan.kemkes.go.id/ski-2023-dalam-angka/

Tania, M., Ching, G., Setiyabudi, R., & Hartanti, D. (2024). Perubahan Hemodinamik Operasi dengan Spinal Anestesi. Jurnal Ilmiah Kesehatan, 19(2), 111–120. https://doi.org/http://dx.doi.org/10.35842/mr.v19i2.989

Tobiin, Siwi, A. S., & Triana, N. Y. (2024). Pengaruh duduk 2 menit Paska Induksi Spinal terhadap kejadian hipotensi intra anestesi pada sectio caesarea. Jurnal Penelitian Perawat Profesional, 6(November 2021), 2597–2606. https://doi.org/http://jurnal.globalhealthsciencegroup.com/index.php/JPPP

Trisandi, M. M., Rohmah, A. N., & Rosidah, I. (2024). Pengaruh pemberian preloading cairan terhadap tekanan darah pada pasien spinal anestesi di RSUD Wonosari Yogyakarta. Jurnal Borneo Cendekia, 8(1), 20–29. https://doi.org/https://doi.org/10.54411/jbc.v8i1.520

Wangi, P. S., Burhan, A., & Susanti, I. (2025). Hubungan Ketinggian Level Blok Spinal Anestesi Dengan Kejadian Mual Muntah Pada Pasien Sectio Caesarea di Rumah Sakit Umum Daerah. Jurnal Penelitian Perawat Profesional, 7, 257–264.

Zulfakhrizal, Sumarni, T., & Haniyah, S. (2026). Hubungan Usia dengan Kejadian Hipotensi Pada Pasien Pasca Spinal Anestesi di Kamar Operasi Rumah Sakit Umum Tgk. Chik Ditiro Sigli Kabupaten Pidie Aceh. Jurnal Kesehatan, Kebidanan Dan Keperawatan. https://doi.org/10.35960/vm.v16i2.908