Hubungan Antara Teknik Anestesi pada Pasien Sectio Caesarea dengan Kejadian Hipotensi Pasca Anestesi di RSUD dr. Soedirman Kebumen
DOI:
https://doi.org/10.55606/jurrike.v4i3.6756Keywords:
Anesthesia Techniques, General Anesthesia, Hypotension, Regional Anesthesia, Sectio CaesareaAbstract
Both regional and general anesthesia techniques carry the risk of hypotension through different mechanisms. Regional anesthesia often causes hypotension due to sympathetic nerve blockade, which leads to peripheral vasodilation and a decrease in blood pressure. On the other hand, general anesthesia lowers blood pressure through its depressive effects on the cardiovascular system. Hypotension occurs more frequently in patients undergoing regional anesthesia compared to general anesthesia. This study aims to determine the relationship between anesthesia techniques and the incidence of post-anesthesia hypotension in Sectio Caesarea (SC) patients at RSUD dr. Soedirman Kebumen. This study uses a correlation analytic method with the Chi-Square test and a cross-sectional approach. Samples were taken using purposive sampling, consisting of 60 patients, 30 who received general anesthesia and 30 who received regional anesthesia. The research method involved blood pressure observation, which was then analyzed. The results showed that 26 patients (43.3%) in the regional anesthesia group experienced hypotension, while only 1 patient (1.7%) in the general anesthesia group experienced hypotension, with a p-value of 0.000. Based on these results, it can be concluded that there is a significant relationship between anesthesia techniques and the occurrence of hypotension, where regional anesthesia poses a higher risk for post-anesthesia hypotension in SC patients.
Downloads
References
Amir, F. (2020). Hubungan paritas dan usia terhadap persalinan sectio caesarea di RSU Bahagia Makassar tahun 2020. Jurnal Kesehatan Delima Pelamonia, 4(2), 75–84.
Ardiansyah, A., Jailani, M. S., & Isma, A. (2024). Pendidikan Telaah Kritis Paradigma dan Problematika Perempuan di Indonesia. Edukatif : Jurnal Ilmu Pendidikan, 6(4), 4345–4355. https://doi.org/10.31004/edukatif.v6i4.7408
Besha, D., A., A., B., M., A., A., M., S., A., G., B., I., T., T. Y., K., & Mohamed, K. (2023). Effectiveness of Leg-Elevation to Prevent Post-Spinal Hypotension in Elective Cesarean Section: A Systematic Literature Review of Randomized Controlled Trial. Open Access Surgery, 16, 61–68. https://doi.org/10.2147/oas.s426771
Black, J. (2022). KMB: Dasar- Dasar Keperawatan Medikal Bedah (D. K. M. Bedah (ed.)). Elsevier Health Sciences. https://books.google.co.id/books/about/KMB_Dasar_Dasar_Keperawatan_Medikal_Beda.html?id=7UWeEAAAQBAJ&printsec=frontcover&newbks=1&newbks_redir=0&source=gb_mobile_entity&hl=en&gl=ID&redir_esc=y#v=onepage&q&f=false
Chandraningrum, A. R., S., R. T., & Laqif, A. (2022). Perbandingan Hipotensi Antara Anestesi General dan Anestesi Spinal pada Seksio Sesarea. Plexus Medical Journal, 1(5), 172–180. https://doi.org/10.20961/plexus.v1i5.278
Delima, E. R., Puspitasari, A. I., & Hendarsih, S. (2020). Influence Factorsof Hypotension in patients With Spinal Anesthesia (Vol. 14, Issue 2).
Dewantoro, M. B. W. (2020). Relasi Kuasa Kiai Terhadap Santri Di Pondok Pesantren (Studi Tentang Praktik Dominasi Dalam Relasi Kuasa Di Pondok Pesantren Qomaruddin Sampurnan Bungah Gresik). Repository UNAIR.
Douglas, N., Leslie, K., & Darvall, J. N. (2023). Vasopressors to treat postoperative hypotension after adult noncardiac, non-obstetric surgery: a systematic review. British Journal of Anaesthesia, 131(ue 5), 813–822. https://doi.org/10.1016/j.bja.2023.08.022
Fajri, I. N. Y. (2021). PENGARUH TERAPI SEFT TERHADAP POST DURAL PUNCTURE HEADACHE (PDPH) POST SECTIO CAESAREA DENGAN SPINAL ANESTESI DI RSI MUHAMMADIYAH KENDAL. Poltekkes Kemenkes Yogyakarta.
Flora, L., Redjeki, I. S., & Wargahadibrata, A. H. (2014). Perbandingan efek anestesi spinal dengan anestesi umum terhadap kejadian hipotensi dan nilai Apgar bayi pada seksio sesarea. Jurnal Anestesi Perioperatif, 2(2), 105–116.
Hakim, A. L., Novitasari, D., & Muti, R. T. (2021). Hubungan Saturasi Oksigen dengan Apgar Skor Bayi pada Pasien Intra Operasi Sectio Caesarea dengan Anestesi Spinal di RSUD Ajibarang. In Seminar Nasional Penelitian Dan Pengabdian Kepada Masyarakat (pp. 1305–1313).
Ibrahim, S., & Hardjo, M. (2023). Metodologi Penelitian Kesehatan. PT. Nasya Expanding Management. https://books.google.co.id/books?id=yQbfEAAAQBAJ&pg=PR4&dq=inauthor:+Sukaeni+Ibrahim&hl=jv&newbks=1&newbks_redir=0&source=gb_mobile_search&sa=X&ved=2ahUKEwi6jrmw9MiJAxWZSmwGHS8_JQYQ6wF6BAgGEAU#v=onepage&q=inauthor%3A Sukaeni Ibrahim&f=false
Iqbal, J., Mabood, S., Ullah, S. S., Qasim, R., & Ahmad, A. (2022). Frequency of Post Spinal Hypotension in Elective Cesarean Section after Spinal Anesthesia. Pakistan Journal of Medical and Health Sciences, 16(12), 778–781. https://doi.org/10.53350/pjmhs20221612778
Joseph, V., & Wiana, C. (2024). The Relation between Body Mass Index and Hypotension Incidence in Caesarean Section Patients with Spinal Anesthesia Procedure. International Journal of Engineering, Science & InformationTechnology, 4(2), 26–30. https://doi.org/10.52088/ijesty.v4i1.499
Kanellopoulos, D., & Gourounti, K. (2022). Tocophobia and Women’s Desire for a Caesarean Section: a Systematic Review. Maedica, 17(ue 1), 186–193. https://doi.org/10.26574/maedica.2022.17.1.186
Khan, A. I., Fischer, M., Pedoto, A. C., Seier, K., Tan, K. S., Dalbagni, G., Donat, S. M., & Arslan-Carlon, V. (2020). The impact of fluid optimisation before induction of anaesthesia on hypotension after induction. Anaesthesia, 75(5), 634–641. https://doi.org/10.1111/anae.14984
Kim, J., & Ayabe, A. (2025). Obesity in Pregnancy. In StatPearls.
Komarijah, N., Setiawandari, & Waroh, Y. K. (2023). Determinan Kejadian Persalinan Sectio Caesarea (Sc) Di Rsud Syamrabu Bangkalan. Seminar Nasional Hasil Riset Dan Pengabdian, 2513–2522.
Monica, T. O., Khamsiya, M. T., Hariyanti, R., & Mariana, S. (2023). Hubungan Usia , Partus Lama Dan Gawat Janin Pada Ibu Hamil Relationship Between Age , Long Partus and Fetal Determination in Pregnant Women With Section Caesarea in H. Abdul Manap Hospital ,. Jurnal Bahana Kesehatan Masyarakat, 7(1), 30–34.
N. Margarita Rehatta, Elizeus Hanindito, A. R. T. (2019). Anestesiologi dan Terapi Infasif.
Nugraha, F. K., & Sulastri. (2023). Gambaran Nilai Indeks Masa Tubuh (IMT) pada Ibu Hamil dengan Pre Eklampisa di RSUD DR Moewardi Surakarta (pp. 1–11).
Prasetia, I. (2022). Metodologi Penelitian Pendekatan Teoi dan Praktik. Umsu press. https://books.google.co.id/books?id=CaeBEAAAQBAJ&pg=PT2&dq=inauthor:+Dr.+Indra+Prasetia,+S.Pd,+M.Si,+CIQnR&hl=id&newbks=1&newbks_redir=0&source=gb_mobile_search&sa=X&ved=2ahUKEwiy9u6N88iJAxX5zjgGHf3vARYQ6AF6BAgIEAM#v=onepage&q=inauthor%3A
Putri, S. B., Firdaus, E. K., & Novitasari, D. (2025). Terapi Relaksasi Otot Progresif Terhadap Post Operative Nausea and Vomiting (PONV) Pasien Sectio Caesarea dengan Spinal Anestesi. JIK JURNAL ILMU KESEHATAN, 9(1), 1–8.
Riskesdas. (2018). Laporan Riskesdas 2018 Kementrian Kesehatan Republik Indonesia. In Laporan Nasional Riskesdas 2018 (Vol. 53, Issue 9, pp. 154–165).
Sapriana, T. (2020). Buku Ajar Manajemen Data menggunakan Aplikasi SPSS. https://books.google.co.id/books?id=ztdMEAAAQBAJ&pg=PA91&dq=analisa+data+univariat&hl=en&newbks=1&newbks_redir=0&source=gb_mobile_search&sa=X&ved=2ahUKEwjCwf-uvcmJAxUHsVYBHWDTJAQQ6AF6BAgGEAM#v=onepage&q=analisa data univariat&f=false
Sary, Y. N. E., & Natalia, M. S. (2024). Hubungan Obesitas Dengan Preeklamsia Pada Ibu Hamil Di Wilayah Kerja Puskesmas Ajung Kab. Jember. Jurnal Ilmu Kebidanan Dan Kesehatan (Journal of Midwifery Science and Health, 15(1), 53–60.
Shiddiqiyah, N., Utami, T., & Sukmaningtyas, W. (2022). Gambaran Faktor Penyebab Kejadian Ketuban Pecah Dini di RSU Ananda Purwokerto. Viva Medika: Jurnal Kesehatan, Kebidanan Dan Keperawatan, 16(1), 80–89.
Siagian, A., Shafira, K. D., Wendra, & Amadita, P. (2021). The Prevalence of Complications After Spinal Anesthesia in Post-Surgical Patients. Proceedings of the 12th Annual Scientific Meeting, Medical Faculty, Universitas Jenderal Achmad Yani, International Symposium on “Emergency Preparedness and Disaster Response during COVID 19, 37(Asmc), 111–113. https://doi.org/10.2991/ahsr.k.210723.027
Situmeang, J. D., Novitasari, D., & Maryoto, M. (2022). Gambaran Tekanan Darah pada Penggunaan Bupivacaine dengan Spinal Anestesi di RSU Sint Lucia Siborong-Borong. Seminar Nasional Penelitian Dan Pengabdian Kepada Masyarakat.
Soebrata, E. S., Rifki, M., & Windiany, E. (2022). Faktor-Faktor yang Berhubungan Dengan Persalinan Seksio Caesarea di Rumah Sakit Budi Kemuliaan Tahun 2020 Factors Related to Sectio Caesarea at Budi Kemuliaan Hospital in 2020 Persalinan adalah proses pengeluaran janin yang terjadi pada kehamilan cukup bu (Vol. 1, Issue 2, pp. 9–15).
Sukmaningtyas, W., & Utami, T. (2022). Literature review: Fluid therapy in preventing hypotension in section caesarean with spinal anesthesia. J. Ners Dan Kebidanan (Journal Ners Midwifery, 9(1), 121–126.
Sulistiyo, U. (2023). Metode Penelitian Kuantittif. PT. Salim Media Indonesia. https://books.google.co.id/books/about/METODE_PENELITIAN_KUALITATIF.html?id=nJm8EAAAQBAJ&printsec=frontcover&newbks=1&newbks_redir=0&source=gb_mobile_entity&hl=en&gl=ID&redir_esc=y#v=onepage&q&f=false
Yulianti, B., D., H., M., & Bisri, T. (2023). Hipotensi Berat Intraoperatif Tiba-Tiba saat Kraniotomi Pengangkatan Meningioma.
Zulfakhrizal, Sumarni, T., & Haniyah, S. (2023). 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, 16(02), 173–179. https://doi.org/10.35960/vm.v16i2.908
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 JURNAL RISET RUMPUN ILMU KEDOKTERAN

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.





