Factors Affecting Caesarean Labor in RSUD Lembang in 2017

Pratiwi, Regina Anjani Budi; Gunanegara, Rimonta F.; Ivone, July

doi:10.28932/jmh.v2i3.1223

Cited by 2 publications

(2 citation statements)

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“…The possibility of a deficit in hospitals when performing caesarean section causes hospitals to make referrals to government-owned hospitals or other hospitals to minimize the risk of a deficit. Although it positively impacts hospitals by reducing the deficit, it is also a "improper" act that should not be frequently done particularly by private hospitals [8].…”

Section: Difference Between Real Cost and Ina Cbgs Ratementioning

confidence: 99%

Real Cost of Analysis of INA CBGs Rates on Caesaean Section at Mother and Child Hospital Restu Ibu Sragen

Tama,

Sutrisna,

Saputro

2023

Advances in Economics, Business and Management Research

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This study aimed to analyze the difference between real cost and INA CBGs rates for caesarean section at Mother and Child Hospital Restu Ibu Sragen. This study applied a mixed method (quantitative and qualitative) with variables focusing on the INA CBGs rates and hospital real cost. The population in this study were all caesarean section patients in 2021, while the samples used in this study were 538 patients or the entire population included in the inclusion criteria, namely patients in 2021, patients using BPJS Health Insurance, and patients with complete medical record data. The real cost consisted of the cost of drugs or medical goods, medical treatment, medical services, and medical support. Qualitative data were collected by interviewing five research respondents, namely three from management, one from the case-mix team, and one from medical records. The results showed that the ratio of calculations in Class 3 patients so as not to experience losses could be done with a balance of mild to moderate patients, namely 1:1,75, while in patients overall type, a comparison of 1:3:8 or 1:3:9 could be made to improve hospital benefits. The statistical analysis showed a difference between real cost and INA CBGs rates for caesarean section at Mother and Child Hospital Restu Ibu Sragen. The determinants are the adherence of doctors and medical personnel to clinical pathways, the condition of medical personnel not too concerned about claim rates, the length of time for patient care, the form of action given to patients, and the presence of complications in patients. There are five strategies produced in this analysis: calculating unit costs for caesarean section in each class and level of severity, considering rates per patient based on the results of data analysis in 2021, monitoring and evaluating caesarean section, monitoring and evaluating clinical pathway compliance, and increase the promotion of the hospital. The results of this study produce strategies and compare patient ratios to minimize losses at RSIA Restu Ibu Sragen.

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Section: Difference Between Real Cost and Ina Cbgs Ratementioning

confidence: 99%

Real Cost of Analysis of INA CBGs Rates on Caesaean Section at Mother and Child Hospital Restu Ibu Sragen

Tama,

Sutrisna,

Saputro

2023

Advances in Economics, Business and Management Research

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“…Paritas 1-3 adalah paritas paling aman ditinjau dari sudut perdarahan pascasalin yang dapat mengakibatkan kematian maternal. Paritas >3 memiliki angka kejadian perdarahan pascasalin yang lebih tinggi [3]. Peningkatan frekuensi SC juga akan meningkatkan angka kejadian ibu hamil dengan riwayat SC serta penyulit yang dialami saat persalinan.…”

Section: Pendahuluanunclassified

Studi Kasus pada Ibu Hamil dengan Risiko Tinggi

Alfiyah¹,

Aisyah²

2022

prosiding

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Pregnancy risk is any factor associated with increased maternal morbidity and mortality (death of pregnant women up to 42 days after pregnancy ends). One of the risk factors is a history of CS and placenta previa. These changes increase the risk of uterine rupture in pregnancy and childbirth with a history of CS. A history of SC SC has also been shown to increase the risk of placenta previa and placental abruption in subsequent pregnancies. The purpose of this case study is to detect early occurrence of placenta previa in pregnant women with a history of cesarean section. The design of this article uses a descriptive method with the subject of pregnant women experiencing placenta previa with a history of cesarean section in Donowangun Village, Talun Community Health Center Work Area, Pekalongan Regency. The results of this study indicate the effect of a history of cesarean section on the incidence of placenta previa. The conclusion of this case study is that pregnant women with a history of cesarean section will increase the incidence of placenta previa. It is hoped that health workers, especially midwives, will be able to carry out early detection of pregnant women with a high risk of pregnancy so that complications do not occur in pregnancy, childbirth, and the puerperium.Keywords: Pregnant Women; Caesarean section; Placenta Previa AbstrakRisiko kehamilan ialah setiap faktor yang berhubungan dengan meningkatnya kesakitan dan kematian maternal (kematian ibu hamil sampai dengan 42 hari setelah kehamilan berakhir). Salah satu faktor resiko yaitu riwayat SC dan plasenta previa. Perubahan yang terjadi tersebut meningkatkan resiko terjadinya ruptur uteri pada kehamilan dan persalinan dengan riwayat SC. Riwayat SC SC juga terbukti akan meningkatkan resiko terjadinya plasenta previa dan abrupsio plasenta pada kehamilan berikutnya. Tujuan dari studi kasus ini adalah untuk mendeteksi secara dini terjadinya plasenta previa pada ibu hamil dengan riwayat seksio sesarea. Rancangan Artikel ini menggunakan metode deskriptif dengan subjek ibu hamil yang mengalami plasenta previa dengan riwayat seksio sesarea di desa Donowangun Wilayah Kerja Puskesmas Talun Kabupaten Pekalongan. Hasil studi ini menunjukkan adanya pengaruh riwayat seksio sesarea pada kejadian plasenta previa. Simpulan dari studi kasus ini adalah ibu hamil dengan riwayat seksio sesarea akan meningkatkan kejadian plasenta previa. Diharapakan untuk tenaga kesehatan khusunya bidan agar mampu melakukan deteksi dini pada ibu hamil dengan risiko tinggi kehamilan agar tidak terjadi komplikasi dalam kehamilan, persalinan, dan nifas. Kata kunci: Ibu Hamil; Seksio Caesarea; Plasenta Previa

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Factors Affecting Caesarean Labor in RSUD Lembang in 2017

Cited by 2 publications

References 1 publication

Real Cost of Analysis of INA CBGs Rates on Caesaean Section at Mother and Child Hospital Restu Ibu Sragen

Real Cost of Analysis of INA CBGs Rates on Caesaean Section at Mother and Child Hospital Restu Ibu Sragen

Studi Kasus pada Ibu Hamil dengan Risiko Tinggi

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