entry criteria for exclusion accumulated only 116 subjects. The variables studied were vaginal
delivery, Caesarean section, parity, maternal age, birth interval, previous cesarean caesarean
incision type, history of vaginal delivery, Caesarean section earlier indications, the results of
this type of delivery period, the incidence of uterine rupture, postpartum maternal condition,
infant birth weight, and APGAR score babies.
Hasil: Dari 116 persalinan ibu dengan riwayat seksio sesarea, didapatkan 34 orang (29,3%)
yang berhasil melahirkan per vaginam. Dengan rincian 26 kasus dilakukan secara spontan,
dan 8 kasus dengan ekstraksi vakum. Tidak ada kasus ibu yang melahirkan dengan ekstraksi
forceps. Sedangkan sisanya terdapat 82 orang (70,7%) yang melahirkan dengan seksio
sesarea kembali dengan indikasi terbanyak karena adanya riwayat seksio sesarea sebelumnya.
Tidak didapatkan ruptur uteri, kematian ibu maupun bayi.
Saran: Ibu dengan riwayat seksio sesarea yang ingin melakukan VBAC harus terlebih dahulu
dinyatakan sebagai kandidat yang kuat untuk melakukan persalinan tersebut. Hal ini
bertujuan untuk meminimalkan terjadinya komplikasi pada ibu dan bayi.
Results: through 116 of mothers giving birth with a history of Caesarean section, found 34
people (29.3%) who had a vaginal delivery. The details are 26 cases spontaneously, and 8
cases with vacuum extraction. There were no cases of mothers giving birth with forceps
extraction. While the rest were 82 people (70.7%) who giving birth by Caesarean section
returned of a history of previous Caesarean section. There were no uterine rupture, maternal
and
infant
mortality.
Recommendation: Mothers with a history of Caesarean section who want to do VBAC must
first expressed as a strong candidate to perform such labor. It aims to minimize the
occurrence
of
complications
in
mother
and
infant.
Keywords: vaginal delivery, Caesarean section
Kata Kunci: Persalinan per vaginam, seksio sesarea
(Febriana
Qolbi,
Background:
Medical
Faculty
of
Sriwijaya
University,
2012,
50
pages.)