Evaluation of Analgesic Usage in Cesarean Section Patients at St. Elisabeth Hospital, Semarang

  • Paulina Maya Octasari Politeknik Katolik Mangunwijaya

Abstract

Section caesarea (SC) is a one birth methods by surgery if the mother has a difficult way to take the baby out by vagina. At 2010 year, Indonesia have prevalence of section caesarea as 15.3% from 20.591 mother over five last year in 33 province. One of the most mother birth have symptoms, is pain. Ketorolac is the one of analgesic as a first choice for cesarean section patients. This research aims to evaluate the analgesic usage in cesarean section patients at St. Elisabeth Hospital, Semarang.

This research is an observasional descriptive research with retrospektive data. Data was collected from sc patient who was given ketorolac after SC on July – December 2017 at St. Elisabeth Hospital, Semarang. The inclusion criteria were patient with JKN assurance and patients who had SC for the first time. The data were analyzed qualitatively and quantitavely

The result shows that the most patients were 26 – 30 years old. The amount of the patients after was given ketorolac who had mild pain scale were 95.1% and moderate pain scale were 4.9%. The average pain scale was slightly decrease over 3 – 4 hours after injection, as 1,46 scale. The most kind of analgesic who used as an extra were tramadol (32.93%). Mefenamic acid and diclofenac natrium was the biggest amount to use at home.

Keywords: analgetic, pain scale, sectio caesarea, hospital

References

Forte, W. R dan Oxorn, H. Ilmu Kebidanan Patologi dan Fisiologi Persalinan Human Labor and Birth. Yogyakarta: Yayasan Essentia Medica; 2010.
CNN Indonesia, Kelahiran dengan Operasi Sesar Meningkat di Dunia. 2019. Available from: https://www.cnnindonesia.com/gaya-hidup/20181015152743-255-338590/kelahiran-dengan-operasi-sesar-meningkat-di-dunia
Kementrian Kesehatan RI, Laporan Nasional Riset Kesehatan Dasar 2013. 2017. Available from: http://www.litbang.depkes.go.id/sites/download/rkd2013/LaporanRiskesdas2013. PDF
Whalley, J., Simkin, P., dan Keppler, A. Panduan Praktis Bagi Calon Ibu: Kehamilan dan Persalinan. Jakarta: PT. Bhuana Ilmu Populer; 2008.
Hesturini, R.J., Herowati, R., dan Widoso G.P., 2017, Uji Aktivitas Analgetika Fraksi – Fraksi Ekstrak Etanol Daun Gandarusa (Justicia gendarussa Burm. F) dengan Metode Tail Flick. Jurnal Farmasi Indonesia. 15 (1): 13-17.
Lewis, S., Bucher, L., Heitkemper, M., et al. Medical-Surgical Nursing, 10th Ed, United States America: Elsevier Mosby; 2016.
BPOM. Analgesik Opioid. 2018. Available from: http://pionas.pom.go.id/ioni/bab-4-sistem-saraf-pusat/47-analgesik/472-analgesik-opioid
Smeltzer, S. C., & Bare, B. G., (2001). Buku Ajar Keperawatan Medikal-Bedah Brunner & Suddarth. Vol. 2. E/8. Jakarta: EGC; 2001.
Afifah., Buku Pintar Merawat Bayi. Yogyakarta : Nuha Medika. 2009.
A Potter, & Perry, A. G., Buku Ajar Fundamental Keperawatan: Konsep,
Proses, Dan Praktik, edisi 4, Volume.2. Jakarta: EGC. 2006.
Sandy, I.F., Posangi, I., Tambajong, H.F., Perbandingan Skala Nyeri Pasien Pasca Operasi Sektio Sesarean yang Diberikan Morfin Intratekal dengan Morfin Intratekal ditambah Ketorolak Intravena, Jurnal e-Clinic, 2015. 3(1):543-549.
Asimin, N.F., Kumaat, L., Lalenoh, D., Perbandingan nyeri pasca seksio
sesarea pada penderita yang diberikan ketorolac dan tramadol dengan petidin, Jurnal e-CliniC, 2015. 3(3):830-837.
Prawirohardjo, S. Ilmu Kebidanan, Edisi IV, Cetakan III, Yayasan Bina Pustaka; 2010.
Mochtar. Sinopsis Obstetri Jilid II. Jakarta: EGC; 1998.
Apfelbaun, J. L. Chen, C., Mehta, S.S., and Gan T.J. Result from a national Surgery Suggest Postoperative pain continues to be undermanaged. Anesth Analg., 2003, 97(2):534-40. DOI: 10.1213/01.ane.0000068822.10113.9e
Cleveland clinic. Diakses 03 September 2021. Available from: https://my.clevelandclinic.org/health/articles/4450-pregnancy-epidurals--pain-relief-options-during-delivery
Medscape. Bupivacaine (Rx). Diakses 18 Juni 2018. Available from: https://reference.medscape.com/drug/marcaine-sensorcaine-bupivacaine-343360.
Reeder, S., dan Martin, L. Keperawatan Maternitas: Kesehatan Wanita, Bayi, dan Keluarga. Terjemahan Eka Anisa. Jakarta: EGC; 2011.
Lacy, C. et al., Drug Information Handbook, 24 th Edition. Edited by et al Lacy. Ohio : Lexi Comp; 2015.
Santos Garcia JB, Lech O, Campos Kraychete D, et al. The role of tramadol in pain management in Latin America: a report by the Change Pain Latin America Advisory Panel. Curr Med Res Opin. 2017:33(9), pp. 1615–21. doi: 10.1080/03007995.2017.1354821.
Duan G, Bao, X, Yang, G, Peng, J., Wu, Z. Zhao, P., Zuo, Li, H. Patient-controlled intravenous tramadol versus patient-controlled intravenous hydromorphone for analgesia after secondary cesarean delivery: a randomized controlled trial to compare analgesic, anti-anxiety and anti-depression effects. Journal of Pain Research, 2019:12, pp. 49–59. doi: 10.2147/JPR.S184782
Moll R, Derry S, Moore RA, McQuay HJ. (2019). Single dose oral mefenamic acid for acute postoperative pain in adults. Cochrane Database of Systematic Reviews. 2011. Issue 3. Art. No.: CD007553. DOI: 10.1002/14651858.CD007553.pub2
Published
2022-04-30