EFFECT OF INDUCTION WITH OXYTOCIN DRIP ON INCIDENCE OF POSTPARTUM HEMORRHAGE IN BUNDA ASY SYIFA MOTHER AND CHILD HOSPITAL BANDAR LAMPUNG

Abstract

Background: Postpartum hemorrhage is an important problem because it is related to maternal health and can cause death. The definition of postpartum hemorrhage is bleeding of 500 ml or more that occurs after the baby is born. In 2013, the highest maternal mortality rate in Indonesia was caused by postpartum hemorrhage, which was 30.3%. The most common etiology of postpartum hemorrhage was uterine atony (60%) and placental complications (36%), the largest factor (4%) was a history of previous postpartum hemorrhage, anticoagulant drugs, anemia, severe preeclampsia or HELLP syndrome, uterine fibroma, multiple pregnancies. The most common side effects of oxytocin are nausea, vomiting, and the worst side effects are allergic reactions, blood clotting problems, heart arrhythmias, heavy or continued bleeding after delivery, increased blood loss, and blood clots in the pelvis. Objective: The purpose of this study was to determine the effect of oxytocin drip induction on the incidence of postpartum hemorrhage at RSIA Bunda Asy Syifa Bandar Lampung in 2020. Methods: This study used an analytic observational method through aapproach case controlwith a sample size of 254 samples. Sampling used a total random sampling method using secondary data taken in 2021. Bivariate analysis was carried out with Chi-Square. Results: The results showed that mothers who were given oxytocin drip induction experienced postpartum hemorrhage as much as 57%. The results of thestatistical test chi square showed that the induction of oxytocin drip with the incidence of postpartum hemorrhage had a significant relationship with the incidence of postpartum hemorrhage with p value = 0.000 (p <0.005). Conclusion: Mothers who were given oxytocin drip induction were 8.4 times more likely to experience postpartum hemorrhage. Health workers carry out regular monitoring and recording of the progress of labor on the partograph as a preventive measure against risk factors for postpartum hemorrhage.