GAMBARAN HAEMODINAMIK PADA PASIEN INTRA OPERASI SECTIO CAESARIA DENGAN SPINAL ANESTESI DI RUMAH SAKIT BHAYANGKARA PALEMBANG HIDAYATI Fakultas Kesehatan Program Studi D IV Keperawatan Anestesiologi Institut Teknologi dan Kesehatan Bali Email : hidayati.atiq@yahoo .com ABSTRAK Latar Belakang . Sectio caesar merupakan tindakan pembedahan melalui insisi dinding abdomen dan uterus untuk mengeluarkan janin, plasenta dan ketuban. Tindakan SC dengan spinal anastesi berdampak pada hemodinamika tubuh, seperti perubahan tekanan darah, perubahan denyut nadi dan perubahan MAP. Tujuan. Untuk mengetahui gambaran tekanan darah, nadi dan MAP pada pasien dengan operasi sectio secaria dengan spinal anestesi di Rumah Sakit Bhayangkara Palembang. Metode. Jenis penelitian ini merupakan penelitian deskriptif. Sa mpel dalam penelitian ini sebanyak 110 pasien yang menjalani operasi sectio secaria dengan spinal anestesi yang diambil dengan menggunakan teknik purposive sampling. Data dianalisis secara univariate untuk mengetahui frekuensi dan persenatase tekanan darah , nadi dan MAP ibu hamil yang menjalani tindakan SC dengan spinal anastesi. Hasil . D ari 110 orang responden yang menjalanioperasi sectio caesariadengan anestesia spinal terdapat 60 orang (54,5%) diantaranya memiliki tekanan darah hipotensi,37 orang (33,6%) normal, dan 13 orang (11,9%) prehipertensi. Berdasarkan nadi terdapat 62 orang (56,3%) mengalami bradikardia, 40 orang (36,4%) normal, dan 8 orang (7,3%) takikardi. Untuk MAP terdapat 96 orang (87,3%) mengalami normal dan 14 orang (12,7%) normal tinggi . Kesimpulan. Sebagian besar responden yang menjalanioperasi sectio caesariadengan anestesia spinal mengalami hipotensi, nadi bradikardia, dan memiliki nilai MAP pada kategori normal. Kata Kunci: Heamodinamik, Intra Operasi, Sectio Caesar, Spinal Anastesi

HAEMODYNAMICS IN INTRA OPERATIVE PATIENTS OF SECTIO CAESAREA UNDER SPINAL ANESTHESIA AT BHAYANGKARA HOSPITAL PALEMBANG HIDAYATI Faculty of Health Diploma IV Nursing Anesthesiology Program Institut e of Technology and Health Bali Email : hidayati.atiq@yahoo .com ABSTRA CT Background : Sectio Caesarea is surgical performed by incision of abdominal wall and uterus to remove the fetus, placenta and amniotic fluid. Sectio Caesarea under spinal anest hesia have an impact on the hemodynamics of the body such as changes of blood pressure, changes in pulse rate and changes in MAP. Aim : To determine haemodynamics in intra operative patients of sectio caesarea under spinal anesthesia at Bhayangkara hospital Palembang Method : This study employed descriptive design. There were 110 respondents recruited as sample of this study which were selected through purposive sampling technique. The data were analyzed through univariate to find out fre quency and percentage of blood pressure, pulse and MAP of pregnant mother undergping sectio caesarea under spinal anesthesia. Result : The finding showed that 60 respondents (54.4%) experienced hypotension, 37 respondents (33.6%) had normal blood pressu re and 13 respondents (11.9%) experienced hypertension. There were 62 respondents (56.3%) experienced bradycardia, there were 40 respondents (36.4%) were normal, and 8 respondents (7.3%) notch. For MAP, there were 96 respondents (87.3%) were normal and 14 respondents (12.7%) were normal height. Conclusion : The majority of the respondents who underwent sectio caesarea under spinal anesthesia experienced hypotension, bradycardia pulse, and had normal MAP. Keywords: Hemodynamics , Intra Operative, Sectio Caesarea, Spinal Anathesia