Study of The Results of Routine Preoperative Blood Tests on Complications in Sectio Caesarea Patients

Authors

  • M. Fauzan Abdallah Fauzan Universitas Harapan Bangsa
  • Asmat Burhan Universitas Harapan Bangsa
  • Rahmaya Nova Handayani Universitas Harapan Bangsa

DOI:

https://doi.org/10.61716/jnj.v2i3.66

Keywords:

Sectio Caesarea, Routine Blood Test, Complications

Abstract

Background: Pre-operative evaluations, including laboratory assessments, are critical components of surgical preparation, with cesarean sections being no exception. Despite their importance, prior research suggests that 70-90% of routine pre-operative blood tests are unnecessary and frequently exhibit abnormal findings. Purpose: This study aims to evaluate the outcomes of routine pre-operative blood tests in patients undergoing cesarean sections at Banjarnegara Islamic Hospital. Methods: A descriptive quantitative study with a cross-sectional design was conducted in June 2024. The sample comprised 44 patients selected through convenience sampling. Data were collected by observing and recording the results of routine pre-operative blood tests, including erythrocytes, hemoglobin, hematocrit, leukocytes, and platelets. Findings: The analysis revealed average erythrocyte levels of 3.95 × 10^6/uL, hemoglobin levels of 11.27 g/dL, hematocrit values of 33.06%, leukocyte counts of 12.62 × 10^3/uL, and platelet counts of 250.77 × 10^3/uL. Intra-anesthesia complications were predominantly hypotension (81.8%), while the most common post-anesthesia complication was postoperative nausea and vomiting (54.5%). Conclusions: The findings indicate a significant proportion of routine blood tests fall outside standard reference ranges, though anesthetic complications remain relatively low. These results underscore the need to reassess the necessity of routine blood tests in pre-operative evaluations and highlight potential areas for improving patient outcomes. Recommendations: Future research should explore the clinical implications of these findings and contribute to establishing guidelines for routine pre-operative testing and management of anesthetic complications

References

1. Sirait. H Robert, Yuda Bellatania. Bunga Rampai Saintifika Fk Uki. 2018.

2. Warsono W, Fahmi Fy, Iriantono G. Pengaruh Pemberian Teknik Relaksasi Benson Terhadap Intensitas Nyeri Pasien Post Sectio Caesarea Di Rs Pku Muhammadiyah Cepu. J Ilmu Keperawatan Med Bedah. 2019;2(1):44.

3. Kementrian Kesehatan Republik Indonesia. Laporan Provinsi Jawa Tengah Riskesdas 2018. Kementerian Kesehatan Ri. 2018. 674 P.

4. Liu Jj, Guan Z, Gao Z, Xiang L, Zhao F, Huang Sl. Complications After Spinal Anesthesia In Adult Tethered Cord Syndrome. Med U S. 2016 Jul 26;95(29).

5. Ika Cahyariza N, Diah Pratiwi C. The Differences Of Hemoglobin Levels In Pregnant Women Patients Before And After Caesarean Section. 2020.

6. Fitrianingsih, Rumantika, Burhan A. Efek Hypotermia Pasca General Anestesi: A Scoping Review. Viva Med J Kesehat Kebidanan Dan Keperawatan. 2021;11.

7. Baroki Saragih Mn, Lintang Suryani R, Burhan A. Overview Of Spinal Anesthesia Injection Techniques At Rsi Fatimah Cikacap: English. Java Nurs J. 2023 Oct 16;1(2):97–102.

8. Kaur Ts, Chatterjee Bp. Too Much Information With Little Meaning, Relevance Of Preoperative Laboratory Testing In Elective Oral And Maxillofacial Surgeries: A Systematic Integrative Review. Natl J Maxillofac Surg. 2020 Jan 1;11(1):3–9.

9. Karwiti W, Sri Lestari W, Rezekiyah S, Fitriana E, Dimas Rezky M, Kuci K, Et Al. Kadar Hemoglobin Pada Pasien Yang Mendapat Tindakan Operasi Di Rumah Sakit St Theresia Kota Jambi. 2020.

10. Keshavan Vh, Swamy Cmn. Pre-Operative Laboratory Testing: A Prospective Study On Comparison And Cost Analysis. Indian J Anaesth. 2016 Nov 1;60(11):838–42.

11. Kannaujia Ak, Gupta A, Verma S, Srivastava U, Haldar R, Jasuja S. Importance Of Routine Laboratory Investigations Before Elective Surgery. Discoveries. 2020 Sep 30;8(3):E114.

12. Nurdiamsyah P, Susanto A, Burhan A, Suandika M, Wijayanti I. Overview Of The Incidence Of Post Operative Nausea And Vomiting In Spinal Anesthesia For Sectio Caesarea Patients In The Recovery Room Of Fatimah Cilacap Islamic Hospital. Java Nurs J. 2024 Feb 1;2(1):50–6.

13. Susanti I, Mixrova Sebayang S, Burhan A. Impact Of Ondancentron In Intra-Anesthesia During Caesarean Section: A Meta-Analysis Of Randomized Trials. Java Nurs J. 2024 Feb 1;2(1):26–42.

14. Tarsono T, Susanto A, Burhan A. An Examination Of Patient Satisfaction With Spinal Anesthesia Interventions At Dik Pusdikkes Hospital In East Jakarta. Java Nurs J. 2024 Feb 1;2(1):84–92.

15. Iqbal M, Budiana Z, Mixropa S S, Burhan A, Studi P, D4 K, Et Al. Hubungan Status Fisik American Society Of Anestesiologist (Asa) Dengan Bromage Score Di Rumah Sakit Khusus Bedah Jatiwinangun Purwokerto. 2023.

16. Agustina W. Pengaruh Kehamilan Terhadap Frekuensi Kekambuhan Asma Pada Ibu Hamil Trimester I, Ii Dan Iii Dengan Riwayat Asma Di Kota Malang Influence Of Pregnancy Toward The Recurrence Frequency Of Asthma In Trimester I, Ii And Iii Pregnant Woman With Asthma History In Malang City Study Program Of Ners Profession, Stikes Maharani Malang. Vol. 2, Journal Of Nursing Care & Biomolecular. 2017.

17. Triyadi F, Mixrova Sebayang S, Burhan A, Dwi Agus Yulianto, Refa Teja Muti. The Relationship Between Age And Duration Of Surgery With The Incidence Of Post Anesthesia Shivering In Section Caesarean Patients At Bendan Hospital Pekalongan City. Java Nurs J. 2024 Feb 1;2(1):7–14.

18. Alverina F, Suryani Rl, Burhan A. An Overview Caring Behavior Of Anesthesiologist In Spinal Anesthesia Patients At Rsud Cilacap. Java Nurs J. 2024 Jun 21;2(2):124–30.

19. Vika Andriyani, Roro Lintang Suryani, Asmat Burhan. The Relationship Of Family Support With The Level Of Pre-Anesthesian Sectio Patients In The Hospital Pekalongan Regional General. Java Nurs J. 2024 Feb 1;2(1):43–9.

20. Angin Sep, Novitasari D, Burhan A. Volume 6 Number 1, Februari 2024 E-Issn 2715-1972; P-Issn 2714-9749 Http://Jurnal.Globalhealthsciencegroup.Com/Index.Php/Ijghr. 2024;6(1).

21. Afrilya To, Sukmaningtyas W, Burhan A. Overview Of Post-Operative Nausea And Vomiting (Ponv) In Patients Undergoing Caesarean Section With Spinal Anesthesia At Fatimah Islamic Hospital Cilacap. 2023;16.

22. Semiz A, Akpak Yk, Yılanlıoğlu Nc, Babacan A, Gönen G, Çam Gönen C, Et Al. Prediction Of Intraoperative Nausea And Vomiting In Caesarean Delivery Under Regional Anaesthesia. J Int Med Res. 2017 Feb 1;45(1):332–9.

23. Minarsih Rini. Efektifitas Pemberian Elemen Penghangat Cairan Intravenadalam Menurunkan Gejala Hipotermi Pasca Bedah. 2013;

24. Rusnowanto, Sodikin, Solikhah U, Elsanti D. Faktor-Faktor Yang Menyebabkan Kejadian Shivering Pada Pasien Sectio Caesarea Dengan Spinal Anestesidi Rsud Banyumas. 2024;2.

25. Setiawan B, Kesehatan Kementrian Kesehatan Yogyakarta P. Pengaruh Pemberian Terapi Akupresur Terhadap Mual Muntah Pasca Operasi Sectio Caesaria Dengan Anestesi Spinal Di Rsud Kabupaten Aceh Tamiang. 2023.

26. Anditiawan Oa, Susanto A, Utami T, Studi P, Program K, Fakultas S, Et Al. Gambaran Kejadian Post Operative Nausea And Vomiting Pada Pasien Sectio Caesarea Dengan Spinal Anestesi Di Rumah Sakit Umum Daerah Leuwiliang. Vol. 3, Jci Jurnal Cakrawala Ilmiah. 2023.

Downloads

Published

2024-10-01

How to Cite

1.
Fauzan MFA, Burhan A, Nova Handayani R. Study of The Results of Routine Preoperative Blood Tests on Complications in Sectio Caesarea Patients. JNJ [Internet]. 2024 Oct. 1 [cited 2024 Nov. 11];2(3):290-30. Available from: http://goicare.web.id/index.php/JNJ/article/view/66