Risk Factors for Surgical Wound Infection Caesarean Section at RSKDIA Siti Fatimah Makassar

Authors

  • Nur Isma Herawati Universitas Islam Negeri Alauddin Makassar
  • Nadyah Haruna Universitas Islam Negeri Alauddin Makassar
  • Fhirastika Annisha Helvian Universitas Islam Negeri Alauddin Makassar
  • Rini Fitriani Universitas Islam Negeri Alauddin Makassar
  • Darussalam Syamsuddin Universitas Islam Negeri Alauddin Makassar

DOI:

https://doi.org/10.24252/jmw.v8i1.64651

Keywords:

Factors; Wound; Infection; Sectio; Caesarea

Abstract

Introduction Sectio Caesarea (SC) is a method of delivering a fetus by making an incision in the uterine wall through the anterior abdominal wall. Like surgical procedures in general, SC is not free from various potential risks, one of which is surgical wound infection. Surgical wound infection is one of the major problems in obstetric practice, as it can delay wound healing and thereby increase morbidity rates. Method Sample in this study was selected using a purposive sampling method, based on specific criteria determined by the researchers by considering the characteristics or attributes of the population.  Result The statistical analysis showed that age had a p-value of 0.000 (p < 0.05), nutritional status p-value of 0.000 (p < 0.05), anemia p-value of 0.000 (p < 0.05), parity p-value of 0.010 (p < 0.05), diabetes mellitus p-value of 0.047 (p < 0.05), immunosuppression p-value of 0.047 (p < 0.05), and hypothermia p-value of 1.000 (p>0.05).Conclusion: Based on the statistical test results, it can be concluded that there is a significant association between age, nutritional status, anemia, parity, immunosuppression, and diabetes mellitus with post–cesarean section (SC) surgical wound infection. Meanwhile, no significant association was found between hypothermia and post-SC surgical wound infection. Based on the p-values, age, nutritional status, and anemia were the most influential risk factors for surgical wound infection after cesarean section. By understanding the main risk factors, healthcare providers can implement earlier interventions in high-risk patients to reduce the incidence of post-SC surgical wound infections.

References

Assawapalanggool, S., Kasatpibal, N., Sirichotiyakul, S., Arora, R., Suntornlimsiri, W., & Apisarnthanarak, A. (2018). The efficacy of ampicillin compared with ceftriaxone on preventing cesarean surgical site infections: An observational prospective cohort study. Antimicrobial Resistance & Infection Control, 7(13). https://pubmed.ncbi.nlm.nih.gov/29387347/

Bennett, G., Abbott, J., & Sussman, G. (2024). The negative impact of medications on wound healing. Wound Practice and Research, 32(1), 17–24. DOI: 10.33235/wpr.32.1.17-24

Fajriyah, S., Farida, U., Agustina, S., Astuti, L. W., & Widyaningrum, E. A. (2023). The use of prophylactic antibiotics for cesarean section delivery and the incidence of surgical site infection. Indonesian Journal of Pharmaceutical Education, 3(2). https://ejurnal.ung.ac.id/index.php/ijpe/article/view/19864

Fanny, F. (2019). Sectio caesarea as a risk factor for neonatal asphyxia. Majority Journal, 4(8), 57–62.

Febrianawati, N., Rahmawati, D., & Ulfa, I. M. (2020). Pengaruh prosedur operasi SC elektif dan SC cito terhadap kejadian infeksi luka operasi di RSUD Balangan. Jurnal Anestesi, 2(1), 137–151. https://jurnal.stikeskesdam4dip.ac.id/index.php/Anestesi/article/view/775

Gomaa, K., Abdelraheim, A. R., El Gelany, S., Khalifa, E. M., Yousef, A. M., & Hassan, H. (2021). Incidence, risk factors and management of post cesarean section surgical site infection (SSI) in a tertiary hospital in Egypt: A five-year retrospective study. BMC Pregnancy and Childbirth, 21(1). https://pubmed.ncbi.nlm.nih.gov/34537018/

Guo, S., & DiPietro, L. A. (2020). Factors affecting wound healing. Journal of Dental Research, 89(3). https://pmc.ncbi.nlm.nih.gov/articles/PMC2903966/

Hardono, H., Marthalena, Y., & Yusuf, J. A. (2020). Obesitas, anemia, dan mobilitas dini mempengaruhi penyembuhan luka post-operasi apendiktomi. Wellness and Healthy Magazine, 2, 177–186. https://www.researchgate.net/publication/349038136_Obesitas_anemia_dan_mobilitas_dini_mempengaruhi_penyembuhan_luka_post-op_apendiktomi/fulltext/601c1e13a6fdcc37a8023307/Obesitas-anemia-dan-mobilitas-dini-mempengaruhi-penyembuhan-luka-post-op-apendiktomi.pdf

Haruna, N. (2017). Pengetahuan dan sikap ibu tentang pencegahan dan pengendalian infeksi nifas di Bella Bori dan Bella Punranga Kabupaten Gowa. Alami Journal, 1(1), 67–78. https://journal.uin-alauddin.ac.id/index.php/alami/article/view/4219

Kartikasari, R., & Apriningrum, N. (2020). Determinants of post-caesarean section surgical site infection (SSI). Faletehan Health Journal, 7(3), 162–169. https://journal.lppm-stikesfa.ac.id/index.php/FHJ/article/view/195

Kumar, V., Abbas, A. K., & Aster, J. C. (2017). Robbins basic pathology (10th ed.). Elsevier.

Kunia, D., Widiasih, R., & Rahayu, U. (2022). The process of wound healing in post-caesarea patients using normal saline (0.9%) and povidone-iodine (10%) irrigations: A comparative study. (5). DOI: 10.36780/jmcrh.v5i2.254

Kurniamawati, D. R. (2022). Fungsi Pangan dan Gizi untuk Kesehatan. Direktorat Jenderal Kesehatan Lanjutan, Kementerian Kesehatan RI. https://keslan.kemkes.go.id/view_artikel/1867/fungsi-pangan-dan-gizi-untuk-kesehatan?

Kompas.com. (2023, November 28). Luka pada penderita diabetes lama sembuh, ini alasannya… Kompas Health. https://health.kompas.com/read/23K28190000668/luka-pada-penderita-diabetes-lama-sembuh-ini-alasannya-?

Lake, E. S., Alamrew, A., Belay, W. S., Yilak, G., Erega, B. B., Abita, Z., & Ayele, M. (2024). Surgical site infection following cesarean section and its predictors in Ethiopia: A systematic review and meta-analysis. PLoS ONE, 19. https://pubmed.ncbi.nlm.nih.gov/38512861/

Lee, K. A., Flores, R. R., Jang, I. H., Saathoff, A., & Robbins, P. D. (2022). Immune senescence, immunosenescence and aging. Frontiers in Aging, 3. https://pubmed.ncbi.nlm.nih.gov/35821850/

Maya Sabila, N., & Maria Rosa, E. (2019). The effectiveness of the use of antibiotic prophylaxis in prevention of surgical site infection in caesarean section: A scoping review. Turkish Journal of Physiotherapy and Rehabilitation, 32(3).

Murniati, Zulkarnaini, & Juwita, Z. (2020). Faktor-faktor yang mempengaruhi terjadinya infeksi luka post sectio caesarea. Darussalam Indonesian Journal of Nursing and Midwifery, 1(1), 21.

Naga Rohith, V., Arya, S. V., Rani, A., Chejara, R. K., Sharma, A., Arora, J. K., Kalwaniya, D. S., Tolat, A., G, P., & Singh, A. (2022). Preoperative serum albumin level as a predictor of abdominal wound-related complications after emergency exploratory laparotomy. Cureus. https://pubmed.ncbi.nlm.nih.gov/36589182/

Putri, P. N., Mutmainnah, M, & Meinarisa. (2025). Karakteristik ibu hamil yang melakukan pemeriksaan di Puskesmas simpang iv sipin kota Jambi. Journal Ners. 9(4), 7483 – 749. https://journal.universitaspahlawan.ac.id/index.php/ners/article/view/47976

Salam, A., Nadyah, & Helvian, F. A. (2021). Hubungan antara kenaikan berat badan selama kehamilan dengan kejadian ketuban pecah dini di Kabupaten Wajo. Indonesian Journal of Clinical Nutrition Physician, 4(1), 74–81. https://www.journal-ijcnp.com/index.php/IJCNP/article/view/64

Shah, N. M., Lai, P. F., Imami, N., & Johnson, M. R. (2019). Progesterone-related immune modulation of pregnancy and labor. Frontiers in Endocrinology, 10. https://pubmed.ncbi.nlm.nih.gov/30984115/

Shen, W., & Zhang, S. (2019). The role of zinc in wound healing and immune function: A review. Journal of Nutritional Biochemistry. https://www.news-medical.net/health/The-Role-of-Zinc-in-Immune-Health-and-Wound-Healing.aspx

Ter Steeg, L., Domínguez-Andrés, J., Netea, M. G., Joosten, L. A. B., & van Crevel, R. (2021). Trained immunity as a preventive measure for surgical site infections. Clinical Microbiology Reviews, 34(4), 1–56. https://pubmed.ncbi.nlm.nih.gov/34585978/

Tyas, N. H., & Nurhayati, M. (2022). Financial impact of surgical wound infection post elective sectio caesarea in hospital. AIJMS, 1(1). https://journal.adpebi.com/index.php/AIJMS/article/view/180

Widyaningsih, C., & Dewi, Y. (2023). Determinants that influence infection in sectio caesarea patients at Hermina Bekasi Hospital period 2021–2022. Microbiology & Infectious Disease, 7(2), 1.

Wodajo, S., Belayneh, M., & Gebremedhin, S. (2017). Magnitude and factors associated with post-cesarean surgical site infection at Hawassa University Teaching and Referral Hospital, Southern Ethiopia: A cross-sectional study. Ethiopian Journal of Health Sciences, 27(3), 283–290. https://pubmed.ncbi.nlm.nih.gov/29217927/

Yanrin, A. S. N. P., Sukmaningtyas, W., Burhan, A., & Adriani, P. (2024). Gambaran kejadian hipotermi pada pasien sectio caesarea di rumah sakit umum. Jurnal Ilmiah Wahana Pendidikan, 10(10), 1–23.

Zabaglo, M., Leslie, S. W., & Sharman, T. (2024). Infeksi luka pasca operasi. In NCBI Bookshelf (pp. 1–17).

Ziogou, A., & Kokolakis, I. (2023). Post caesarian section surgical site infections: Review of current literature. HJOG, 22(1), 1–8. https://hjog.org/?p=3045

Zuarez-Easton, S., Zafran, N., Garmi, G., & Salim, R. (2017). Postcesarean wound infection: Prevalence, impact, management, prevention, and challenges. International Journal of Women’s Health, 9, 81–88. https://pmc.ncbi.nlm.nih.gov/articles/PMC5322852/

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Published

2026-02-09

How to Cite

Herawati, N. I., Haruna, N., Helvian, F. A., Fitriani, R., & Syamsuddin, D. (2026). Risk Factors for Surgical Wound Infection Caesarean Section at RSKDIA Siti Fatimah Makassar. Jurnal Midwifery, 8(1), 69–78. https://doi.org/10.24252/jmw.v8i1.64651

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Vol. 8 No. 1 (2026): FEBRUARY

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