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Menurut World Health Organization (WHO), persalinan normal adalah persalinan dengan presentasi belakang kepala janin yang berlangsung secara spontan dengan lama persalinan dalam batas normal. Berdasarkan data dari Rumah Sakit Islam Ibnu Sina Bukittinggi pada bulan Desember 2016 jumlah ibu episiotomi sebanyak 32 orang dari jumlah ibu bersalin sebanyak 47 orang (68,09%), pada bulan januari 2017 sebanyak 19 orang dari jumlah ibu bersalin 29 orang (65,52%), pada bulan februari sebanyak 16 orang dari jumlah ibu bersalin sebanyak 23 orang (69,57%) dan pada bulan maret 2017 berjumlah 9 orang dari jumlah ibu bersalin sebanyak 11 orang (81,82%). Tujuan penelitian ini untuk mengetahui indikasi tindakan episiotomi di Rumah Sakit Islam Ibnu Sina Bukittinggi Tahun 2017. Penelitian ini menggunakan penelitian Deskriptif dengan menggunakan data sekunder. Penelitian ini dilakukan di Rumah Sakit Islam Ibnu Sina Bukittinggi pada bulan September 2017 dengan jumlah populasi sebanyak 76 ibu bersalin dengan tindakan episiotomi. Teknik pengambilan sampel dilakukan dengan cara Total Sampling, menggunakan lembar Checklist dan analisa penelitian ini dilakukan secara univariat. Hasil anlisis univariat didapatkan jumlah ibu bersalin dengan tindakan episiotomi atas indikasi primigravida sebanyak 41 orang (53,9%), atas indikasi perineum kaku sebanyak 59 orang (77,6%), atas indikasi gawat janin sebanyak 8 orang (10,5%), atas indikasi bayi besar sebanyak 12 orang (15,8%) dan atas indikasi kala II lama sebanyak 11 orang (14,5%). Berdasarkan hasil penelitian diatas dapat disimpulkan bahwa jumlah ibu bersalin dengan tindakan episiotomi atas indikasi perineum kaku yang paling banyak, diharapkan kepada ibu hamil untuk mengikuti senam hamil agar menghindari komplikasi jalan lahir.

According to the World Health Organization (WHO), a normal delivery is delivery by spontaneous back presentation of the fetal head with prolonged labor duration. Based on data from Ibnu Sina Hospital Bukittinggi in December 2016 the number of episiotomy mother as many as 32 people from the number of mothers as many as 47 people (68.09%), in January 2017 as many as 19 people from the number of mother maternity 29 people (65,52 %), in February as many as 16 people from the number of mothers as many as 23 people (69.57%) and in March 2017 amounted to 9 people from the number of mothers as many as 11 people (81.82%). The purpose of this study to determine the indications associated with acts episiotomi at Ibnu Sina Hospital Bukittinggi Year 2017. This study uses Descriptive research using secondary data. This study was conducted at the Islamic Hospital of Ibnu Sina Bukittinggi in September 2017 with a population of 76 mothers with episiotomy. The sampling technique is done by Total Sampling, using Checklist sheet and the research analysis is done univariat. The result of univariate analysis showed the number of mothers with episiotomy action on primigravida indication of 41 people (53,9%), indication of rigid perineum of 59 people (77,6%), indication of fetal distress as many as 8 people (10,5%) , on the indication of large infants as many as 12 people (15.8%) and on the second stage II indication as many as 11 people (14.5%). Based on the result of the above research, it can be concluded that the number of maternity mother with episiotomy action on the most rigid perineum indication, expected to pregnant mother to follow pregnancy exercise to avoid complication of birth road.