Latar Belakang: Dehisensi luka pasca operasi merupakan komplikasi bedah serius yang berkontribusi terhadap peningkatan morbiditas, lama rawat inap, biaya perawatan kesehatan, dan mortalitas. Operasi emergensi Obstetri dan Ginekologi dianggap memiliki risiko komplikasi pasca operasi yang lebih tinggi dibandingkan prosedur elektif karena persiapan praoperasi yang terbatas dan kondisi pasien yang tidak optimal.Tujuan: Menganalisis faktor risiko yang berhubungan dengan dehisensi luka pasca operasi pada pasien Obstetri-Ginekologi emergensi dan elektif di RSUD Dr. Moewardi Surakarta tahun 2025.Metode: Penelitian ini merupakan studi analitik observasional dengan pendekatan case-control, dilakukan di RSUD Dr. Moewardi Surakarta menggunakan data rekam medis pasien Obstetri dan Ginekologi yang menjalani operasi emergensi dan elektif selama Januari–Desember 2025, menggunakan total sampling berdasarkan kriteria inklusi dan eksklusi. Variabel bebas meliputi infeksi luka operasi (ILO), obesitas, diabetes melitus, durasi operasi, dan anemia. Variabel tergantung adalah dehisensi luka. Data dianalisis menggunakan uji Chi-Square dan Fisher's Exact dengan tingkat signifikansi p<0,05.Hasil: Sebanyak 54 pasien dimasukkan dalam penelitian ini, terdiri dari 31 pasien yang mengalami dehisensi luka dan 23 pasien tanpa dehisensi luka hanya infeksi luka operasi (ILO). Berdasarkan sifat operasi, terdapat 37 pasien pasca operasi emergensi (68,5%) dan 17 pasien pasca operasi elektif (31,5%). Pada kelompok operasi emergensi, obesitas (p=0,050) dan anemia (p=0,003) berhubungan signifikan dengan kejadian dehisensi luka, sedangkan diabetes melitus (p=1,000) dan durasi operasi (p=0,090) tidak berhubungan secara signifikan. Pada kelompok operasi elektif, tidak ditemukan hubungan yang signifikan antara obesitas (p=1,000), diabetes melitus (p=0,364), durasi operasi (p=0,309), maupun anemia (p=1,000) dengan kejadian dehisensi luka. Analisis hubungan antara infeksi luka operasi (ILO) dan dehisensi luka tidak dapat dilakukan secara statistik pada kedua kelompok karena seluruh responden mengalami ILO sehingga tidak terdapat variasi data antar kelompok.Kesimpulan: Infeksi luka operasi (ILO) tidak dapat dianalisis secara statistik karena seluruh responden mengalami ILO sehingga tidak terdapat variasi data antar kelompok. Pada pasien pasca operasi emergensi Obstetri dan Ginekologi, obesitas dan anemia berhubungan secara signifikan dengan kejadian dehisensi luka, sedangkan diabetes melitus dan durasi operasi tidak berhubungan secara signifikan. Pada pasien pasca operasi elektif, tidak ditemukan hubungan yang bermakna antara obesitas, anemia, diabetes melitus, maupun durasi operasi dengan kejadian dehisensi luka.  Kata Kunci: dehisensi luka, infeksi luka operasi, anemia, obesitas, diabetes melitus, operasi obstetri dan ginekologi, emergensi, elektif ABSTRACT RISK FACTOR ANALYSIS FOR POST OPERATIVE WOUND DEHISCENCE IN EMERGENCY AND ELECTIVE SURGERYAMONG OBSTETRICS AND GYNECOLOGY PATIENTSAT DR. MOEWARDI REGIONAL GENERAL HOSPITAL,SURAKARTA, 2025 Meuthia Alamsyah Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Sebelas Maret / Dr. Moewardi General Hospital, Surakarta, Indonesia Background: Post-operative wound dehiscence is a serious surgical complication contributing to increased morbidity, prolonged hospital stay, higher healthcare costs, and mortality. Emergency obstetric and gynecologic surgeries are considered to carry a higher risk of post-operative complications compared to elective procedures, due to limited preoperative preparation and suboptimal patient conditions.Objective: To analyze the risk factors associated with post-operative wound dehiscence in emergency and elective obstetric-gynecologic patients at Dr. Moewardi General Hospital, Surakarta, in 2025.Methods: This study was an observational analytic study with a case-control approach, conducted at Dr. Moewardi General Hospital, Surakarta, using medical record data of obstetric and gynecologic patients who underwent emergency and elective surgeries during January–December 2025, using total sampling based on pre-defined inclusion and exclusion criteria. Independent variables included surgical site infection (SSI), obesity, diabetes mellitus, duration of surgery, and anemia, while the dependent variable was wound dehiscence. Data were analyzed using Chi-Square and Fisher's Exact tests with a significance level of p<0.05.Results: A total of 54 patients were included in this study, comprising 31 patients who experienced wound dehiscence and 23 patients without dehiscence (surgical site infection only). Based on the nature of surgery, there were 37 post-emergency surgery patients (68.5%) and 17 post-elective surgery patients (31.5%). In the emergency surgery group, obesity (p=0.050) and anemia (p=0.003) was significantly associated with wound dehiscence, whereas diabetes mellitus (p=1.000) and duration of surgery (p=0.090) were not significantly associated. In the elective surgery group, no significant associations were found between wound dehiscence and obesity (p=1.000), diabetes mellitus (p=0.364), duration of surgery (p=0.309), or anemia (p=1.000). Statistical analysis of the relationship between SSI and wound dehiscence could not be performed in either group, as all respondents experienced SSI, resulting in no intergroup variation.Conclusion: Surgical site infection (SSI) could not be statistically analyzed because all participants experienced SSI. Obesity and anemia were significant risk factors for post-operative wound dehiscence in emergency obstetric and gynecologic surgery, whereas diabetes mellitus and duration of surgery were not. No significant risk factors were identified in the elective surgery group among the variables studied.  Keywords: wound dehiscence, surgical site infection, anemia, obesity, diabetes mellitus, obstetric and gynecologic surgery, emergency, elective