Sectio Caesarea (SC) is a surgical procedure to excrete a conception result. SC is done based on the medical indication in order to save mothers, fetus or both. Data from Baseline Health Research 2010 showed proportion of SC was 15.3%, this higher than WHO recommendation for 5-15%. This study aimed is to identify characteristics of mothers that play a role in increasing the rate of SC, based on Indonesian Health Demography Survey (IHDS) 2017. The population and sample is women of childbearing age ranging of 15-49 years old, who give birth by SC with the rate of 17.784 people. Statistical analysis using Chi Square with the probability level of significances (α < 5%). The results show proportion of delivery method SC in Indonesia is 16.4%. The overview of mother characteristic were19.7% done for the first child, 17.1% for the second child, 16.0% for the third child. SC was obtained in safe reproductive aged group 15.0% and potential highrisk of reproductive aged group 19.4%. It is respectively 12.2%, 15.85%, and 30.5% in the low, middle, and higher educational groups. 10.9% live in rural and 22.1% are in the urban. Those factors are contributed significantly by statistic p=0,000. It is concluded that the factors of age, rate of children, education and place of mothers play a role in increasing the rate of SC. Further study is required in the preparation of health care policies and education for women of childbearing age in choosing the delivery methods.
Background: Maternal mortality rate (MMR) in Indonesia is still high, 359 per 100,000 born alive. One of the government's efforts to reduce MMR is by providing antenatal care (ANC) service, and holding pregnancy classes (KIH). KIH is a program to increase maternal knowledge and support the making pregnancy safer (MPS) program policy, which is an Obstetric service approach, that every pregnant woman must be assisted by health workers. Objective: The purpose of this study is to determine the relationship between ANC and KIH to the place and birth attendants. Methods: A cross-sectional study, national health indicator survey (SIRKESNAS) 2016, calculation of samples based on the 2010 population census (SP) data. Primary sampling unit (PSU) is a sub-district selected as probability proportional to size (PPS), households that have children aged 0-59 months (Eligible households), samples were selected by simple random sampling of eligible households, as many as 7,313 mothers. The collected variables were ANC, KIH, and the place and birth attendant. Data were analyzed by logistic regression test Results: Logistic regression test results showed that the ANC was positively related to the place of delivery (OR 4,054; p <0.000) and birth attendants (OR 2,659; p <0.000). There was a relationship between KIH and the place of delivery (OR 1,327; p <0.001), and birth attendants (OR 1,718; p <0.000).
Conclusion:Mothers who performed at least 4 ANCs, and attended pregnancy classes, were more likely to choose to deliver in health care facilities and deliver with health workers.Latar Belakang: Angka Kematian Ibu (AKI) di Indonesia masih tinggi, sebesar 359 per 100.000 kelahiran hidup. Salah satu upaya pemerintah untuk menurunkan AKI adalah dengan pelayanan antenatal care (ANC), dan menyelenggarakan kelas ibu hamil (KIH). KIH merupakan program untuk meningkatkan pengetahuan ibu dan mendukung kebijakan program making pregnancy safer (MPS), yaitu pola pendekatan pelayanan Obstetric, bahwa setiap ibu hamil harus ditolong oleh tenaga kesehatan. Tujuan: Tujuan studi ini untuk mengetahui hubungan ANC dan KIH terhadap tempat dan penolong persalinan.
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