Determinants of cesarean delivery in Indonesia: An analysis of the 2017 Indonesia demographic and health survey

Abstract

Background: According to a statement by the World Health Organization (WHO), the optimal proportion of sectio caesarea (SC) is considered to be between 10-15%. In Indonesia, based on survey data for deliveries using the sectio caesarea (SC) method, the cases increased from 9.8% in 2013 and 17.6% in 2018.Purpose: To determinants of cesarean delivery in Indonesia: An analysis of the 2017 Indonesia demographic and health surveyMethod: This type of research is a quantitative study with a cross-sectional design. The population and sample in this study were 14,087 women of childbearing age 15-49 years who had complete variables. Data analysis used chi-square and multiple logistic regression.Results: Found that there was a significant relationship between sectio caesarea with maternal age, mother's occupation, wealth index, place of residence, spouse's occupation, partner's education, type of birth, history of ANC visits, baby size, health facilities, history of pregnancy complications and delivery, history of miscarriage with p-value < 0,001. And there is no relationship between sectio caesarea and maternal education with a p-value of 0.862. The dominant factor that affects mothers giving birth by cesarean section is the type of birth with an OR of 2.854 times (CI 95% 1,932 – 4,206).Suggestion: It is expected that people who have undergone IVF or pregnancy insemination will carry out the fertilization alone in order to reduce the risk of giving birth by cesarean section and women who are already pregnant with multiple pregnancies are expected to be more diligent in conducting ante-natal care visits so that they can better detect the progress of their pregnancy and prevent complications. which will allow delivery by cesarean section.

Regional Differences and Sociodemographic Factors Associated with Cesarean Section Delivery in Bangladesh through Multilevel Poisson Regression Model

“…Women who are older suffer from severe complications of pregnancy such as gestational diabetes, placenta previa, postpartum hemorrhage, pulmonary embolism, and preeclampsia, which are responsible for caesarean delivery [36]. It is suitable for women to become pregnant between the ages of 20 and 35, which may be vital for vaginal delivery [37]. Women's education was one of the most influential factors in the decision to deliver by cesarean section.…”

“…A husband's education is associated with employment and helps him get a better job, which contributes to increasing family income. The better economic condition of the family may be responsible for cesarean delivery because this type of family is able to pay the cost of cesarean delivery and has knowledge of obstetric complications [37]. Bangladesh has eight administrative areas; among these areas, women living in Dhaka, Khulna, and Rajshahi divisions were more likely to have cesarean deliveries than other divisions.…”