Perspective of Caesarean section delivery and its health risks on children among Indonesian pediatricians

Abstract

An increasing trend of C-section delivery In Indonesia was found from 2% in 1986 to 16% in 2012. This delivery method was introduced to save women and their newborn baby’s life. On the other side, it can increase short and long-term health risks for children. This study aims to assess and give an overview of the perspective on pediatrician as medical specialist in managing children of the C-section delivery history. A survey was conducted on 89 Indonesian Pediatricians using an online questionnaire. It was found that most pediatrician chose combination partial hydrolyze milk combined with synbiotic (a combination of prebiotic and probiotic) combination as nutrition intervention to decrease the allergy risk on children with C-section delivery mode, and there is a need to emphasize information about short and long-term health effects of C-section, especially in causing gut dysbiosis and its mechanism, information on non-medical causes of gut dysbiosis to increase awareness of recommending right symbiotic to decrease allergy risk in children with C-section history.

Perspective of Indonesian Pediatricians on the Role of PrebioticSupplemented Formula towards Immunity, Growth and Development in Preterm Infants: A Preliminary Data

“…The representatives then asked the participants to complete a 15-question questionnaire that had previously been validated and used in other studies. [31][32][33] All participants have consented to complete the questionnaire. No ethical clearance was obtained due to the non-experimental nature of this study.…”

Caesarean Section in Indonesia: Analysis of Trends and Socio-Demographic Correlates in Three Demographic and Health Surveys (2007–2017)

“…Indonesia is also facing this global crisis: C-section delivery alternatives to vaginal delivery increased from 12% in 2012 to 17% in 2017, and Jakarta had the highest rate (31.1%) [12]. Inappropriate and unnecessary C-sections pose both immediate and long-lasting mortality and morbidity threats to mothers and babies, thus increasing maternal, neonatal, and child mortality [13]. The immediate negative effects of unnecessary C-sections include miscarriage and stillbirth, placenta previa, post-partum infection, haemorrhage, maternal death, and thromboembolism [14][15][16].…”