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description Journal article public Indonesian Journal of Reproductive Health

Determinan Persalinan Sectio Caesarea Di Indonesia (Analisis Lanjut Data Riskesdas 2013)

Novianti Margareth Sihombing, Ika Saptarini, Dwi Siska Kumala Putri
Published 2017

Abstract

Background: Today, caesarean section in Indonesia have been increasing and the percentage varies among provinces.Objective: The study aimed to determine the characteristics of mothers who performed caesarean delivery as well as the risk factors that accompanied the mother during pregnancy and/or labor.Method: To explore the determinant of caesarian section operation, logistic regression analysis was done with odds ratios and 95 % confident intervals.Result: Based on the characteristics of socio-economic status, the greater chance of caesarian delivery are among mothers with highest economic level (OR: 2.55), higher education level (OR: 3.28), living in urban areas (OR: 1.46), having formal employment as private employee (OR: 1.36), and having and using health insurance (OR: 1.12) . While based on maternal health status, the greater chance of caesarian delivery are among mothers having risk factors, such as height at ≤145 cm (OR: 1.93), aged > 35 years (OR: 1,68), birth age of >42 weeks (OR: 1.97), with parity of one birth (OR: 2.49), giving birth with labor difficulties (OR: 1.21), having a history of complications during pregnancy (OR: 1.29) and complication of labor (OR: 6.63), and having complete antenatal care (K4) (OR: 1).Conclusion: Factors that encourage the occurrence of caesarean delivery are maternal characteristics, maternal and fetal health status variables with a history of complications during pregnancy, complication of labor, parity and complete antenatal care history that have a greater chance for caesarean delivery.

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