Document Type : Original Research Article
Authors
1
Student of the Doctoral Program of Public Health, Faculty of Medicine, Sebelas Maret University, Surakarta, Indonesia and Faculty of Health Science, Aisyiyah University, Surakarta, Indonesia
2
Professor, Department of Public Health, Faculty of Medicine, Sebelas Maret University, Surakarta, Indonesia
3
Assistant Professor, Department of Public Health, Faculty of Medicine, Sebelas Maret University, Surakarta, Indonesia
4
Associate Professor, Department of Public Health, Faculty of Medicine, Sebelas Maret University, Surakarta, Indonesia
10.22038/jmrh.2024.75900.2237
Abstract
Background & aim: The rate of C-sections has increased around the world including Indonesia. Indonesian Demographic and Health Survey (IDHS) data in 2017 showed that the C-section rate reached 17%. In addition, the World Health Organization (WHO) warned that the C-section rate should not be higher than 10-15% in any region This paper aimed to assess factors associated with cesarean sections in Indonesia based on the 2012 and 2017 IDHS data.
Methods: This cross-sectional study used two waves of the 2012 and 2017 Indonesian Demographic and Health Survey (IDHS) results. They were selected using a stratified two-stage sampling technique. The number of samples in this study was 29,502 respondents. The data were analyzed using univariate (frequency distribution), bivariate (proportion analysis, Chi-square, logistic regression), and multivariate analyses (multiple logistic regression), with a p-value < 0.05. The data were analyzed using Stata 14.2.
Results: The bivariate analysis showed that the variables of labor complications were not related to the cesarean sections (p-value=0.274). The multivariate analysis showed that the variables of occupations and decision-making had OR=1 (CI=0.9-1.1), while labor complications (OR=0.8, CI=0.7-0.9), parity by category grand multipara (OR=0.3, CI=0.3-0,4), and twins (OR=0.7, CI=0.5-1.0).
Conclusions: The results of the research indicating that not all maternal factors affect cesarean section. Further analysis is needed on upcoming research relating to labor complications and twin pregnancies by cesarean section nd it is necessary to pay attention and make efforts to control the number of cesarean sections.
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