Factors for Decision to C-section Delivery in Indonesia: Insights from IDHS 2017
Keywords:
C-section, place of delivery, IDHSAbstract
Introduction: Cesarean delivery (C-sections) showed 17.6% of all deliveries in Indonesia, which exceeded the WHO standard of 15%. C-sections in government hospitals reached 20-25%; in private hospitals, the number was higher, above 30%. Purpose: The study aimed to determine the factors influencing the decision of cesarean section delivery in Indonesia. Method: The study used a cross-sectional design. Data came from the Indonesian Health Demographic Survey (IDHS) 2017. The population and samples were 2,464 women aged 15-49 years—data analysis using chi-square test and multiple logistic regression. Result: The study found that the proportion of cesarean delivery in private hospitals reached 53.8%. Factors related to the decision to c-section delivery (p<0.05) were maternal education, place of residence, domicile island, spouse's occupation and education, wealth index, health insurance, and antenatal care history. Conclusion: The wealth index was the dominant factor for the decision to c-section delivery. The government is expected to be able to improve the quality of services and facilities in cesarean section delivery by government hospitals so that it can be the alternative decision for the community with a variety of wealth index and education backgrounds.
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References
Arief, M., &; Sudikno, S. (2015). Determinants of Childbirth Decision in Health Facilities (Analysis of Basic Health Research Data in 2010). Journal of Reproductive Health, 5(3). https://doi.org/10.22435/kespro.v5i3.3892.145-154
Ayuningtyas, D., Oktarina, R., Misnaniarti, M., &; Dwi Sutrisnawati, N. N. (2018). Bioethics in Childbirth through Sectio Caesaria without Medical Indication. Indonesian Public Health Media, 14(1), 9. https://doi.org/10.30597/mkmi.v14i1.2110
Azari, S., Sehaty, F., & Ebrahimi, H. (2013). Satisfaction of women from cesarean section care services in public and private hospitals of Tabriz. Iranian Journal of Nursing and Midwifery Research, 18(6), 435–438. http://www.ncbi.nlm.nih.gov/pubmed/24554939
Borrescio-Higa, F., & Valdés, N. (2019). Publicly insured caesarean sections in private hospitals: a repeated cross-sectional analysis in Chile. BMJ Open, 9(4), e024241. https://doi.org/10.1136/bmjopen-2018-024241
BPS-Statistics Indonesia. (2023). Statistical Yearbook of Indonesia 2023. https://www.bps.go.id/publication/download
de Oliveira, R. R., Melo, E. C., Novaes, E. S., Ferracioli, P. L. R. V., & Mathias, T. A. de F. (2016). Factors associated to Caesarean delivery in public and private health care systems. Revista Da Escola de Enfermagem, 50(5), 733–740. https://doi.org/10.1590/S0080-623420160000600004
Escuriet-Peiró, R., Goberna-Tricas, J., Pueyo-Sanchez, M. J., Garriga-Comas, N., Úbeda-Bonet, I., Caja-López, C., Espiga-López, I., & Ortún-Rubio, V. (2015). Impact of maternity care policy in Catalonia: a retrospective cross-sectional study of service delivery in public and private hospitals. BMC Pregnancy and Childbirth, 15(1), 23. https://doi.org/10.1186/s12884-015-0446-y
Ferinawati, F., & Hartati, R. (2019). The Relationship Of Early Post Sectio Caesarea Mobilization With Surgical Wound Healing In The Nursing Room Of Avicenna Hospital Juang City District Bireuen District In 2019. Journal of Healthcare Technology and Medicine, 5(2), 318. https://doi.org/10.33143/jhtm.v5i2.477
Hailegebreal, S., Gilano, G., Seboka, B. T., Ahmed, M. H., Simegn, A. E., Tesfa, G. A., & Yehualashet, D. E. (2021). Prevalence and associated factors of caesarian section in Ethiopia: a multilevel analysis of the 2019 Ethiopia Mini Demographic Health Survey. BMC Pregnancy and Childbirth, 21(1). https://doi.org/10.1186/s12884-021-04266-7
Hasan, F., Alam, M. M., & Hossain, M. G. (2019). Associated factors and their individual contributions to caesarean delivery among married women in Bangladesh: analysis of Bangladesh demographic and health survey data. BMC Pregnancy and Childbirth, 19(1), 433. https://doi.org/10.1186/s12884-019-2588-9
Islam, M. A., Sathi, N. J., Hossain, M. T., Jabbar, A., Renzaho, A. M. N., & Islam, S. M. S. (2022). Caesarean delivery and its association with educational attainment, wealth index, and place of residence in Sub-Saharan Africa: a meta-analysis. Scientific Reports, 12(1), 5554. https://doi.org/10.1038/s41598-022-09567-1
Ministry of Health of the Republic of Indonesia. (2018). National report riskesdas 2018. In Health Research and Development Agency. https://repository.badankebijakan.kemkes.go.id/id/eprint/3514/
Krisnawati, &; Sulistiyaningsih. (2018). Opportunities to Wait for the Cesarean Method in Childbirth in Indonesia (IDHS Data Analysis in 2017). Journal of Reproductive Health, 9(2), 125–133. https://doi.org/10.22435/kespro.v9i2.2046.125-133
Kumar, P., & Dhillon, P. (2020). Length of stay after childbirth in India: A comparative study of public and private health institutions. BMC Pregnancy and Childbirth, 20(1). https://doi.org/10.1186/s12884-020-2839-9
Mazzoni, A., Althabe, F., Gutierrez, L., Gibbons, L., Liu, N. H., Bonotti, A. M., Izbizky, G. H., Ferrary, M., Viergue, N., Vigil, S. I., Zalazar Denett, G., & Belizán, J. M. (2016). Women's preferences and mode of delivery in public and private hospitals: a prospective cohort study. BMC Pregnancy and Childbirth, 16(1), 34. https://doi.org/10.1186/s12884-016-0824-0
Nahsriana, R., & Syahban, B. F. (2018). No TitleIncidences and Contributing Factors to Caesarean Section/Normal Deliveries: in A Private And Public Hospital in Samarinda. International Journal of Nursing, Health and Medicine, 1(38–47). https://journal.stkipsingkawang.ac.id/index.php/ijnhm/article/view/963/pdf
National Institute of Health Research and Development. (2018). Report on Result of National Basic Health Research (Riskesdas) 2017. In Ministry of Health. https://www.kemkes.go.id/resources/download/info-terkini/hasil-riskesdas-2018.pdf
Ortiz-Prado, E., Castillo, T. A., Olmedo-López, M., Armijos, L., Ramírez, D., & Iturralde, A. L. (2017). Cesarean section rates in Ecuador: A 13-year comparative analysis between public and private health systems. Revista Panamericana de Salud Publica/Pan American Journal of Public Health, 41. https://doi.org/10.26633/RPSP.2017.15
Putra, ida B. G. S., Wandia, M., & Harkitasari, S. (2021). Indications for Sectio Caesarea at the Sanjiwani Hospital, Gianyar in 2017-2019. Aesculapius Medical Journal, 1(1), 63–64. https://www.ejournal.warmadewa.ac.id/index.php/amj/article/view/4088/2852
Putri Susanto, Y., Wahdaniah, N., &; Juniarti, J. (2019). Factors Associated with the Delivery of Sectio Caesarea in Kindergarten Hospital. II Pelamonia Makassar Year 2019. Pomegranate Health Journal Pelamonia, 3(1), 62–71. https://doi.org/10.37337/jkdp.v3i1.119
Roy, A., Paul, P., Chouhan, P., Rahaman, M., & Kapasia, N. (2021). Geographical variability and factors associated with caesarean section delivery in India: a comparative assessment of Bihar and Tamil Nadu. BMC Public Health, 21(1). https://doi.org/10.1186/s12889-021-11750-4
Viandika, N., & Septiasari, R. M. (2020). Pengaruh Continuity Of Care Terhadap Angka Kejadian Sectio Cessarea. Journal for Quality in Women's Health, 3(1), 1–8. https://doi.org/10.30994/jqwh.v3i1.41
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