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All Journal Jurnal Kedokteran Syiah Kuala Jurnal Kesehatan Jurnal Ners Indonesian Journal of Global Health research Budapest International Research in Exact Sciences (BirEx Journal) Journal SAGO Gizi dan Kesehatan Narra J Holistik Jurnal Kesehatan Strada Jurnal Ilmiah Kesehatan (SJIK) Indonesian Journal of Global Health Research
Nurjannah Nurjannah
Fakultas Kedokteran Universitas Syiah Kuala
Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Civil Engineering, Building, Construction & Architecture Dentistry Education Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Physics Public Health Transportation

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Maternal and Fetal Determinants of Caesarean Section Delivery Cut Yuliza Sutifa; Maidar Maidar; Nurjannah Nurjannah; Hermansyah Hermansyah; Radhiah Zakaria
Indonesian Journal of Global Health Research Vol. 8 No. 3 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i3.1199

Abstract

Maternal, infant, and toddler mortality rates remain a serious public health problem in Indonesia. One effort to reduce these rates is by ensuring safe delivery services, both vaginally and through cesarean sections (CS). Although normal delivery is preferred, the trend of cesarean sections has continued to increase in recent decades. Sultan Iskandar Muda Regional Hospital, as a type C hospital in Nagan Raya Regency, Aceh, records an increase in childbirth cases every year. This study aims to analyze the determinants that influence cesarean section procedures at the hospital. This study uses an explanatory sequential design. This type of quantitative research with a cross-sectional design was conducted using patient medical records. The population is all data on mothers who gave birth by cesarean section at Sultan Iskandar Muda Regional Hospital, taken within a 3-month period, namely October - December 2024, a total of 324 mothers giving birth by cesarean section. The sampling method used the total population with a sample size of 324 respondents. While qualitative research with a phenomenological approach, conducted by interview using interview guidelines, the method of collecting informants using purposive sampling with a total of 7 informants. The results of quantitative research show that the most dominant relationship between cesarean section is prolonged labor (OR: 701.40; 95%CI: 98.02-5019.20; p value: 0.0001), the occurrence of PEB (OR=446.33; 95%CI=21.62-9214.06; p=0.0001) and term birth (OR=35.76; 95%CI=0.29-4446.35; p=0.146) at Sultan Iskandar Muda Regional Hospital, Nagan Raya Regency. The results of qualitative research show that non-medical factors that play a role in cesarean section are fear of pain and complications during normal delivery. Prolonged labor is the most dominant factor with cesarean section. Therefore, health workers at community health centers are expected to provide positive support in the form of positive affirmations to pregnant women, such as deep breathing and relaxation exercises to reduce pain. Strengthen education programs and routine pregnancy check-ups at primary health care facilities to detect risk factors early and prevent childbirth complications.
Co-Authors Aamer Ikram Ai Koyanagi Alfian Alfian Andreasta Meliala Arifatul Khorida Asnawi Abdullah Asnawi Abdullah Asnawi Abdullah Assarag Bouchra Aulina Adamy Aulina Adamy Bakhtiar Bakhtiar Basri Aramico Cut Yuliza Sutifa Dedy Syahrizal Desri Luhonna Dian Lestari, Nova Dina E. Sallam Elly Kartika Farida Fahmi Ichwansysah Hajjul Kamil Hermansyah Hermansyah Ichsan Ichsan Irwan Sahputra Irwan Syahputra Iskandar Iskandar Kartini Hasballah Konstantinos Parperis Laure SG. Linguissi M. Marthoenis Maidar Maidar Maifrizal Maifrizal Marius Rademaker Mehrdad Amir-Behghadami Meutia Zahara Mohammed A. Mamun Mudatsir Mudatsir Mudatsir Mudatsir Mudatsir Mudatsir Muhammad A. Rayhan Nadia Fajri Nourah Nazifa Nur Najikhah Radhiah Zakaria Rahmat Alfi Syahri Ranjit Sah Rauyani Rauyani Rina Maulidar Riqqah Nadhira Rosalia Putri Said Usma Said Usman Said Usman Said Usman Said Usman Said Usman Sandro G. Viveiros-Rosa Sandro Vento Saputra, Irwan Sofia, Sofia Sri Alna Mutia Subhan Rio Pamungkas Subhan Rio Pamungkas Uwe Wollina Wahyuni, Sri Yohannes K. Lemu Yousef S. Khader Yunita Fitrianda Yusni Yusni Zaharamutia Zaharamutia