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Journal : Universa Medicina

Highest economic status increases risk of cesarean section in women of childbearing age Idris, Haerawati; Anggraini, Rini
Universa Medicina Vol. 41 No. 2 (2022)
Publisher : Faculty of Medicine, Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2022.v41.129-138

Abstract

BACKGROUNDCesarean section (CS) rates that are higher than the WHO recommendation may pose morbidity and mortality risks for both mother and child. In recent years, the number of CS deliveries has been increasing in developed and developing countries. The aim of the present study was to determine the rate of CS delivery and socioeconomic and demographic factors as risk factors of cesarean delivery in women of childbearing age. METHODSThis cross-sectional study used data from the 2017 Indonesian Health Demographic Survey (IDHS). The research subjects were 14,724 women of childbearing age aged 15-49 years who had given birth and met the inclusion criteria. The rate of CS was determined and the associations between independent and dependent variables were explored using logistic regression. RESULTSThe CS rate was 17.9%. Variables that had a significant relationship with cesarean delivery were geographic region, economic status, occupation, education, birth attendant, insurance ownership and antenatal care visits. The most dominant influencing variable was the highest economic status (OR 3.566; 95% CI: 2.857-4.452). Respondents with the highest economic status had a 3.5 times greater risk of having a cesarean delivery than subjects with the lowest economic status after controlling for the other variables. CONCLUSIONThis study demonstrated that the highest economic status increased the risk of CS delivery in women of childbearing age. The current epidemiological findings and evidence suggest adopting and implementing some strict guidelines in the health system to avoid unnecessary delivery by CS.
Co-Authors Achmad Fickry Faisya, Achmad Fickry Agustine, Farina Eka Alyousef, Mohammed Amrina Rosyada Andarini, Desheilla Anggreini, Rini Anggun Budiastuti Anita Rahmiwati Apriliani, Ferenadia Ardhan, Jery Asmaripa Ainy Astari, Dea Widya Azizah, Shinta Cynthia Cynthia Desheila Andarini, Desheila Dian Safriantini, Dian Dini Nabila Aryani Dinta, Nadya Ariba Ekananda, Detya Sella Elwin, Ghani El Mughni Muhammad Hidayatullah Fajar , Nur Alam Fajarini, Dessy Fatya Rizki Fadillah Febriyanti, Henny Feranita Utama Fitri Fitri Fitriani, Novi Hamzah Hasyim Hanifah, Arindi Dinda Hardina, Siti Hartati Inaku Hayati, Thursina Vera Hidayatullah, Muhammad Dwi Indah Purnama Sari Indahsari, Siti Rahmi Inoy Trisnaini Iqlima, Erni Jangga, Jangga Juliyanda, Nugraha Khaeriyah, Muthia Khairunnisa, Nyayu Maharani Khoirunnisa, Salsabila Kurnia Sari, Wulan Lestari, Peggy Ayu Maretha, Rika Maryanto, Hendri Misnaniarti Misnaniarti Monika, Salsabila Mufarika, Rully Muhammad Alamsyah Najmah, Najmah Netarisa Nia Novita Sari Ningsih, Nining Ade Nirmalasari, Melisa Yuni Novrikasari Novrikasari, Novrikasari Nur Alam Fajar Nurmalia Ermi Permana Putra, Dicky Permatasari, Rahmalia Pradisa, Dea Purnamasari, Septi Putri, Dinda Bella Putrisha, Shantya Adeline Rachmawati, Aisyah Restu Wulandari, Anggun Rifka, Niswatul Rini Anggraeni Rini Anggraini, Rini Rizma Adlia Syakurah Rosdiana Rosdiana Rostika Flora Rusdiana Rusdiana Safithri, Vani Saparuddin Latu Sari, Merry Afriliana Sari, Novrika Silvi Ariyanti Silvi Aulia Rahmah Sri Agustini Suhendra, Ahmad Adi SYADZA, EGA RAVA Tembo, Tannia Trisfayeti, Ica Hervita Utama Ningsih, R.E Solfitri Wati, Yeni Arsika Yuanita Windusari Yuliantari, Devy Zaleha, Siti