Section Cesarean in Urban Areas Indonesia: How the Relation with Frequencies of Antenatal Care?

Abstract

Increasing cesarean delivery in Indonesia from year to year has risks to the health of mother and baby. Antenatal care routinely that is suitable with pregnancy trimester is necessary to determine the condition and evaluation of infant health. This research aimed to know the relationship between the frequency of antenatal care with section cesarean. This research is quantitative research with a cross-sectional design. Data were from women aged 15-49 questionnaires of the 2012 Indonesia Demographic and Health Survey (IDHS 2012). The sample used the sample of 5143 women age 15-49 who gave birth to the last child with cesarean delivery or not in urban areas selected in the sample IDHS 2012. Multivariate logistic regression analysis was used to study the
related frequency of antenatal care with section cesarean, adjusting for socioeconomic status and education. The rate section cesarean in this research was 23.0% among all women, 14.0% with 0-3 frequencies and 23.4% with >=4 frequencies of antenatal cares. After adjusting for socioeconomic status and mother’s education variable, it showed a statistically significant association between frequencies of antenatal care and section
cesarean (p-value 0.046). The result also showed that frequencies of antenatal care >=4 times has 1.7 times higher (95% CI 1.1-2.8) to section cesarean compared with women who 0-3 times of antenatal care.



Keywords: section cesarean, frequency, antenatal care

References
[1] Kementrian Kesehatan, BKKBN B. Survey demografi dan kesehatan Indonesia (SDKI). 2012.


[2] Litbangkes. Riset kesehatan dasar. 2013.


[3] Oxorn, H., & Forte W. Ilmu kebidanan: patologi & fisiologi persalinan (human labor and birth). Hakimi M,
editor. Yogyakarta: Yayasan Essentia Medica (YEM) dan Penerbit ANDI; 2010.


[4] Virarisca S, Dasuki D, Sofoewan S. Metode persalinan dan hubungannya dengan inisiasi menyusu dini
di RSUP Dr. Sardjito Yogyakarta. J Gizi Klin Indones. 2010;7(2):92–8.


[5] Erlina R, Larasati T, Kurniawan B. Faktor-Faktor Yang Mempengaruhi Ibu Hamil Terhadap Kunjungan
Pemeriksaan Kehamilan Di Puskesmas Rawat Inap Panjang Bandar Lampung. J Major [Internet]. 2013 Feb 4 [cited 2017 Aug 25];2(4). Available from: http://juke.kedokteran.unila.ac.id/index.php/majority/ article/view/59


[6] Manuaba IA. et al. Buku ajar patologi obstetri untuk mahasiswa kebidanan. Jakarta: Penerbit Buku Kedokteran; 2009.


[7] Koc I. Increased cesarean section rates in Turkey. Eur J Contracept Reprod Heal Care. 2003;8(no.1):1–10.


[8] Meiyetriani E, Utomo B, Budi B, Santoso I, Salmah S, Studi P, et al. Peran dokter ahli kebidanan dan kandungan the role of obstetrician. Kesmas. 2012;7(1):37–43.


[9] Ocviyanti D. Telaah kualitas pelayanan kesehatan ibu menggunakan instrumen umpan balik pengumpulan data kualitas pelayanan kesehatan ibu dan bayi baru lahir di rumah sakit Dr. Cipto Mangunkusumo Jakarta [Internet]. Yogyakarta: Universitas Gadjah Mada. 2017 [cited 2017 Aug 21]. Available from: http://etd.repository.ugm.ac.id/index.php?mod=penelitian_detail&sub= PenelitianDetail&act=view&typ=html&buku_id=107047&is_local=1