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Highest economic status increases risk of cesarean section in women of childbearing age

Universa Medicina · Vol. 41 No. 2 (2022) · hlm. 129–138

DOI
10.18051/UnivMed.2022.v41.129-138
ISSN
2407-2230, 1907-3062
Terbit
2022-06-10
Penerbit
Faculty of Medicine, Universitas Trisakti
Bahasa
eng
Lisensi
creativecommons.org/licenses/by-nc-sa/4.0

Abstrak

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.

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  • Sriwijaya University
  • Islamic University of Riau
  • Mercu Buana University
  • University of Manchester
  • STIKES Bakti Nusantara Gorontalo
  • Centre for Infectious Disease Research in Zambia
  • King Abdulaziz University
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Rekan penulisOrganisasiArtikel bersama
Asmaripa AinySriwijaya University2
Assaini Carinta PadangSriwijaya University1
Asnawi AsnawiIslamic University of Riau1
Maya AprianiSriwijaya University1
Nurafni NurafniSriwijaya University1
Rizma Adlia SyakurahSriwijaya University1
Dian SafriantiniSriwijaya University1
Asri MaharaniUniversity of Manchester1
Amrina RosyadaSriwijaya University1
Siti ZalehaSriwijaya University1
Hartati InakuSTIKES Bakti Nusantara Gorontalo1
Tannia TemboCentre for Infectious Disease Research in Zambia1
Achmad Fickry FaisyaSriwijaya University1
Rusdiana RusdianaSriwijaya University1
Dinda Bella PutriSriwijaya University1
Mohammed AlyousefKing Abdulaziz University1
Rita SundariMercu Buana University1
Sudiono SudionoMercu Buana University1
Faiznur RidhoSriwijaya University1
Bambang Bemby SoebyaktoSriwijaya University1
NurafniSriwijaya University1

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Sumber metadata: OAI-PMH (metadata jurnal) https://univmed.org/ejurnal/index.php/medicina/oai, pertama di-harvest 10 Nov 2026, terakhir terlihat 10 Nov 2026.
Metadata asli (oai_dc)
<oai_dc:dc xmlns="http://www.openarchives.org/OAI/2.0/" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/  http://www.openarchives.org/OAI/2.0/oai_dc.xsd">
	<dc:title xml:lang="en">Highest economic status increases risk of cesarean section in women of childbearing age</dc:title>
	<dc:creator xml:lang="en">Idris, Haerawati</dc:creator>
	<dc:creator xml:lang="en">Anggraini, Rini </dc:creator>
	<dc:subject xml:lang="en">Cesarean section</dc:subject>
	<dc:subject xml:lang="en">demographic health survey</dc:subject>
	<dc:subject xml:lang="en">economic status</dc:subject>
	<dc:subject xml:lang="en">women of childbearing age</dc:subject>
	<dc:description xml:lang="en">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.</dc:description>
	<dc:publisher xml:lang="en">Faculty of Medicine, Universitas Trisakti</dc:publisher>
	<dc:date>2022-06-10</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
	<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
	<dc:format>application/pdf</dc:format>
	<dc:identifier>https://univmed.org/ejurnal/index.php/medicina/article/view/1306</dc:identifier>
	<dc:identifier>10.18051/UnivMed.2022.v41.129-138</dc:identifier>
	<dc:source xml:lang="en">Universa Medicina; Vol. 41 No. 2 (2022); 129-138</dc:source>
	<dc:source>2407-2230</dc:source>
	<dc:source>1907-3062</dc:source>
	<dc:source>10.18051/UnivMed.2022.v41.i2</dc:source>
	<dc:language>eng</dc:language>
	<dc:relation>https://univmed.org/ejurnal/index.php/medicina/article/view/1306/705</dc:relation>
	<dc:rights xml:lang="en">Copyright (c) 2022 Haerawati Idris, Rini  Anggraini</dc:rights>
	<dc:rights xml:lang="en">https://creativecommons.org/licenses/by-nc-sa/4.0</dc:rights>
</oai_dc:dc>