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Analysis of Factors Affecting Childbirth with Caesarean in Kediri, Indonesia

Dian Rahmawati, Didik Tamtomo, Uki Retno Budihastuti

Abstract

Background: Cesarean section has a maternal mortality risk 4 times higher than those with normal birth. In Kediri, the incidence of cesarean section increased, i.e. 8.5% in 2012 to 15.3% in 2015. Therefore, this study aimed to analyze the factors affecting cesarean section deliveries in Kediri.

Subjects and Method: This was an observational analytical study with case control design. A total sample of 50 women giving birth with cesarean section and 50 normal birth. The population was all women giving birth by cesarean section in Kediri. A sampling technique was using a Fixed Sampling Disease. Data analysis used multiple logistic regression.

Results: Maternal age <20 or ≥35 years was lower the chances of having cesarean 0.83 times compared to mothers aged 20-35 years and was not statistically significant (OR = 0.83; 95% CI = 0:26 to 2.78, p = 0.757), Parity 1 and ≥4 increase of 1.64 times more likely to undergo cesarean section than parity 2-3 and was not statistically significant (OR = 1.64; 95% CI = 0.60 to 4:58, p=0341). Less physical activity during pregnancy increases the likelihood of cesarean section 1:10 of times and was not statistically significant (OR = 1:10; CI 95% = 0:38 to 2.90, p = 0932). Mothers who experienced complications during labor increases the risk 12 times through cesarean section and was statistically significant (OR = 12; 95% CI = 3.56 to 41.81, p <0.001). Mothers who do their own request for delivery by cesarean section increases the likelihood 21 times through cesarean section and was statistically significant (OR = 21:24; 95% CI = 5.22 to 86.33, p <0.001).

Conclusion: There is a positive correlation, very strong and statistically significant between the complications of labor and delivery at hisown request by cesarean section.

Keywords: cesarean section, affecting factors

Correspondence: Dian Rahmawati. School of Public Health, Sebelas Maret University, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: lintangkayana31@gmail.com.

Journal of Maternal and Child Health (2016), 1(1): 34-40
https://doi.org/10.26911/thejmch.2016.01.01.06

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References

Afriani A, Desmiwarti, Kadri H (2013). Kasus persalinan dengan bekas seksio sesarea menurut keadaan waktu masuk di bagian obstetri dan ginekologi RSUP Dr. M. Djamil Padang. Jurnal Kesehatan Andalas 2(3). Diakses pada 4 Februari 2016

Andayasari L, Muljati S, Sihombing M, Arlinda D, Opitasari C, Mogsa DF, Widianto (2014). The proportion of caesarean section and associated factors in hospital of Jakarta. Buletin Penelitian Kesehatan, 43(2): 105-116. Diakses 5 Februari 2016

Baecke JA, Burema J, Frijters JE (1982). A short questionnaire for the measurement of habitual physical activity in epidemiological studies. The American Journal of Clinical Nutrition, 36: 936-942. Diakses pada 7 Februari 2016

Chuntharapat S, Petpichetchian W, Hatthakit U (2008). Effects of Yoga on Maternal Comfort, Labour Pain and Birth Outcomes. Comlementary Therapies in Clinical Practice. 105–115

Domenjoz I, Kayser B, Boulvain M (2014). Effect of physical activity during pregnancy on mode of delivery. American Journal Obstetrics and Gynecology 211: 401.e1-11. Diakses pada 7 Februari 2016

Hamilton PM (2004). Dasar-dasar keperawatan maternitas edisi 6 revisi. Jakarta : EGC

Hinelo F, Suparman E, Tendean H (2013). Luaran Partus Lama di BLU RSU Prof. DR. R. D. Kandou Manado. Jurnal eBiomedik (eBM) 1(1) : 101-105

Jayakody O dan Senanayake H (2015). Effect of Physical Activity During Pregnancy on Birth Outcomes in Mothers Presenting at the Antenatal Clinic of De Soysa Maternity Hospital, Colombo 08. Asia Pacific Journal of Multi disciplinary Research 3(2).http://www. apjmr.-com/wp-content/uploads /2015/05/ PJMR -2015-3-2-011-Effect-of-Physical-Activity-During-Pregnancy-on-Birth-Outcomes-1.pdf. Diakses pada 21 Februari 2016

Kasdu, Dini (2003). Operasi Caesar Masalah dan Solusinya. Jakarta: Puspa Swara.

Kementrian Kesehatan RI (2014). Mothers day, situasi kesehatan ibu.Jakarta : Pusat Data dan Informasi Kementrian Kesehatan RI/InfoDATIN

Khotijah, Anasari T, Khosidah A (2014). Hubungan usia dan paritas dengan kejadian retensio plasenta pada ibu bersalin. Bidan Prada : Jurnal Ilmiah Kebidanan, 5(1): 27-32. Diakses pada 16 Januari 2016

Leon RP, Hermoso AG, Martinez GS, Bueno CA, Lopez MS, Vizcaino VM. (2015). Effects of exercise during pregnancy on mode of delivery: a meta analysis. Acta Obstetrics Gynecology Scand, 94(10): 1039-47

Manuaba IBG, Manuaba IAC, Manuaba IBGF (2007). Pengantar kuliah obstetri.Jakarta : EGC

Manuaba IBG, Manuaba IAC, Manuaba IBGF (2010). Ilmu kebidanan, nyakit kandungan dan KB untuk pendidikan bidan Edisi 2. Jakarta: EGC

Mursalim K, Masni, Tiro MA. (2012). Faktor determinan pemilihan jenis persalinan dan dampaknya terhadap pemberian ASI di Rumah Sakit Kota Makassar http:// repository.unhas.ac.id: 4001/ digilib/ files/ disk1/ 446/--kasmahmurs-22274-1-kasmaho-29.pdf. Diakses pada 5 Juni 2016

Murti B (2013). Desain dan ukuran sampel untuk penelitian kuantitatif dan kualitataif di bidang kesehatan : Yogyakarta. Gajah Mada University Press

Olam S dan Floranita R (2013). Materi pembelajaran kesehatan ibu dan anak. edukia: World Health Organization Country Office for Indonesia

Prawirowihardjo S. (2009). Ilmu kebidanan. Jakarta : Yayasan Bina Pustaka Sarwono Prawirowihardjo

Salfariani I dan Nasution SS (2012). Faktor pemilihan persalinan sectio caesareatanpa indikasi medis di RSU Bunda Thamrin Medan. http://jurnal.usu.co.id/. Diakses pada 21 Januari 2016

Sarmana (2004). Determinan non medis dalam permintaan persalinan sectio caesarea di RS St. Elisabeth Medan. Fakultas Kesehatan Masyarakat Universitas Sumatera Utara. Diakses pada 28 Juni 2016

Sibuea DH (2007). Manajemen seksio sesarea emergensi; masalah dan tantangan. Universitas Sumatera Utara Medan

Szumilewicz A, Wojtyła A, Zarębska A, Kozakiewicz ID, Sawczyn M, Kwitniewska A (2013). Influence of prenatal physical activity on the course of labour and delivery according to the new polish standard for perinatal care. Annals of Agricultural and Environmental Medicine, 20(2): 380–389. Diakses pada 14 Januari 2016

Wiknjosastro GH (2009). Pelayanan kesehatan maternal dan neonatal. Jakarta: Yayasan Bina Pustaka Sarwono Prawirowiharjo

Yudiyah D (2013). Indikasi persalinan sesar berdasarkan umur dan paritas di rumah sakit imanuel bandung. Universitas Pendidikan Indonesia. Diakses pada 5 Februari 2016

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