Factors Leading to Cesarean Section Delivery at Tarakan Hospital, North Kalimantan

Rahmi Padlilah, Ika Yulianti, Ririn Ariyanti


Background:  The increase in cesarean section delivery requires attention. Mortality and mor­bidity rates for mother and fetus increase in line with the increase in cesarean section delivery. This study aimed to analyze the factors affecting the delivery of cesarean section.

Subjects and Method: This was an analytical observational study with a case-control design. The study was conducted at Tarakan Hospital, North Kalimantan, from 2018 to 2020. There were 200 study subjects as the sample of this study that was selected by purposive sampling. The dependent variable was cesarean section delivery. The independent variables were parity, age, history of the disease, medical indications, and ANC history. This study used medical records to collect the data with multiple logistic regression analysis.

Results: Cesarean section delivery increased with multiparous (OR= 1.26; 95% CI= 1.67 to 7.45; p= 0.001), age <20 and ≥ 35 years (OR= 1.51; 95% CI= 2.12 to 9.66; p <0.001), high-risk pregnancies such as diabetes mellitus, anemia, hypertension and preeclampsia (OR = 1.50; 95% CI = 2.12 to 9.52; p <0.001), medical indications (OR­= 1.37; 95% CI = 1.82 to 8.57; p = 0.001) and complete ANC history (OR = 0.26; 95% CI = 0.13 to 0.56; p = 0.001).

Conclusion: Caesarean section delivery increases with multiparous, age <20 and ≥35 years, had a history of the disease, medical indications, and a complete ANC history.

Keywords: cesarean section, influencing factors, logistic regression analysis

Correspondence: Rahmi Padlilah. University of Borneo Tarakan. Jl. Amal Lama No.1 Tarakan, North Kalimantan. Email: Mobile: +628­11538073.

Journal of Maternal and Child Health (2021), 06(01): 77-83

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