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

Rahmi Padlilah, Ika Yulianti, Ririn Ariyanti

Abstract

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: rahmipadlilah@gmail.com. Mobile: +628­11538073.

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

https://doi.org/10.26911/thejmch.2021.06.01.08

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References

Abebe FE, Gebeyehu AW, Kidane AN, Eyassu GA (2016). Factors leading to cesarean section delivery at Felegehiwot referral hospital, Northwest Ethiopia: A retro-spective record review.Reprod Health. 13(1): 1–7. doi: 10.1186/s12978-015-01-14-8.


Omar AAA, Anza SHA (2012). Frequency rate and indications of cesarean sections at Prince Zaid Bin Al Hussein Hospital-Jordan. Journal of the Royal Medical Services. 19(1): 82–86. https://doi.org/10.15218/zjms.2018.020.


Ayuningtyas D, Oktarina R, Misnaniarti M, Sutrisnawati NND (2018). Etika kese-hatan pada persalinan melalui sectio caesarea tanpa indikasi medis. Media Kesehatan Masyarakat Indonesia. 14 (1): 9-16. http://dx.doi.org/10.30597/mkmi.v14i1.2110.


Benzouina S, Boubkraoui MEM, Mrabet M, Chahid N, Kharbach A, El-Hassani A, et al. (2016). Fetal outcome in emergency versus elective cesarean sections at Souissi Maternity Hospital, Rabat, Morocco. Pan Afr Med J. 23: 197. https://doi.org/10.11604/pamj.2016.23.197-.7401.


Chongsuvivatwong V, Bachtiar H, Chowdhu-ry ME, Fernando S, Suwanrath C, Kor-Anantakul O, et al. (2010). Maternal and fetal mortality and complications associated with cesarean section deli-veries in teaching hospitals in Asia. J Obstet Gynaecol Res.36(1):45–51. doi. 10.1111/j.1447-0756.200.01100.x.


Diana V, Tipandjan A (2016). Emergency and elective caesarean sections: comparison of maternal and fetal outcomes in a suburban tertiary care hospital in Puducherry. Int J Reprod Contracept Obstet Gynecol. 5(9):3060–5. doi: http://dx.doi.org/10.18203/2320-17-70.ijrcog20162985.


Fitzpatrick KE, Kurinczuk JJ, Bhattacharya S, Quigley MA (2019). Planned mode of delivery after previous cesarean section and short-term maternal and perinatal outcomes: A populationbased record linkage cohort study in Scotland. PLoS Med. 16(9): e1002913. https://doi.org/10.1371/journal.pmed.1002913.


Herstad L, Klungsøyr K, Skjærven R, Tanbo T, Forsén L, Åbyholm T, et al. (2016). Elective cesarean section or not? Ma-ternal age and risk of adverse outcomes at term: A population-based registry study of low-risk primiparous women. BMC Pregnancy Childbirth. 16(1): 1–11. doi: 10.1186/s12884-016-1028-3.


Jodjana C, Suryawan IWB (2020). Hubungan jenis persalinan dengan kejadian asfiksia neonatorum di ruang perinatologi dan Neonatal Intensive Care Unit (NICU) RSUD Wangaya Kota Denpasar. Intisari Sains Medis. 11(1): 327–331. doi: 10.15562/ism.v11i1.537.


Kaswa R, Rupesinghe GFD, Longo-Mbenza B (2018). Exploring the pregnant women’s perspective of late booking of antenatal care services at Mbekweni Health Centre in Eastern Cape, South Africa. Afr J Prim Health Care Fam Med. 10(1): e1-e9 doi: 10.4102/phcfm.-v10i1.1300.


Mascarello KC, Horta BL, Silveira MF (2017). Maternal complications and cesarean section without indication: systematic review and meta-analysis. Rev Saude Publica. 51: 105. doi: 10.11606/S1518-8787.2017051000389.


Mulyawati (2011). Factors associated with Cesarean Section, a cross sectional study. Jurnal Kesehatan Masyarakat. 1: 15-24. http://journal.unnes.ac.id/in-dex.php/kemas.


Rahman M, Shariff AA, Shafie A, Saaid R, Tahir RM (2015). Caesarean delivery and its correlates in Northern Region of Bangladesh: Application of logistic regression and cox proportional hazard model. J Health Popul Nutr. 33(1): 1–11. doi: 10.1186/s41043-015-0020-2.


Rydahl E, Declercq E, Juhl M, Maimburg RD (2019) Cesarean section on a rise—Does advanced maternal age explain the increase? A population register-based study. PLoS ONE. 14(1): e0210-655. https://doi.org/10.1371/journal.pone.0210655.


Saad G, DeJong J, Terreri N, Méndez, Jamie Perin MCR, Vaz L, et al. (2016). Pat-terns and determinants of antenatal care utilization: Analysis of national survey data in seven countdown countries. J Glob Health. 6(1). doi: 10.7189/-jogh.06.010404.


Sinyange N, Sitali L, Jacobs C, Musonda P, Michelo C (2016).Factors associated with late antenatal care booking: population based observations from the 2007 Zambia demographic and health survey. Pan Afr Med J. 25: 109. doi: 10.11604/pamj.2016.25.109.6873.


Padlilah R, Yulianti I (2020). Comparison of infant complication between emergency and caesarean sections: A meta-analysis. J Matern Child Health. 5(2): 200-205. https://doi.org/10.26911/thejmch.2020.05.02.10.


Vogel JP, Betrán AP, Vindevoghel N, Souza JP, Torloni MR, Zhang J, et al. (2015). Use of the robson classification to assess caesarean section trends in 21 countries: A secondary analysis of two WHO multicountry surveys. Lancet Glob Health. 3(5): e260-70. doi: 10.1016/S2214-109X(15)70094-X.


World Health Organization (2015). WHO recommendations on health promotion interventions for maternal and new-born health. World Health Organization Offset Publication.


Yang XJ, Sun SS (2017). Comparison of maternal and fetal complications in elective and emergency cesarean sec-tion: a systematic review and meta-analysis. Arch Gynecol Obstet. 296(3): 503–512. doi: 10.1007/s00404-017-4445-2.

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