Antenatal Care Provider and Cesarean Section in Urban Areas in Indonesia
Abstract: Trends of cesarean
section trend in Indonesia (2007-2012) have doubled the risk of long-term and
short-term health problems. This study was aimed to determine relation between
antenatal care provider and cesarean section. This quantitative study used
cross-sectional design with a total sample of 5,143 women aged 15-49 years who
gave birth to the last child through cesarean section or not as in urban areas
selected in samples of 2012 Indonesia Demographic and Health Survey. Logistic
regression multivariate analysis was used to determine relation between
antenatal care provider and section cesarean, which was controlled by maternal
age, antenatal care facility, parity, and place of birth. Results showed that
antenatal care at obstetrician was 6.6 times higher, while antenatal care at
obstetrician and midwife was 2.1 times higher for cesarean section compared to
women who had antenatal care at midwife after controlled by maternal age,
antenatal care facility, parity, and place of birth. There is interaction
between socioeconomic status and
obstetrician for a cesarean section. Regulation on cesarean section by
health authority, as well as protective and preventive labor applied towards on
the high economic class community may reduce unnecessary cesarean section.
Keywords: Antenatal care,
cesarean section, health provider, urban
Author: Terry Yuliana Rahadian
Pristya, Milla Herdayati, Besral Besral, Dheni Fidyah Fika
Journal Code: jpkesmasgg180001
