Maternal and Fetal Determinants of Caesarean Section Delivery
DOI:
https://doi.org/10.37287/ijghr.v8i3.1199Keywords:
fetal weight, labor, prolonged labor, sectio caesarea, severe preeclampsiaAbstract
Maternal, infant, and toddler mortality rates remain a serious public health problem in Indonesia. One effort to reduce these rates is by ensuring safe delivery services, both vaginally and through cesarean sections (CS). Although normal delivery is preferred, the trend of cesarean sections has continued to increase in recent decades. Sultan Iskandar Muda Regional Hospital, as a type C hospital in Nagan Raya Regency, Aceh, records an increase in childbirth cases every year. This study aims to analyze the determinants that influence cesarean section procedures at the hospital. This study uses an explanatory sequential design. This type of quantitative research with a cross-sectional design was conducted using patient medical records. The population is all data on mothers who gave birth by cesarean section at Sultan Iskandar Muda Regional Hospital, taken within a 3-month period, namely October - December 2024, a total of 324 mothers giving birth by cesarean section. The sampling method used the total population with a sample size of 324 respondents. While qualitative research with a phenomenological approach, conducted by interview using interview guidelines, the method of collecting informants using purposive sampling with a total of 7 informants. The results of quantitative research show that the most dominant relationship between cesarean section is prolonged labor (OR: 701.40; 95%CI: 98.02-5019.20; p value: 0.0001), the occurrence of PEB (OR=446.33; 95%CI=21.62-9214.06; p=0.0001) and term birth (OR=35.76; 95%CI=0.29-4446.35; p=0.146) at Sultan Iskandar Muda Regional Hospital, Nagan Raya Regency. The results of qualitative research show that non-medical factors that play a role in cesarean section are fear of pain and complications during normal delivery. Prolonged labor is the most dominant factor with cesarean section. Therefore, health workers at community health centers are expected to provide positive support in the form of positive affirmations to pregnant women, such as deep breathing and relaxation exercises to reduce pain. Strengthen education programs and routine pregnancy check-ups at primary health care facilities to detect risk factors early and prevent childbirth complications.
References
Amir, F. (2020). The relationship between parity and age with caesarean section delivery at Bahagia Hospital, Makassar in 2020. Jurnal Kesehatan Delima Pelamonia, 4(2), 75-84.
Betrán, A. P., Torloni, M. R., Zhang, J.-J., Gülmezoglu, A., Aleem, H., Althabe, F., Bergholt, T., De Bernis, L., Carroli, G., & Deneux‐Tharaux, C. (2015). WHO statement on caesarean section rates. Bjog, 123(5), 667.
Daniyati, A., & Mawaddah, S. (2021). Factors Causing Caesarean Section Delivery in the Delivery Room of Wira Bhakti Mataram Level IV Hospital. Jurnal Ilmu Kesehatan Dan Farmasi, 9(2), 64-68.
Dashe, J. S., Bloom, S. L., Spong, C. Y., & Hoffman, B. L. (2018). Williams obstetrics. McGraw Hill Professional.
Dila, W., Nadapda, T. P., Sibero, J. T., Harahap, F. S. D., & Marsaulina, I. (2022). Factors Associated with Caesarean Section Delivery in the Period of January–December 2019 at Bandung Medan General Hospital. JOURNAL OF HEALTHCARE TECHNOLOGY AND MEDICINE, 8(1), 359-368.
Febrianawati, N., Rahmawati, D., & Ulfa, I. M. (2024). The Effect of Elective SC and Cito SC Operation Procedures on the Incidence of Surgical Wound Infections at Balangan Regional Hospital. Jurnal Anestesi, 2(1), 137-151.
Horgan, R., Bitas, C., & Abuhamad, A. (2023). Intrahepatic cholestasis of pregnancy: a comparison of Society for Maternal-Fetal Medicine and the Royal College of Obstetricians and Gynaecologists’ guidelines. American Journal of Obstetrics & Gynecology MFM, 5(3), 100838.
Jusman, D. D. (2023). The relationship between maternal characteristics and caesarean section. Jurnal Pendidikan Keperawatan dan Kebidanan, 2(3), 29-36.
Kemenkes, R. (2015). Strategic Plan of the Ministry of Health of the Republic of Indonesia 2015-2019. Jakarta: Ministry of Health of the Republic of Indonesia.
Komarijah, N., & Waroh, Y. K. (2023). Determinants of caesarean section (CS) birth incidence at Syamrabu Bangkalan Regional Hospital. National Seminar on Research and Community Service Results,
Nagy, S., & Papp, Z. (2020). Global approach of the cesarean section rates. J Perinat Med, 49(1), 1-4. https://doi.org/10.1515/jpm-2020-0463
Nurshabila, S., & Balfas, H. (2023). Factors Associated with the Incidence of Vaginal Delivery in Previous Caesarean Sections (VBAC) in 2020 at Budi Kemuliaan Hospital. Jurnal Kebidanan dan Kesehatan Reproduksi, 2(1), 21-29.
Profil RSUD Sultan Iskandar Muda Kabupaten Nagan Raya. (2023). Profile Of Sultan Iskandar Muda Regional Hospital, Nagan Raya Regency 2023. Nagan Raya.
Rahim, I., & Hengky, H. K. (2020). Characteristics of Mothers Giving Birth by Caesarean Section at Andi Makkasau Regional General Hospital, Parepare. Jurnal Ilmiah Manusia Dan Kesehatan, 3(2), 257-264.
Riskesdas. (2023). Laporan Hasil Riset Kesehatan Dasar (Riskesdas). Kemenkes RI.
Rizki, S. R., Utami, T., & Danang, D. (2024). Nursing care for acute pain in post-cesarean section patients in the Gayatri room, Wijayakusuma Hospital, Purwokerto. Journal of Management Nursing, 3(2), 334-340.
Ruqaiyah, R. (2019). Factors Associated with the Incidence of Prolonged Labor at AL Jala Ammari Hospital, Makassar, 2019. Jurnal Kesehatan Delima Pelamonia, 3(2), 89-95.
Sukasih, N. K., Maliga, I., & Kesuma, E. G. (2020). Analysis of Non-Medical Factors Influencing Caesarean Section Delivery at Sumbawa Regional General Hospital. Jurnal Kesehatan dan Sains, 4(1), 93-105.
Tambuwun, F. M., Natalia, S., & Muharni, S. (2023). Factors Associated with the Incidence of Caesarean Sections in the Central Surgical Installation of Tanjungpinang City Hospital. Jurnal Pendidikan Tambusai, 7(3), 24371-24379.
Visconti, F., Quaresima, P., Rania, E., Palumbo, A. R., Micieli, M., Zullo, F., Venturella, R., & Di Carlo, C. (2020). Difficult caesarean section: A literature review. Eur J Obstet Gynecol Reprod Biol, 246, 72-78. https://doi.org/10.1016/j.ejogrb.2019.12.026
Widiawati, I. (2019). Give birth comfortably and quickly with Hypnobirthing. Care: Jurnal Ilmiah Ilmu Kesehatan, 7(1), 45-52.
Yanti, D., & Lilis, D. N. (2022). Factors Associated with Postpartum Hemorrhage. Nursing Care and Health Technology Journal (NCHAT), 2(1), 16-23.
Yuhana, Y., Farida, T., & Turiyani, T. (2022). The Relationship Between Premature Rupture of Membranes, Prolonged Labor, and Fetal Distress with Caesarean Section Delivery at Dr. Noesmir Class IV Hospital, Baturaja, in 2020. Jurnal Ilmiah Universitas Batanghari Jambi, 22(1), 78-83.
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