Running Title: Caesarean Section Deliveries in Indonesia
Puguh Prasetyoputra1* and Sri
Irianti2
1Research Center for Population, Indonesian Institute
of Sciences, Gd. Widya Graha Lt. 10, Jakarta 12710, Indonesia
2National Institute of Health Research and
Development, Indonesian Ministry of Health, Jl. Percetakan Negara No.
29, Jakarta 10560, Indonesia
*Corresponding author, Address: Gd. Widya Graha Lt. 10, Jakarta 12710,
Indonesia; Phone: +6221-5221687; Fax: +6221-5221687; Email:
pprasetyoputra@gmail.com.
Abstract
Despite the rising occurrence of caesarean section (CS) deliveries in
Indonesia, the correlates of caesarean section are not well understood.
Therefore, this study is aimed at addressing the spatial, maternal, and
socio-demographic variables associated with CS delivery among Indonesian
mothers. Data from the 2012 Indonesia Demographic and Health Survey
(IDHS) was analysed using logit regression models (LRM). Average
marginal effect (AME) and its 95 % confidence intervals (CI) were used
as measures of association. It is observed that higher maternal age,
parity, prenatal complication, higher number of prenatal care (PNC)
visits, and delivery in a private health facility were significantly
associated with higher probability of CS delivery. Moreover, maternal
education was also found to have a positive and significant effect on
the likelihood of CS delivery. Furthermore, having private health
insurance coverage compared to none, and being in a higher wealth index
quintile were found to be positively and significantly associated with
the probability of CS delivery. Ten explanatory variables were found to
be statistically associated with the probability of women having CS in
their latest delivery. Further studies that update the trend CS
deliveries and its determinants in Indonesia are recommended. This study
is the most recent one that addresses the correlates of CS delivery in
Indonesia. The results of this study enrich the existing knowledge of
the factors associated with CS delivery in Indonesia and globally.
Keywords Caesarean section, logit regression model, prenatal
care, maternal education, Indonesia
Abbreviations
AME: average marginal effect
CS: caesarean section
IDHS: Indonesia Demographic and Health Survey
LRM: logit regression models
PNC: prenatal care