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