Kesenjangan Sosio-Ekonomi dan Faktor yang Berhubungan dengan Persalinan Seksio Sesarea di Indonesia

Buletin Penelitian Kesehatan

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Title Kesenjangan Sosio-Ekonomi dan Faktor yang Berhubungan dengan Persalinan Seksio Sesarea di Indonesia
 
Creator Suparmi, Suparmi; National Institute of Health Research and Development
Maisya, Iram Barida; Pusat Penelitian dan Pengembangan Upaya Kesehatan Masyarakat
 
Subject seksio sesarea; kesenjangan, sosio-demografi, Indonesia
 
Description AbstractCesarean section rates in Indonesia increase almost double in the past five years, from 6.8% (2007) to 12.3% (2012). Very high cesarean section rates associated with adverse maternal and neonatal outcomes. The Sustainable Development Goals (SDGs) target number 10 is to reduce inequalities in all sectors, including health. The study aims to explore socio-economic inequality and factors associates to caesarean section in Indonesia. This study was a cross-sectional study using data from the 2012 Indonesian Demographic and Health Survey (IDHS). The sample study was 12,973 mothers who ever gave live-birth in the last five years before the survey. The backward logistic regression was used for analysis. Our analysis shows socio-economic inequality of caesarean section rates. Mothers with highest socio-economic status had 4-fold higher odds of caesarean section compared to lowest quintile. Furthermore, complication of pregnancy and delivery, first pregnancy, twin, had health insurance, aged more than 35 years and live in urban area had higher odds of caesarean section. Therefore, it is important to assure caesarean section based on medical indications and increase health promotion on side effect of elective caesarean section without medical indication.Keywords: cesarean section, inequality, socio-demographic, IndonesiaAbstrakPersalinan seksio sesarea meningkat hampir dua kali lipat dalam periode lima tahun terakhir dari 6,8% (2007) menjadi 12,3% (2012). Tingginya proporsi persalinan seksio sesarea dapat berdampak pada kesehatan ibu dan neonatal. Selain itu, Target Sustainable Development Goals (SDGs) ke-10 adalah mengurangi kesenjangan di berbagai bidang, termasuk kesehatan. Penelitian ini bertujuan untuk mengetahui kesenjangan sosio-ekonomi serta faktor yang berhubungan dengan persalinan seksio sesarea di Indonesia. Penelitian ini merupakan studi potong lintang menggunakan data Survei Demografi dan Kesehatan Indonesia (SDKI) tahun 2012. Sampel dalam penelitian ini sebesar 12.973 ibu yang pernah melahirkan anak hidup pada kurun waktu lima tahun sebelum survey. Metode analisis yang digunakan adalah regresi logistik. Hasil analisis menunjukan kesenjangan persalinan seksio sesarea menurut sosio-ekonomi. Ibu dengan status sosio-ekonomi terkaya memiliki kemungkinan 4 kali lebih besar untuk melakukan persalinan seksio sesarea dibandingkan ibu dengan status termiskin. Selain itu, ibu yang mengalami komplikasi kehamilan dan persalinan, kehamilan pertama, kelahiran kembar, memiliki jaminan kesehatan, usia ibu diatas 35 tahun, dan tinggal di perkotaan memiliki kemungkinan lebih besar untuk melakukan persalinan seksio sesarea. Oleh sebab itu, perlu untukmemastikan bahwa persalinan seksio sesarea dilakukan atas dasar indikasi medis dan penting untuk meningkatkan promosi kesehatan terkait efek samping persalinan seksio tanpa indikasi medis.Kata kunci: seksio sesarea, kesenjangan, sosio-demografi, Indonesia
 
Publisher Badan Penelitian dan Pengembangan Kesehatan
 
Contributor
 
Date 2017-11-17
 
Type
 
Format application/pdf
 
Identifier http://ejournal.litbang.kemkes.go.id/index.php/BPK/article/view/6711
10.22435/bpk.v45i3.6711.169-176
 
Source Buletin Penelitian Kesehatan; Vol 45, No 3 (2017); 169-176
 
Language id
 
Rights The Authors submitting a manuscript do so on the understanding that if accepted for publication, copyright of the article shall be assigned to Buletin Penelitian Kesehatan (Bulletin of Health Research) and Badan Penelitian dan Pengembangan Kesehatan (National Institute of Health Research and Development) as publisher of the journal.Copyright encompasses exclusive rights to reproduce and deliver the article in all form and media, including reprints, photographs, microfilms and any other similar reproductions, as well as translations. The reproduction of any part of this journal, its storage in databases and its transmission by any form or media, such as electronic, electrostatic and mechanical copies, photocopies, recordings, magnetic media, etc. , will be allowed only with a written permission from Buletin Penelitian Kesehatan (Bulletin of Health Research) and Badan Penelitian dan Pengembangan Kesehatan (National Institute of Health Research and Development).Buletin Penelitian Kesehatan (Bulletin of Health Research) and Badan Penelitian dan Pengembangan Kesehatan (National Institute of Health Research and Development), the Editors and the Advisory International Editorial Board make every effort to ensure that no wrong or misleading data, opinions or statements be published in the journal.
 

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