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

Suparmi Suparmi, Iram Barida Maisya

Abstract


Abstract
Cesarean 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, Indonesia

Abstrak
Persalinan 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 untuk
memastikan 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


Keywords


seksio sesarea; kesenjangan, sosio-demografi, Indonesia

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Buletin Penelitian Kesehatan (Bulletin of Health Research, p-ISSN: 0125-9695. e-ISSN: 2338-3453) is published by Badan Penelitian dan Pengembangan Kesehatan, Ministry of Health of Republic of Indonesia
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