British Journal of Midwifery VOL. 30, NO.

5 | Research normal

Determinants of caesarean section delivery:

a nationwide study in Indonesia
Aria Aulia Nastiti
,
Mira Triharini
,
Ni Komang Ayu Santika
,
Yulis Setiya Dewi
,
Najla A Barnawi
,
Hidayat Arifin
Published Online: 17 May 2022 https://doi.org/10.12968/bjom.2022.30.5.282

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Abstract
Background
The number of caesarean section deliveries among mothers in Indonesia has increased every
year.

Aim
This study was conducted to identify the prevalence and determinants of caesarean section in
Indonesia.

Methods
A cross-sectional design using the 2017 Indonesian Demographic Health Survey was
conducted. A total of 12 789 mothers were recruited, and bivariate analysis and binary
logistic regression were used.

Results
The determinants among women that were significant factors in performing caesarian section
deliveries were maternal age >35 years, urban residence, high level of education, poorest
wealth index, having more than four visits to antenatal care centres, close proximity to health
facilities and first-time birth.
Conclusions
The rate of caesarean section deliveries in Indonesia was 17.7%. Monitoring and evaluation
of the increasing number of caesarean sections without medical necessity and the severity of
labour is needed.